Radiation Toxicity Flashcards

1
Q

Radiation – definition

A

Electromagnetic waves or subatomic particles
* Have energy

The Electromagnetic Spectrum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The Electromagnetic Spectrum

A
  • Take-home points:
  • The higher energy waves are important
    considerations in health (toxicity)
  • These include:
  • UV (A, B, C; in order of increasing energy)
  • X-rays
  • Gamma rays
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Subatomic particles

Alpha Particle Decay (-decay)

A
  • This decay process occurs only for radionuclides with Z > 83 (Z = 83
    is bismuth).
  • The emitted particle is 2 p + 2 n, ejected from the nucleus. This
    assembly has a double positive charge and a mass of about 4 AMU.
  • The -particle has a kinetic energy between about 4 - 8 MeV, and is
    monoenergetic for a particular radionuclide decay.
  • The biological hazard from -particles is due to their high
    kinetic energy and double positive charge.
  • These large particles are not very penetrating and are easily
    absorbed by a few centimeters of air or micrometers of water or
    tissue.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Lethal poisoning

A

Ex-spy Alexander Litvinenko was found
with high amounts of 210Po
-Traces found at home, hotel, and sushi bar.
- hours after sushi, he became ill
- seafood is known to contain polonium
210Po – half-life of 138 days.
* 1 mg 210Po ~ 4.5 g of 226Ra (half-life 1600 y) in terms of alpha particles emitted.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Drugs

A
  • XOFIGO®
    (radium Ra 223 dichloride). Marketed in
    Canada by Bayer
  • Indication: castration-resistant prostate cancer
  • MOA: alpha emitter. Ra mimics Ca, and gets taken up
    into bone.
  • Target: bone metastases
  • It’s specificity, elimination and short half-life
    minimizes toxicity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Beta Particle Decay (β— decay, negatron)

A
  • This decay mode is characteristic for unstable nuclides with an
    excess of neutrons in the nucleus (so called “neutron rich” species).
  • In the decay process, a neutron spontaneously converts to a proton
    and a beta particle. The proton remains in the nucleus while the beta
    particle is ejected.
  • The emitted particle is called a beta particle and has a mass of
    0.00055 AMU and a negative charge of 1.6  10-19 coulomb.
  • This particle is identical to an electron
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Positron decay (β+
-decay)

A

This decay mode is characteristic for unstable radionuclides with an
excess of protons in the nucleus (so called “proton rich” or “neutron
poor” species).
* A proton spontaneously converts to a neutron and a positively
charged beta particle (β
+
-particle). The neutron remains in the
nucleus while the β
+
-particle is ejected.
* The emitted particle is called a positron and has a mass of 0.00055
AMU and a positive charge of 1.6 x 10-19 coulomb. β
+
-Particles are
similar to β
-
-particles in their penetrating ability.
* This particle is similar to a positively-charged electron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Isomeric transition

A
  • Important because it is the primary decay mechanism
    of technetium radiopharmaceuticals
  • A handful of radionuclides have long-lived intermediate states of seconds, minutes or hours.
  • The excited state is called metastable and is indicated
    by a superscripted ‘m’ .
  • These metastable states will eventually go to the
    ground state with the release of the energy in the form
    of a gamma ray.
  • This decay process is called isomeric transition (IT).
  • The metastable species 99mTc is a very important
    medical imaging radionuclide which decays by isomeric
    transition.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Isomeric transition (cont’d)

A

99m-Tc can be “built” into many molecules
This allows for imaging many different organs
e.g.,
MIBI scan (cardiac)
HIDA scan (hepatobiliary)
MAG3, DTPA (renal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Interactions of radioactive
emissions with matter

A
  • Important for understanding medical applications of
    radioactivity
  • Important for understanding how radiation is detected
  • Important for understanding the effect of radiation on living
    systems
  • Important for designing and using radiation protection
  • Must consider particle interactions and electromagnetic
    interactions separately.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

𝝰-particles cause ionization of targets (mostly);
this produces the ion pair

A

α-particle (7 MeV) linear range
Material Penetration (µm)
Air 59,000
Water (tissue) 74
Copper 14
Lead 2

So talked very briefly about this. I’m not going to trouble you with the Ion pair. This is very interesting info. The take on points is that one alpha particle
it? By the time it loses all its energy it can.
This is just to give you an idea of the impact that can produce 2,000 200,000ion pairs. Why, that’s important is because
when we talked about radiation, and especially this form of ionizing radiation. This is what’s meant by ionizing right. It’s ionizing a target. This could be on the protein on lipid on DNA. It’s ionizing it, and it can keep on doing this, and in a well well defined range
until that alpha particle runs out of juice.
the juice is energy when it runs out of its kinetic energy, and it’s sort of ionizing potential. Then it it just will then stop. So that takes a while.

