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Radiotherapy Simplified Revision Notes

Revision notes with simplified explanations to understand Radiotherapy quickly and effectively.

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Radiotherapy

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Radiotherapy is a method of using radiation to kill cancer cells.

It can be used in two ways:

  • Internal radiation therapy (placing radiation inside the body).
  • External radiation therapy (aiming radiation from outside the body). The goal of radiotherapy is to damage cancer cells while trying to limit harm to healthy cells.
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Internal Radiation Therapy

In internal radiation therapy, a radioactive material is placed inside the body, either in or near a tumour. This can be done by injecting or implanting a small amount of radioactive substance.

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Types of Radiation Used:

  1. Alpha Emitters
  • Alpha radiation is very strongly ionising, meaning it can do a lot of damage to the tumour cells it's placed near.
  • Alpha particles have a short range, so they only affect nearby tissue, limiting damage to healthy cells around the tumour. Example: Injecting an alpha emitter near a tumour to kill cancer cells while sparing nearby healthy tissue.
  1. Beta Emitters:
  • Beta radiation is used in implants placed inside or next to the tumour.
  • Beta particles can travel further than alpha particles, which means they can damage cancer cells beyond the immediate area of the implant.
  • These emitters are useful because they can penetrate through the casing of the implant to reach and damage cancer cells, but they can also harm cells further away.

External Radiation Therapy

In external radiation therapy, gamma rays are aimed at the tumour from outside the body.

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Gamma rays are used because they can penetrate deep into the body, reaching the tumour even if it is located in a hard-to-reach place.

  • The radiation is carefully focused on the tumour to limit damage to healthy cells, but some harm to surrounding tissues is unavoidable.
  • Shielding can be placed on other parts of the body to protect healthy areas from radiation exposure.

Reducing the Risks of Radiation Exposure

While radiation is effective at killing cancer cells, it's important to reduce the risk to the patient and medical staff:

  • The machines used in external radiation therapy come with shielding to protect operators from radiation exposure.
  • The machine is kept in a designated room to minimise exposure to people outside the treatment area.
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