Test 1 Flashcards
what is an example of molecular effects of irradiation
any visible signs of molecular/cellular damage
ex. radiation burns
results from molecular damage
formation of structurally changed molecules that may impair cell functions
classifications of cell effect from radiation
direct
indirect
where does energy transfer for direct action
direct energy transfer to macromolecules
effect of direct action?
ionizing particles directly effect macromolecules –> making them inactive or alters function
likeliness of direct action occurring? occurs most often with what?
very low –> 1%
more likely with high-LET, particulate radiation, or alpha radiation
why is direct action less likely to occur?
atom is mainly space = less occurrence to interact
what damage does direct action cause?
double strand break or single strand break = cell death
why is indirect action most likely to occur?
interacts with water (most abundant molecule)
what is radiolysis of water
indirect action radiation that breaks apart water and creates free radicals
what causes damage in indirect action
free radicals transferring energy to macromolecules
what type of radiation is indirect and direct
indirect = secondary
direct = primary
all effects of irradiation in living cells come from?
indirect action
what is a macromolecule?
building material in DNA
what is a free radical
atom/molecule that has a single, unpaired orbital (valence) electron
characteristic of free radical (3)
highly reactive
possible result of cell death
short lifespan
free radicals can cause damage by
ionization
excitation
creation of toxic substances (peroxide/superoxide)
cellular effects of irradiation is characterized by?
amount of radiation given
type of radiation
types of affects from ionizing radiation (7)
Instant death
reproductive death
apoptosis
mitotic death
mitotic delay
permanent or temporary interference with function
chromosome breakage
energy transfer in ionizing radiation
energy transfer to cell’s nucleus
instant death
amount
effect
amount: 1000+ Gy/sec
effect: disrupts cellular form, structure, chemistry
reproductive death
amount
amount: 1-10 Gy
apoptosis
effect
cells die without dividing –> programmed cell death
can occur with or without exposure to radiation
mitotic death
effect
cells die after 1-2 divisions
mitotic delay
amount
effect
amount: 0.01Gy
effect: failure for cell to divide in time
chromosome breakage
effect
ionizing radiation interacts with DNA = loss of genetic material = mutations
point mutation
occurs with?
can be repaired?
occurs with low-LET
Yes by action of repair enzymes
double strand breaks
occurs with?
can be repaired?
occurs with high-LET
Less likely to be repaired
Target theory
when cell DNA is directly or indirectly inactivated by exposure to radiation = cell death
when was the British X-ray and Radium Protection Committee created?
1921
British X-ray and Radium Protection Committee
Purpose?
Flaw?
Purpose: creates guidelines for manufacturers and use of radium/x-ray equipment
Flaw: no accurate measuring techniques or background knowledge
Skin erythema dose
purpose?
flaw?
Purpose: measured radiation exposure by physical appearance of redness over an area of skin
Flaw: inaccurate measurement –> erythema reaction varied from person to person
when was SED used?
1900-1930
tolerance dose AKA
threshold dose
tolerance dose was measured in? when?
Roentgen
when: 1930s
what does tolerance dose measure?
exposure/radiation in air
tolerance dose is established by? for?
British X-ray and Radium Protection Committee
For: radiation control
tolerance dose in 1934?
tolerance dose in 1936?
0.2 R/day
0.1 R/day
maximum permissible dose is measured in?
REM –> radiation equivalent man
Radiation theory in 1930 vs 1950
1930: no adverse effects if doses lower than tolerance dose level
1950: no amount of radiation given is completely safe
when was tolerance dose replaced? replaced with what?
when: 1950
replacement: maximum permissible dose
what determines REM?
1970 dosimetry and risk analysis determined different types of radiation interacted differently with varying organ systems
when was REM replaced? replacement?
1980
Sievert (Sv) for REM
Why is SI units used?
takes consideration of tissue sensitivity caused by equal absorbed doses of different types of ionizing radiation
types of radiation dose-response relationships
threshold
non-threshold
what does radiation dose-response relationships represent?
risk of occurrence of malignancies in population that has been exposed to low levels of ionizing radiation
dose-response curves
as dose increases so do most effects
threshold relationship
below a certain radiation level or dose = no biologic effects observed
non-threshold relationship
any radiation dose has the capability of producing a biologic effect = no radiation is considered safe
who regulates radiation protection? importance?
