RT 307
RT 307
RT 307
THERAPY
HISTORICAL DEVELOPMENT
• Discovery of X-ray
• November 8,1895, Wilhelm Conrad Roentgen
The first patient was treated with radiation in 1896, two months after
the discovery of the X-ray.
Back then, both doctors and non-physicians treated cancer patients
with radiation.
Rapid technology advances began in the early 1950s with cobalt
units followed by linear accelerators a few years later.
Recent technology advances have made radiation more effective
and precise.
Radiation Therapy
2/20/23
Introduction to Radiation Oncology
Radiation has been an
effective tool for treating
cancer for more than 100
years.
Radiation oncologists are
doctors trained to use
radiation to eradicate cancer.
About two-thirds of all
cancer patients will receive
radiation therapy as part of
their treatment.
2/20/23
Radiation therapy works by damaging the
DNA within cancer cells and destroying their
ability to reproduce.
When the damaged cancer cells are
destroyed by radiation, the body naturally
eliminates them.
Normal cells can be affected by radiation, but
they are able to repair themselves.
Sometimes radiation therapy is the only
treatment a patient needs.
Other times, it is combined with other
treatments, like surgery and chemotherapy.
2/20/23
Methods of Delivering Radiation Therapy
2/20/23
Types of Radiation Therapy
Radiation therapy can be delivered
two ways – externally and
internally.
• External beam radiation therapy
delivers radiation using a linear
accelerator.
• Internal radiation therapy, called
brachytherapy or seed implants,
involves placing radioactive sources
inside the patient.
The type of treatment used will
depend on the location, size and
type of cancer.
2/20/23
Planning Radiation Therapy - Simulation
Each treatment is
mapped out in detail
using treatment planning
software.
Radiation therapy must
be aimed at the same
target every time. Doctors
use several devices to do
this:
• Skin markings or tattoos.
• Immobilization devices –
casts, molds, headrests.
2/20/23
External Radiation Therapy
2/20/23
External Radiation Therapy
2/20/23
Internal Radiation Therapy
2/20/23
Side Effects of Radiation Therapy
Side effects, like skin
tenderness, are generally
limited to the area receiving
radiation.
Unlike chemotherapy,
radiation usually doesn’t
cause hair loss or nausea.
Most side effects begin
during the second or third
week of treatment.
Side effects may last for
several weeks after the final
treatment.
2/20/23
Many advances have been made in
the field to ensure it remains safe
and effective.
Multiple healthcare professionals
develop and review the treatment
plan to ensure that the target area
is receiving the dose of radiation
needed.
The treatment plan and equipment
are constantly checked to ensure
proper treatment is being given.
2/20/23
ATOM AND RADIOACTIVITY
ATOM
•Atomic Mass Unit (amu) – the mass of a neutral atom of an element, expressed as 1/12th
the mass of carbon, which has an arbitrarily assigned value of 12.
•Atomic Mass Number – a system of a whole number. It is the number of protons plus the
number of neutrons in the nucleus.
•Electrons
Which are the very small particles carrying one unit of negative electric charge.
Their mass is only 9.1 x 10-31kg.
•Protons
Carries one unit of positive electric charge.
The mass is 1.673 x 10-27kg.
•Neutrons
Carries no charge or it is electrically neutral.
IMPORTANT CHARACTERISTIC OF THE FUNDAMENTAL PARTICLES
MASS PARTICLES
NUMBER 0 1 1
CHARGE -1 +1 0
SYMBOL e p n
• ATOMIC STRUCTURES
• The atom is essentially empty space.
• The nucleus of an atom is very small but contains nearly all the mass
of the atom.
• Electron orbits are grouped into different “shells”. The arrangement of
these shells helps determine how an atom reacts chemically, that is,
how it combines with other atoms to form molecules.
• The neutral atom has the same number of electrons in orbits as
protons in the nucleus; the number of protons ultimately determines
the chemical behavior of an atom.
• The number of protons determines the chemical elements.
• Isotopes – atoms that have the same number of protons but differ in the number of
neutrons and behave in the same way in chemical reaction.
• Electrons can exist only in certain shells, which represent different electron binding energies
or energy levels.
