Principles of Radiobiology Flashcards

1
Q

what is radiation biology?

A

Branch of biology concerned with the effects of ionizing radiation on living systems

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2
Q

what are the 3 things encompassed by radiation biology?

A
  • Sequence of events occurring after the absorption of energy from ionizing radiation
  • Action of the living system to make up for the consequences of this energy assimilation
  • Injury to the living system that may be produced
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3
Q

Tissue and radiation interactions?

A
  • a probability
  • damage may or may not result
  • 90% of interactions are harmless
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4
Q

visible damage to tissue due to radiation?

A
  • Indistinguishable from other causes (ie. Smoking, chemicals, etc.)
  • Damage that we see may occur after a latent period of time (some time later)
  • Latent period duration decreases as dose increases
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5
Q

what is ionizing radiation?

A
  • Damages living systems by ionizing the atoms comprising the molecular structure of these systems
  • Biologic damage begins with the ionization produced by various types of radiation such as: X-rays, Gamma rays and Alpha particles
  • Ionized atoms will not bond properly in molecules.
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6
Q

charge, mass and energy of radiation

A
  • vary among the different types of radiation
  • these attributed determine the extent to which different radiation modalities transfer energy into biological tissue
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7
Q

what are the three ways ionizing radiation causes injury

A
  • Linear energy transfer (LET)
  • Relative biologic effectiveness (RBE)
  • Oxygen enhancement ratio (OER)
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8
Q

what is a determinant?

A

a factor that affects the outcome

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9
Q

what is Linear energy transfer?

A
  • the average energy deposited as ionizing radiation passes through a medium
  • described in units of keV/micron
  • is a very important factor in assessing potential tissue and organ damage from exposure to ionizing radiation
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10
Q

what happens to the probability of producing a significant biological response when LET increases?

A

probability also increases

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11
Q

what are the radiation categories according to LET?

A
  • low-linear energy transfer radiation
  • high-linear energy transfer radiation
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12
Q

which ionizing particles have the highest LET? the lowest?

A

alpha particles have the highest LET, followed by beta, and lastly X-ray has the lowest LET

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13
Q

EMR

A
  • produce electrons
  • low LET
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14
Q

particulate radiations

A
  • can be high mass, and/or high charge
  • higher LET
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15
Q

Low LET

A
  • quite penetrating
  • sparsely ionizing
  • random interactions along the length of its track - spread out - few ionizations/distance travelled
  • most damage to the cell through an indirect action
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16
Q

High LET

A
  • less penetrating
  • dense ionizations
  • transfers a large amount of energy into a small area - many ionizations/distance travelled
  • harder for the body to heal as there is a lot of damage in a small area
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17
Q

High LET radiation damage

A
  • particles possess substantial mass and charge
  • can produce dense ionizations along its path and is therefor more likely to interact significantly with biological tissue
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18
Q

What is Relative biologic effectiveness?

A

a measure of the damage that will occur in comparison with x-rays for the same radiation dose
– high LET radiation will have high RBE

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19
Q

what is radiation weighing factor?

A
  • More practical for radiation protection dose levels in humans
  • Used to calculate the equivalent dose (EqD) - Determines the ability of a dose of any kind of ionizing radiation to cause biological damage
20
Q

what is the oxygen enhancement ratio?

A

the ratio of the radiation dose needed to cause the same biological damage when there is oxygen absent to when there is oxygen present

21
Q

cell radiosensitivity

A
  • Equal doses of ionizing radiation produce different degrees of damage in different kinds of human cells because of differences in cell radiosensitivity.
  • The more mature and specialized in performing functions a cell is, the less sensitive it is to radiation.
22
Q

what is the law of bergonie and tribondeau?

A

radiosensitivity of cells is directly proportional to their reproductive activity and inversely proportional to their degree of differentiation

23
Q

the most radiosensitive cells are

A
  • immature (early stages of its life cycle)
  • unspecialized (undifferentiated) (not yet formed into a specific/certain tissue type)
  • high reproductive activity (rate at which the cell is multiplying and dividing, more rapid more sensitive)
24
Q

what are radioinsensitive cells?

