Biological Effects of Radiation Flashcards

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1
Q

What are two radiation effects on water?

A
  1. Primary Reactions (Direct Action)
  2. Secondary Reactions (Indirect Action)
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2
Q

The ______ reactions are responsible for much of the biological damage caused by _____ LET radiations.

A

The primary reactions are responsible for much of the biological damage caused by high LET radiations.

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3
Q

Define

What is a free radical?

A
  • A highly chemically reactive form of an element due to the presence of an unpaired valence electron.
  • It tries to combine chemically with other species so that its single unpaired electron can form a covalent bond with some other unpaired electron to complete its sub-shell.
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4
Q

Is a free radical an ion?

A

No

  • A free radical is electrically neutral.
  • It has an equal number of protons in the nucleus to balance the negative electrons.
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5
Q

What two free radicals are formed in irradiated water?

A
  1. Hydrogen radical (the hydrogen atom, not diatomic hydrogen)
  2. Hydroxyl radical (OH)
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6
Q

What is the overall time span that primary reactions take place?

A

10-10 seconds

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7
Q

What is the overall time span that secondary reactions take place?

A

10-5 seconds

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8
Q

What are the three most probable secondary reaction equations?

A
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9
Q

About ____ of the injuries produced by low LET radiation exposure to cellular DNA is traceable to the ______ radical.

A

About 2/3 of the injuries produced by low LET radiation exposure to cellular DNA is traceable to the hydroxyl radical.

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10
Q

Pharmaceuticals useful for treating radiation accident victims fall into what two types?

A
  1. Treatement for external radiation exposure
  2. Treatment for internally deposited radioactive material
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11
Q

What are the three different uses of drugs to treat external radiation exposure?

A
  1. Pre-irradiation protection to reduce the amount of damage at the time of exposure.
  2. After-irradiation pharmaceutical to repair damage at the molecular level.
  3. Pharmaceuticals used to “jump-start” the body into producing new stem cells.
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12
Q

What is cystene used for?

A
  • An organic compound that has been found to donate its hydrogens to neutralize hydroxyl free radicals.
  • It has been found to raise the LD50/60 in humans by a factor of up to 1.7 times.
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13
Q

How do you measure the usefullness of a protective agent?

A
  • Dose Reduction Factor (DRF)
  • DRF is the change to the normal lethal dose (LD50/30) for a test animal that can be produced.
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14
Q

Define

LD50/30

A

The value of the dose delivered to a group of animals such that 50% of the exposed population will survive for 30 days without any medical treatment or intervention.

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15
Q

Define

LD50/60

A

The value of the dose delivered to a group of humans such that 50% of the exposed population will survive for 60 days without medical treatment or intervention.

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16
Q

What is the value for LD50/60?

A

410 rads +/- 150 rads

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17
Q

Describe

Cell cycle

A
  • G1 - Resting gap period
  • S - Synthesis phase (15 hours while cell duplicatse its DNA)
  • G2 - Resting gap period
  • M - Mitosis (1 hour)
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18
Q

Define

Biodosimetry

A

The methods in which changes caused by exposure to ionizing radiation are directly measured in a living system to determine the radiation dose received.

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19
Q

Define

Checkpoint gene

A
  • Gene p53 acts as a gatekeeper during the first resting phase G1 of the cell cycle.
  • The cycle is put on hold by p53 if it detects DNA damage and only allowed to continue after repair has been completed.
  • If p53 is mutated, cancer risk increases.
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20
Q

Biodosimetry

What are the two different types of methods used in biodosimetry?

A
  1. Biological based techniques use detection of biological tissue damage (usualy at the cellular level).
  2. Physical measurements of changes induced by radiation in body tissues.
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21
Q

Biodosimetry

What is an advantage and disadvantage of physical measurement techniques?

A

Advantage

  • It can be performed at times well after the exposure incident.

Disadvantage

  • The downside is that it will be unknown whether the dose measured was received at a particular time or is the result of cumulative exposures over a lifetime.
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22
Q

Biodosimetry

What is an advantage and disadvantage of biological measurement techniques?

A

Advantage

  • Biological measurements are more sensitive and can detect lower radiation doses than physical measurements.

Disadvantage

  • Problems arise when it is realized that most of the biological damange is not completely radiation specific.
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23
Q

Biodosimetry

The two most commonly analyzed tissues in physical biodosimetry are ____ and ____.

