Biological Effects of Ionising Radiation Flashcards

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1
Q

What is radiobiology?

A

Radiobiology is a field of clinical medical sciences that
involves the study of the action of ionising radiation on living
things, especially health effects of radiation.

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2
Q

Units of radiation

A

Becquerel (Bq) is a
measure of radioactivity
(atom decays over time) –
so how many apples are
falling out of the tree
Bq=disintegrations/second

Gray (Gy) is a measure of
absorbed dose – how many
apples are hitting the
person
Gy=1 joule of radiation per
kg of matter

Sievert (Sv) is a measure
of effect on the body based
on the size and shape of
the apples, where the body
was hit
Sv=equivalent biological
effect of 1 joule/kg

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3
Q

How do we quantify radiation
‘dangerous-ness’

A

Linear Energy Transfer (LET)

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3
Q

How do we quantify radiation
‘dangerous-ness’

A

Linear Energy Transfer (LET)

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4
Q

Linear Energy Transfer (LET)

A

Linear Energy Transfer (LET)
+ LET is the rate at which energy is deposited as a charged
particle or photon travels through matter
+ Heavier particles with a larger charge produce higher
ionisation density
+ For a given particle type, as the velocity and energy goes
up, the density of ionisation (and therefore LET) reduces

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5
Q

Typical LET values

A

Alpha particles LET=100-200keV/ μm
14MeV neutrons LET=12keV/ μm
250kVp xrays LET=2keV/ μm
4MeV xrays LET=0.3keV/ μm

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6
Q

Relative Biological Effectiveness
(RBE)

A

+ Absorbed dose can be a poor indicator of the biological effect
of radiation
+ Biological effect can depend on many factors:
type of radiation, initial energy and type of tissue
1Gy of neutrons produce a greater biologic effect than 1Gy of xrays due to the
difference in the pattern of energy deposition
+ RBE is the ratio of biological effectiveness of one type of
ionising radiation compared to another

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7
Q

How does radiation damage tissue?

A

+ Direct damage of radiation causes a disruption in the
atomic structure which produces chemical and biological
changes to the DNA

+ Indirect damage of radiation is caused by the free radicals, which come from the ionisation or excitation of
the water component in the cells by producing a hydroxyl
radical (this accounts for 2/3rds of radiation damage)

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8
Q

ionizing radiation

A

direct damage
- double strand break/ single strand break
cell death - apoptosis

indirect damage
free radicals and reactive oxygen species
o2 - OH, h2O2 etc
double strand break/ single strand break
cell death

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9
Q

The cell cycle

A

The cell cycle
+ G1 phase= Metabolic changes prepare the cell for division –
signal is given to divide
+ S phase= DNA synthesis and replicates the genetic material each 46 cell is duplicated
+ G2 phase= Metabolic changes necessary for mitosis and
cytokinesis
cell checks the duplicated chromosomes for errors checks any errors. - check point gene - cell divides mitosis
+ M phase= A nuclear division (mitosis) followed by a cell
division (cytokinesis).

if you don’t have good checkpoint genes your cells will be sensitive to radiation - cells are killed easier - could be become cancerous

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10
Q

Cell check point genes

A

Cell check point genes
+ Cell cycle progression is monitored by molecular check
point genes
+ Genes involved in radiation effects halts in G2 so that
damage can be checked, and reparation started before
mitosis is started
+ Cells which lack check point genes are sensitive to
radiation-induced cell kill and carcinogenesis

genomicnic instablity - cells find it hard to repair

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11
Q

Mechanism of cell death

A

Mechanism of cell death
+ Mitotic death: when cells die attempting to divide (most
common)
+ Apoptosis: naturally programmed cell death
+ Bystander effect: cells directly affected by radiation
release cytotoxic molecules prompting death in
neighbouring cells

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12
Q

Types of cell death

A

Types of cell death
The definition of cell kill varies depending on the type of tissue:
+ Differentiated cells which do not proliferate (nerves, muscles,
secretory) are defined as loss of a specific function.
+ Proliferating cells (stem cells in bowel) are defined as a loss
of reproductive capacity.

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13
Q

Early and late responding tissues

A

Early and late responding tissues
+ Rapidly dividing cells respond early to radiation damage
(skin, intestinal epithelium, bone marrow)
+ Late responding tissues (spinal cord, lung, kidney)
+ All tissues have a natural tolerance for radiation damage

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14
Q

Cancer

A

Cancer
Cancer occurs when a normal cell:
+ has a mutation/loss of cell check point genes
+ loses the ability to stop reproducing
+ loses the ability to undergo apoptosis

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15
Q

Deterministic vs stochastic

A

Stochastic
effects

Cancer
Genetic effects
Somatic
mutations

deterministic effects

Cataract
Erythema
Infertility

16
Q

Types of radiation damage

A

Stochastic
* Mechanism is cell modification
* Probabilistic in nature
* Probability increases with dose
* Cannot be completely avoided
* Relationship cannot be
established
* Occurs in a small percentage of
population

Deterministic
* Mechanism is cell killing
* Has a predictable threshold
dose
* Severity increases with dose
* Can be completely avoided
* Sure to occur at an adequate
dose
* Will occur in all population

17
Q

Most and Least Radiosensitive Cells

A

Low Sensitivity
- mature red blood cells
muscle cells
ganglion cells
mature connective tissues

high sensitivity
- gastric mucosa
mucous membranes
oesophageal epithelium
urinary bladder epithelium

Very High Sensitivity
Primitive blood cells
Intestinal epithelium
Spermatogonia
Ovarian follicular cells
Lymphocytes

18
Q

Radiation protection

A

Radiation protection
+ We want to eliminate ability of
deterministic to occur
Example: Skin erythema
+ We want to reduce the probability
of the occurrence of stochastic
effects
Example: secondary cancers

19
Q

General
principles of
radiation
protection

A

justification
limitation
optimisation

20
Q

to reduce radiation exposure

A

limit time
increase distance
use shielding