But how far do alpha particles go? I gave you this example of it sitting on the projector. And how worried I should be! It doesn’t travel too far. So that is kind of an advantage
and a disadvantage. If you’re talking about Zofigo.
the drug. if you can get it
to right by the bone metastases, because it’s like calcium, and just release all its energy there, or concentrated there. Then it’s a good thing.
but it’s not a good thing if it’s just being. This goes throughout the body like the case of polonium.
which is not targeted. It’s just this big dose flooding going all over the place making
someone’s sick
So if you think about tissue.
it’s a it’s kind of a short range.
Okay, and things like metals and all that are well known to stop.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Charged Particle Interactions

A

-particle interactions (excitation and ionization)
β
-
-particles do not travel in a straight line and travel further than -
particles

β
+
-particle interactions (Positron annihilation).
1. loses kinetic energy; 2. meets an e-
; 3. antimatter+matter rxn
(massenergy).

penetration is a little less, and the energy is a little less overall.
So that’s sort of one thing to keep in mind in terms of a hazard.
is, it’s sort of a medium kind of hazard

So there there is some utility
to using it
in terms of delivering a directed dose. If that’s the case, the similar, the sort of the anti matter of the beta minus particle is the beta plus particle the positron. And then, in fact, this is a an antimatter, not a reaction that takes place in PET imaging
because the beta plus pull somewhere along the lines interact with its opposite counterpart.
the electron, and they annihilate each other. Their masses
disintegrate masses. It’s converted to energy. It’s a very interesting neat reaction of a matter matter antimatter reaction.

• this produces gamma rays.
• So this is the why PET imaging is kind of can be used because you you talk about PET imaging you’re actually looking at gamma rays.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

β
+
-particle interactions (Positron Emission Tomography (PET).

A

The positrons from internally targeted
radioactive drugs are detected via
their gamma rays by specialized
cameras to give 3D pet images

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Electromagnetic Radiation Interactions

A

Gamma rays (g) and x-rays
Photons described by their wavelength  and their frequency (cycles per
second; )  = c/  (c = speed of light)
Gamma rays and x-rays have the same character as light, uv and ir radiation
but have higher energies.
Energies for x-rays are generally lower than for gamma rays but they overlap.
E = h  (h = Planck’s Constant)
These photons are very penetrating and are the main reason that lead
and other dense shielding is used where radiopharmaceuticals are
prepared or used.
Nucleus can eliminate excess energy by photon emission.
Photon emission can occur during decay modes
Photons are mono-energetic.
Two types of interactions are of x-ray and g-rays are important with regard to
radiopharmaceuticals.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Hazards?

A

*Complex issue – Radiation
Health Physics.
*Particularly complex with
internal radioactivity.
*Related to ionization in
tissues.
*Related to specific
ionization of various
emissions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Alpha emitter drugs prevent normal
cells getting caught in the crossfire

A

q

17
Q

X-ray with radiocontrast agents

A
  • Radiocontrast media + X-ray =>
  • Postive contrast media
  • Attenuate X-rays more so than the body, tissues
  • Iodinated compounds
18
Q

Classification of iodinated contrast media

A

Contrast medium ratio
Number of iodine atoms
Number of particles in solution

Contrast
medium ratio
Relative osmolality Representative osmolality range (#
mol of solute in 1 hg solvent)
toxicity
Serum 290 mOsm/kg
1.5 High ~1500 mOsm/kg ↑↑
3.0 Low 500-700 mOsm/kg ↑
6.0 Iso 290 mOsm/k

19
Q

Considerations for iodinated
contrast agents

A
  • Non-ionic dimers are less toxic but more expensive
  • ADR – non IgE allergic reactions occur more so with
    higher osmolality iodine containing compounds (1-2
    %).
  • The rate is significantly lower with low osmolality
    compounds.
  • Biggest risk: previous exposure and reaction
20
Q

Radiation safety can be assessed by determining
factors such as “exposure” and “dose”.

