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if the radiation response occurs within minutes or days after the radiation exposure, it is classified as… 5
early effect
if the human injury is not observed for months or years, its classified as 5
late effect
most human responses have been observed to occur after exposure to rather large radiation doses. However, we are cautious to assume… 5
that even a small dose is harmful
is considered to be the most critical and radiosensitive target molecule 6
DNA
Contains all the hereditary information that represents a cell… 6
DNA
serves as a command or control molecule for cell fuction 6
DNA
Located primarily in the cytoplasm, its also found in the nucleus 6
RNA
two types of RNA have been identified as… 6
messenger RNA (mRNA) and transfer (tRNA)
what is the most abundant molecule in the body, and it is the simplest. 6
water
center of the living cell 7
nucleus
DNA that is stored in its molecular structure 7
Nucleus
makes up the bulk of the cell 7
cytoplasm
channels the nucleus to communicate with the cytoplasm 7
endoplastic reticulum
large bean shaped structure. produces energy for the cell 7
mitochondria
When somatic cells proliferate or divide, they are undergoing… 9
mitosis
and genetic cells undergo…9
meiosis
mitosis is characterized of four sub-phases 9
PMAT: Prophase, metaphase, anaphase, and telophase
The nucleus swells and the DNA becomes more prominent and begins to take structural form 9
prophase
studied carefully under the microscope, radiation-induced chromosome damage is analyzed. 9
metaphase
characterized by splitting of each chromosome at the centromere. 9
anaphase
the final segment of mitosis 9
telophase
genetic cells begin with the same number of chromosomes as somatic cells 10
meiosis
meiosis has—- pairs and —- chromosomes 10
23, 46
are called undiffirentiated, precursor, or stem cells 10
immature cells
are more radiosensitive to radiation than mature cells 10
stem cells
younger tissue and organs are 11
radiosensitive
tissues with high metabolic activity are 11
radiosensitive
a high proliferation rate for cells and high growth rate fore tissues result in… 11
increased radiosensitivity
is expressed in units of kiloelectron volt of energy transferred per micrometer of track length in soft tissue 12
Linear energy transfer (LET)
if the dose is delivered continuously but at a lower dose rate, it is said to be… 13
protracted
if the dose is delivered, all separated by 24 hours, then it is said to be… 13
fractionated
what speciality uses dose fractionation more routinely? 13
radiation oncology
tissue is more sensitive to radiation when irradiated… 14.—- than when irrated under…
oxygenated, or aerobic state / anoxic(without oxygen) or hypoxic ( low oxygen)
what is the oxygen enhancement ratio equation 14
(OER) = Dose necessary under ANOXIC conditions to produce a GIVEN effect / Dose necessary under AEROBIC conditions to produce the SAME effect
what has been used in order to enhance the radiosensitivity of nodulars 14
hyperbaric (high-pressure) oxygen
At the whole body level, this recovery from radaition damage is assisted through… 15
repopulation by surviving cells
if a tissue or organ receives a sufficient radiation dose, it responds by… 15
shrinking
it occurs because some cells die and disintegrate and are carried away as waste products… 15
atrophy
recovery 15
recovery= intracellular repair + repopulation
what are agents that enhance effects of radiation called 16
sensitizing agents
what are examples of sensitizing agents 16
halogated pryrimidines, methotrexate, actinomycin D, hydroxyurea, vitamin K
radioprotective compounds include molecules that contain 16
sulfhydryl group (sulfur and hydrogen bound together) e
examples of radioprotectors 16
cysteine, and cysteamine
a little bit of radiation is good for you… 16
hormesis
ALARA 16
as low as reasonably achievable
early response to radiation exposure is called 17
deterministic l
late response to radiation exposure is called 17
stochastic
examples such as skin burns, represents what 17
deterministic e
examples such as cancer, leukemia, or genetic effects are considered what 17
stochastic
if the graph shows a linear dose-response relationship, it is because… 18
the response is DIRECTLY proportionate to the dose
In a nonthreshold dose-response relationship, any dose, regardless of its size, is … 18
