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College Physics for AP® Courses

32.3 Therapeutic Uses of Ionizing Radiation

College Physics for AP® Courses32.3 Therapeutic Uses of Ionizing Radiation
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  1. Preface
  2. 1 Introduction: The Nature of Science and Physics
    1. Connection for AP® Courses
    2. 1.1 Physics: An Introduction
    3. 1.2 Physical Quantities and Units
    4. 1.3 Accuracy, Precision, and Significant Figures
    5. 1.4 Approximation
    6. Glossary
    7. Section Summary
    8. Conceptual Questions
    9. Problems & Exercises
  3. 2 Kinematics
    1. Connection for AP® Courses
    2. 2.1 Displacement
    3. 2.2 Vectors, Scalars, and Coordinate Systems
    4. 2.3 Time, Velocity, and Speed
    5. 2.4 Acceleration
    6. 2.5 Motion Equations for Constant Acceleration in One Dimension
    7. 2.6 Problem-Solving Basics for One Dimensional Kinematics
    8. 2.7 Falling Objects
    9. 2.8 Graphical Analysis of One Dimensional Motion
    10. Glossary
    11. Section Summary
    12. Conceptual Questions
    13. Problems & Exercises
    14. Test Prep for AP® Courses
  4. 3 Two-Dimensional Kinematics
    1. Connection for AP® Courses
    2. 3.1 Kinematics in Two Dimensions: An Introduction
    3. 3.2 Vector Addition and Subtraction: Graphical Methods
    4. 3.3 Vector Addition and Subtraction: Analytical Methods
    5. 3.4 Projectile Motion
    6. 3.5 Addition of Velocities
    7. Glossary
    8. Section Summary
    9. Conceptual Questions
    10. Problems & Exercises
    11. Test Prep for AP® Courses
  5. 4 Dynamics: Force and Newton's Laws of Motion
    1. Connection for AP® Courses
    2. 4.1 Development of Force Concept
    3. 4.2 Newton's First Law of Motion: Inertia
    4. 4.3 Newton's Second Law of Motion: Concept of a System
    5. 4.4 Newton's Third Law of Motion: Symmetry in Forces
    6. 4.5 Normal, Tension, and Other Examples of Force
    7. 4.6 Problem-Solving Strategies
    8. 4.7 Further Applications of Newton's Laws of Motion
    9. 4.8 Extended Topic: The Four Basic Forces—An Introduction
    10. Glossary
    11. Section Summary
    12. Conceptual Questions
    13. Problems & Exercises
    14. Test Prep for AP® Courses
  6. 5 Further Applications of Newton's Laws: Friction, Drag, and Elasticity
    1. Connection for AP® Courses
    2. 5.1 Friction
    3. 5.2 Drag Forces
    4. 5.3 Elasticity: Stress and Strain
    5. Glossary
    6. Section Summary
    7. Conceptual Questions
    8. Problems & Exercises
    9. Test Prep for AP® Courses
  7. 6 Gravitation and Uniform Circular Motion
    1. Connection for AP® Courses
    2. 6.1 Rotation Angle and Angular Velocity
    3. 6.2 Centripetal Acceleration
    4. 6.3 Centripetal Force
    5. 6.4 Fictitious Forces and Non-inertial Frames: The Coriolis Force
    6. 6.5 Newton's Universal Law of Gravitation
    7. 6.6 Satellites and Kepler's Laws: An Argument for Simplicity
    8. Glossary
    9. Section Summary
    10. Conceptual Questions
    11. Problems & Exercises
    12. Test Prep for AP® Courses
  8. 7 Work, Energy, and Energy Resources
    1. Connection for AP® Courses
    2. 7.1 Work: The Scientific Definition
    3. 7.2 Kinetic Energy and the Work-Energy Theorem
    4. 7.3 Gravitational Potential Energy
    5. 7.4 Conservative Forces and Potential Energy
    6. 7.5 Nonconservative Forces
    7. 7.6 Conservation of Energy
    8. 7.7 Power
    9. 7.8 Work, Energy, and Power in Humans
    10. 7.9 World Energy Use
    11. Glossary
    12. Section Summary
    13. Conceptual Questions
    14. Problems & Exercises
