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67 Cards in this Set

  • Front
  • Back
NCRP stand for
National Council on Radiation Protection
ICRP
International commission on radiological protection
early transient erythema
dose:
time of onset:
dose: 2Gy
onset: within hours
erytema
dose
onsest
dose: 6Gy
onset:10-14 days
temporary epilation
dose:
onset:
dose:3Gy
onset: 3wks
permanent epilation
dose
onset
dose: >7Gy
onset: 3 wks
dry desquamation
dose
onset
dose:14Gy
onset:4wks
moist desquamation
dose
onset
dose: >15Gy
onset: 4 wks
atrophy/necrosis
dose
onset
dose:10-18Gy
onset: occurs late
occupational annual exposure limit
50mSv/yr
occupational lens of eye exposure limit
150mSv/yr
occupational skin, hands, and feet exposure limit
500mSv/yr
embryo/fetus exposure limit:
effective dose limit after pregnancy declared
.5mSv/month

.5rem overall/.05rem monthly
public annual exposure limits:
effective dose limit, continuous/ frequent exposure
1Sv/yr
public annual exposure limits:
effective dose limit, infrequent exposure
5mSv/yr
individual worker's lifetime effective dose should not exceed
age in years x 10mSv (or 1rem)
1Sv=___rem
100rem
radon average annual effective dose (mSv)
2mSv
other natural background annual effective dose in (mSv)
1mSv
medical diagnostic x-rays, nuclear medicine
x-ray=.39mSv
nuc. med= .14mSv
consumer products average annual effective dose (mSv)
.12mSv
average annual effective dose (mSv) rounded value
3.6mSv
energy absorbed per unit mass

old unit
new unit
absorbed dose (dose)

old unit: rad (100rad-1Gy
new unit: J/kg or Gy
absorbed dose x radiation weighting factor

old unit
new unit
equivalent dose

old: rem
new: Sv
sum of all the weighted equivalent doses in all the tissues or organs irradiated

old unit
new unit
effective dose
old: rem
new: Sv
(SUM) of absorbed dose x Wr x Wt
effective dose
quantity obtained by multiplying the dose equivalent to a tissue by the appropriate weighting factor for that tissue

old unit
new unit
effective dose equivalent

old: rem
new: Sv
relative contibution of each tissue or organ to the total determent resulting from uniform irradiation of the whole body
tissue weighting factor (Wt)
the product of the average equivalent dose to a population and the number of persons exposed

old unit
new unit
Collective equivalent dose

old: Man rem
new: Person-Sv
the product o the average effective dose to a population and the number of persons exposed

old unit
new unit
collective effective dose

old Man rem
new Person-Sv
The dose that, if given to every member of a population, should produce the same hereditary harm as the actual doses received by the individual

old unit
new unit
genetically significant dose

old Rem
new Sv
Average background level is
100mrem
 Radon gas accounts for ____mrem; it is the largest component of natural background radiation (estimated cause of ___ of the total lung cancer deaths)
200

10%
 Average annual effective dose in U.S. from all sources is
3.6mSv (360mrem)
major sources of exposure =
background radiation and medical
background radiation=
50%
medical =
48%
radon and thoron make up what %
37%
other background makes up what %
13%
CT makes up what %
24%
nuc med makes up what %
12%
interventional fluoroscopy makes up what %
7%
conventional radiography fluoroscopy makes up what %
5%
dose from
Chest x-ray
.01rem
dose from
dental exam
.16rem
dose from
mammogram
.25 rem
dose from
PET
.37rem
dose from
spiral CT scan (FULL BODY)
3-10rem
hadrontherapy means
o Radiotherapy involving protons, neutrons, or other heavy ions, particularly carbon.
Protons
LET
OER
REB
LET=low
OER=similar to x-rays
RBE= range from 1-1.25 (~160Mev)
Heavy ion
adv
overcoming radioresistance from hypoxic tumors

spare normal tissue
Heavy ions
RBE
have a higher RBE relative to low LET x-rays and electrons
neutrons
how do they work
indirectly ionizing, they give up their energy to produce recoil protons, a(alpha) particles, and heavy nuclear fragments
how do neutrons differ from x-rays?
neutrons have a
reduced OER
little or no repair of SLD or PLD
and less variation of sensitivity through the cell cycle
neutrons benefitial for treating
prostate, soft tissue sarcoma, salivary gland tumors
Before RT
After RT
during RT
Induction=before
adjuvant=after
concurrent=during
what is pleiotropic resistance?
the phenomenon by which the development of resistance to one drug results in cross-resistance to other drugs, even those with different mechanisms of action.
biggest single problem in chemotherapy
resistance
parameters for therapeutic gain:
(1)genetic instability of tumor cells
(2)rapid proliferation of some tumor cells
(3)cell age distribution of tumor cell population
(4)hypoxia (characteristic of larger tumors)
(5)pH (often low in tumors)
MISC agents
hydroxyurea, procarbazine, cisplatin
antimetabolites include:
methotrexate
5FU
antibetabolites do what?
they are analogues of the normal metabolites required for cell function replication
antibiotics do what
bind to DNA and inhibit DNA and RNA synthesis
antibiotics include:
doxorubicin (adriamycin) and daunorubicin
dactinomycin
bleomycin
mitomycin C
antibiotics major toxicity is
myelosuppression
alkylating agents do what
highly active, ability to substitute alkyl groups for hydrogen atoms in DNA
cell-cycle nonspecific
large growth fraction=?
small growth fraction =?
large=more responsive to chemo
small= less responsive to chemo