Week 9 Flashcards

1
Q

What is a heterogeneous immunoassay

A

-competitive binding assay where you have to seperate the protein bound labelled AG from unbound
-both bound and unbound have the same signal

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2
Q

Criteria for Separation Techniques in a heterogeneous immunoassay

A

-clean and complete partition of bound and free
-reproducible, efficient and quick
-not influenced by anything else in the assay like plasma or proteins
-doesnt interfere with AG:AB binding
-minimizes non specific binding NSB
-automated

MUST CONSIDER - the environment must be optimized :
-time, temp,
-protein and lipid dependance (matrix)
-pH and ion dependance
-buffer type
-labelled AG trapped in precipitate

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3
Q

What is non specific binding

A

-when AG binds to substances other than the AB
-can cause loss or retention of unwanted labelled AG
-NSB in high amounts causes errors when measuring final concentration of AG
- can be minimized by blanking

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4
Q

how is NSB different from cross reactivity
how do you know when you have one instead of other

A
  • in NSB - the AG binds so something that isnt the AB like test tub, plate or matrix contaminants. But in cross reactivity the AB binds to AG analogue or look alike IN ADDITION to the AG of interest thereby losing specificity

-results arent compatible with clinical or biochemical findings

-false positive = increased TROP with normal CKMB and no MI

False negative - digoxin with RI but presence of toxicity

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5
Q

what can cause NSB

A

-analyte variants with different epitopes
-small analytes with similar chemical structures
-Heterophilic (multi-specific, cross-linking) Abs, anti-animal Ab (HAMA = Human Anti-Mouse Antibody)
Heterophilic is an Ab response to an Ag other than
the specific one you want to measure for example
AB against GAS can react with heart tissue
-Labeled contaminants
-Adsorption of label to assay tube walls

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6
Q

What separation methods used in heterogenous immunoassays

A

-Precipitation (chemical/immunological) of the bound fraction
-Liquid-phase / Solid-phase adsorption
-Differential migration of bound and free
-Column separation: ion exchange, gel filtration
Miscellaneous: electrophoresis

“adsorption” = sticking on; attachment of a substance to the surface of another material

“absorption” = taking up

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7
Q

What is Liquid-phase Adsorption

A

-Adsorption occurs from surface atoms having free functional groups that attract molecules

Non specific
-when free unreacted AG is adsorbed on particles of activated charcoal or dextran coated charcol which can be removed by settling or centrifugation

Molecular charge - ion exchange resins helping with purification and decontamination

Advantages: cheap, fast, simple
Disadvantages: natural adsorbent binds everything, so time of contact is critical

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8
Q

What is solid phase adsorption -Immobilized detection Ab Dis/advantages

A

-Second Ab directed against the primary Ab is attached to a solid support:
wall of reaction tube
outer surface of insoluble materials
cellulose
magnetic latex beads

Centrifugation or magnetized separation

Advantages
speeds separation
highly specific

Disadvantages
expensive

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8
Q

What is chemical precipitation

A

Precipitating the AB:AG* from reaction by adding denaturing agent
-protein-precipitating agent can be organic solvent like polyethylene glycol, alcohols (methanol, ethanol), acetone, Salts , or organic acids - Picric, tannis or trichoroacetic

-denaturing agents can precipitate the bound complex while the free remains in the supernatant

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8
Q

What are the advantages and dis for chemical precipitation

A
  • AD
    Cheap, fast, simple, reproducible, flexible

DIS
-Can disrupt Ab:Ag binding: Ag may “fall off”
-Time and temperature dependent
-High NSB: due to a change in conformation that might alter the binding characteristics of the Ab
-Cannot be used for protein Ag (hormones): may precipitate the Ag (but can be used for drugs)

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9
Q

What is solid phase adsorption -Immobilized capture Ab
Dis/advantages

A

most popular

Immobilized capture Ab
-Ag* and Ag compete for binding sites on a capture Ab that has been attached to a solid support inner surface of plastic tubes
-wells of microtitre plates
-Washed and detected “in place”

Advantages
fast, no centrifugation
automated
high separating efficiency

Disadvantages
expensive: increased cost of reagent (magnetic particles, beads, fiber mesh).

