Biological Effects of Ionising Radiation & Radiation Risk Assessment Flashcards

1
Q

What are the interactions of radiation passing through matter?

A
  • radiation ionises atoms along its path
  • each ionisation process deposits around 35eV
  • energy is greater than energy involved in atomic bonds (4eV)
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2
Q

What is the most significant effect of ionising radiation?

A
  • DNA damage
  • majority if damage easily repaired
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3
Q

What are the different ways that ionising radiation can cause damage to DNA?

A
  • direct DNA damage
    • radiation interacts with atoms of DMA molecule
    • can be other important part of the cell
  • indirect DNA effect
    • radiation interacts with water in the cell
    • produces free radicles which cause damage
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4
Q

What are free radicals?

A
  • unstable, highly reactive molecules
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5
Q

What are the different types of DNA damage?

A
  • single strand break
    • can usually be repaired
  • double strand breaks
    • usually occurs as a result of alpha radiation
    • if repair is faulty can lead to mutations
    • can affect cell function
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6
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
  • tissue type or cell type irradiated
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7
Q

What does the radiosensitivity of tissues depend on?

A
  • the function of cells that make up the tissues
  • if the cells are actively dividing
    • stems cells are very radiosensitive
    • differentiated cells are less radiosensitive
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8
Q

What are the possible outcomes after radiation hits a cell nucleus?

A
  • no change
  • DNA mutation
    • mutation repaired
      - viable cell
    • cell death
      - unviable cell
    • cell survives but is mutated
      - cancer
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9
Q

What is absorbed dose?

A
  • energy deposited by radiation
  • Grays (Gy)
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10
Q

What is equivalent dose?

A
  • absorbed dose multiplied by a weighting factor depending on the type of radiation
    • x-ray assigned 1
  • Sieverts (Sv)
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11
Q

What are the two types of biological effects of radiation?

A
  • deterministic
    • tissue reactions
    • only occur above a certain dose
    • severity is related to dose received
    • unusual to see in radiology
    • effects after several days
  • stochastic
    • probability of occurrence related to dose received
    • no dose beneath which effects will not occur
    • cannot predict if events will occur and their severity
    • effects after years
    • somatic
      - results in disease or disorder
    • genetics
      - abnormalities in descendents
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12
Q

What is the effect of radiation during pregnancy?

A
  • damage to kill enough cells for embryo resorption
    • 100mGy
    • around implantation of embryo
  • growth retardation
    • during organogenesis
    • 2-8 weeks
    • > 250mGy
  • dental radiographs much smaller doses
    - pregnancy does not need to be taken into account
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13
Q

What sources of natural background radiation exist?

A
  • cosmic rays
  • internal radionuclides from diet
  • radionuclides in the air (radon)
  • external gamma radiation (soil, rocks and building materials)
  • air travel
  • estimated annual dose is 2.2mSv
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14
Q

What distance should the controlled area be from the X-ray tube and patient?

A
  • 1.5m
  • x-ray beam should always be directed away from staff members
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15
Q

What is ALARP?

A
  • As Low As Reasonably Practicable
    • still maintain image quality
    • use of rectangular collimators
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16
Q

How are patient doses reduced?

A
  • use of E speed film
  • use of 60-70kV
  • fsd of >200mm
  • use of rectangular collimation
17
Q

What are diagnostic reference levels?

A
  • comparative standard used in optimisation
    • compared to national reference levels
  • individual units are compared to DRLs and national reference levels
    • enables identification of units giving higher doses
18
Q

What are the current DRLs for intraoral examinations?

A
  • adult
    • 0.9mGy
      - digital sensor
    • 1.2mGy
      - phosphor plate and film
  • child
    • 0.6mGy
      - digital sensor
    • 0.7mGy
      - phosphor plates and film
19
Q

What can affect image quality?

A
  • teeth marks
  • damaged detectors
  • fingerprints
  • scratches