Chapter 3 Flashcards
true or false: in the law of bergonie and tribondeau, stem/immature cells are more radiosensitive than mature cells
- true
true or false: younger tissues are more radiosensitive than older tissues
true
true or false: the higher the metabolic rate (the energy the cells use), the more radiosensitive it is
true
true or false: the greater the proliferation (rate of cell division) and growth rate for tissues, the greater the radiosensitivity is
true
why are our bodies not created equal?
because our cells are not created equally
what does the law of bergonie and tribondeau conclude?
that compared to a child or mature adult, the fetus is the most radiosensitive
define radiosensitivity
- the effects that our cells undergo and the probability of damage or recovery when irradiated
define radioresistance
- how resistant the cell is to radiation
what is one main factor of determining radiosensitivity?
- the proliferation (rate of cell division) rate of that cell and the rate of cell division (mitosis) rate
true or false: the faster the cell divides, the less time it must repair itself from damage before dividing into another damaged cell
true
define proliferation
- the rate of cell division is
what cells have the highest sensitivity?
- cells that are immature, undifferentiated, precursor or stem cells
define direct effect
- ionization occurs directly with a molecule
define indirect effect
- ionization occurs with water and transfers ionization to target molecules
define fraction theory
- radiation dose broken into smaller doses spread out over a period rather than given all at once
what are the highly radiosensitive cells?
- lymphocytes
- spermatogonia
- erythroblasts
- intestinal crypt cells
- DNA
what are intermediate radiosensitive cells?
- endothelial cells
- osteoblasts
- spermatids
- fibroblasts
- RNA
what are low radiosensitive cells?
- muscle/nerve cells
- chondrocytes
true or false: cell radiosensitivity depends on what part of the cell cycle they’re in
true
define irradiated
- exposed to radiation
what occurs when a cell is irradiated in the cell cycle?
- mitosis is slowed down
- interphase death = cell death occurs before entering mitosis
- cell death occurs
what part of the cell cycle is most radiosensitive?
- M phase/mitotic phase (prophase, metaphase, anaphase, and interphase)
- G1 phase (1st growth phase)
- early S phase (where DNA replication occurs)
When looking at a graph that deals with age factors consisting of the fetus in the uterus, childhood, adult, and age, which portion has the highest radiosensitivity?
- fetus in the uterus (womb)
- this is due to the fetus having immature cells, which makes them vulnerable to radiation
define LET
- linear energy transfer
- a measure of the rate at which energy is deposited as a charged particle travels through matter
- units of measurement: keV/mm (micrometer)
- is the function of the physical characteristics of radiation (mass and charge)
explain low LET
- contains electromagnetic x-rays (x-rays and gamma rays)
- they produce few and thinly dispersed interactions due to their fast moving electrons
- lose their energy at a low rate when passing through tissues
explain high LET
- consists of alpha particles and neutrons
- highly ionizing
- more likely to interact with tissues
- lose their energy quickly
- produce several ionizations with a short distance
true or false: a diagnostic x-ray with an LET of 3kev/mm are considered to be low when compared to other radiations
true
how much RBE (relative biologic effectiveness) does a diagnostic x-ray have?
- approximately 1
define division delay
- slowing down of cell mitosis
- low radiation dose = delay cell mitosis
define RBE
- relative biologic effectiveness
- a comparison of a dose of test radiation to a dose of 250 keV x-ray that produces the same biologic response
- measures the biologic effectiveness of radiations having different LET’s
- comparing dose of test radiation to a dose of 250keV x-ray, which produces the same biologic response
what’s the formula for RBE?
RBE = dose in rads from 250 keV x-rays necessary to produce a given effect / dose in rads of test radiation necessary to produce the same effect
RBE = dose in rads from 250KeV x-rays / dose in rads of test radiation
what factors influence RBE?
- radiation type
- cell or tissue type
- physiology condition
- biologic result being examined
- radiation dose rate
what’s the relationship between LET and RBE?
- direct relationship
- when LET increases, RBE increases
define OER
- oxygen enhancement ratio
- dose of radiation that produces a given biologic response under anoxic (no oxygen) conditions divided by the dose of radiation that produces the same biological response under aerobic (with oxygen) conditions
define anoxic
- no oxygen
define hypoxic
- lacking oxygen
what’s the formula for OER?
OER = dose that produces a given biologic response under anoxic conditions / dose that produces the same biologic response under anaerobic conditions
true or false: OER is most effective with low LET radiation
true
true or false: OER is less effective with high LET radiation
true
true or false: an increase in OER increases LET
true
what happens when cell mature?
- radiosensitivity declines
- as we mature, we become radioresistant
- once we hit old age, we become radiosensitive again
define direct interaction
- takes place when an original ionization incident happens on that macromolecule
- Ex.) DNA, RNA, protein, enzymes
- if a macromolecule is ionized, it’s considered abnormal and is damaged
define indirect interaction
- ionization incident that takes place on a distant non critical molecule, which then transfers that energy to another molecule
true or false: radiation interactions with humans are mostly indirect
- true
- this is due to the human body being 75% of water
define radiolysis
- when water is irradiated, it gets ionized, producing a free radical
- human body containing 75% of water
what’s the principal cause of effects from radiation?
- the irradiation of water that causes indirect effects