A
  1. Teeth
  2. Fingernails
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24
Q

The Law of Bergonie and Tribondeau concluded that cells tend to be radiosensitive if they have what three properties?

A
  1. Cells have a high division rate.
  2. Cells have a long dividing future.
  3. Cells are of an unspecialized types.
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25
Q

Define

Relative Biological Effectiveness

A

The ratio of biological effectiveness of one type of ionizing radation relative to another, given the same amount of absorbed energy.

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26
Q

Graph

RBE vs. LET

A
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27
Q

Graph

Curves for various dose-response theories.

A
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28
Q

What are the four major types of cells in circulating blood?

A
  1. Erythrocytes
  2. Lymphocytes
  3. Granulocytes
  4. Platelets
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29
Q

What is the purpose of the human blood cell types?

A
  • Erythrocytes - Oxygen transport to the cells
  • Lymphocytes - Generate antibodies to fight infection
  • Granulocytes - Fight infection by phagocytosis
  • Platelets - Blood clotting agent and vessel integrity
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30
Q

Acute Radiation Exposure

In what exposure range does the GI tract become the leading organ of concern?

A

10 - 50 Sv

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31
Q

Acute Radiation Exposure

In what range does the Central Nervous System become the leading organ of concern?

A

Over 50 Sv

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32
Q

Acute Radiation Exposure

What is the “Therapeutic Range” for radiation exposure? What is the concern?

A

1 to 10 Sv

  • Maintenance of minimum levels of circulating blood cells.
  • Because blood cells originate from stem cells in the bone marrow, the effects seen in this range are often referred to as the “Bone Marrow Syndrome”
33
Q

Define

Late Effects

A
  • Effects which exhibit themselves a period of years after an acute exposure.
  • The incidence is generally dependent on the radiation dose, dose rate, age at the time of irradiation, and state of health.
34
Q

There are four main types of genetic mutations that occur in humans and animals

A
  1. Dominant mutations ⇒ Caused by a single gene from one of the parents to the offspring.
  2. Receissive mutations ⇒ Result only if the same altered gene is furnished by both parents.
  3. Chromosomal rearrangements ⇒ Lead to mutations by mixing up the order of the genetic code.
  4. Multifactorial mutation ⇒ The result of multiple genes being involved with the additional probability of influence from environmental factors (e.g., eating habits).
35
Q

Define

Doubling Dose

A

The radiation dose which, if delivered to a large population, would produce an additional number of mutations equal to the number of spontaneous (natural) mutations.

36
Q

What are examples of genetic mutations?

A
  • Anemia
  • Down syndrome
  • Asthma
  • Diabetes
37
Q

What is the BEIR VII (2006) estimated doubling dose?

A

82 +/- 29 rads

38
Q

What type of risk estimate is the doubling dose?

A

Relative risk of genetic injury (the risk is compared to the natural mutation rate).

39
Q

Define

Somatic Effects

A

The results produced directly in the exposed individual.

40
Q

What are thre categories of somatic effects?

A
  1. Life shortening (from accelerated aging)
  2. Leukemia
  3. Other cancers
41
Q

Define

Dose Rate Effectiveness Factor

A
  • Factor by which radiation cancer risks observed (following large acute doses) can be reduced when the same amount of radiation is delivered at low dose rates or in a series of small dose fractions.
  • Created as a method to recognize the existence of biological repair mechanisms.
  • The DREF could only be used for accumulated doses below 20 rem and dose rates less than 5 rem year-1.
42
Q

What is the value for DREF?

A

NCRP 64 (1980)

  • Between 2 and 10 for low LET radiations like X- and gamma rays.
  • It should only be used for accumulated doses below 20 rem and dose rates less than 5 rem year-1.

ICRP ⇒ 2

BEIR VII ⇒ 1.5

43
Q

Prenatal Radiation Exposure

What can radiation doses delivered during pregancy produce?

A
  • Spontaneous abortion
  • Malformed organs
  • Mental/growth retardation
  • Teratogenic effects
44
Q

Prenatal Radiation Exposure

When is prenatal death observed?

A

When radiation is received during the preimplantation phase (the first 2 weeks after conception).

45
Q

Prenatal Radiation Exposure

Production of deformed organs and limbs in the fetus is observed when?