federal
Important: improve radiographic quality and reduces patient dose
what is the purpose of the control panel
indicates the conditions of exposure and when the tube is energized (visual and audible)
what indicators are on the control panel
kVp and mA indicators
what are the radiographic protection features
Protective tube housing
control panel
source to image receptor distance indicator
collimation
operator shield
types of radiation monitoring
personnel
area monitoring
do we only use SI units for radiation monitoring
NO
traditional and SI unit
purpose for radiation monitoring
ensures occupational radiation exposure levels kept below annual effective dose limit
what is the annual limit radiation dose
50mSv or 5 rem
personal dosimetry
monitors radiation exposure of any person occupationally exposed regularly to ionizing radiation
importance of personnel monitoring
indicates worker habits
determines occupational exposure over time
types of personal dosimeters
optically stimulated luminescence dosimeters (OSL)
film badge
thermoluminescent dosimeters (TLDs)
pocket ionization chambers
what contains aluminum oxide film
OSL
how does the filter work in OSL
attenuation of different degrees depending on the energy of the photon
Pros of OSL
light, easy to carry, not effected by heat/moisture/pressure
film badge composition
film holder
filter
film packet
how does filter work in film badges
measures energy of radiation –> determines if exposure was from scatter or primary beam
pros of film badge
cheap/effective to monitor large numbers of personnel
film = legal doc of radiation exposure
can differentiate types of radiation
what records whole body exposure accumulated at low dose for long periods of time
film badge
con of film badge
very sensitive = heat and moisture can cause fogging
how does TLDs monitor radiation
lithium fluoride crystal
what type of dosimeter best stimulates human tissue
TLDs –> crystals
pros of TLDs
accurate dose measurement
not effected by humidity, pressure, normal temp
cons of TLDs
expensive
single use
how does a pocket ionization chamber function?
has ionization chamber measuring radiation exposure
pro of pocket ionization chamber
immediate exposure readout (in high exposure areas)
compact/convenient
con of pocket ionization chamber
MOST expensive
inaccurate if not read everyday
what is the equivalent dose limit for pregnant women
0.5mSv/month
why is lowering equicalent dose limit important for pregnant women?
lower total lifetime risk of leukemia/other malignancies
how do survey instruments work?
interacts with radiation and ionizes gas (air) in the detector
types of surveying instruments
ionization chamber type survey meter (cutie pie)
proportional counter
geiger-muller detector
criteria for surveying instruments
portable
sturdy
interact with radiation similar to human tissue
detect all kinds of radiation
affordable
when did radiation damage become apparent
early 1896
who were the first to experiment with radiation by self-expose
Friedrich Walkoff
Friedrich Giesel
how did the 2 Friedrichs’ conduct their experiment?
conclusion?
strapped radium salt to their forearm for 2 hours
Conclusion: radiodermitis
who discovered how to protect against radiation
Henri Becquerel
who discovered that radiation effects can leave animals sterile?
how?
when?
Albers-Schonberg
xray testes of rabbits and guinea pigs
1903
who discovered that radiation effects can have abnormal egg development?
how?
when?
Charles Bardeen
xrays frog larvae spermatozoa = eggs abnormal
1907
when did experimentation occur on bacteria
1897 and 1902
when did experimentation occur on seeds
1901
what does the law of bergonie and tribondeau state?
radiosensitivity of cells is directly proportional to reproductive activity and inversely proportional to degree of differentiation
what did J. Bergonie and L. Tribondeau experiment on? When?
radiation effects on testicular germ cells of rabbits
1906
according to the law of bergonie and tribondeau would a stem cell be directly or indirectly proportional?
directly proportional to radiosensitivity
Who discovered xray mutations?
how?
when?
Hermann Muller
experimented on fruit flies –> radiation induced mutations and mutations are hereditary
1926
how did others replicate Muller’s results? when?
experimented on corn and wasps
1928
when did Muller receive his nobel prize
1946
who proposed linear non-threshold model?
Muller
what did the international commission on radiological protection declare in 1954?
irradiation to gonads should be protected as much as possible by collimation or protective screens
what did the international commission on radiological protection declare in 1956?
genetic damage assumes greater importance and recommended a max permitted genetic dose
what did the international commission on radiological protection declare in 1982?
use gonad shielding while doing gonad procedure
-had 0 point –> had longer exposure time
what did US code of federal regulations state? when?
shielding is used to reduce potential hereditary risk
radiation exposure is too low to affect fertility
1976
how is radiation safer today than 1895?
tube design and tube housing
xray protection for workers
digital IR and processing
how did xray protection for workers change since 1895
shielding for operators and pregnant women
exposure time
distance
how did tube design and tube housing change since 1895
filter
collimation
increased SID
what doses has small or nonexistent affect on an embryo or fetus?
less than 100mGy