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rad bio test FEB 10th
rad bio
53
Biology
Graduate
02/08/2010

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Term
Defined are in which the occupational exposure of personnel to radiation is under the supervision of the radiation protection supervisor.
Definition
controlled area
Term
Can be occupied by anyone. Dose limits must be reduced to less than 2mREM/week
Definition
Uncontrolled area
Term
Useful beam, most intense, hazardous and most difficult to sheild against. 
Definition
primary beam
Term
composed of scatter and leakage radiation. Scattering object considered a new source of radiation.
Definition
Secondary
Term
Protective barrier materials
Definition

lead

steel

concrete

earth

Term
Any wall/floor to which the primary beam can be directed. requirements depends on the level of energy. must be over __ ft thick : 
Definition
Primary barrier, 3 ft
Term
Designed to shield against scatter or leakage radiation.
Definition
secondary barriers
Term
control booth is an example of
Definition
secondary barrier. must have leaded glass with 1.5mm Pb equiv.
Term
Factors that affect barrier thickness
Definition

workload

occupancy factor

use factor

distance

Term
number of patients that will be treated per week and how much radiation will be given to each one
Definition
workload
Term
expressed in cGy per week at isocenter
Definition
workload
Term

The amount of time adjacent areas will be occupied

 

values range 0 to 1

Definition
occupancy factor
Term

use of the primary beam

 

the amount of time during the use that the primary beam will be aimed at a wall

 

0 to 1

Definition
use
Term

distance from the source of radiation to the occupied area.

 

areas further from the radiation source receive less radiation and require less shielding

Definition
distance
Term
amount of thickness of a material that will decrease the radiation intensity by 50% of its original value. 
Definition
hvl
Term
what are the 3 cardinal principles of radiation protection
Definition

time

distance

shielding

Term
Substances (usually protein) that can be found in the body ( BLOOD OR URINE ) , when cancer is present.
Definition
tumor markers
Term
They can be products of the cancer cells or of the body response to cancer cells. 
Definition
tumor markers
Term

Tests:

blood or urine samples are combined with antibodies designed to react to that specific 

Definition
protein
Term
T/F tumor markers by themselves are usually not enough to rule out or diagnose a specific cancer.
Definition
true
Term
most tumor cells are also produced by 
Definition
normal cells
Term
t/f = every person with cancer has elevated tumor markers.
Definition
false.. not every person
Term
PSA is
Definition
prostate specific antigen - used for prostate cancer
Term
CA125 for
Definition
ovarian cancer
Term
some newer tumor markers help show how aggressive a tumor is or how it will 
Definition
respond to a particular drug
Term
What is the present most common use of tumor markers
Definition
determining effectiveness of treatment
Term
Detects recurrent cancer
Definition
PSA
Term
for cancer of the placenta
Definition
HCG human chorionic gonadrotrophan
Term
detects colon cancer
Definition
CEA carcinoembryonic antigen
Term
for colorectal and pancreatic cancers
Definition
CA 19-9
Term
For liver cancer
Definition
AFP alpha-fetoprotein
Term
for bladder
Definition
Bladder tumor antigen BTA
Term
BTA for bladder is used along with 
Definition
cytoscopy.
Term
In breast, no tm has been found useful for screening t/f
Definition
true
Term
Colorectral: an elevated CEA may indicate a 
Definition
poorer prognosis
Term
Liver: higher AFP occurs in
Definition
2/3 patients. screening with AFP is used in countries where liver cancer is common.
Term
CA 125 is elevated with with 
Definition
epithelial ovarian cancer
Term
attention is focused on ? to detect cancer.
Definition
genetic markers
Term
sealed source of ionizing radiation is placed within the patient
Definition
brachytherapy
Term
3 types of radioactive materials for brachytherapy are
Definition
1.Cesium 2.iridium 3.gold
Term
form of application for brachytherapy:
Definition
radioactive source placed within applicator
Term
dose rate for brachytherapy...
Definition
40-200 cGy per hour
Term
brachytherapy is used to treat.. (what)
Definition

Head and neck cancers,

gynecological cancers and

genitourinary cancers.

Term
Radiation safety procedures for use of sealed radiation sources are prepared, implemented and supervised by
Definition
clinical medical physicist
Term
most temporary implants will be inserted into the patient in the
Definition
patients room
Term
before brachy therapy, notification of safety officer should be at least ? prior to source implantation
Definition
1/2 working day
Term
what information must the safety officer be notified of..?
Definition

  1. date of insertion
  2. length of treatment
  3. radioactive material used
  4. radioactive material activity
  5. where patient will be located

Term
after insertion of radiation sources, the radiation oncology department must:
Definition

  1. post a warning sign on/by the door
  2. " " on the patients chart
  3. perform a radiation exposure survey

Term
final records taken after brachytherapy treatment
Definition
1. area surveys taken after the implant 2. patient surveys 3. room surveys taken after removal of the sources. 4. Final inventory of sources. these records will be kept separate from the patient's chart.
Term
if a source becomes dislodged...
Definition
use long forceps to put it in the shielded container provided.
Term
all bed linens must be
Definition
surveyed before they leave the room
Term
four things about visitors to brachy pt.'s
Definition

1.visitors must be 18 years old or older,

2.sit or stand at least six feet from the patient

3.remain no longer than two hours per day (unless otherwise instructed).

4.No pregnant visitors shall be allowed to visit patients receiving brachytherapy treatment.

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