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9
Q

What are the advantages and dis for immunological precipitation

A

-usually the method of choice
-Double ab - a second precipitating AB from DIFFERENT species (anti rabbit or goat)

AD
-Very specific (excellent partitioning of bound and free label)
-Involves an immune reaction so no precipitation of other assay components
-Low NSB
-Versatile

Disadvantages
Additional processing steps; longer assay time because of incubation/washes

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10
Q

What is differential migration

A

-using physical forces to separate
-not practical for routine and cant be easily automated

-free and bound complexes move at different rates and can be separated by different forces like:
Centrifugation: gravitational force
Electrophoresis: electrical force & net molecular charge
Ion exchange chromatography: molecular charge
Gel filtration: size exclusion chromatography; molecular size (bound flows through, free is trapped in pores of the gel)

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11
Q

What environmental factors must be in place for successful heterogenous immunoassay separation
pH
Ionic strength
Ionic species
Contaminants

A

pH
-must be optimized for both Ab and Ag

Ionic strength/molarity
-as low as possible to avoid “salting out” of protein

Ionic species
-salts inhibit binding of similarly-charged ligands (cationic salts and cations, anionic salts and anions)

Contaminants
-cross-reactants (drug metabolites, compounds with similar structures, e.g. “digoxin-like” factors)
matrix (positive or negative effect on results)

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12
Q

What environmental factors must be in place for successful heterogenous immunoassay separation

A

-Sensitivity, specificity of immunoassays
-Ab:Ag binding (may affect k1 or k-1 and alter the propensity to form a complex or to dissociate)
k = strength of binding
-Signal efficiency of label (especially if label is an enzyme)
-Test conditions must be optimized and carefully controlled
-Temperature affects efficiency of Ab:Ag binding

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13
Q

What is a RADIOIMMUNOASSAY (ria) and how does it work

A

-first immunoassay to be developed

-Ag or Ab labeled with radioactivity and used in competitive and non-competitive format
-Unlabeled Ag from patient sample competes with Ag* for Ab binding sites
-Separate bound from free Ag* and measure bound Ag* (counts per minute/cpm)
-Amount of radioactivity measured is indicative of the amount of analyte present

Radiolabelling of Ag may change reactivity; try labelling the antibody
Antibodies are more stable proteins and easier to label without damaging function

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14
Q

What is data reduction

A

-when numerical data is made simpler
-reduces the number of data records and used to produce data and statistics
- Once the bound fraction is separated from the free fraction, a dose-response curve is prepared. Y-axis is the dependent variable and the x-axis is the independent variable

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15
Q

RIA Measurement
What does the graph look like

A

on linear it is a curve opp to log curve
on semi log paper it would be linear
What is the signal? Counts per minute (cpm)
Concentration of what? Analyte, ligand, antigen

measure bound labelled Ag*, so radioactive signal is inversely proportional to [Ag]

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16
Q

What are ImmunoRadiometric assays (Irma)

A

Radioisotopically labeled Ab assays

-capture Ab is immobilized to a solid phase
-Ag from patient’s sample is bound by this Ab
-add a second radiolabeled detection Ab (Ab) that binds to a different epitope
-the Ag is sandwiched between the two Abs
-separate by washing away unreacted Ab

-signal directly related to [Ag]
-The detection Ab is labeled (Ab*)
-Non-competitive (reagent is in excess)
-Heterogeneous (separation required)

-Measure bound Ab*, so radioactive signal is directly proportional to [Ag]

Format? Non-competitive heterogeneous.
Why is signal directly related to patient [Ag]? The Ab captures everything: no competition. In order to do that, reagents must be in excess.

LINEAR

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17
Q

What’s the difference between RIA and IRMA? What is labeled?

A

RIA is competitive and the Ag is labeled. IRMA is noncompetitive and the Ab is labeled.