A

EXPOSURE:
* 1 R: quantity energy (radiation) equal to 2.58x10-4 coulombs/kg
* Can be used in the (radio)pharmacy or laboratory to gauge radiation
exposure.
* not a direct measure of radiation influence on the body.
Radiation safety can be assessed by determining
factors such as “exposure” and “dose”.
Wilhelm C. Röntgen (1845-1923)
The new unit of exposure is
called the X-unit or the
coulomb/kg (C/kg) and like
the Röntgen it measures
charged produced in air

21
Q

RADIATION ABSORBED DOSE:

A

A better biological measure of radiation effect is derived by measuring the
energy absorbed per unit mass. This can be from any type of radiation. The
older unit is the rad. The rad is thought of as a unit of absorbed dose. One
rad is equal to an absorbed dose of 100 ergs/gram. (1 erg = 6.24x 1011 eV).
The newer unit of absorbed dose (Systeme International or SI unit) is
the Gray (Gy). 1 Gy = 1 joule/kilogram = 100 rad.
Although this is a better unit for human “dose” it does not necessarily reflect
the actual damage caused by radiation. This is because different types of
radiation have different capacity to cause damage even though the energy
absorbed is the same

22
Q

Assessing the relative hazards of radiation.

A

Repair processes in cells mitigate damage from low dose radiation and
explain the relative hazard of different types of radiation. The relative
hazard is related to specific ionization (ion pairs produced per unit path
length) and linear energy transfer (LET).

23
Q

Quality or weighting factors allow an accurate
assessment dose in human exposure.

A

We deal with the relative damaging potential of different radioactive
emissions by using a quality factor (Q). This term has recently been
replaced by the term “weighting factor”
Quality or weighting factors allow an accurate
assessment dose in human exposure.
We then derive a radiation equivalent dose.
1 Sievert (Sv) = 1 Gy x WR

24
Q

Exposure after disaster

A

Fukushima Daiichi nuclear power plant
* Yearly radiation > 500 mSv in some places
* Limits:
* 1 mSv/year for general public; 20 mSv/year workers
* (
137Cs)

25
Q

Cellular radiosensitivity

A

1 Highly radiosensitive mature lymphocytes, erythroblasts, some
spermatogonia
2 Relatively
radiosensitive
granulosa cells, myelocytes, intestinal crypt cells, basil
cells of the epidermis
3 Intermediate
radiosensitivity
endothelial cells, gastric gland cells, osteoblasts,
chondroblasts, spermatocytes, spermatids
4 Relatively
radioresistant
granulocytes, osteocytes, spermatozoa, erythrocytes
5 Highly radioresistant fibrocytes, chondrocytes, muscle cells, nerve cells

26
Q

Tissue and organ radiosensitivityTissue and organ radiosensitivity

A

lymphoid organs, bone marrow,
blood, testes, ovaries, intestine
high destruction of radiosensitive
parenchymal cells
skin and other organs with epithelial
cell lining (cornea, oral cavity,
bladder, etc)
fairly high
optic lens, stomach
growing cartilage medium
fine vasculature
growing bone
mature cartilage or bone, salivary
gland, respiratory, kidney, liver,
pancreas, thyroid, adrenal
fairly low
muscle, brain spinal chord low damage to the vasculature and
connective tissue

27
Q

Radiation Effects

A

High doses  acute radiation sickness
Lower doses  cancer (leukemia); shortened life span
* 1 Gy = 1 joule absorbed energy/kg
2-7 Gy  hematopoietic syndrome; damage bone marrow; infections main problem
7-15 Gy  GI syndrome; death after 5-10 days; GI mucosa destroyed
50 Gy  CNS syndrome; death in minutes to 48 h; due to neurologic and
cardiovascular degeneration
Survivors rare at doses over 5 Gy (considered LD50 in humans);
- all survivors increased risk leukemia
- cancer latent period usually less than 15 y

28
Q

Commonly Encountered Radiation Doses

A

Study Dose in mSv
Dental Radiograph 0.005
Chest Radiograph 0.002
Mammography 0.4
CT – head 2
CT – chest 7
CT angiography – chest 15
CT of abdomen and pelvis 14
Cardiac catheterization 15
Myocardial perfusion imaging 15.6
Neonatal abdominal CT 20
Source: Diagnostic Imaging for Pharmacists
47
50 mSv / year (occupational), or 100 mSv / 5 yr (G

29
Q

Radiation sickness symptoms

A
  • Nausea and vomiting
  • Diarrhea
  • Headache
  • Fever
  • Dizziness and disorientation
  • Weakness and fatigue
  • Hair loss
  • Bloody vomit and stools from internal bleeding
  • Infections
  • Low blood pressure