Summary
Samenvatting RT Jaar 1 periode 1 (BV) Hanze
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Samenvatting RT voor tentamen BV
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RT SamenvattingInhoud
Table of Contents
Kanker....................................................................................................................................................1
Diagnose stellen.....................................................................................................................................2
Behandelingsmogelijkheden...............................................................................................................2
Energie keuzes....................................................................................................................................2
Bijwerking...............................................................................................................................................2
Route oncologische patiënt................................................................................................................3
Route afdeling radiologie...................................................................................................................3
Lineaire versneller..................................................................................................................................3
Onderdelen lineaire versneller...........................................................................................................3
Bundelvorming...................................................................................................................................4
Het verschil van fotonen en elektronen bestraling.............................................................................4
Protonen therapie..................................................................................................................................4
Verschil Fotonen vs Protonen therapie..............................................................................................4
Simulatie en lokalisatie...........................................................................................................................4
Voorbeelden hulpmiddelen................................................................................................................5
Ct Simulatie........................................................................................................................................5
Werkwijze CT scan bij RT........................................................................................................................5
Treatment planning............................................................................................................................6
Kanker
Cellen vermenigvuldigen zich ongecontroleerd tot een tumor
Er zijn 2 soorten
- Benigne (goedaardig)
- Maligne (kwaadaardig)
De Maligne infiltreert zich in ander omliggend weefsel, dit heet uitzaaiing
, Diagnose stellen
- Bloed onderzoek
o Tumor markers vinden, PSA, BRCA 1 en 2
o Hormonen
- Klinisch Stadiering
o Endoscopie (weefsel wegsnijden)
o Pa, Zonder Pa geen diagnose (pa = Patholoog)
- Beeldvormend onderzoek
o Röntgenstraling
o CT
o MRI
o ECHO
o ETC.
Behandelingsmogelijkheden
- Chirurgie
- Radiotherapie
- Chemotherapie - > Tast meer in het lichaam aan
- Hormoon therapie
- Immune therapie
- Hypertherapie
Radiotherapie is een locoregionale behandeling MBV hoog energetische straling. Dit zorgt voor
beschadiging van DNA tumor.
Energie keuzes
- Orthovolt/ Rontgestraling (oppervlakkig)
o 100 – 300 KV
- Elektron (oppervlakkig)
o 4 – 25 MeV
- Fotonen (diep gelegen)
o 4 – 25 MV
Toepassingsvormen:
- Teletherapie
o Uitwendig
- Brachytherapie
o Inwendig
Bijwerking
Er treden bijwerkingen op bij het geven van radiotherapie
- Vroege effecten
o Treden op tijdens behandeling
- Latere effecten
o Treden enkele weken/ maanden na bestraling op, Dit is bijvoorbeeld verkleuring
huid, functie verlies van organen.
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