    15. Test Prep for AP® Courses
  9. 8 Linear Momentum and Collisions
    1. Connection for AP® courses
    2. 8.1 Linear Momentum and Force
    3. 8.2 Impulse
    4. 8.3 Conservation of Momentum
    5. 8.4 Elastic Collisions in One Dimension
    6. 8.5 Inelastic Collisions in One Dimension
    7. 8.6 Collisions of Point Masses in Two Dimensions
    8. 8.7 Introduction to Rocket Propulsion
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  10. 9 Statics and Torque
    1. Connection for AP® Courses
    2. 9.1 The First Condition for Equilibrium
    3. 9.2 The Second Condition for Equilibrium
    4. 9.3 Stability
    5. 9.4 Applications of Statics, Including Problem-Solving Strategies
    6. 9.5 Simple Machines
    7. 9.6 Forces and Torques in Muscles and Joints
    8. Glossary
    9. Section Summary
    10. Conceptual Questions
    11. Problems & Exercises
    12. Test Prep for AP® Courses
  11. 10 Rotational Motion and Angular Momentum
    1. Connection for AP® Courses
    2. 10.1 Angular Acceleration
    3. 10.2 Kinematics of Rotational Motion
    4. 10.3 Dynamics of Rotational Motion: Rotational Inertia
    5. 10.4 Rotational Kinetic Energy: Work and Energy Revisited
    6. 10.5 Angular Momentum and Its Conservation
    7. 10.6 Collisions of Extended Bodies in Two Dimensions
    8. 10.7 Gyroscopic Effects: Vector Aspects of Angular Momentum
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  12. 11 Fluid Statics
    1. Connection for AP® Courses
    2. 11.1 What Is a Fluid?
    3. 11.2 Density
    4. 11.3 Pressure
    5. 11.4 Variation of Pressure with Depth in a Fluid
    6. 11.5 Pascal’s Principle
    7. 11.6 Gauge Pressure, Absolute Pressure, and Pressure Measurement
    8. 11.7 Archimedes’ Principle
    9. 11.8 Cohesion and Adhesion in Liquids: Surface Tension and Capillary Action
    10. 11.9 Pressures in the Body
    11. Glossary
    12. Section Summary
    13. Conceptual Questions
    14. Problems & Exercises
    15. Test Prep for AP® Courses
  13. 12 Fluid Dynamics and Its Biological and Medical Applications
    1. Connection for AP® Courses
    2. 12.1 Flow Rate and Its Relation to Velocity
    3. 12.2 Bernoulli’s Equation
    4. 12.3 The Most General Applications of Bernoulli’s Equation
    5. 12.4 Viscosity and Laminar Flow; Poiseuille’s Law
    6. 12.5 The Onset of Turbulence
    7. 12.6 Motion of an Object in a Viscous Fluid
    8. 12.7 Molecular Transport Phenomena: Diffusion, Osmosis, and Related Processes
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  14. 13 Temperature, Kinetic Theory, and the Gas Laws
    1. Connection for AP® Courses
    2. 13.1 Temperature
    3. 13.2 Thermal Expansion of Solids and Liquids
    4. 13.3 The Ideal Gas Law
    5. 13.4 Kinetic Theory: Atomic and Molecular Explanation of Pressure and Temperature
    6. 13.5 Phase Changes
    7. 13.6 Humidity, Evaporation, and Boiling
    8. Glossary
    9. Section Summary
    10. Conceptual Questions
    11. Problems & Exercises
    12. Test Prep for AP® Courses
  15. 14 Heat and Heat Transfer Methods
    1. Connection for AP® Courses
    2. 14.1 Heat
    3. 14.2 Temperature Change and Heat Capacity
    4. 14.3 Phase Change and Latent Heat
    5. 14.4 Heat Transfer Methods
    6. 14.5 Conduction
    7. 14.6 Convection
    8. 14.7 Radiation
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  16. 15 Thermodynamics
    1. Connection for AP® Courses
    2. 15.1 The First Law of Thermodynamics
    3. 15.2 The First Law of Thermodynamics and Some Simple Processes
    4. 15.3 Introduction to the Second Law of Thermodynamics: Heat Engines and Their Efficiency