A

During the organogenesis phase (2 to 6 weeks after conception)

46
Q

Prenatal Radiation Exposure

After 6 weeks post-conception, radiation exposure has what effect?

A
  • Stunted growth and possible mental retardation
  • The peak for mental retardation seems to be from 8 to 15 weeks after conception
47
Q

BEIR V (1990) concluded that doses up to _____ Sv, cancer mortality follows a _____ relationship, except for leukemia which follows a _____ relationship.

A

BEIR V (1990) concluded that doses up to 4 Sv, cancer mortality follows a linear relationship, except for leukemia which follows a linear-quadratic relationship.

Amount of effect seen = cD

Amount of effect seen = cD + kD2

48
Q

Describe

Mitotic cell death

A
  • Reproductive cell death / cellular inactivation.
  • Most common death from radiation.
  • Cells die because of damaged chromosomes while trying to divide.
49
Q

Describe

Apoptosis

A
  • Programmed cell death that occurs normally
  • Greek for “falling off”
50
Q

List

Types of radiation damage

A
  • Nonlethal damage
  • Sublethal damage
  • Potentially lethal damage
  • Lethal damage
51
Q

Decribe

Nonlethal radiation damage

A

Slows down, but does not stop, cell proliferation

52
Q

Describe

Lethal radiation damage

A

Damage is irreparable, irreversible, and leads irrevocably to cell death.

53
Q

Describe

Sublethal radiation damage

A

Cells be either be repaired, or accumulate more dose to become lethal.

This is the basis for fractionation in radiation therapy.

54
Q

Describe

Potentially lethal radiation damage

A

Cell death/survival can be modified by post exposure environmental conditions.

55
Q

List

Factors affecting sensitivity to radiation

A
  • Size of sensitive structure
  • Repair capacity
  • Genetic redundancy
  • Genome organization
  • Chemicals (radiosensitizers/radioprotectors)
  • Age and gender
  • Temperature
  • Dose rate
56
Q

Define

Oxygen Enhancement Ratio (OER)

A
  • OER is the ratio of the radiation dose given under anoxic conditions to produce a certain affect relative to a radiation dose given under full oxygenated conditions to produce the same effect.
  • Oxygen is the “most biological” factor that modifies the radiation response. Oxygen increases ⇒­ Radiosensitivity increases
  • Additional oxygen abundance creates additional free radicals which increase damage to target tissue.
57
Q

List

Four R’s of Radiobiology

A
  1. Repair
  2. Reassortment/redistribution
  3. Repopulation
  4. Reoxygenation
58
Q

Describe

Repair

(4 R’s of Radiobiology)

A
  • Prompt repair of sublethal damage
  • Fractionating the dose allows time for cellular repair prior to receiving the full dose
59
Q

Describe

Reassortment/redistribution

(4 R’s of Radiobiology)

A
  • Progression of cells through the cell cycle during the interval between radiation doses.
  • Cell cycle moves from G2/M (growth and mitosis are radiosensitive) to S (synthesis is radioresistant)
60
Q

Describe

Repopulation

(4 R’s of Radiobiology)

A
  • Increase of surviving fraction due to cell division
  • Time interval between cell cycle is greater than cell cycle division time, which causes an increase in the number of cells surviving.
61
Q

Describe

Reoxygenation

(4 R’s of Radiobiology)

A
  • Oxygen returns to hypoxic (oxygen depleted) cells increasing radiosensitivity.
  • Applies to tumor/cancer cells and is another reason fractionation aids radiation therapy.
62
Q

List

Required conditions for Acute Radiation Syndrome

A
  • Radiation dose must be large (> 0.7 Gy)
  • Dose typically must be external
  • Radiation must be penetrating (able to reach internal organs)
  • Dose delivered over a short time (typically minutes)
63
Q

List

Four stages of Acute Radiation Syndrome

A
  • Prodromal syndrome (0 – 48 hours)
  • Latent period (0 – 3 weeks)
  • Manifest illness (0 – 8 weeks)
  • Recovery or death (> 6 – 8 weeks)
64
Q

What are two direct effects of radiation on DNA?

A

Knocking-out tumor suppressor gene

  • TP53 gene ⇒ Tumor suppressor gene that is lost or mutated in more than half of all human tumors.
  • P53 protein ⇒ Produced by the gene controls arrest of cell cycle and pathway to apoptosis.