• The electron orbital shells are given the code K, L, M, N and so forth to represent the
relative binding energies of electron from closest to the nucleus to farthest from the
nucleus.
• The closer an electron is to the nucleus, the highest is its binding energy.
• In their normal state, atoms are electrically neutral; the electric charge on the atom is zero.
• Ionized – an atom has an extra electron or has had an electron removed.
• An alteration in the number of neutrons does not ionize an atom because the neutron is
electrically neutral.
• Ionization – is the removal of an orbital electron from an atom.
• The larger the atom, the greater the abundance of neutrons over protons.
ELECTRON ARRANGEMENT
K – Shell electrons have higher binding energies than L – shell electrons but
they are more tightly bound to the nucleus than M – shell.
The Atom
• The smallest particle that has all the properties of an
element
Atomic Structure
All matter is composed of atoms.
1808 John
Dalton
ATOMS
Dalton Atom
DALTONS ATOMIC THEORY
16 X + 8 Y 8 X2Y
HISTORY OF THE ATOM
an
ELECTRON
A = alpha
J.J. Thomson, measured mass/charge of e-
B = gamma
C = beta (1906 Nobel Prize in Physics)
He called the center of the atom NUCLEUS
CHARGE OF AN ELECTRON
gold foil
helium nuclei
Plum pudding
HISTORY OF THE ATOM
Where 1 amu is
approximately equal to
1.6605 x 10-24 grams
49
Atomic Mass Unit (amu)
The difference in the mass of the neutron and the proton can be
understood if we assume that the neutron is merely a proton
combined with an electron forming a neutral particle slightly more
massive than a proton alone.
51
Atomic Mass Unit (amu)
54
Electron Binding Energy
Electron Binding Energy
Electrons can have only discrete energy levels
To remove an electron from its shell
E electron binding energy
Discrete shells around the nucleus : K, L, M, …
K shell has maximum energy (i.e. stability)
Binding energy decreasing when Z increases
Maximum number of electrons in each shell : 2 in K,
8 in L shell, …
Energy
characteristic
radiation
Particle emission
0 MeV
~8 MeV
The nucleons can occupy different energy levels and the nucleus can be present in a
ground state or in an excited state. An excited state can be reached by adding energy
to the nucleus. At deexcitation the nucleus will emit the excess of energy by particle
emission or by electromagnetic radiation. In this case the electromagnetic radiation is
called a gamma ray. The energy of the gamma ray will be the difference in energies
between the different energy levels in the nucleus.
Part 2: Radiation Physics 59
Concepts of the Atom
Dalton’s Model
• In the early 1800s, the
English Chemist John
Dalton performed a
number of experiments
that eventually led to
the acceptance of the
idea of atoms.
Dalton’s Theory
• He deduced that all elements
are composed of atoms. Atoms
are indivisible and
indestructible particles.
• Atoms of the same element
are exactly alike.
• Atoms of different elements
are different.
• Compounds are formed by the
joining of atoms of two or
more elements.
Thomson’s Plum Pudding Model
• In 1897, the
English scientist J.J.
Thomson provided
the first hint that
an atom is made of
even smaller
particles.
Thomson Model
• He proposed a model of
the atom that is
sometimes called the
“Plum Pudding” model.
• Atoms were made from
a positively charged
substance with
negatively charged
electrons scattered
about, like raisins in a
pudding.
Thomson Model
• Thomson studied
the passage of an
electric current
through a gas.
• As the current
passed through the
gas, it gave off rays
of negatively
charged particles.
Thomson Model
Where did
they come
• This surprised from?
Thomson, because
the atoms of the
gas were
uncharged. Where
had the negative
charges come
from?
Thomson concluded that the negative
charges came from within the atom.
• Depending on their energy they are locked into a certain area in the
cloud.
• Electrons with the lowest energy are found in the energy level
closest to the nucleus
• Electrons with the highest energy are found in the outermost energy
levels, farther from the nucleus.
Indivisible Electron Nucleus Orbit Electron
Cloud
Greek X
Dalton X
Thomson X
Rutherford X X
Bohr X X X
Wave X X X
Fundamental Forces
of the Universe
There are four fundamental forces,
or interactions in nature.
This
reaction is going from SMALL to
LARGE particles.
neutron
hydrogen
atom
Fusion
Where does the energy come from?