    5. 15.4 Carnot’s Perfect Heat Engine: The Second Law of Thermodynamics Restated
    6. 15.5 Applications of Thermodynamics: Heat Pumps and Refrigerators
    7. 15.6 Entropy and the Second Law of Thermodynamics: Disorder and the Unavailability of Energy
    8. 15.7 Statistical Interpretation of Entropy and the Second Law of Thermodynamics: The Underlying Explanation
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  17. 16 Oscillatory Motion and Waves
    1. Connection for AP® Courses
    2. 16.1 Hooke’s Law: Stress and Strain Revisited
    3. 16.2 Period and Frequency in Oscillations
    4. 16.3 Simple Harmonic Motion: A Special Periodic Motion
    5. 16.4 The Simple Pendulum
    6. 16.5 Energy and the Simple Harmonic Oscillator
    7. 16.6 Uniform Circular Motion and Simple Harmonic Motion
    8. 16.7 Damped Harmonic Motion
    9. 16.8 Forced Oscillations and Resonance
    10. 16.9 Waves
    11. 16.10 Superposition and Interference
    12. 16.11 Energy in Waves: Intensity
    13. Glossary
    14. Section Summary
    15. Conceptual Questions
    16. Problems & Exercises
    17. Test Prep for AP® Courses
  18. 17 Physics of Hearing
    1. Connection for AP® Courses
    2. 17.1 Sound
    3. 17.2 Speed of Sound, Frequency, and Wavelength
    4. 17.3 Sound Intensity and Sound Level
    5. 17.4 Doppler Effect and Sonic Booms
    6. 17.5 Sound Interference and Resonance: Standing Waves in Air Columns
    7. 17.6 Hearing
    8. 17.7 Ultrasound
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  19. 18 Electric Charge and Electric Field
    1. Connection for AP® Courses
    2. 18.1 Static Electricity and Charge: Conservation of Charge
    3. 18.2 Conductors and Insulators
    4. 18.3 Conductors and Electric Fields in Static Equilibrium
    5. 18.4 Coulomb’s Law
    6. 18.5 Electric Field: Concept of a Field Revisited
    7. 18.6 Electric Field Lines: Multiple Charges
    8. 18.7 Electric Forces in Biology
    9. 18.8 Applications of Electrostatics
    10. Glossary
    11. Section Summary
    12. Conceptual Questions
    13. Problems & Exercises
    14. Test Prep for AP® Courses
  20. 19 Electric Potential and Electric Field
    1. Connection for AP® Courses
    2. 19.1 Electric Potential Energy: Potential Difference
    3. 19.2 Electric Potential in a Uniform Electric Field
    4. 19.3 Electrical Potential Due to a Point Charge
    5. 19.4 Equipotential Lines
    6. 19.5 Capacitors and Dielectrics
    7. 19.6 Capacitors in Series and Parallel
    8. 19.7 Energy Stored in Capacitors
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  21. 20 Electric Current, Resistance, and Ohm's Law
    1. Connection for AP® Courses
    2. 20.1 Current
    3. 20.2 Ohm’s Law: Resistance and Simple Circuits
    4. 20.3 Resistance and Resistivity
    5. 20.4 Electric Power and Energy
    6. 20.5 Alternating Current versus Direct Current
    7. 20.6 Electric Hazards and the Human Body
    8. 20.7 Nerve Conduction–Electrocardiograms
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  22. 21 Circuits, Bioelectricity, and DC Instruments
    1. Connection for AP® Courses
    2. 21.1 Resistors in Series and Parallel
    3. 21.2 Electromotive Force: Terminal Voltage
    4. 21.3 Kirchhoff’s Rules
    5. 21.4 DC Voltmeters and Ammeters
    6. 21.5 Null Measurements
    7. 21.6 DC Circuits Containing Resistors and Capacitors
    8. Glossary
    9. Section Summary
    10. Conceptual Questions
    11. Problems & Exercises
    12. Test Prep for AP® Courses
  23. 22 Magnetism
    1. Connection for AP® Courses
    2. 22.1 Magnets
    3. 22.2 Ferromagnets and Electromagnets