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18
Q

What are enzyme immunoassays

A

-enzyme labels used instead of radioactive labels
-easy, non hazardous like alkaline phosphatase or horseradish peroxidase
-enzyme catalyzes production of colored end product so it can be visualized and quantitated
-use ELISA to separate specific AG from non specific complexes
-Separation done through binding the Ag or capture Ab on a solid support (microtiter plate, latex bead, magnetic bead)
-Solid matrix allows for separation through repeated washings to minimize NSB
-quick detection of disease specific Ag or AB in pt serum
Competitive using labeled Ag
Competitive using labeled Ab
Non-competitive to detect Ag
Non-competitive to detect Ab

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19
Q

What is the ELISA competitive design and how it is similar to RIA

A

Ab is immobilized. The Ag is still labeled.

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19
Q

What is ELISA - DIRECT

A

-direct and most common ; heterogeneous
-used to detect AB in virues and parasites
-can quantitate Abs

-Capture Ab is immobilized to a solid phase
-Ag from the patient’s sample is bound by this Ab
-Add a second Enzyme-labeled detection Ab (Ab-E) that binds to a different epitope; the Ag is sandwiched between the two Abs
-Separate by washing away unreacted Ab-E
-Add enzyme substrate, which is catalytically converted to product
-Signal (absorbance) directly related to [Ag] results in chromophoric product

difference between IRMA is that Detection Ab is now labeled with an enzyme that needs substrate.

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20
Q

What is immunochromatography

A

-plastic cassette with membrane attached to a chamber where the sample is added. There is an absorbent material under the membrane that pulls the liquid reagents through along the membrane separating non reacted components from membrane AB-AG complex
-Capture Ab is immobilized onto a surface of a porous membrane (nitrocellulose, nylon, Teflon)
-Sample passes along the membrane

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21
Q

What is Enzyme multiplied immunoassay techniques (EMIT)

A

-pt AG competes with Ag-E for AB binding sites
-when AB binds Ag-E there is enzyme activity so bound and free AG-E produce different signals
-homogenous so no separation needed
-when enzyme substrate is added it is catalytically converted to product
-used to measure small molecular weight drugs, hormones or metabolites
-Absorbance signal is directly related to AG concentration
-the amount of drug present is proportional to the inhibition of substrate reaction

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22
Q

What is Microparticle Enzyme ImmunoAssay (meia)

A

-isolates AB/AG complexes on a solid phase surface of microparticles
-Automate measurement of large molecules such as markers associated with cardiac, fertility, cancer, metabolic, hepatitis and thyroid testing
-Non-competitive, heterogeneous

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23
Q

What is MEIA composed of

A

Microparticle-Ab Solid Phase: Latex microparticles that are coated with Ab to bind the specific analyte being measured

Ab-Enzyme Conjugate: Alkaline phosphatase enzyme conjugated to Ab.

Enzyme Substrate: Fluorescent 4-methyl umbelliferyl phosphate (MUP) in solution that is available for a reaction with the enzyme on the Ab.

Separation occurs when beads are trapped in a glass fiber mesh

24
Q

What is Fluorescent 4-methyl umbelliferyl phosphate (MUP)

A

-Conjugate catalyzes the hydrolysis of MUP to MU
-MU is fluorescent: absorbs light at 365 nm and emits light at 448 nm.
-degree of fluorescence or rate of MU production is directly proportional to analyte concentration in specimen

25
Q

What are Immunofluorescence assays

A

-Monoclonal or polyclonal Ab are conjugated to fluorescent dyes (fluorochromes)
-Detect bacterial, viral and fungal infections and for bioimaging of tissue samples
-Visualized using a fluorescence microscope, fluorometer, flow cytometer

26
Q

What is the different between DFA and IFA

A

Direct Fluorescent antibody test (DFA)
Ag specific labeled Ab is applied to a fixed specimen on a microscope slide, incubated, washed and visualized

Indirect FA (IFA)
When a secondary, species-specific Ab is labeled with a fluorophore instead of the primary

27
Q

What is Fluorescence Polarization ImmunoAssay (FPIA)
and what are the two types

A

-Type of homogeneous competitive fluorescence immunoassay
-Fluorescent molecule if stationary is exposed to polarized light, gets excited, then emit radiation back to polarized plane
-Signal (intensity of polarized fluorescence) is inversely proportional to [Ag]