expected to produce a response ex cancer
shows that a large response results form a very small radiation dose
nonlinear nonthreshold
nonlinear, threshold is considered what.. 19
a deterministic response
What happens when macromolecules are irradiated? 20
main-chain scission, cross-linking, point lesions
is the breakage of the backbone of the long-chain macromolecule 20
main-chain scission
small, spur-like side structures that extend off the maihn chain 20
cross- linking
radiation interaction with macromolecules also can result in disruption of single chemical bonds, producing…l 21
point lesions
When water is irradiated, it dissociated into other molecular products, this is called 22
radiolysis or water
when an atom of water (H2O) is irradiated, … 22
it is ionized and dissociated into two ions. ion pair
what is highly reactive, unstable, can be transferred, and contain excess energy 23
free radicals
The OH free radical can join with a similar molecule to form… 23
hydrogen peroxide
hydrogen peroxide can be formed by the interaction of… 23
teo hydroperoxyl radicals
if the initial ionizing event occurs on the target molecule, the effect of radiation is… 23
direct
the principal effect of radiation on humans is… 23
indirect
radiation damage to such a molecule could affect the cell severely because.. 24
no similar molecules would be available as substitutes
for a cell to die after radiation exposure, its target molecule must be inactivated 24
this concept of sensitive key molecule serves as basis for the target theory
the ikey molecular target is 24
DNA
how are the lethal effects of radiation determined 25
by observing cell survival, not cell death
the multitarget, single-hit model applies to more complicated biologic systems, such as.. 25
human cells
in air, the alpha particles can travel approximately 27
5 cm
alpha radiation from an external source is nearly harmless because… 27
the radiation energy is deposited in the superficial layers of the skin
what can originate from the nuclei of radioactive atoms 27
beta particles
a beta particle may transverse … 27
10 to 100cm of air and approximately 1 to 2 cm of soft tissue
symptoms of early radiation sickness such as nausea, vomiting, diarrhea, and a reduction in the white cells of the peripheral blood (leukopenia) is called … 20
prodromal period
may last from a few hours to a couple of days 30
prodromal period
after the period of initial radiation sickness, a period of apparent well-being occurs, which is called 30
latent period
hematologic syndrome produce
200 to 1000 rad (2 to 10grt)
if the dose is not lethal, recovery begins in 2 to 3 weeks, but as long as 6 months may be required for… 30
full recovery
1000 to 5000 rad (10 to 50GYT) results in the 31
GI syndrome
Occurs principally because of severe damage to the cells lining the intestines 31
GI death
Dose in excess of approximatlly 5,000 rad (50gty) causes 31
centrl nercous system syndrome (CNS) syndrome
what is the LD 50/60 quantity for humans 32
350 rad (3.5 grt)
the manner in which local tissues respond depends on their intrinsic radiosensitivity and kinetics of cell proliferation and maturation 33
local tissues affected immediately are skin, gonads, and bone narrow
a sunburn-like redding of the skin 33
erythema
during radiation theraphy, the skin is exposed according to a fractioned scheme, usually aprox of… 33
200 rad/day (2grt/d), 5 days a week
are critically important target organs 34
human gonads
gonads are sensitive to radiation, responses as low as —- have been observed 34
10 rads
At fetal like and in early childhood the ovaries are… 34
especially sensitive
radiation doses as low as —— can reduce the number of spermatozoa 34
10 rad (100mgty)
what amount produces temporary infertility 34
200 rad. (2 gyt)
what amount produces permanent sterility 35
500 rad (5 gty)
what are the most radiosensitive cells in the body 35
lymphocytes and spermatogonia
what are less sensitive than other blood cells
erythocytes
why are erythrocytes less sensitive than the other blood cells 35
because of their very long lifetime in the peripheral blood
cyntogenetic analysis of chromosomes can be cut out like a paper doll and paired with its sister into a chromosome map, which is called a 36
karyotype
What represents a severe damage to the DNA 36
a chromosome hit