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chapter 33 radiobiology

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Question
Answer
Interphase death   Radiation effect that kills a cell before its next division  
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Linear energy transfer   Measure of the rate at which energy is transferred from a particular type of radiation to soft tissue. Approximately 3 keV/m for diagnostic x-rays.  
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Standard Radiation   Orthovoltage x-radiation in the 200 to 250 kVp range  
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Oxygen enhancement ratio   measure of the increased radiosensitivity of tissue in the presence of oxygen  
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Repopulation   One mode of cellular recovery from radiation damage  
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Extrapopulation   Continuing a straight-line relationship into an unmeasured area  
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Threshold dose   Dose below which no effect occurs  
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Dose protraction   Extending exposure of a total dose by delivering continuously but at a reduced rate  
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Radiation weighting factor   Value assigned to different types of radiation based on their LET  
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Tribondeau   An early radiobiologist  
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The formula for relative biologic effectiveness   RBE = dose of standard radiation to produce an effect, divided by dose of test radiation to produce the same effect  
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An example of fractionated radiation   Patients receive the radiation dose at the same dose rate but broken into equal values and given over time (a little today, a little next month, and perhaps a little next year). Radiation oncology patients receive prescribed doses fractionated daily.  
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Why is high pressure (hyperbaric) oxygen used in radiation oncology   To force oxygen into tumors and make them more radiosensitive  
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Formula for the oxygen enhancement ratio   OER = dose necessary under anoxic conditions to produce a given effect divided by the dose necessary under aerobic oxygenated conditions to produce the same effect  
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How does age affect the radiosensitivity of tissue   The younger the tissue, the more radiosensitive it is.  
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When a radiobiologic experiment is conducted in vitro, what does this mean   Outside of the human body. At the cellular or molecular level.  
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Name three agents that enhance the effects of radiation   Methotrexate, actinomycin D, hydroxyurea, vitamin K, halogenated pyrimidines  
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Name three radioprotective agents   Cysteine, cysteamine, and other sulfhydryl groups  
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Are radioprotective agents used for human application   No. To be effective, they must be administered in toxic levels.  
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Explain the meaning of a radiation dose response relationship   Graphical representation of radiation dose and effect  
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Explain why the linear, non-threshold dose-response is used as a model for diagnostic imaging radiation management   An equal amount of radiation dose will not necessarily produce an equal response. Non-threshold implies that no dose of radiation is so small that there is no degree of risk.  
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Two of the corollaries to the law of bergonie and tribondeau   Stem cells are most sensitive. Young tissue and organs are more radiosensitive than old tissues and organs. Tissue in a high state of metabolic activity also has high radiosensitivity. As cellular proliferation increases, so does cellular  
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What are the units of OER   keV/m radiosensitivity.  
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how are RBE and LET related   With increasing LET, RBE increases to a maximum value of approximately 3  
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Is occupational radiation exposure fractionated, protracted, or continuous   Fractionated  
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How OER and LET are related   OER is LET-dependent. OER is highest for low LET radiation, and decreases for high LET radiation (see Figure 33-2).  
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