“Activating” oncogenes

  • Oncogene ⇒ Gene that contributes to cancer formation when mutated or inappropriately expressed.
  • “Activated” oncogenes ⇒ Allow bypass of apoptosis and enable proliferation of damaged/mutated cells.
65
Q

List

Indirect effects of radiation

A
  • Bystander effect ⇒ Effect extends to unirradiated cells, increasing the “target” cell population, or activing repair enzyme expression.
  • Genomic instability
  • Adaptive responses
  • Threshold and/or hormesis
66
Q

A woman is 10 weeks pregnant.

Give two reasons for and against taking a 2 rem X-ray on the woman’s abdomen.

A

Support

  • Radiation induced malformations to the fetus are not likely after 10 weeks of pregnancy.
  • Risks from cancer later in life are minimal for a dose of 2 rem in the abdominal area.

Against

  • Other diagnostic tests might provide the desired diagnostic information.
  • The desired diagnostic information will likely not aid in the medical treatment of the woman for her pregnancy.
67
Q

List 3 possible effects of in-utero exposure at 10 weeks of pregnancy

A
  1. Cancer in later life
  2. Mental retardation
  3. Congenital malformations
68
Q

Why does the oxygen enhancement ratio decrease with increasing LET?

A

Oxygen modifies indirect effects, but does not modify direct effects

Indirect effects come from gammas and X-rays with low LET; therefore, as LET increases, the necessity for the presence of oxygen decreases.

69
Q

What are the respiratory tract compartments?

A
  • Upper respiratory tract
  • Tracheal/bronchial tree
  • Lymphatic
70
Q

What are three pieces of information needed to determine the risk of injury to a fetus from a radiation exposure?

A
  1. Age of fetus
  2. Dose to fetus
  3. Dose to risk conversion factors for the effects possible at that stage in gestation
71
Q

Name three general types of biological effects of ionizing radiation that are taken into consideration in the derivation of dose limits for radiation workers

A
  • Stochastic ⇒ Somatic effects (e.g., cancer)
  • Non-stochastic ⇒ Deterministic effects (e.g., erythema)
  • Genetic ⇒ Hereditary effects in the progeny of the exposed individual
72
Q

List

Five deterministic effects resulting from exposure to acute, high dose rate ionizing radiation.

A
  1. Cataracts
  2. Epilation
  3. Skin erythema
  4. Desquamation (skin comes off in flakes)
  5. GI syndrome
73
Q

List three reasons for the increase to the risk coefficient in ICRP 60.

A
  • Revised dosimetry of Japanese bomb survivors (neutron dose now considered insignificant)
  • Change from an additive to a multiplicative risk projection model.
  • Observed increase in total cancers (other than leukemia) in the Japanese study is still rising (largely a result of the excess mortality of those exposed as children).
74
Q

What are the ICRP 60 risk coefficients for workers and the general public?

A

Worker ⇒ 0.04 Sv-1

General public ⇒ 0.05 Sv-1

75
Q

What is the difference between an additive and multiplicative risk projection model?

A

Additive ⇒ Postulates broadly that the excess mortality is independent of normal mortality.

Multiplicative ⇒ Postulates there is a simple proportion between the natural cancer mortality and excess due to radiation for the whole time after the minimum latency period.

76
Q

List three factors that contribute to the uncertainty of a specific risk factor calculation.

A
  • Age ⇒ How the risk varies as a function of time for persons exposed at various ages.
  • Dose ⇒ How the risk increases with dose.
  • Normal incidence ⇒ Statistical uncertainty associated with the relatively small number of radiation induced cases observed in a population in a given category compared to normal incidence.
77
Q

What will be the most likely effect from a 30 rem dose equivalent delivered to a fetus at 3 days, 3 weeks, and 3 months after conception?

A

3 days ⇒ Death

3 weeks ⇒ Teratogenic effects

3 months ⇒ Cancer

78
Q

Define

Genetic doubling dose

A

The dose of radiation that produces twice the frequency of genetic mutations as would have been observed without radiation.

79
Q

What is the range of the genetic doubling dose value?

What two studies were used to determine the genetic doubling dose?

A

50 – 250 rad

Megamouse and Fruit Fly experiments