Radiobiology 1 Flashcards

1
Q

What does radiology stand for?

A

Field of clinical and basic medical sciences

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2
Q

What are characteristics of cancer cells?

A
  • Large number of dividing cells
  • Large, variable shaped nuclei
  • Small cytoplasmic volume relative to nuclei
  • Variation in cell size and shape

-Loss of normal specialised cells
Disorganised arrangement

-Poorly defined tumour boundary

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3
Q

What are the two types of radiation?

A

Direct

Indirect

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4
Q

What are the types of cell cycle?

A

G1-growth
S-DNA synthesis
G2-growth and preparation for mitosis
M-Mitosis

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5
Q

What cell cycles are radioresistant?

A

S-phase and G1(open structure)

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6
Q

What does plating efficiency mean?

A

The percentage of cells seeded that grow into colonies

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7
Q

What is the surviving fraction?

A

estimates survival are obtained for a range of doses (Doesn’t distinguish mode of death)

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8
Q

What does a cell survival curve?

A

Count of surviving of cells following irradiation at discrete intervals of dose

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9
Q

What are low-linear transfer?

A

X-rays, gamma rays

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10
Q

What are high LET?

A

Alpha, Beta particles

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11
Q

What are the two cell survival curves?

A

Linear quadratic model

Multivariate model

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12
Q

What are the radiation variables of the cell survival curve?

A

Particle size
Particle charge
Dose rate
Low or high LET

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13
Q

What are the tissue variables of the cell survival curve?

A

Mitotic Rate
Cell cycle phase
Oxygenation

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14
Q

What are the components of cell killing?

A

One proportional to dose (alpha) single radiation track

One proportional to the square of the dose (Beta) 2 track

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15
Q

What does the LQ model dsplay?

A

Cell kill both for tumour control and normal tissue complications

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16
Q

Whats the rule for surviving fraction?

A

SF=e-^(alphaD *+BD^2)

17
Q

What happens at low doses?

A

two chromosomes breaks are the consequence of single electron (Linear)

18
Q

What happens at high doses?

A

two chromosome breaks are a consequence of two electrons (Quadratic)

19
Q

What does the alpha/ beta ratio mean?

A

where linear and quadratic components are equal

Theoretical measure of a tissue’s predicted response to a dose of radiation

20
Q

What does a high alpha/beta ratio (10)?

A
  • tumour response is less dependent on the radiation (most tumours)
  • early responding tissue
21
Q

What does a low alpha/beta ratio (3)?

A

Large dose of radiation is required to provide improved efficacy in terms of tumour control
-Late responding tissues

22
Q

What are single and multi hits?

A

alpha and beta

23
Q

What are more radioresistant SCC or sarcoma cells?

A

SCC

24
Q

What does BED mean?

A

Means of comparing the effectiveness of different treatment regimens

25
Q

What is the BED equation?

A

E/A=(nd) (1+d/a/b)

26
Q

What are the benefits of Fractionation?

A
  • Allows for sublethal repair of normal tissue
  • increases damage due to reoxygenation and reassortment of cells into radiosensitive phase
  • Excessive prolongation leads to cell proliferation
27
Q

What are the 5Rs of radiobiology?

A

Repair of sublethal damage

  • Reoxygenation of hypoxic tissue
  • Redistribution or reassortment
  • Repopulation or regeneration
  • Radiosensitivity ( Intrinsic)
28
Q

What are the three types of damage?

A

Lethal damage
Sublethal damage
Potentially Lethal damage

29
Q

How do normal tissues repair?

A

repair pathways
Cell cycle arrest

In normal p53 is inactivated by mdm2

30
Q

Do malignant cells repair?

A

No

often through mutation or inhibition of TP53 prevents repair

31
Q

What are the reassortment phase?

A

When a small dose is delivered over a short period

cells will cycle through to more radiosenstive phases.

32
Q

What is repopulation phase?

A

Following irradiation some cells will exhibit increased cell division (quicker in NT)

33
Q

What is the reoxygenation phase?

A

Allow enough time to reoxygenise.

34
Q

What is radiosensitivity?

A

Different radiosensitivity in different cells

radiosensitivity (gametes)
radioresistant( melanoma and sarcoma)

35
Q

Is a high OER desirable?

A

Yes makes cells more sensitive to cell damage

36
Q

What is OER?

A

Hypoxic/Aerated

37
Q

What is the oxygen fixation hypothesis?

A

Damage produced by free radicals in DNA can be repaired but may be fixed “irreparable” if molecular oxygen is available
(Forms an organic peroxide non restorable for target material)