-for small molecules like drugs, hormones because large molecules cant move quickly so the signal of polarized light will be high which will be interpreted as a low concentration of PT AG

-The more drug in the sample, the less fluorescein-labeled drug bound to Ab resulting in lower emission of plane-polarized light (low signal is more drugs)

28
Q

What are the two types of Fluorescence Polarization ImmunoAssay (FPIA)

A

Competitive: Ag from the specimen and Ag-fluorescein (AgF) labeled reagent compete for binding sites on the Ab

Homogeneous: reaction is carried out in a single reaction solution and the bound Ab-AgF complex does not require a wash step to separate it from the free labeled AgF

29
Q

What is a Chemiluminescence Immunoassay

A

-when a substrate decays and goes from excited to ground state light is emitted
-the oxidation of the chemiluminescent label and flash of light are measured with luminometer
-isoluminol (long-lived light emission)
-acridinium esters (rapid flash of light)

can be competitive
-Ag competes with AG-CL for AB binding sites . The bound signal is inverse relationship

non competitive
-AG is captured by AB and detected by AB-CL. Bound signal measured is direct

30
Q

What are some qualitative vs Quantitative techniques

A

Qualitative methods
passive gel diffusion
immunoelectrophoresis (active diffusion forced by electric field ) and immunofixation electrophoresis

Quantitative methods
radial immunodiffusion
electroimmunoassay
turbidimetric and nephelometric assays

31
Q

What are agglutination assays

A

-“clumping” and sedimentation of antigen by antibodies (agglutinins)
-cross-linking of antigens
-antigens can be carried by cells, microorganisms, latex particles
-easy, versatile, results in 1 to 5 minutes
-can be read by eye or with a microscope
-examples: Microbiology, Transfusion ScienceThe antigen is in a particulate state, while the antibody is soluble. Assay time is roughly 1 to 5 minutes.

32
Q

Agglutination Example: Microbiology

A

-Viral agents (rubella, influenza viruses) have surface Ag (hemagglutinin) that agglutinate RBC from certain mammalian species
-Sheep red blood cells used as carrier for antigen (Treponema pallidum) – bound to inert substance and anti-T. pallidum antibodies are soluble and added to the cells
-Titred; last serial dilution that yields total inhibition of agglutination is the serum titre for the patient

33
Q

Agglutination Example: Transfusion Science

A

Type: B Rh Positive

Clumping of RBCs bearing B antigen when anti-B antisera is added, but not with anti-A antisera
what is the Rh designation? = Rh Positive

34
Q

Passive gel diffusion
Qualitative Methods of Immunochemical Techniques

A

-done in semisolid media
-precipitin bands show AG-AB reaction at equilibrium (equivalence zone)
-single immunodiffusion (Oudin/Mancini), double immunodiffusion (Ouchterlony technique)

-Radial immunodiffusion (RID) is an example of single immunodiffusion that is also quantitative.

Mancini method is quantitative
-precipitin rings form at zone of equivalence
-12 to 24 hours
-serum and CSF proteins
-graph is linear/

35
Q

Single Diffusion -Passive Gel
Qualitative Methods of Immunochemical Techniques

A

-diffusion in one dimension: AG solution is put in a well and left to diffuse over an antiserum that is ‘trapped’ in a gel.
-A precipitate forms in the agar in regions corresponding to the equivalence zone.
-If calibration standards are incorporated into the assay, then the diameter of the precipitin ring is roughly proportional to the [Ag] in the well.
-The Mancini method is an endpoint method (all antigen is allowed to diffuse).

35
Q

Passive Gel Diffusion
Example: Double diffusion

A

-Double Ouchterlony technique – refers to diffusion of both Ag, Ab
-Diffuse toward each other in a semi-solid medium to a point in the medium where optimum concentration of each is reached.
-Precipitation line or band is formed where Ag-Ab complex is formed
-Screen for bacterial, viral, fungal antigens
-if the lines cross they no dont share antigenic epitopes

-estimate the relative concentration of antigens.
-When an AG has higher concentration, the equivalence zone will be formed farther away from the AG well.
-When an AG has lower concentration, the equivalence zone will be formed a little bit closer to the AG well.

