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As an ionizing radiation passes through a cell
damage to the cell may not occur
nucleus
The most radiosensitive structures and/or molecules are found
inhibit mitosis
In addition to its ability to kill cells, ionizing radiation can also
cells which are mitotically active are radiosensitive
The law of bergonie and tribondeau states in part that
primitive or undifferentiated cells are radiosensitive
the law of bergonie and tribondeau also states that
rate of energy deposition
linear energy transfer (LET) is
is greater than particulate radiation
LET
the frequency of their occurrence is increased
although radiation-induced genetic mutations are identical to naturally occurring mutations
increases linearly with the dose of radiation
The frequency of radiation-induced genetic mutations
harmful
most of the radiation-induced mutations are
are permanent
radiation-induced genetic mutations
the dose which produces only one mutation is known
there is no threshold dose known for the induction of mutations. this means that
changes in DNA
radiation-induced mutations are a result of
5-8 years
it is believed that the induction of leukemia follows irradiation by
leukemia
the earliest radiation-induced cancer is thought to be
the rate of mutations increases linearly with age
analysis of the chromosomes in lymphocytes of the peripheral circulation in man suggests that
LET
within limits, mutational frequency is directly proportional to
nonspecific life-span shortening
one (some) of the late effects of radiation on living systems is (are)
decreasing the amount of available oxygen, producing hypoxia
The simplest and most effective means of reducing the biological response to radiation is produced by
are highly radiosensitive
bone marrow and lymphoid organs
very radiosensitive as an exception to the law of bergonie and tribondeau
even though the lymphocyte does not undergo mitosis, it is
may be seen months or years following exposure
the late effects of radiation
unlike other carcinogens, only radiation will produce cancer in all species
ionizing radiation is a universal carcinogen because
spontaneous abortion
irradiation of the embryo with small (diagnostic) amounts of radiation may result in
avoided, especially during the first trimester
in a pregnant female, diagnostic procedures involving the use of ionizing radiation should be
the younger the embryo, the more sensitive
radiosensitivity of the embryo changes with age so that
follow the same metabolic processes as their non-radioactive counterparts
once inside the body, radionuclides
very difficult
calculation of the radiation dose from internally located radionuclides is
alpha and beta emitters dissipate most of their energy within a small volume of tissue within a critical organ
internally located alpha and beta emitters are more hazardous than a gamma emitter because
physical half-life
in calculating the effective half-life, which factors must be considered
an estimate of the rate of removal of the element from the tissue
the biological half-life is
physical properties
in order to handle the radionuclide safely, the tech must know the radionuclides
effects from background radiation
the effects of low doses of medical radiation are very difficult to determine because they may be masked by
no amount of radiation is considered safe
very low doses of radiation from medical procedures are considered safe if they
benefit clearly prevails
in evaluation of risk vs. benefit of medical radiation, usually
patients age
one of the factors that may affect the risk of low-level irradiation in nuclear medicine is
are pure gamma emitters
Patients radiation doses from nuclear medicine procedures can be reduced by use of radionuclides which
have little or no effect on cells, tissues, or organs
at a diagnostic level, ultrasound has shown to be
germ and somatic cells
2 categories of cells in the nucleus are
DNA and RNA
2 examples of radionuclides acids
the nucleus
the most radiosensitive part of the cell is
anabolism
buildup inside the cell
catabolism
destruction that occurs outside of the cell
RBC’s
Mature undifferentiated cells performing the function of oxygen carriers
lymphocytes
Most sensitive to radiation
true
ionizing radiation in more effective against cells that are dividing (T/F)
False
cells which are meiotically active are radiosensitive (T/F)
true
a differentiated cell has a specialized function (T/F)
false
the most radiosensitive period for a fetus is the last trimester (T/F)
true
DNA is considered the primary target for radiation induced cell death (T/F)
false
mitosis is the process by which germ cells divide (T/F)
false
DNA is the least likely target for radiation (T/F)
occurs without external influences and can happen naturally
a spontaneous mutation
mutagenesis
the process of DNA becoming modified is called
carcinogen
promotes the development of cancer
germline and somatic
what are the different types of mutations
a change in a gene that occurs in a parents reproductive cells that affects the genetic makeup of the child
germline mutation
a change in a gene that occurs after conception in developing embryo that may become a baby
somatic mutation
DNA bonds and breaks them
when radiation its directly, it affects the
the water molecule surrounding the DNA
when radiation hits indirectly, it affects
there is a defect in the number of chromosomes in a cell of an organisms or in the arrangement of genetic material
chromosome and chromatid abnormalities occur when
23 pairs for a total of 46
how many chromosomes are in a human cell
at or above approximately 0.5 Gy (50 rads)
acute radiation effects
cancer formation and cataracts
chronic effects of radiation
500-800 R
radiation dose directed at the lens of the eye that causes cataracts
50 rads or more
radiation sickness seen in man following whole body exposure at
division delay, reproductive failure, interphase death
3 ways for cellular injury to occur after ionizing radiation exposure
50rads (0.5gy) up to 300rads (3gy)
division delay is seen in doses greater than
anxiety with tachycardia, n/v, diarrhea
the earliest clinical manifestations resulting from whole-body exposure to a large dose of radiation are
Lethal dose of radiation expected to cause death to 50% of the exposed population within 30 days.
LD50/30
400- 450rem (250-450rad) received over a short period of time
LD50/30 dose
average dose to an average individual is 100mrem
gonadal dose
means random in nature, any random occurrence of a disease that can not be attributed solely to radiation
stochastic
stochastic in nature
heredity effects and carcinogenesis are considered to be
little to no effect on cells, tissues, or organs.
ultrasound has
normal attenuation process, it results in gas bubbles present in all fluids. This is used a 1-15MHz
cavitation
bone marrow syndrome occurs when bone marrow is severely damaged by radiation exposure. Radiation dose between 1-8gy (100-800 rad)
hematopoietic syndrome
with increasing radiation dose. Death usually occurs due to complications like infection and hemorrhage, typically between 10 and 30 days after irradiation
The survival rate of individuals with the hematopoietic syndrome decreases with
a serious complication of high dose radiation exposure, typically occurring with doses above 10gy (100rads)
gastrointestinal syndrome
GI death occurs in an individual who dies in 3 to 10 days following an acute whole-body exposure.
GI death
Experiences anorexia, Develops dehydration secondary to Nausea and vomiting, May show signs of infection due to almost total depletion of WBcs
In a true GI syndrome the patient
prodromal, incubation, onset, convalescent
acute radiation syndrome phases
very high doses of radiation, typically 50 Gy or higher, that can result in death within 1-3 days.
Central Nervous System syndrome is a form of acute radiation syndrome caused
causes edema, meningitis, vasculitis
CNS mechanism
n/v, diarrhea, disorientation, impaired balance, neurological effects
CNA syndrome symptoms
occurs within a few hours following 10,000 rads or more of whole body exposure
CNS death
lesions of the lungs
what is cns death associated with
because changes in this organ may not be apparent, it happened to quickly
why would a patient dying from CNS syndrome show an undamaged and intact gut because