PRELIMS Flashcards
it is a wild, disorganized unrestrained multiplication of rogue cells leading to abnormal growth in a tissue or organ of the body
cancer
the use of radiation for therapeutic purposes began with the discovery of x-rays by _______ ________, a German physicist in 1895
Wilhelm Conrad Roentgen
he is a Swedish pioneer of radiology and is credited with being the first to cure a patient with skin cancer using x-rays in 1899
Thor Stenbeck
______ involves the removal of the tumor plus some surrounding normal tissues
surgery
________ is the use of drugs, taken by mouth or injected into a patient’s vein
chemotherapy
_______ _______ uses photons, electrons and other sources of radiation to deliver radiation treatment and destroy cancer cells
radiation therapy
he discovered natural radioactivity from Uranium in Paris, France on 1896
Henri Antoine Becquerel
1st xray cancer treatment of the breast in Chicago, USA
Emil Grubbe
treatment of Nevus with x-ray in Austria
Leopold Freund
it is a clinical specialty dealing with the use of ionizing radiation in the treatment of patients with malignant neoplasia
radiation therapy
radiation ________ is a clinical and scientific endeavor devoted to the management of patients with cancer and other neoplasm by ionizing radiation alone or combined with other modalities and to the investigation of application of radiation therapy and the training of personnel in the field
radiation oncology
________ ______ or on other occasions low voltage x-rays, are used to treat benign skin or superficial soft tissue disorders
electron therapy
can be performed for some malignant diseases and radiation therapy is delivered as a part of the procedure
bone marrow transplantation
can be performed on benign arteriovenous malformation (AVM) in the brain that are surgically unresectable
stereotactic radiosurgery
a radiation beam comes from an outside source directed towards the tumor sites
machines used are either Cobalt 60 or a LINAC
external beam radiation therapy
involves the application of radioactive source directly to the tumor site
radioactive sources are Cobalt 60, Iridium 192, Cesium 137, Gold 198
brachytherapy
______ treatment is intended to cure the disease in which it is projected that the patient has a probability of surviving after adequate therapy
curative treatment
________ treatment is intended to relieve the distressing symptoms of advanced disease, in which there is no hope of the patient for surviving for extended periods
palliative treatment
in workflow, it is an initial multi disciplinary evaluation is performed which includes assessing the pathologic and clinical stage of disease, diagnostic tests, history and physical examination of the patient
clinical evaluation and consultation
in workflow, it is based on evaluation and consultation, treatment modality and treatment goals are selected
therapeutic decision
in workflow, immobilization devices are designed, field center and borders are aligned by fluoroscopy/lap lasers, treatment fields are documented by diagnostic quality radiographs
simulation
in workflow, tumor extent and potential areas of spread are defined, sensitive organs and tissues are identified
CT planning/target volume localization
in workflow, treatment technique is planned with the aid of dosimetry calculations and treatment planning devices
treatment planning
in workflow, actual delivery of radiation treatment either by external beam or brachytherapy
treatment
in workflow, patients are evaluated during and after treatment to assess tumor response and tolerance to treatment
evaluation and follow up
○ Advice about treatment options and consent for treatment
○ Target and normal tissue delineation
○ Prescription of radiotherapy
○ Planning review and approval
○ Patient follow up
radiation oncologist
○ Specification of equipment used in therapy and imaging
○ Facility design, including shielding calculations
○ Commissioning of diagnostic, planning and treatment equipment software
○ Dosimetry Assurance
○ Producing and measurement and beam data
analysis
○ Checking treatment plans
○ Quality assurance of diagnostic, planning and treatment equipment software
○ Designated Radiation Safety Officer (RSO)
medical physicist
○ Patient information and support
○ Simulation
○ Planning
○ Producing and checking treatment plans
○ Data transfer and monitor unit calculations
○ Daily radiotherapy delivery
○ Treatment verification
○ Monitoring the patient on a daily basis
radiation therapy oncologist
○ Assist during brachytherapy procedures
○ Maintain aseptic technique
○ Taking vital signs during assessment of patient
○ Educating patient on proper care of wounds
oncology nurse
○ Cleans instruments, treatment and examination rooms
○ Prepares supplies, hospital forms and linens, etc
○ Prepares, assists patients for radiation
treatment
○ Retrieve and files patient charts
nursing attendant
all ______ is composed of small indivisible pieces which is called atom
matter
it is the smallest particle of a chemical compound that retains of all the chemical characteristics of that compound
molecules
the ancient Greeks envisioned four different atoms representing air, fire, earth and water
medieval
his description of atom is like a pair of hook and eye to account for chemical combination
John Dalton