Radiation

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What are the positive effects of radiation in oncology?

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Destroy tumors, cure cancer, relieve symptoms, and prevent tumor growth or spread.

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Positive Effects of Radiation in Oncology

What are the positive effects of radiation in oncology?

Destroy tumors, cure cancer, relieve symptoms, and prevent tumor growth or spread.

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Adverse Effects of Radiation

What are the adverse effects of radiation therapy?

Can damage healthy tissues, may cause side effects during therapy, and increase the risk of secondary cancers later.

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Stochastic and Deterministic Effects

What are stochastic effects of radiation?

There is no safe level of radiation; even small doses may pose risks, with likelihood of harm rising with higher doses.

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Stochastic and Deterministic Effects

What are deterministic effects of radiation?

There is a threshold for effects, which increase in severity with dose, potentially causing cell death and tissue damage.

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Mechanisms of Radiation Damage

How does radiation cause damage directly?

Radiation directly ionizes DNA or other molecules and damages cells immediately.

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Mechanisms of Radiation Damage

How does radiation cause damage indirectly?

Radiation hits water, creating free radicals that attack DNA and other cell structures.

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Mechanisms of Radiation Damage

What is the main target of radiation damage?

DNA, as it controls cell division and function, leading to mutations, cancer, or cell death.

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Radiation Dose and Measurement

What is absorbed dose in radiation?

The amount of radiation energy absorbed by a material, calculated as D=E/m.

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Radiation Dose and Measurement

What does linear energy transfer (LET) indicate?

The energy deposited per unit length of tissue, with high LET causing more biological damage.

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Radiation Dose and Measurement

What is relative biological effectiveness (RBE)?

It compares how damaging one type of radiation is relative to a reference, often X-rays.

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Radiosensitivity

When are cells most sensitive to radiation?

During mitosis, with G2 being very sensitive and late S being most resistant.

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Mechanisms of Radiation Damage

What are the 4 Rs of Radiobiology?

Repair, Reassortment, Repopulation, Reoxygenation.

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Mechanisms of Radiation Damage

What happens during the Repair phase of the 4 Rs of Radiobiology?

Normal cell damage is repaired.

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Mechanisms of Radiation Damage

What is Reassortment in the context of the 4 Rs of Radiobiology?

Cancer cells shift to a sensitive cell cycle phase.

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Mechanisms of Radiation Damage

What does Repopulation refer to in the 4 Rs of Radiobiology?

Normal tissues regrow, but tumors can also regrow if treatment is too slow.

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Mechanisms of Radiation Damage

What is Reoxygenation in the context of the 4 Rs of Radiobiology?

Oxygen levels rise as tumors shrink, making the tumor more sensitive.

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Adverse Effects of Radiation

What are the four stages of Radiation Sickness?

Prodromal, Latent, Manifestations, Recovery or death.

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Adverse Effects of Radiation

What occurs during the Prodromal stage of Radiation Sickness?

Onset of nausea, vomiting, and diarrhea after minutes/hours.

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Adverse Effects of Radiation

What characterizes the Latent stage of Radiation Sickness?

No symptoms after hours/days, but bone marrow suppression starts.

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Adverse Effects of Radiation

What happens during the Manifestations stage of Radiation Sickness?

Multiple organ symptoms appear after weeks.

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Adverse Effects of Radiation

What is the outcome of the Recovery or death stage in Radiation Sickness?

Death often from sepsis, with no recovery after weeks or more.

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Types of Radiation

What is ionizing radiation?

High-energy radiation that can ionize atoms.

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Types of Radiation

What is the difference between direct and indirect ionizing radiation?

Direct hits atoms directly, while indirect creates free radicals from water.

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Types of Radiation

What is alpha radiation?

A helium nucleus consisting of 2 protons and 2 neutrons, with low penetration ability.

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Types of Radiation

What is beta radiation?

High-energy electrons or positrons, with two types: beta-minus and beta-plus.

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Types of Radiation

What is gamma radiation?

High-energy photons released when a nucleus drops from a high-energy state to a lower one.

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Detection of Ionizing Radiation

What type of radiation is very penetrating and requires thick lead or concrete for shielding?

Neutrons.

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Detection of Ionizing Radiation

What does radioactive activity measure?

The number of decays happening per second in Becquerel (Bq).

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Types of Radiation

How are X-rays produced?

Electrons are emitted from a heated cathode, accelerated towards a metal anode, and some energy becomes X-ray photons.

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Mechanisms of Radiation Damage

What happens during Pair Annihilation?

A particle and its antiparticle collide, both are destroyed, and their energy becomes two photons (gamma rays).

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Types of Radiation

What are Cosmic Rays?

