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ionizing radiation
damages living systems by ionizing the atoms comprising the molecular structure of these systems
linear energy transfer (LET)
the average energy deposited per unit length of track by ionizing radiation as it passes through and interacts with a medium along its path
very important factor in assessing potential tissue and organ damage from exposure to ionizing radiation
low let radiation
gamma rays
x-rays
high let radiation
alpha particles
ions of heavy nuclei
charged particles released from interactions between neutrons and atoms
low energy neutrons
as LET increases
the quality factor for a given form of radiation will increase
high relative biologic effectiveness (RBE)
high LET
oxygen enhancement ratio (OER)
the ratio of the radiation dose required to cause a particular biologic response of cells or organisms in any oxygen- deprived environment to the radiation dose required to cause an identical response under normal oxygenated conditions
more oxygen in cell
more radiosensitive
more hypoxic
more damage can be done
more RBE
molecular
cellular
organic systems
biologic damage stemming from exposure to ionizing radiation may be observed on three levels
disrupted
if a sufficient quantity of somatic cells are affected, entire body process may be ____
direct action
found in DNA
indirect action
found in water
indirect
because the human body is 80% water and less than 1% DNA, essentially all effects of low- LET irradiation in a living cell result from ___ action
radiolysis of water
ionization of water molecules
production of free radicals-highly reactive and unstable substance
single-strand break
ionizing radiation interacts with DNA macromolecule, transfers energy, and ruptures one of the molecule’s chemical bonds possibly severing one of the sugar phosphate chain side rails (point mutation)
repair enzymes are often capable of reversing this damage
double-strand break
further exposure of the affected DNA macromolecule to ionizing radiation can lead to additional breaks in the sugar-phosphate molecular chain(s)
breaks can be repaired but not as easily as single-strand breaks
if repairs does not take place further separation may occur in the DNA chains, threatening the life of the cell
commonly in high LET/ densely ionizing
Rung of DNA
result is a cleaved or broken chromosome with each new portion containing an unequal amount of genetic material
if broken chromosome divides, each new daughter cell will receive an incorrect amount of genetic material culminating in the death or impaired functioning of the new daughter cell
mutation
interactions of ionizing radiation with DNA molecules may cause the loss of or change in a nitrogenous base in the DNA chain
may not be reversible and may cause acute consequences for the cell
if cell remains viable, incorrect genetic information will be transferred to one of the two daughter cells when the cell divides
covalent cross-links
chemical unions created between atoms by the single sharing of one or more pairs of electrons
initiated by high-energy radiation
restitution
chromatid :whereby the breaks rejoin in the original configuration with no visible damage
deletion
part of the chromosome is lost at the next cell division, thus creating an acentric fragment
target theory: Master, or key, molecule
maintains normal cell function is believed to be present in every cell
necessary for the survival of the cell
used to explain cell death and nonfatal cell abnormalities caused by exposure to radiation
effects of irradiation on the entire cell
instant death
reproductive death
apoptosis, or programmed cell death
mitotic of genetic death
miotic delay
interference with function
more cell sensitivity
more cell damage
survival curves for mammalian cells
cell survival curve is a classic method of displaying the sensitivity of a particular type of cell to radiation
cell radiosensitivity
cell maturity and specialization (less radiosensitivity)
law of Bergoine and Tribondeau
established that radiosensitivity was a function of the metabolic state of the cell receiving the exposure
states the radiosensitivity of cells is directly proportional to their reproductive activity and inversely propotional to their degree of differentiation
more reproductive= more sensitive
less differentiation= less radiosensitive
erythrocytes
less radiosensitive
whole- body doses in excess
5 Gyt
lymphocytes
most radiosensitive blood cells
aberrations in lymphocytes from high level fluoroscopy
epithelial tissue
highly radiosensitive tissue
muscle tissue
highly specialized and do not divide
insensitive
nerve tissue in human adult
highly specialized and do not divide
insensitive
nerve tissue in embryo-fetus
more radiosensitive
max sensitivity 8-15 weeks
after week 25 risk is the same as young adult
2 Gyt
cause temporary sterility
5-6 Gyt
permanent sterility
0.1 Gyt
may cause genetic mutations
ova
immature are very radiosensitive
mature has less radiosensitivity
ovaries
of the female fetus and young child are very radiosensitive
women 20-30
are lowest level of radiosensitivity