4 - Biological effects of ionising radiation Flashcards

1
Q

Describe an alpha particle.

A
  • 2 protons, 2 neutrons
  • large particle, travels a few inches
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe a beta particle.

A
  • electron
  • small, travels a few feet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe a gamma ray.

A
  • EM radiation
  • high energy, travels long distances
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe x-rays.

A
  • high or low energy
  • travel long distances
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is ionising radiation?

A

Radiation that has enough energy to knock an electron out of an atoms electron shell, making it an ion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How much energy is deposited into matter when it is ionised?

A

35 eV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How much energy is involved in atomic bonds?

A

4 eV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Define direct damage to DNA.

A

Radiation interacts with atoms of the DNA molecule or another important part of the cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define indirect damage to DNA.

A

Radiation interacts with the water in the cell, producing hydroxyl free radicals which damage the DNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What type of radiation typically causes double strand damage?

A

Alpha

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What effect does double strand damage have to DNA?

A
  • harder to repair than single damage
  • strands sometimes rejoin incorrectly and this can cause mutations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is dose rate?

A
  • the rate at which damage is caused, compared to the amount of radiation received
  • if the dose rate is lower, the cell can repair damaged DNA before more damage occurs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What factors affect tissue radiosensitivity?

A
  • the type of cells that make up the tissue
  • whether the cells are actively dividing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the radiosensitivity of stem cells.

A

Divide frequently therefore are very radiosensitive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the radiosensitivity of differentiated cells.

A

No mitotic behaviour, therefore less radiosensitive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which tissues would be considered highly radiosensitive?

A
  • bone marrow
  • lymphoid tissue
  • GI
  • gonads
  • embryonic tissues
17
Q

Which tissues would be considered moderately radiosensitive?

A
  • skin
  • vascular endothelium
  • lungs
  • lens of eye
18
Q

Which tissues would be considered least radiosensitive?

A
  • CNS
  • bone and cartilage
  • connective tissue
19
Q

What are the three responses of a cell to mutation?

A

Repaired = viable cell
Death = nonviable cell
Survives but remains mutated = cancer

20
Q

Define dose.

A

The measure of energy deposited in the subject by radiation, measured in Gy

21
Q

Define equivalent dose.

A

Absorbed dose multiplied by the weighting factor of the radiation, measured in Sv

22
Q

Define effective dose.

A

Equivalent dose multiplied by the tissue weighting factor, measured in Sv

23
Q

Which radiations have a weighting factor of 1?

A

X-rays, beta, gamma rays

24
Q

Which types of radiations have a weighting factor of 20?

25
What is the LNT?
- linear no threshold - assumes all radiation is harmful, and there is no safety threshold - damage is directly proportional to radiation dose
26
What are the two types of biological radiation effects?
- deterministic - stochastic
27
Describe deterministic effects.
- tissue reactions - only occur over a certain threshold dose - severity is related to dose received - unusual in radiology (except interventional radiology) - effects seen a few days after exposure
28
Describe stochastic effects.
- no threshold - probability of occurrence is related to the dose received - effects are either somatic (in the recipient) or genetic (in the recipient's children) - effects develop over years
29
What are some deterministic effects seen in the body after radiation exposure?
- hair loss - skin damage - sterilisation - bone marrow depletion
30
How does radiation affect pregnancy?
- embryo could be damaged or killed if exposed to enough radiation directly - during organogenesis, exposure can cause growth retardation - doses required are 1000s times greater than intraoral dentistry
31
What are sources of background radiation?
- cosmic rays - radionuclides in food - gamma radiation from soil, rocks etc - air travel
32
What effective dose does an intraoral radiograph carry?
0.005mSv
33
Define justification.
Practices must have sufficient benefit to individuals or society in order to offset the detriment
34
Define optimisation.
Individual doses and the number of people exposed should be kept to as low as reasonably practicable (ALARP), taking into account economic and social factors
35
Define dose limitation.
System of individual dose limits so that the risks to individuals are acceptable
36
How are patient doses reduced?
- E speed film or faster (require less photons) - kV range 60-70 - focus to skin distance greater than 200mm - rectangular collimation
37
What are DRLs?
- diagnostic reference levels - standard doses for standard sized patients - adults = 0.9mGy for digital - child = 0.6mGy for digital
38
Why is image quality important?
If the image quality is not sufficient then the x-ray is not justified