Week 8 part 2 Flashcards
What is the risk of Neonatal deaths in humans compared to normal incidence?
200-500 deaths per million exposed to 10mSv
compared to 2500 per million (unexposed)
What is the probability of severe mental retardation, compared to normal incidence of mental retardation?
40% (or 4 hundred thousand) incidence at 1 Gy per million exposed
compared to 5000 per million exposed
Is mental Retardation a deterministic effect? If so , why?
Yes, because there is likely threshold of 0.2 Gy
What is the observed shift in IQ (due to pregnancy radiation)?
30 per Gy (during the sensitive period
What is the Largest study regarding in utero irradiation and childhood cancer?
The Oxford Study
What is the Oxford Study?
Considered approx 8,000 cases of malignant childhood death (looked into radiological history of mother during pregnancy)
+ compared it to data for children who died <10 years from a malignant disease
What did the Oxford Study find?
Obsetric Radiography resulted means increased risk of malignancy in childhood
Besides the oxford study, where do we get in-utero related childhood cancer data?
Limited data from A-bomb survivors (1620 prenatally exposed)
Are the findings of the oxford study backed up by A-bomb survivors?
Yes
The risk estimate for the prenatally exposed (due to a-bomb) was?
200-250 deaths (before age 10) from cancer, per million exposed in utero
-1/2 of these were leukemia
Being exposed in what trimester, has the greatest risk?
the first trimester
What is the natural incidence of fatal childhood cancer?
1 in 2000
What is a limitation of collected data regarding, in utero radiation?
We don’t have the full picture of true cancer as the total risk period is 20 years
Which type of cancer’s risk of incidence of doubled due to in utero radiation?
Leukaema
Is an adult, child, or embryo most sensitive to cancer induction?
Embryo
Once a pregnancy is known by a radiation worker, and reported to management, what happens next?
The total dose of the worker becomes the same as the public
Go to slide 24 on week 8 and memorise table
do it