36
Q

What is Immunoelectrophoresis (IEP)
Qualitative Methods

A

-combines the two techniques of electrophoresis and immunodiffusion

-no longer passive
-electrophoretic separation of proteins
-reaction of proteins with reagent antibody
staining
-precipitin arcs/bands compared with control sample
-size, shape, density, and location help to identify
the unknown protein

36
Q

Immunofixation electrophoresis (IFE)

A

-performed on cellulose acetate
-involves the electrophoretic separation of proteins in the patient sample
-followed by reaction with specific antisera (and fixing and staining)
-identify the particular monoclonal protein involved in the gammopathy.
-very easy to read
-antisera is very expensive

36
Q

What is Immunohistochemistry

A

-using labeled AB reagents as probes for specific AG in cells or tissues to look for tissue specific markers to determine tumor type
-helps with diagnosis, prognosis, and response to treatment
-in/direct
-fluorescent labels are common
-enzyme labels are very useful
can use fixed tissue
light microscopy only required
provides a permanent record

indication of degree of invasiveness, metastasis, therapeutic response
-seen as brown signal if positive for neoplasms

36
Q

Why is nephelometry more sensitive than turbidimetry?

A

-Ag-Ab complexes in solution scatter light at various angles to the direction of the incident light
-Nephelometry detects light at a specific angle on a black or null background. Light measured is mainly from the “scattering species”.
-Signal is amplified by a photomultiplier, so detection range is increased.

-Nephelometer has a high intensity source that passes through sample holder with immunoreactants . A photodetector collects light scattering signal . You will see a immunoprecipitation curve - so a linear increase then a plateau which is a slower formation of complexes

37
Q

Quantitative Methods: Electroimmunoassay (Laurell rocket)

A

-Similar to single diffusion in agar: antisera is incorporated into agar poured on large plate to cool.
-Wells cut along one end and filled with standard solutions of the antigen or unknown solution.
-Electric current established across agar
-Drives antigen in direction of current
-Ag precipitates in zone of equivalence in agar.
-Height of the “rocket” is proportional to the concentration of antigen in the well
-Amount of antigen in the unknown well is determined by referring to the standard curve

-unidirectional electrophoretic migration of antigen
-quantify using standard calibration curve

37
Q

Quantitative Methods: Turbidimetry and Nephelometry

A

-Detection of soluble Ag-Ab complexes involves light scatter; reactions happen in seconds and stay for hours
-CSF and urine
-Ag-Ab complexes formed stay soluble BUT they act as particles suspended in solution therefore can scatter
-Particle size determines degree and direction of scatter
-larger the particle = light scattered in forward direction
-small particle =light scatters front and back but not the side symmetrically
-Can be used to measure specific proteins and drugs
e.g. IgM, C3, C4, haptoglobin, ceruloplasmin

turbidimetry measures light scatter as a reduction in light transmission
nephelometry measures light scatter at an angle

37
Q

Rapid (simplified) Immunoassays

A

e.g. pregnancy testing

“+” positive
monoclonal anti-α-CG* + CG in sample = complex bound to immobilized polyclonal anti-β-CG to form a plus + sign

“-” negative
monoclonal anti-α-CG*+ immobilized anti-β-CG:CG complex to form a minus - sign

-detection by visualizing purple bands or meter to detect fluorescence emitted by the strip
-can be used for drug testing as a multiplex immunoassay

38
Q

direct versus indirect
Immunohistochemistry

A

direct
enzyme label
-Add enzyme substrate: the artificial substrate is typically diaminobenzidine or DAB
-enzyme converts DAB to colored precipitate in places where the enzyme label is stuck
-singal is the color the color intensity is directly proportional to the AG concentration

indirect is using a second AB- swine anti-rabbit IgG

39
Q

Enzyme Histochemistry and uses

A

-enzyme activity needs to be preserved

-enzymes are liable and activity needs to be preserved if they are localized in tissue
-can use both fresh and frozen tissue
-not applied to surgical and autopsy material because processing a paraffin block can cause loss of enzyme activity because you need to see how the enzyme acts on a soluble substrate to produce insoluble colored precipitate

used for
muscle biopsies
detection of ganglia and nerves
specific saccharidases in the intestine
various white blood cells, mast cells
some tumours