High-energy particles (mostly protons) from space that travel near the speed of light, originating from the sun, distant galaxies, and supernovae.

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Mechanisms of Radiation Damage

What is the main goal of understanding the interaction of ionizing radiation?

To understand how radiation loses energy in matter.

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Radiation Dose and Measurement

What is attenuation in the context of radiation?

The reduction of radiation as it passes through matter, caused by absorption and scattering.

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Radiation Dose and Measurement

What does the linear attenuation coefficient (μ) indicate?

The probability that a photon will be removed per unit distance.

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Mechanisms of Radiation Damage

What is the Photoelectric Effect?

A photon hits an inner-shell electron, transfers all its energy, and ejects the electron, used in X-ray imaging.

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Mechanisms of Radiation Damage

What occurs during Compton Scattering?

A photon hits a loosely bound outer electron, is scattered, loses energy, and ejects the electron.

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Mechanisms of Radiation Damage

What is Pair Production?

A photon interacts with the nucleus and creates an electron and positron, dominant at high energy, happens in PET scans.

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Mechanisms of Radiation Damage

How do charged particle interactions ionize matter?

They directly ionize matter via Coulomb forces, leading to excitation or ionization.

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Detection of Ionizing Radiation

What are gas-filled detectors used for?

To measure ionization of gas inside a tube.

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Detection of Ionizing Radiation

What is an ionization chamber used for?

Precise dose measurement of radiation.

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Detection of Ionizing Radiation

What is a Geiger-Müller counter used for?

To detect the presence of radiation.

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Detection of Ionizing Radiation

What do scintillation detectors detect when radiation hits special material?

They detect a light flash (scintillation).

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Detection of Ionizing Radiation

How does radiographic film respond to radiation exposure?

It darkens when exposed to radiation.

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Radiation Therapy Techniques

What is the principle behind radiography (X-ray)?

Radiation is passed through the body, with dense tissues absorbing more radiation and appearing white, while soft tissues absorb less and appear black or dark.

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Radiation Therapy Techniques

What does CT (Computer Tomography) produce?

Cross-sectional (slice) images of the body from X-rays taken at multiple angles.

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Detection of Ionizing Radiation

What is the function of a Gamma Camera in nuclear medicine?

It detects gamma rays emitted from a radioactive tracer to show an organ's function and structure.

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Detection of Ionizing Radiation

How does SPECT (Single Photon Emission CT) differ from a gamma camera?

SPECT provides 3D imaging by collecting many 2D images with a rotating gamma camera.

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Detection of Ionizing Radiation

What is the principle of PET (Positron Emission Tomography)?

It uses positron-emitting tracers that emit two photons when a positron meets an electron, which are detected together for metabolic activity observation.

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Radiation Therapy Techniques

What technology does sonography (ultrasound) use to create images?

It uses sound waves sent and received by a probe with piezoelectric crystals.

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Radiation Therapy Techniques

What are the different modes of ultrasound?

A-mode (1D depth), B-mode (2D image), and M-mode (1D animation for moving organs).

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Radiation Therapy Techniques

How does MRI (Magnetic Resonance Imaging) create images?

It uses a strong magnetic field and radio waves to target hydrogen nuclei in tissues, emitting signals as protons realign.

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Radiation Therapy Techniques

What is the purpose of external radiotherapy?

To treat cancer with radiation from outside the body.

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Radiation Therapy Techniques

What are orthovoltage X-rays used for?

They are low-energy X-rays used for benign diseases and shallow cancers, penetrating only 4-6 cm into tissue.

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Radiation Therapy Techniques

What is the function of Linear Accelerators (LINACS) in radiation therapy?

They accelerate electrons using microwaves to produce high-energy X-rays for deep tumors and electron beams for surface tumors.

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Radiation Therapy Techniques

What is Brachytherapy?

A form of internal radiation therapy where small, radioactive seeds are placed inside or near the tumor.

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Radiation Therapy Techniques

What are the two types of Brachytherapy?

Temporary (removed after a few hours/days) and permanent (left in the body, decays over time).

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Nuclear Medicine Therapies

What is the use of Iodine-131 in nuclear medicine?

It targets the thyroid gland and is used in hyperthyroidism and thyroid cancer.

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Nuclear Medicine Therapies

What is the purpose of Yttrium-90 in nuclear medicine?

It targets and is used in liver tumors.

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Nuclear Medicine Therapies

What is the role of Samarium-153/Strontium-89 in treatment?

They target bones and are used to relieve pain in bone metastases.

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Pioneers of Radiation Science

Who discovered X-rays?

Wilhelm Röntgen.

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Pioneers of Radiation Science

What did Henri Becquerel discover?

