HUMAN BIOLOGY AND FUNDAMENTAL PRINCIPLES OF RADIOBIOLOGY Flashcards
What is the primary result of X-rays interacting at the atomic level?
Molecular changes in tissue
The study of the effects of ionizing radiation on biological tissue
Radiobiology
What are the three stages of early radiation effects on humans?
Hematologic syndrome, gastrointestinal syndrome, central nervous system syndrome
What are the late effects of radiation on humans?
Leukemia, malignant diseases, local tissue damage, lifespan shortening, genetic damage
What are the effects of fetal irradiation?
Prenatal death, neonatal death, congenital malformation, childhood malignancy, diminished growth
What is the principal atomic composition of the human body?
60% hydrogen, 25.7% oxygen, 10.7% carbon, 2.4% nitrogen, and trace elements
What are the four principal macromolecules in the human body?
Proteins, lipids, carbohydrates, nucleic acids
What percentage of the human body is water?
80%
What is the most critical and radiosensitive target molecule in the body?
DNA
What are the primary functions of proteins in the body?
Provide structure, support, enzymes, hormones, and antibodies
What is the chemical formula for glucose?
C6H1206
Provide fuel for cell metabolism
carbohydrates
What is the main difference between DNA and RNA?
DNA has deoxyribose and thymine; RNA has ribose and uracil
What are the two principal types of nucleic acids?
DNA and RNA
What is the double-helix structure of DNA formed by?
Sugar-phosphate backbone and base pair bonding
What are the two major structures of a human cell?
Nucleus and cytoplasm
Acts as the “engine” of the cell, producing energy
mitochondria
Contain enzymes to digest cellular fragments and control intracellular contaminants
lysosomes
What is a codon in protein synthesis?
A series of three base pairs identifying an amino acid
What are the two general types of cells in the human body?
Genetic (germ) cells and somatic cells
What are the four phases of mitosis?
Prophase, metaphase, anaphase, telophase
Chromosomes align along the equator and are most visible
metaphase
A process of reduction division in genetic cells
meiosis
The exchange of chromosomal material between chromatids
crossover
What percentage of human tissue composition is muscle?
43%
What is the most radiosensitive cell type in humans?
Stem cells
What are the four types of tissues in the human body?
Epithelium, connective and supporting tissue, muscle, nervous tissue
Lines all exposed surfaces of the body
epithelium tissue
What are parenchymal and stromal tissues?
Parenchymal is functional tissue; stromal provides structure
Radiosensitivity depends on metabolic state, proliferation rate, and cell maturity
Law of Bergonie and Tribondeau
What are the physical factors affecting radiosensitivity?
LET, RBE, protraction, and fractionation
Rate at which radiation energy is transferred to soft tissue
linear energy transfer (LET)
What is the typical LET value for diagnostic X-rays?
3 keV/μm
What is the relative biological effectiveness (RBE) of diagnostic X-rays?
1.0
Ratio of radiation dose needed under anoxic vs. aerobic conditions
oxygen enhancement ratio (OER)
What are radiosensitizers?
Agents that enhance radiation effects
What are radioprotectors?
Agents that reduce radiation effects
What is the threshold dose in a dose-response relationship?
The dose below which there is no observed response
Response is directly proportional to dose, with no safe level
inear nonthreshold dose-response relationship
Response increases rapidly after a threshold dose is exceeded
sigmoid dose-response relationship
What is the principal aim of radiobiology?
To understand radiation dose-response relationships
Delivering the total dose in equal portions at regular intervals
fractionation
Delivering the dose continuously but at a lower dose rate
protraction
What is hormesis in radiobiology?
The concept that low levels of radiation may be beneficial
What is a deterministic (nonstochastic) radiation effect?
High-dose exposure causing early radiation response, e.g., skin burn
Low-dose exposure causing late effects, e.g., cancer or genetic effects
stochastic radiation effect
What are two characteristics of dose-response relationships?
They can be linear or nonlinear, and threshold or nonthreshold
What is the most radiosensitive phase of the cell cycle?