    4. 22.3 Magnetic Fields and Magnetic Field Lines
    5. 22.4 Magnetic Field Strength: Force on a Moving Charge in a Magnetic Field
    6. 22.5 Force on a Moving Charge in a Magnetic Field: Examples and Applications
    7. 22.6 The Hall Effect
    8. 22.7 Magnetic Force on a Current-Carrying Conductor
    9. 22.8 Torque on a Current Loop: Motors and Meters
    10. 22.9 Magnetic Fields Produced by Currents: Ampere’s Law
    11. 22.10 Magnetic Force between Two Parallel Conductors
    12. 22.11 More Applications of Magnetism
    13. Glossary
    14. Section Summary
    15. Conceptual Questions
    16. Problems & Exercises
    17. Test Prep for AP® Courses
  24. 23 Electromagnetic Induction, AC Circuits, and Electrical Technologies
    1. Connection for AP® Courses
    2. 23.1 Induced Emf and Magnetic Flux
    3. 23.2 Faraday’s Law of Induction: Lenz’s Law
    4. 23.3 Motional Emf
    5. 23.4 Eddy Currents and Magnetic Damping
    6. 23.5 Electric Generators
    7. 23.6 Back Emf
    8. 23.7 Transformers
    9. 23.8 Electrical Safety: Systems and Devices
    10. 23.9 Inductance
    11. 23.10 RL Circuits
    12. 23.11 Reactance, Inductive and Capacitive
    13. 23.12 RLC Series AC Circuits
    14. Glossary
    15. Section Summary
    16. Conceptual Questions
    17. Problems & Exercises
    18. Test Prep for AP® Courses
  25. 24 Electromagnetic Waves
    1. Connection for AP® Courses
    2. 24.1 Maxwell’s Equations: Electromagnetic Waves Predicted and Observed
    3. 24.2 Production of Electromagnetic Waves
    4. 24.3 The Electromagnetic Spectrum
    5. 24.4 Energy in Electromagnetic Waves
    6. Glossary
    7. Section Summary
    8. Conceptual Questions
    9. Problems & Exercises
    10. Test Prep for AP® Courses
  26. 25 Geometric Optics
    1. Connection for AP® Courses
    2. 25.1 The Ray Aspect of Light
    3. 25.2 The Law of Reflection
    4. 25.3 The Law of Refraction
    5. 25.4 Total Internal Reflection
    6. 25.5 Dispersion: The Rainbow and Prisms
    7. 25.6 Image Formation by Lenses
    8. 25.7 Image Formation by Mirrors
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  27. 26 Vision and Optical Instruments
    1. Connection for AP® Courses
    2. 26.1 Physics of the Eye
    3. 26.2 Vision Correction
    4. 26.3 Color and Color Vision
    5. 26.4 Microscopes
    6. 26.5 Telescopes
    7. 26.6 Aberrations
    8. Glossary
    9. Section Summary
    10. Conceptual Questions
    11. Problems & Exercises
    12. Test Prep for AP® Courses
  28. 27 Wave Optics
    1. Connection for AP® Courses
    2. 27.1 The Wave Aspect of Light: Interference
    3. 27.2 Huygens's Principle: Diffraction
    4. 27.3 Young’s Double Slit Experiment
    5. 27.4 Multiple Slit Diffraction
    6. 27.5 Single Slit Diffraction
    7. 27.6 Limits of Resolution: The Rayleigh Criterion
    8. 27.7 Thin Film Interference
    9. 27.8 Polarization
    10. 27.9 *Extended Topic* Microscopy Enhanced by the Wave Characteristics of Light
    11. Glossary
    12. Section Summary
    13. Conceptual Questions
    14. Problems & Exercises
    15. Test Prep for AP® Courses
  29. 28 Special Relativity
    1. Connection for AP® Courses
    2. 28.1 Einstein’s Postulates
    3. 28.2 Simultaneity And Time Dilation
    4. 28.3 Length Contraction
    5. 28.4 Relativistic Addition of Velocities
    6. 28.5 Relativistic Momentum
    7. 28.6 Relativistic Energy
    8. Glossary
    9. Section Summary
    10. Conceptual Questions
    11. Problems & Exercises
    12. Test Prep for AP® Courses
  30. 29 Introduction to Quantum Physics
    1. Connection for AP® Courses
    2. 29.1 Quantization of Energy
