Flashcards on The R's of Radiotherapy: Radiobiological Principles

The R's of Radiotherapy: Radiobiological Principles Explained

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What are the classic 4 R's of radiotherapy?

Recovery from sublethal damage; Redistribution within the cell cycle; Reoxygenation of the tumor; Repopulation of cells.

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Radiobiology

58 cards

Card 1

Question: What are the classic 4 R's of radiotherapy?

Answer: Recovery from sublethal damage; Redistribution within the cell cycle; Reoxygenation of the tumor; Repopulation of cells.

Card 2

Question: What additional R is included to make the 5 R's of radiotherapy?

Answer: Radiosensitivity.

Card 3

Question: What two extra R's are listed in the 6 R's of radiotherapy in the content?

Answer: Radiosensitivity and Reactivation of the immune response.

Card 4

Question: What does 'recovery from potentially lethal damage' refer to in radiobiology experiments?

Answer: Enhanced cell survival when irradiated cells or tumors are left a period of time before plating or removal, allowing repair of potentially lethal dama

Card 5

Question: How was recovery from potentially lethal damage demonstrated experimentally in the provided figures?

Answer: X‑ray survival curves showed increased survival if cells were left in stationary phase 6–12 hours after irradiation; tumor cells removed later after i

Card 6

Question: What is 'recovery from sublethal damage' as shown in split‑dose experiments?

Answer: When cells receive a first radiation dose and a second after a delay, survivors can repair damage so that their response resembles that of unirradiate

Card 7

Question: What does a split‑dose recovery experiment compare to show repair of sublethal damage?

Answer: It compares survival after two doses separated by a delay to survival after a single equivalent combined dose; increased survival with delay indicates

Card 8

Question: How did tumor oxygenation status affect repair of sublethal damage in the in vivo experiments described?

Answer: One‑day‑old tumors (predominantly oxygenated) and six‑day‑old tumors (hypoxic) showed differing recovery factors in split‑dose experiments, indicating

Card 9

Question: What happens to a multifraction survival curve when equal fractions are separated by enough time for complete repair of sublethal damage between fract

Answer: The shoulder of the single-dose survival curve is repeated for each fraction, yielding an effective survival curve that is exponential (a straight lin

Card 10

Question: How is D10 (dose for one decade of cell killing) related to D0?

Answer: D10 = 2.3 × D0.