week 11 xray Flashcards

1
Q

bergonie and tribondeau

A

metabolism, maturation and differention will govern which cells are more or less radiosensitive

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2
Q

physical factor of linear transfer function

A

the rate at which energy is transfered through the matter it is going through and it loses energy

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3
Q

units of linear energy transfer

A

keV/micrometer

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4
Q

how much energy is being loss per unit distance is defined as

A

linear energy transfer function

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5
Q

REB stands for

A

Relative biological effectiveness

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6
Q

REB is expressed in terms of?

A

comparison between a “standard” radiation type and some other type of ionizing radiation

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7
Q

fractionation is defined as?

A

breaking the total dose into smaller individual doses separated in time.

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8
Q

radio sensitivity physical factors?

A

fractionation
LET
Protraction

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9
Q

Protraction is defined as?

A

the total dose is continuously administered over an extended the time period

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10
Q

Both fractionation and protraction can reduce the biological effects of ionizing radiation- why?

A

Because cells can repair radiation damage

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11
Q

early effects of radiation

A

Effect manifests within minutes to days of exposure

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12
Q

Late =

A

Effect manifests in months to years

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13
Q

biologic effect:

A

oxygen effect and age
Radiosensitizing and radioprotective agents have been identified
Radiosensitizing agents

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14
Q

Oxygen effect

A

Increased oxygenation increases radiosensitivity of tissues

Oxygen effect is LET dependent- there is more oxygenation effect for low LET radiation.

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15
Q

Age biological effects

A

Sensitivity is greatest in utero birth and decreases until age 30; levels off and increases again in advanced age

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16
Q

dose response relationships

A

how much radiation vs how much response was observed

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17
Q

how can a dose response relationship be described as

A

linear vs non-linear

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18
Q

threshold vs nonthreshold relationship is used to describe what about the dose response relationship

A

place where something starts at a particular set of dose and the nonthreshold is a a response when any amount of dose is given

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19
Q

ambient level of response

A

means level of response present without or prior to any intervention

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20
Q

will a curve that goes in to the ambient level be easy to see or hard to see?

A

hard

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21
Q

the government uses radiation safety guidelines and estimating the biological effects of radiation

A

a linear, non-threshold dose-response model is used.

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22
Q

most important macromolecule for radiation exposure?

A

DNA

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23
Q

3 main radiation effects on macromolecules

A

breaking of main chain
crosslinking
point linking

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24
Q

Cross-linking

defined as?

A

Formation of new chemical bonds that link side-chains with one another

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25
crosslinking results in
Results in increased viscosity of a macromolecular solution
26
point lesion is defined as?
Disruption or alteration of single chemical bonds | Changes in the cell may be undetectable to the repair mechanisms of the intracellular environment.
27
DNA and irradiation- 3 effects
Cell death Malignant disease Genetic damage
28
Most likely molecule to interact with a photon is ____?
water
29
Free radicals are
uncharged, highly reactive molecules or atoms with a single electron in their outer valence orbital.
30
____________ also result from combination of free radicals- this is an important component of radiation cell damage
Toxic substances
31
is it the indirect or the direct mechanism that has an effect on humans?
indirect
32
ALARA?
as little as reasonably possible
33
All ______ effects, and most normal tissue _____effects are deterministic.
early, late
34
Deterministic effects are characterized by
A threshold dose below which no effect is seen | Worsening of the effect as dose increases over the threshold
35
Stochastic effects account for the remaining _____ effects
late
36
does stochastic effects have a threshold for dose?
no
37
is the severity of the effects of radiation dose related?
no
38
Stochastic effects include
radiation carcinogenesis and hereditary effects.
39
Stochastic Effects expressed as?
statistically/ likelyhoods
40
early effects of radiation
Acute Radiation Syndrome Local tissue damage Cytogenetic damage
41
Acute Radiation Syndrome
Hematologic effects Gastrointestinal effects Central Nervous system effects
42
Local tissue damage
Skin Gonads Extremities
43
Cytogenetic damage
Observable with DNA analysis
44
Late Effects
Leukemia Other malignant disease Local tissue damage Decreased life span Genetic Damage
45
In utero radiation effects
Prenatal death Neonatal death Congenital malformation Childhood malignancy Decreased growth and developmento
46
early effects general consept of body area and radiation intensity?
For a given level of radiation intensity, the larger the body area exposed, the greater the effect
47
prodromal syndrome and a latent period is seen in
acute radiation syndrome.. which signifies that more symptoms are coming
48
Prodromal period/ Prodromal syndrome | occurs at doses
>100 rads whole body
49
s/s of Prodromal period/ Prodromal syndrome
diarrhea, nausea, vomiting, Leucopenia | Followed quickly by manifest ARS if dose is high
50
Latent period may follow the prodrome
A period of relative recovery from prodromal symptoms | May last from hours to weeks
51
blood count changes as what rem?
50
52
vomitng occurs at twhat rem?
100
53
mortality dose
150 rem
54
LD
320-360
55
100% mortality
800 rem
56
the LD 50/60 is defined as
the dose at thiwch 50% the exposed pop. will die within 60 days
57
for human beings the LD 50/60 is estimated at_____ rads whole body exposure
350
58
early effects on local tissue
Erythema Epilation Desquamation
59
what can happen to the reproductive organs of male around 10 rads
sterility
60
at what level is sterility is temporary?
200
61
at what level is sterility is permenant?
500 rads