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14 Cards in this Set

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Compare lethal damage, sub-lethal damage and potentially lethal damage
lethal is irreversible, sub-lethal does not kill the cell unless further damage takes place and potentially lethal damage can be altered by post irradiation conditions
What are the 4 R's of radiobiology?
1. Repair
2. Reoxygenation
3. Reassortment
4. Repopulaton
What causes mitotic death?
When there are 2 DNA strand breaks
What is the dose rate effect
Simply put the lower the dose rate the greater the survival fraction
What is the oxygen effect?
The presence of oxygen, which is a radiosensitizer, during or immediately following irradiation increases radiosensitivity
why is this?
O2 makes radiation damage "fixed"
What is OER?
The ratio of doses of hypoxic vs aerated dells.
OER = D0 hyposxic cells/D0 oxygenated cells
define:
hypoxic
anoxic
necrotic
hypoxic - low oxygen
anoxic - no oxygen
necrotic - dead
True or False: O2 levels above 2% greatly increase the oxygen effect
False cell killing from normal aeration to 2% is the same, above that there is no significant increase
What is the OER for exposure to x and gamma rays?
2.5 to 3.0
What is reassortment in the 4 r's of radiobiology?
redistribution of a cell population as to their place in the cell cycle

what effect does this have on a cell population?
synchronization
What is Repopulation in the 4 r's of radiobiology?
When the dose is split, or given a low dose rate, cellular survival increases due to cellular division
When using external beam therapy what is the general protocol for tumor treatment?
well collimated high energy x-rays consisting of 5 days of therapy, 2 days off and continuing for about 5 weeks
What R's of the 4 r's of radiotherapy apply to this treatment?
all 4
why is brachytherapy done for prostrate cancer treatment
prostrate cancer is slow growing so an isotope with a longer half life is implanted in proximity to tumor to treat it. shorter treatments would allow it to repair
What are the 2 goals in radiotherapy?
1. pain reduction
2. stop cancer cells