M phase (mitosis)
What is the least radiosensitive phase of the cell cycle?
S phase (DNA synthesis)
What is the lethal dose (LD) for single-cell organisms?
Measured in kilorads
What is the lethal dose for human cells?
Less than 100 rad (1 Gy)
Chromosomes disappear into DNA mass, and the nuclear membrane divides
telophase
What are the two phases of the cell cycle according to geneticists?
M phase (mitosis) and interphase
What occurs during the S phase of interphase?
DNA is replicated into two identical daughter molecules
Chromosomes become visible and start to take structural form
prophase
They connect chromatids to the poles of the nucleus
spindle fibers
They contain enzymes capable of digesting cellular debris
lysosomes
A state of equilibrium among tissues and organs
homeostasis
Binds tissues and organs together and provides elasticity
connective tissue
Site of protein synthesis
ribosomes
What are the two principal types of radiation responses in humans?
Early effects (e.g., acute radiation syndrome) and late effects (e.g., cancer)
What is the effect of radiation on immature (stem) cells compared to mature cells?
Stem cells are more radiosensitive than mature cells
What happens during interphase in the cell cycle?
The cell grows and prepares for division
What are the two types of RNA?
Messenger RNA (mRNA) and transfer RNA (tRNA)
What is the configuration of RNA?
Single-helix
What are the purines in DNA?
Adenine and guanine
What are the pyrimidines in DNA?
Thymine and cytosine
What is the sugar component in DNA?
Deoxyribose
What is the sugar component in RNA?
Ribose
A combination of base, sugar, and phosphate
nucleotide
Control growth, development, and protein synthesis
nucleic acids
What is the principal location of RNA in the cell?
Cytoplasm
What is the oxygen enhancement ratio (OER) for low-LET radiation?
High OER
What is the combined process of intracellular repair and repopulation called?
Recovery
What is the most radioresistant age in humans?
Maturity
What are examples of radiosensitizers?
Halogenated pyrimidines, methotrexate, vitamin K
What are examples of radioprotectors?
Cysteine and cysteamine
Why haven’t radioprotectors been applied in humans?
They require toxic levels to be effective
What is the relationship between LET and RBE?
As LET increases, RBE increases
What is the LET value for diagnostic X-rays?
3 keV/μm
What is the RBE value for diagnostic X-rays?
1.0
What is the function of the radiation weighting factor (WR)?
Adjusts for differences in biological effectiveness of various radiation types
Cell death before replication
Interphase death
What is the function of the mitochondria in radiation response?
Provides energy for cellular repair and survival
What is a deterministic dose-response relationship?
Response increases with dose after a threshold is reached
The response is directly proportional to the dose
linear dose-response relationship
What is the principal use of linear nonthreshold models in radiology?
To establish radiation protection guidelines
What phase of mitosis is best for analyzing chromosome damage?
Metaphase
What tissues are classified as having high radiosensitivity?
Lymphoid tissue, bone marrow, gonads
What are the primary effects of radiation on the central nervous system?
Edema, convulsions, and death at very high doses
What is the typical dose range for intermediate radiosensitivity tissues?
1,000–5,000 rad (10–50 Gy)
What organs have low radiosensitivity?
Muscle, brain, and spinal cord
What is the purpose of dose-response curves in radiation therapy?
To design therapeutic treatments and set radiation safety guidelines
What is the structure of a chromatid during the S phase?
Replicates from a two-chromatid to a four-chromatid structure
Produces collagen and other fibers for structural support
fibroblasts
What is the impact of radiation on intestinal crypt cells?
Highly radiosensitive, leading to gastrointestinal syndrome
Chromosomes split at the centromere and migrate to opposite poles
anaphase
Chromosomes become visible and take structural form
prophase
What is the impact of low LET radiation on tissue damage?
Causes less biological damage than high LET radiation
What is the difference between deterministic and stochastic effects?
Deterministic effects have a threshold; stochastic effects do not
Modifies, sorts, and packages proteins
Golgi apparatus
What are stem cells classified as?
Undifferentiated cells with high radiosensitivity