Biological Effects of Ionising Radiation Flashcards

1
Q

when ionisation occurs what is deposited locally

A

energy (35eV)

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2
Q

what happens when radiation passes through matter

A

it will ionise atoms along its path

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3
Q

where can evidence of DNA damage be seen

A

in the faulty repair of chromosome breaks

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4
Q

where is DNA damage seen

A

in individuals who are exposed to large doses

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5
Q

what is the direct effect of radiation damage on DNA

A

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

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6
Q

what is the indirect effect of radiation damage on DNA

A

radiation interacts with water in the cell, producing free radicals which can cause damage

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7
Q

why are double strands of DNA more difficult to repair

A

it usually occurs due to alpha radiation and if the repair is faulty it can lead to mutations which affects cell function

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8
Q

what does the biological effect of DNA damage depend on

A

type of radiation, amount of radiation, time over which the dose is received, the tissue or cell type irradiated

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9
Q

why is radiation delivered at a lower dose less damaging

A

cells can repair less serious DNA damage before further damage occurs

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10
Q

what organs are at risk from cancer following large radiation exposures

A

oesophagus, thyroid, lungs, skin, breast, stomach, liver, colon, gonads

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11
Q

what is the radiosensitivity of tissues dependent on

A

function of the cells that make up the tissues
if cells are actively dividing

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12
Q

what kind of cells are very radiosensitive

A

stem cells

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13
Q

why are stem cells radiosensitive

A

they divide very frequently

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14
Q

what cells are highly radiosensitive

A

bone marrow, lymphoid tissue, GI, gonads, embryonic tissues

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15
Q

what cells are moderately radiosensitive

A

skin, vascular endothelium, lungs, lens of eye

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16
Q

what are the least radiosensitive cells

A

CNS, bone and cartilage, connective tissue

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17
Q

what are the possible outcomes after radiation hits a cell nucleus

A

no change
mutation repaired
cell death
cell survives but is mutated - cancer?

18
Q

what is absorbed dose

A

measures the energy deposited by radiation
in Grays

19
Q

what is equivalent dose

A

absorbed dose multiplied by a weighting factor depending on the type of radiation
in Sieverts (Sv)

20
Q

what does the linear no threshold model estimate

A

long term biological damage from radiation

21
Q

what does the linear no threshold model assum

A

the damage is directly proportional to radiation dose and radiation is always harmful with no safety threshold

22
Q

what is response linearity

A

several small exposures would have the same effect as one large exposure

23
Q

what are the 2 types of radiation effects

A

deterministic and stochastic

24
Q

what is the deterministic effects of radiation

A

tissue reactions
only occur above a certain dose
severity of effect is related to the dose received

25
what is the stochastic effects
probability of occurrence is related to the dose received
26
what is somatic stochastic effect
results in disease or disorder
27
what is genetic stochastic effect
abnormalities in descendents
28
what is the effect of radiation exposure during pregnancy
damage or kill enough of the cells for the embryo to undergo resorption
29
what dose can be lethal for an embryo
100mGy
30
what dose can lead to growth retardation in a foetus
> 250mGy
31
why does pregnancy not need to be taken into account for dental x-rays
because the dose is so low
32
what is the annual background radiation dose
2.2mSv
33
what is the equivalent dose of an intra oral
0.005mSv
34
how far should the controlled beam extend from the x-ray tube and patient
1.5m
35
what does justification mean when taking radiographs
practices must have sufficient benefit to individuals or society in order to offset the detriment
36
what does optimisation mean when taking radiographs
individual doses and the number of people exposed should be kept ALARP
37
what does dose limitation mean
system of individual dose limits so that the risks to individuals are acceptable
38
how can patient doses be reduced
use E speed film or faster use a kV range of 60kV to 70kV focus to skin distance should be >200m use rectangular collimation
39
what are diagnostic reference levels
dose levels for typical examinations for standard sized patients
40
what does DRLs allow for
identification of units giving higher doses
41
what are the adult DRLs for intra oral examinations on phosphor plates
1.2mGy
42
what are the child DRLs for intra oral examinations on phosphor plates
0.7mGy