Energy is gained when the two
hydrogen atoms break apart.
Some of this energy is used up to create
the helium atom, but the rest is given off
as light.
Mass is converted to energy!
E = mc2 (c = 3.0 X 108 m/s)
Since the speed of light is so large even a
small mass will be converted to a very large
energy.
Fission
Fission
is the process of breaking up the
nucleus of an atom.
This
reaction is going from LARGE to
SMALL particles.
A A-4 4
Z
X Z-2
Y + 2
He
222
226 Rn
88
Ra 86
2
He
Alpha Decay
A A-4 4
Z
X Z-2
Y + 2
He
226 222 4
88
Ra 86
Rn + 2
He
Alpha Decay
222 A 4
86
Rn Z
Y + 2
He
222 218 4
86
Rn 84
Po + 2
He
Beta decay
• This occurs when a neutron in the nucleus of a
radioactive isotope splits into a proton and an
electron.
A A 0
Z
X Z+1
Y + -1
b
218 218 0
84
Po 85
+ -1
b
Beta Decay
218
218 At
84
Po 85
-1
b
Beta Decay
234 A 0
90
Th Z
Y + -1
b
234 234 0
90
Th 91
Pa + -1
b
Beta Decay
218
218 At
84
Po 85
-1
b
Beta Decay
A A 0
Z
X Z+1
Y + -1
b
218 218 0
84
Po 85
Rn + -1
b
Beta Decay
234 A 0
90
Th Z
Y + -1
b
234 234 0
90
Th 91
Pa + -1
b
Beta-Minus (Negatron) Decay
# of Decreases Increases
Unchanged
Protons by 2 by 1
# of Decreases Decreases
Unchanged
Neutrons by 2 by 1
An alpha
What is An electron A gamma ray
particle
released? and energy (high energy)
and energy
Electron Capture Decay
A
Z X e- A
Z-1 Y energy
• Electron capture radionuclides used in medical imaging decay to
atoms in excited states that subsequently emit detectable gamma rays
Am A
Z X X energy
Z
A
Z X e- A
Z-1 Y energy
• Electron capture radionuclides used in medical imaging decay to
atoms in excited states that subsequently emit detectable gamma rays
Am A
Z X X energy
Z
0 1 80 0
1000 1/2 40 1
2000 1/4 20 2
3000 1/8 10 3
Half-Life Practice Problem #1
• The radioactive isotope Fluorine-11 has a half-
life of 11.0 s. How many half-lives occur in 11.0
s for Fluorine-11?
• Only one half-life occurs because the half-life of
Fluorine-11 is 11.0 s.
dN
R =- .
dt
Experimental measurements show that the activities of radioactive samples fall off
exponentially with time.
*Empirically:
R = - R 0 e-λt .
is called the “decay constant” of the decaying nuclide. Each radioactive nuclide has
a different decay constant.
*Argh!
The half-life, T½, is the time it takes for the activity to drop by ½. We can find a
relationship between and T½:
R0 -λΤ 1/2
= - R 0e
2
1 -λΤ
= e 1/2
2
+λΤ 1/2
e =2
Τ1/2 = ln 2
ln 2 0.693
= =
Τ 1/2 Τ 1/2
Here's a plot of the activity of a radionuclide.
All decay curves look like this; only the numbers on the axes will differ, depending
on the radionuclide (which determines the half-life) and the amount of radioactive
material (which determines the initial activity).
A plot of radioactive decay (they use A instead of R for activity).
Remember, empirically…
R = - R 0 e-λt .
What is empirically?! Ahuh!
The empirical activity law can be derived if we assume that is the probability per
unit time for the decay of a nucleus.
Then dt is the probability that the nucleus will undergo decay in a time dt.
If a sample contains N undecayed nuclei, then the number dN that will decay in the
time dt is just N times the probability of decay,
dN = - N dt .
This equation can be integrated to give
N = - N0 e-λt .
which you should recognize as looking like the activity law with N's instead of R's.
N = - N0 e -λt
was derived under the assumption that is the decay probability per unit time, and
is part of a testable theory. Big difference!
Important! The equation for activity R in terms the number of nuclei present
R = N
involves , which is a probability.