Radioactivity.

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Pioneers of Radiation Science

What significant contributions did Marie Curie make to radiation science?

Isolated radioactive elements and won Nobel Prizes in Physics and Chemistry.

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Pioneers of Radiation Science

What atomic model did J.J. Thomson propose?

The 'plum-pudding' atomic model.

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Pioneers of Radiation Science

What concept did Ernest Rutherford introduce?

The concept of half-life.

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Pioneers of Radiation Science

What is the mass-energy equivalence formula developed by Albert Einstein?

E = mc².

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Pioneers of Radiation Science

What did Niels Bohr create in atomic theory?

The quantum model of the atom, where electron orbits are quantized.

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Pioneers of Radiation Science

What particle did James Chadwick discover?

The neutron.

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Mechanisms of Radiation Damage

What is the structure of an atom?

An atom consists of a nucleus and an electron cloud.

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Mechanisms of Radiation Damage

What defines a neutral atom?

A neutral atom has an equal number of protons and electrons.

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Mechanisms of Radiation Damage

What are the basic parts of an atom?

Protons (positive, in the nucleus), neutrons (neutral, in the nucleus), and electrons (negative, in the electron cloud).

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Mechanisms of Radiation Damage

What is the grounded state of an atom?

Electrons are in the lowest energy levels, stable, and shown in the periodic table.

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Mechanisms of Radiation Damage

What happens in the excited state of an atom?

Electrons absorb energy and jump to higher energy levels, becoming unstable and temporary.

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Mechanisms of Radiation Damage

What is the De Broglie hypothesis?

It states that electrons act like waves.

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Mechanisms of Radiation Damage

What does the Heisenberg uncertainty principle state?

You cannot know the exact position and momentum of an electron at the same time.

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Mechanisms of Radiation Damage

What are the four quantum numbers?

Principal (n), Angular (l), Magnetic (ml), Spin (ms).

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Mechanisms of Radiation Damage

What does the Pauli Exclusion Principle state?

No two electrons in an atom have the exact same four quantum numbers.

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Nuclear Structure

What is the composition of the nucleus?

Z protons and (A-Z) neutrons, where Z is the atomic number and A is the mass number.

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Nuclear Structure

What is a nucleon?

A nucleon is a proton or neutron.

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Nuclear Structure

What holds the nucleus together?

The strong nuclear force.

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Mechanisms of Radiation Damage

What is the significance of De Broglie Waves?

All matter has a wavelength, explaining wave-like behavior of electrons.

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Mechanisms of Radiation Damage

What is an anion?

An atom that gains an electron and becomes more negative.

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Mechanisms of Radiation Damage

What is a cation?

An atom that loses an electron and becomes more positive.

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Radiation Dose and Measurement

What is atomic mass measured in?

Atomic mass units (amu).

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Radiation Dose and Measurement

What is atomic weight?

The average mass of all naturally occurring isotopes of an element weighted by abundance.

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Radiation Dose and Measurement

What is Avogadro's number?

6.02 x 10^23 particles, based on the number of atoms in 12g of carbon-12.

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Mechanisms of Radiation Damage

What is the formula for work in terms of charge and voltage?

W = charge x voltage (W = q x V).

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Mechanisms of Radiation Damage

What is an electronvolt (eV)?

The energy gained by 1 electron moving across 1 volt; standard energy unit in atomic/nuclear physics.

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Mechanisms of Radiation Damage

How many joules are in one electronvolt?

1 eV = 1.602 x 10^(-19) J.

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Mechanisms of Radiation Damage

What force repels protons in the nucleus?

Coulomb force.

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Mechanisms of Radiation Damage

What is the strong nuclear force?

A powerful attraction between nucleons (protons and neutrons).

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Mechanisms of Radiation Damage

Why are neutrons alone unable to form stable bound states?

Because they require interaction with protons to form stable pairs.

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Mechanisms of Radiation Damage

What is spontaneous fission?

The process where a very heavy atom, like uranium, splits on its own, producing smaller atoms and releasing 2-4 neutrons.

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Radiation Therapy Techniques

How do nuclear reactors control nuclear fission?

By triggering the splitting of heavy atoms like uranium to release heat for electricity generation.

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Mechanisms of Radiation Damage

What is nuclear fusion?

The process where two light atoms combine to form a heavier atom, releasing significantly more energy than fission.

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Mechanisms of Radiation Damage

Why is nuclear fusion difficult to use on Earth?

Because it requires extremely high temperatures and pressures.

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Radiation Therapy Techniques

What is the result of a chain reaction in nuclear fission?

Electrons released from one split cause the next split, continuing the reaction.

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