A

least sensitive to radiation
- brain cells
- muscle cells
- nerve cells

25
Q

radio sensitivity with age?

A

varies with age
- very young and very old are more sensitive to radiation

26
Q

what does the suffix blast mean?

A

immature, still in development, not fully specialized, rapidly dividing/multiplying

26
Q

what does the suffix cyte mean?

A

mature, fully developed, specialized, not rapidly dividing/multiplying

27
Q

stem cell versus differentiated cells?

A

stem cells/precursor cells/undifferentiated have much higher sensitivity to radiation that differentiated/functional cells

28
Q

LET and cell radiosenistivity?

A
  • The amount of radiation energy transferred to biologic tissue plays a major role in determining the amount of biologic response
  • As LET increases, the ability of the radiation to cause biologic effects also generally increases until it reaches a maximal value.
  • LET can influence cell radiosensitivity.
29
Q

OER and Cell radiosensitivty?

A

Oxygen enhancement effects
- Oxygen enhances the effects of ionizing radiation on biologic tissue by increasing tissue radiosensitivity.
- During diagnostic imaging procedures, fully oxygenated human tissues are exposed to x-radiation or gamma radiation.
- In radiotherapy, when radiation is used to treat certain types of cancerous tumors, high-pressure (hyperbaric) oxygen has sometimes been used in conjunction with it to increase tumor radiosensitivity - may increase the amount of oxygen in cancer cells, which may make them easier to kill with radiation therapy and chemotherapy

30
Q

Target theory?

A
  • master, or key, molecule that maintains normal cell function is believed to be present in every cell
  • master, or key, molecule is necessary for the survival of the cell
  • target theory may be used to explain cell death and nonfatal cell abnormalities caused by exposure to radiation
31
Q

What are the 2 different classifications of ionizing radiation interaction on a cell?

A

direct action - (DNA)
indirect action - (H2O)
- essentially the majority of effects of irradiation in living cells result from indirect action, because the human body is composed of 80% water and less than 1% DNA

32
Q

Radiolysis of water

A
  • dissociation of water due to ionization (splitting apart and reforming)
  • ionization of water molecules
  • increases effective target size
  • think of skeet shooting with a .22 versus shotgun
33
Q

what are the ways water molecules can be ionized?

A
  • free radicals
  • undesirable chemical reactions and biological damage
  • cell-damaging substances
  • organic free radical formation
34
Q

what does lysis mean?

35
Q

what is an ion pair?

A

HOH+ and e-
HOH+ on its own is unstable

36
Q

HOH+ from unstable to stable

A

HOH+ + e- = H2O - Positively charged water molecule may recombine with the electron
Stable molecule (water)
No damage will occur
- often happens

37
Q

what happens is HOH+ does not recombine with an electron?

A

break apart into smaller molecules
decomposes into:
- H+ hydrogen ion
- OH* (hydroxyl radical)

38
Q

what is the hydroxyl radical?

A
  • free radical
  • molecule with an uneven number of electrons (unpaired valance electrons)
  • very reactive
39
Q

what happens if the free e- combines with another water molecule?

A

Negative water ion
H2O + e- = HOH-

40
Q

what does HOH- decompose into?

A

OH- (hydroxyl ion)
H* (hydrogen radical)

41
Q

what is the hydrogen radical?

A
  • free radical
  • molecule with an uneven number of electrons (unpaired valance electrons)
  • very reactive
42
Q

interaction of radiation with water?

A

formation of:
- Ion pair (H+ and OH-)
- Hydrogen ion and a hydroxyl ion

  • Two free radicals (H* and OH*)
  • Hydrogen radical and a hydroxyl radical
43
Q

what happens if the H* and OH* bond?

A

H* and OH*
OH* could bond with another OH*
OH* + OH* = H2O2 (hydrogen peroxide)
Poisonous to the cell

HO2* hydroperoxyl radical
H* + O2 = HO2*

The two are believed to cause the most damage

44
Q

what are free radicals?

A

Uncharged molecule
Reactive
Diffusible