    3. 29.2 The Photoelectric Effect
    4. 29.3 Photon Energies and the Electromagnetic Spectrum
    5. 29.4 Photon Momentum
    6. 29.5 The Particle-Wave Duality
    7. 29.6 The Wave Nature of Matter
    8. 29.7 Probability: The Heisenberg Uncertainty Principle
    9. 29.8 The Particle-Wave Duality Reviewed
    10. Glossary
    11. Section Summary
    12. Conceptual Questions
    13. Problems & Exercises
    14. Test Prep for AP® Courses
  31. 30 Atomic Physics
    1. Connection for AP® Courses
    2. 30.1 Discovery of the Atom
    3. 30.2 Discovery of the Parts of the Atom: Electrons and Nuclei
    4. 30.3 Bohr’s Theory of the Hydrogen Atom
    5. 30.4 X Rays: Atomic Origins and Applications
    6. 30.5 Applications of Atomic Excitations and De-Excitations
    7. 30.6 The Wave Nature of Matter Causes Quantization
    8. 30.7 Patterns in Spectra Reveal More Quantization
    9. 30.8 Quantum Numbers and Rules
    10. 30.9 The Pauli Exclusion Principle
    11. Glossary
    12. Section Summary
    13. Conceptual Questions
    14. Problems & Exercises
    15. Test Prep for AP® Courses
  32. 31 Radioactivity and Nuclear Physics
    1. Connection for AP® Courses
    2. 31.1 Nuclear Radioactivity
    3. 31.2 Radiation Detection and Detectors
    4. 31.3 Substructure of the Nucleus
    5. 31.4 Nuclear Decay and Conservation Laws
    6. 31.5 Half-Life and Activity
    7. 31.6 Binding Energy
    8. 31.7 Tunneling
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  33. 32 Medical Applications of Nuclear Physics
    1. Connection for AP® Courses
    2. 32.1 Medical Imaging and Diagnostics
    3. 32.2 Biological Effects of Ionizing Radiation
    4. 32.3 Therapeutic Uses of Ionizing Radiation
    5. 32.4 Food Irradiation
    6. 32.5 Fusion
    7. 32.6 Fission
    8. 32.7 Nuclear Weapons
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
    13. Test Prep for AP® Courses
  34. 33 Particle Physics
    1. Connection for AP® Courses
    2. 33.1 The Yukawa Particle and the Heisenberg Uncertainty Principle Revisited
    3. 33.2 The Four Basic Forces
    4. 33.3 Accelerators Create Matter from Energy
    5. 33.4 Particles, Patterns, and Conservation Laws
    6. 33.5 Quarks: Is That All There Is?
    7. 33.6 GUTs: The Unification of Forces
    8. Glossary
    9. Section Summary
    10. Conceptual Questions
    11. Problems & Exercises
    12. Test Prep for AP® Courses
  35. 34 Frontiers of Physics
    1. Connection for AP® Courses
    2. 34.1 Cosmology and Particle Physics
    3. 34.2 General Relativity and Quantum Gravity
    4. 34.3 Superstrings
    5. 34.4 Dark Matter and Closure
    6. 34.5 Complexity and Chaos
    7. 34.6 High-Temperature Superconductors
    8. 34.7 Some Questions We Know to Ask
    9. Glossary
    10. Section Summary
    11. Conceptual Questions
    12. Problems & Exercises
  36. A | Atomic Masses
  37. B | Selected Radioactive Isotopes
  38. C | Useful Information
  39. D | Glossary of Key Symbols and Notation
  40. Answer Key
    1. Chapter 1
    2. Chapter 2
    3. Chapter 3
    4. Chapter 4
    5. Chapter 5
    6. Chapter 6
    7. Chapter 7
    8. Chapter 8
    9. Chapter 9
    10. Chapter 10
    11. Chapter 11
    12. Chapter 12
    13. Chapter 13
    14. Chapter 14
    15. Chapter 15
    16. Chapter 16
    17. Chapter 17
    18. Chapter 18
    19. Chapter 19
    20. Chapter 20
    21. Chapter 21
    22. Chapter 22
    23. Chapter 23
    24. Chapter 24
    25. Chapter 25
    26. Chapter 26
    27. Chapter 27
    28. Chapter 28
    29. Chapter 29
    30. Chapter 30
    31. Chapter 31
    32. Chapter 32
    33. Chapter 33
    34. Chapter 34
  41. Index

