David G. Kirsch, M.D., Ph.D., Professor of Radiation Oncology and Pharmacology Duke University School of Medicine
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1 David G. Kirsch, M.D., Ph.D., Professor of Radiation and Pharmacology Duke University School of Medicine Elaine M. Zeman, Ph.D., Research Associate Professor of Radiation University of North Carolina School of Medicine The purpose of this course is to increase your knowledge of the principles of molecular, cancer and radiation biology underlying the practice of radiation oncology. The syllabus will follow the content outline established by the American Board of Radiology for the following topic areas: basic cancer biology and the molecular biology of cancer the response to radiation at the molecular and cellular levels the radiation responses of normal and malignant tissues hereditary effects and radiation carcinogenesis radiation safety and protection standards The class will meet on Mondays and Wednesdays, 4:30 PM, from late August, 2016 through mid-march, 2017 (see syllabus for exact dates). Classes will last from 60 to 90 minutes, and will be held jointly at Duke, UNC, NC State and Wake Forest, via teleconference and/or WebEx. Linda Metheny-Barlow, Ph.D., Associate Professor, Wake Forest University School of Medicine, Department of Radiation Brian Czito, M.D., Associate Professor, Duke University School of Medicine, Department of Radiation Phuong Doan, M.D., Assistant Professor, Duke University School of Medicine, Department of Medicine, Division of Hematological Malignancies Scott Floyd, M.D., Ph.D., Associate Professor, Duke University School of Medicine, Department of Radiation Bridget Koontz, M.D., Associate Professor, Duke University School of Medicine, Department of Radiation Yvonne Mowery, M.D., Ph.D., Chief Resident, Duke University School of Medicine, Department of Radiation Greg Palmer, Ph.D., Associate Professor, Duke University School of Medicine, Department of Radiation Andrew Wang, M.D., Associate Professor, UNC School of Medicine, Department of Radiation Radiobiology for the Radiologist, 7th Edition, by Hall and Giaccia. Lippincott Williams & Wilkins,
2 Basic Clinical Radiobiology, 4th Edition, by Joiner and van der Kogel. Arnold, (5 th Edition due in early 2017.) Medical Effects of Ionizing Radiation, 3rd Edition, by Mettler and Upton Saunders-Elsevier, Human Radiation Injury, by Shrieve and Loeffler Lippincott Williams & Wilkins, David Kirsch (Primary Instructor): Tel: Elaine Zeman (Primary Instructor): Tel: Wanda Gentry (Duke Course Assistant): Tel: To meet with Dr. Kirsch, contact Ms. Gentry to schedule an appointment. To meet with Dr. Zeman, contact her directly by to schedule an appointment. John Dooley (UNC IT person): Cell: Phil Antoine (Duke IT person): Cell: Darryl Sterner (Wake Forest IT person): Pager: Attendees have the option of using teleconferencing to take part in the course, that is, students meet in a common location to view the live presentation as a group on a big screen. This is preferred if possible, as it encourages participation and discussion, and is usually less distracting. OR, students can connect through WebEx individually, which affords flexibility to access the lecture from any device or location, and is suitable for those who do not have reliable access to a teleconferencing system or are otherwise unable to attend the group session. Please note that at present, we do not have an easy way of recording the lectures for distribution and viewing after the fact. For those using WebEx, the web address and access code for the online portion of the lecture will be contained in an invitation; participants should be on the lookout for this in the days leading up to the start of the course. Please keep this for use in accessing subsequent lectures. Note that the high sensitivity of the microphones used for teleconferencing is such that even small noises (eating, drinking, shuffling papers, etc.) can be extremely disruptive for both the lecturer and the attendees. Therefore, PLEASE mute all your microphones except when asking questions. 2
3 If you are experiencing any problems with the teleconferenced or online content during a lecture, please call either the Duke or UNC conference rooms, respectively, at or (If necessary, the corresponding IT person should be contacted as well.) Digital handout materials for course attendees can be obtained from a web-based repository at In most cases, handouts will be made available no later than the morning of the planned lecture, and often, a day or two before. These lecture materials are considered the intellectual property of the course instructors and should not be shared with ANYONE outside of class, nor should the download links be provided to non-course attendees. Student performance in the course will be assessed by Dr. Kirsch (Duke attendees) and Dr. Zeman (UNC, NC State and Wake Forest attendees). Criteria for grading include course attendance/participation and performance on quizzes and problem sets. 3
4 Date Topic Monday, August 29 Zeman Course Intro Wednesday, August 31 Kirsch Hallmarks of Cancer September 5 Labor Day September 7 (Late Start: 5:10pm) Zeman Radiation Chemistry September 12 Floyd DNA Damage and Repair 1 September 14 Floyd DNA Damage and Repair 2 September 19 Zeman Genetic and Cytogenetics Effects September 21 Floyd Cancer Epigenetics September 26 ASTRO September 28 ASTRO October 3 Rosh Hashanah October 5 Kirsch Oncogenes and Tumor Suppressor Genes October 10 Kirsch Mechanisms of Cell Death October 12 Yom Kippur October 17 RRS October 19 RRS October 24 Zeman Cell Survival and Tissue Dose Response Curves October 26 Zeman Sublethal and Potentially Lethal Damage Recovery October 31 November 2 Zeman RBE and LET; High LET Radiotherapy November 7 Discussion and Problem Solving Session (@Duke) November 9 Zeman Transformation/Carcinogenesis/Risk Assessment 1 November 14 Zeman Transformation/Carcinogenesis/Risk Assessment 2 November 16 Zeman The Oxygen Effect: Chemistry and Biology November 21 Thanksgiving Week November 23 Thanksgiving Week November 28 Palmer Tumor Angiogenesis November 30 Metheny-Barlow Tumor Metastasis December 5 Zeman Radiosensitizers, Radioprotectors and Bioreductives December 7 Zeman Normal and Tumor Cell Kinetics December 12 Koontz Early and Late Effects in Normal Tissues December 14 QUIZ #1 - Cellular Radiation Biology and Cancer Biology December 19 4
5 Date Topic January 9 Doan Cytokines and Normal Tissue Injury January 11 Zeman Volume Effects and Retreatment Tolerance January 16 MLK Day January 18 Zeman The 4-6 R s of Radiotherapy 1 January 23 Zeman The 4-6 R s of Radiotherapy 2 January 25 Zeman History of Modern Dose-Time Relationships January 30 Zeman The α/β Isoeffect Model 1 February 1 Zeman The α/β Isoeffect Model 2 February 6 Discussion and Problem Solving Session (@UNC) February 8 Czito Radiation and Chemotherapy Interactions February 13 Kirsch Experimental Chemotherapy: Drug Resistance February 15 Kirsch Gene and Molecular Therapies (and CRISPR) February 20 Zeman Immunotherapy Overview/Radionuclide Therapy February 22 Emerging Science: Mowery Radiation as an Immunomodulator February 27 Emerging Science: Wang Cancer Nanotechnology March 1 (In Training Exam Prep) March 6 Emerging Science: Wang Circulating Tumor DNA March 8 March 13 March 15 QUIZ #2 - Clinical Radiation Biology 5
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