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23 Cards in this Set

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bequerel
Measurement of Radiation Dose.

disintegrations per second (Bq)
average radiation dose for tx and dx?
diagnostic 0.4 to 2 GBq
therapeutic 0.3 to 40 GBq
radiation absorbed dose
• Radiation absorbed dose is the amount of energy from
radiation that is absorbed by the tissues.
• Units - 1 Gy = 100 rad

joules of radiation/kg tissue
What is a Sievert?
Effective Dose of radiation for a particular organ.

Gy x WF = Sv
where WF is the organ's weighting factor based on susceptibility to radiation damage.
Significance of Radiation Effective Dose calculations?
This is what risk assessments will be based on when considering radiation therapy doses and options.
What is a typical therapeutic dose of radiation per target organ?
20 to 100 Gy to the target.
What is the relationship between Effective Dose and Radiation Absorbed Dose?
RAD = the absolute number of Gy absorbed per unit tissue.

Effective Dose is a scaled RAD based on how sensitive a particular tissue is to radiation. Gives you an idea of the relative impact of absorbed radiation on an organ.
What is the most successful radiotracer for PET imaging?
18-Fluorodeoxy Glucose (FDG)
What is the overall goal of nuclear imaging?
Look at phenotype and biochemical processes, NOT anatomy. Images are a result of differential biochemical activity in the body.
99mTechnetium labeled medronate

What is it for?
a radioactive
methylene phosphonic acid taken into the bone matrix
where the bone is reforming as a result of osteoblastic or
osteoclastic activity
What is the most used radionuclide in medicine and what is its parent radionuclide?
99mTechnetium. t1/2 ~6h

Derived from 99Molybdenum. t1/2 ~66hr
How is the radioactive decay constant calculated?
Lambda = (ln 2) / (t1/2)

dN/dt = lambda * N; rate of change as a function of the amount of nuclides present (N).
What is the main difference between radiotracers and radiopharmaceuticals?
Radiotracers are for imaging and use gamma radiation.

Radiopharmaceuticals are for treatment and use particulate radiation.
According to Dr. Link, what are the strengths and weaknesses of nuclear medicine and imaging?
Strengths: sensitivity and specificity (target exactly what you want). Can see PHYSIOLOGY throughout whole body.

Weaknesses: fuzzy image due to poor spatial resolution.
Potential advantages of viral vectors for vaccine delivery?
-efficient delivery
-antigens presented in native conformation
-elicit cytotoxic T cell response bc mimics natural infection
-targets the tissues in the normal portals of virus entry
-induces innate immune response as well as adaptive immune response.
Advantages of adjuvants?
-amplify the immune response to vaccine
-decrease the amount of antigen needed to elicit a response
-modulate quality of response (cellular, innate, antibody response)
-overcome unresponsiveness due to weaker immune system (ex. in elderly)
Examples of cell therapies?
blood transfusions
organ transplants
bone marrow transplants
cord blood transplants
embryonic stem cells for tx/reproductive cloning
Where do gene and cell therapies merge?
Ex-vivo GENE THERAPIES for treatment of genetic diseases such as ALD, X-SCID, etc. are all CELLULAR THERAPIES.
Potential advantages of viral vectors for vaccine delivery?
-efficient delivery
-antigens presented in native conformation
-elicit cytotoxic T cell response bc mimics natural infection
-targets the tissues in the normal portals of virus entry
-induces innate immune response as well as adaptive immune response.
Advantages of adjuvants?
-amplify the immune response to vaccine
-decrease the amount of antigen needed to elicit a response
-modulate quality of response (cellular, innate, antibody response)
-overcome unresponsiveness due to weaker immune system (ex. in elderly)
Examples of cell therapies?
blood transfusions
organ transplants
bone marrow transplants
cord blood transplants
embryonic stem cells for tx/reproductive cloning
Where do gene and cell therapies merge?
Ex-vivo GENE THERAPIES for treatment of genetic diseases such as ALD, X-SCID, etc. are all CELLULAR THERAPIES.
Potential risks of cloning?
1. high failure rate
2. telomeric differences
3. abnormal gene expression patterns
4. problems during later development