Learning Objectives

By the end of this section, you will be able to:

  • 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 Figure 32.10. 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.”
Figure 32.10 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 Figure 32.11. 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, 60Co γ60Co γ rays, or ionizing-particle beams produced by accelerators. Accelerator-produced beams of neutrons, π-mesonsπ-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.
Figure 32.11 The 60Co60Co source of γγ-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.

Another form of radiotherapy uses chemically inert radioactive implants. One use is for prostate cancer. Radioactive seeds (about 40 to 100 and the size of a grain of rice) are placed in the prostate region. The isotopes used are usually 135I135I size 12{"" lSup { size 8{"135"} } I} {} (6-month half life) or 103Pd103Pd size 12{"" lSup { size 8{"103"} } "Pd"} {} (3-month half life). Alpha emitters have the dual advantages of a large QF and a small range for better localization.

Radiopharmaceuticals are used for cancer therapy when they can be localized well enough to produce a favorable therapeutic ratio. Thyroid cancer is commonly treated utilizing radioactive iodine. Thyroid cells concentrate iodine, and cancerous thyroid cells are more aggressive in doing this. An ingenious use of radiopharmaceuticals in cancer therapy tags antibodies with radioisotopes. Antibodies produced by a patient to combat his cancer are extracted, cultured, loaded with a radioisotope, and then returned to the patient. The antibodies are concentrated almost entirely in the tissue they developed to fight, thus localizing the radiation in abnormal tissue. The therapeutic ratio can be quite high for short-range radiation. There is, however, a significant dose for organs that eliminate radiopharmaceuticals from the body, such as the liver, kidneys, and bladder. As with most radiotherapy, the technique is limited by the tolerable amount of damage to the normal tissue.

Table 32.7 lists typical therapeutic doses of radiation used against certain cancers. The doses are large, but not fatal because they are localized and spread out in time. Protocols for treatment vary with the type of cancer and the condition and response of the patient. Three to five 200-rem treatments per week for a period of several weeks is typical. Time between treatments allows the body to repair normal tissue. This effect occurs because damage is concentrated in the abnormal tissue, and the abnormal tissue is more sensitive to radiation. Damage to normal tissue limits the doses. You will note that the greatest doses are given to any tissue that is not rapidly reproducing, such as in the adult brain. Lung cancer, on the other end of the scale, cannot ordinarily be cured with radiation because of the sensitivity of lung tissue and blood to radiation. But radiotherapy for lung cancer does alleviate symptoms and prolong life and is therefore justified in some cases.

Type of Cancer Typical dose (Sv)
Lung 10–20
Hodgkin's disease 40–45
Skin 40–50
Ovarian 50–75
Breast 50–80+
Brain 80+
Neck 80+
Bone 80+
Soft tissue 80+
Thyroid 80+
Table 32.7 Cancer Radiotherapy

Finally, it is interesting to note that chemotherapy employs drugs that interfere with cell division and is, thus, also effective against cancer. It also has almost the same side effects, such as nausea and hair loss, and risks, such as the inducement of another cancer.

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