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  • Explain the concept of radiotherapy and list typical doses for cancer therapy.

Therapeutic applications of ionizing radiation, called radiation therapy or radiotherapy    , have existed since the discovery of x-rays and nuclear radioactivity. Today, radiotherapy is used almost exclusively for cancer therapy, where it saves thousands of lives and improves the quality of life and longevity of many it cannot save. Radiotherapy may be used alone or in combination with surgery and chemotherapy (drug treatment) depending on the type of cancer and the response of the patient. A careful examination of all available data has established that radiotherapy’s beneficial effects far outweigh its long-term risks.

Medical application

The earliest uses of ionizing radiation on humans were mostly harmful, with many at the level of snake oil as seen in [link] . Radium-doped cosmetics that glowed in the dark were used around the time of World War I. As recently as the 1950s, radon mine tours were promoted as healthful and rejuvenating—those who toured were exposed but gained no benefits. Radium salts were sold as health elixirs for many years. The gruesome death of a wealthy industrialist, who became psychologically addicted to the brew, alerted the unsuspecting to the dangers of radium salt elixirs. Most abuses finally ended after the legislation in the 1950s.

The image shows an old advertisement of radium material branded as UNDARK with the tagline “Shines in the Dark.”
The properties of radiation were once touted for far more than its modern use in cancer therapy. Until 1932, radium was advertised for a variety of uses, often with tragic results. (credit: Struthious Bandersnatch.)

Radiotherapy is effective against cancer because cancer cells reproduce rapidly and, consequently, are more sensitive to radiation. The central problem in radiotherapy is to make the dose for cancer cells as high as possible while limiting the dose for normal cells. The ratio of abnormal cells killed to normal cells killed is called the therapeutic ratio    , and all radiotherapy techniques are designed to enhance this ratio. Radiation can be concentrated in cancerous tissue by a number of techniques. One of the most prevalent techniques for well-defined tumors is a geometric technique shown in [link] . A narrow beam of radiation is passed through the patient from a variety of directions with a common crossing point in the tumor. This concentrates the dose in the tumor while spreading it out over a large volume of normal tissue. The external radiation can be x-rays, 60 Co  γ rays, or ionizing-particle beams produced by accelerators. Accelerator-produced beams of neutrons, π-mesons , and heavy ions such as nitrogen nuclei have been employed, and these can be quite effective. These particles have larger QFs or RBEs and sometimes can be better localized, producing a greater therapeutic ratio. But accelerator radiotherapy is much more expensive and less frequently employed than other forms.

The image shows a man lying on a flat surface. A gamma ray machine is rotated around the man.
The 60 Co source of γ -radiation is rotated around the patient so that the common crossing point is in the tumor, concentrating the dose there. This geometric technique works for well-defined tumors.

Questions & Answers

what is physics
Rhema Reply
a15kg powerexerted by the foresafter 3second
Firdos Reply
what is displacement
Xolani Reply
movement in a direction
Jason
hello
Hosea
Explain why magnetic damping might not be effective on an object made of several thin conducting layers separated by insulation? can someone please explain this i need it for my final exam
anas Reply
Hi
saeid
hi
Yimam
What is thê principle behind movement of thê taps control
Oluwakayode Reply
while
Hosea
what is atomic mass
thomas Reply
this is the mass of an atom of an element in ratio with the mass of carbon-atom
Chukwuka
show me how to get the accuracies of the values of the resistors for the two circuits i.e for series and parallel sides
Jesuovie Reply
Explain why it is difficult to have an ideal machine in real life situations.
Isaac Reply
tell me
Promise
what's the s . i unit for couple?
Promise
its s.i unit is Nm
Covenant
Force×perpendicular distance N×m=Nm
Oluwakayode
İt iş diffucult to have idêal machine because of FRİCTİON definitely reduce thê efficiency
Oluwakayode
if the classica theory of specific heat is valid,what would be the thermal energy of one kmol of copper at the debye temperature (for copper is 340k)
Zaharadeen Reply
can i get all formulas of physics
BPH Reply
yes
haider
what affects fluid
Doreen Reply
pressure
Oluwakayode
Dimension for force MLT-2
Promise Reply
what is the dimensions of Force?
Osueke Reply
how do you calculate the 5% uncertainty of 4cm?
melia Reply
4cm/100×5= 0.2cm
haider
how do you calculate the 5% absolute uncertainty of a 200g mass?
melia Reply
= 200g±(5%)10g
haider
use the 10g as the uncertainty?
melia
which topic u discussing about?
haider
topic of question?
haider
the relationship between the applied force and the deflection
melia
sorry wrong question i meant the 5% uncertainty of 4cm?
melia
its 0.2 cm or 2mm
haider
thank you
melia
Hello group...
Chioma
hi
haider
well hello there
sean
hi
Noks
hii
Chibueze
10g
Olokuntoye
0.2m
Olokuntoye
hi guys
thomas
Practice Key Terms 2

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Source:  OpenStax, College physics. OpenStax CNX. Jul 27, 2015 Download for free at http://legacy.cnx.org/content/col11406/1.9
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