39
Q

What is flow cyto

A

-Aids in the diagnosis of leukemias and lymphomas

-Immunophenotyping
Begins with a living cell suspension. Cells may be from peripheral blood, bone marrow or solid tissue

-detect intracellular and cell surface Ag; classify cell lineage and identify stage of cell maturation
-based on cells being transported by fluidic pressure passing through laser beam one by one
-Forward light scatter, side light scatter and light emitted from fluorescent labels are detected by photomultiplier tubes

-forward scatter = size
side scatter = granularity
-together used to make a scattergram

40
Q

What are Nanoparticles

A

-used to get a clear picture of cancer cell by binding to it and making it visible via molecular imaging
-nanometer-sized particles coated with albumin, carbon, or other chemicals
-safe?
-very specific and bypass body defense mechanisms
-Quantum dots (nano crystals) as artificial fluorophors to help detect tumors using fluorescence spectroscopy

41
Q

What is radioactivity

A

-release of energy as radiation as an unstable nuclide (radionuclide) which decays to a more stable form (An unstable nuclide’s quest is for stability.)
-used for basis of detecting Ab;Ag reactions when there isnt any visible evidence

42
Q

What is natural vs artificial radioactivity

A

Natural
-spontaneous decay of naturally occurring isotopes =uranium, radium, potassium, carbon

Artificial
-from man made unstable nuclides that are produced by hitting stable nucs with high energy particles

42
Q

What is an isotope

A

-nuclide with same atomic number but different mass number
-species of same element
-physically different but chemically the same
-principle used in ligand assays
-carbon 12 is stable but carbon 14 is not

atomic number = proton
mass number = neutrons

42
Q

Radioactive Isotopes (radionuclides)

A

-spontaneous decomp of unstable nucleus to become stable by releasing energy = type of radiation
-when a nucleus becomes unstable it becomes more complex and its mass increases and needs more neutrons than protons to maintain stability

43
Q

what is electromagnetic radiation

A

radiowaves
infrared light
visible light
UV light
y (gamma) & X rays

44
Q

elementary particle vs complex particle

A

E
electrons
positrons
neutrons
protons
neutrinos

C
helium nucleus
larger fragments

45
Q

What are the types of radiation

A

Radiation by alpha () decay
Radiation by beta () decay

46
Q

Radiation by alpha Decay

A

-Occurs naturally in elements of higher atomic weight (84 or more protons)
-decomp of a nucleus of an element into a new nuc of a different element and alpha particle
-Alpha particle is composed of 2 neutron & 2 protons = charge is 2+
-Mass # reduced by 4 and atomic # reduced by 2
-Penetrating power is 8 cm in air: stopped by skin
-large and slow 10000 m/s

Mass# = # protons + # neutrons
Atomic# = # protons

47
Q

Radiation by beta Decay

A

-Response to an unstable neutron/proton ratio in nucleus
-stabilizes by rearranging nucleus without changing mass

beta particle
same mass as an electron
charge may be +1 or –1
faster than alpha 150000 m/s
penetrating power greater than an alpha particle (2m in air)
can penetrate skin causing burns
cannot penetrate to internal organs

48
Q

What is Beta minus decay

A

-Nucleus with too many neutrons

Solution
Converts a neutron to a proton & an electron
The electron is ejected accompanied by a neutrino (“little neutron”) -subatomic particle with zero mass and charge and high energy

Result
Nucleus gains a proton, loses a neutron
Atomic number increases by 1, but no change in mass

49
Q

What is Beta plus decay

A

Nucleus has too many protons

Solution
Proton converts to a neutron & a positron (B+)-positively charged electron
The positron is ejected accompanied by a neutrino

Result
Nucleus gains a neutron, loses a proton
Atomic number decreases by 1, but no change in mass

50
Q

Gamma and X Radiation

A

-discrete energy bundles of high energy photons with no mass or charge released because of nuclear rearrangement (gamma) or orbital rearrangement (X)
-no change in nuclear mass
-travels at speed of light with alot of penetrating power
-can only be stopped by 2 inches of lead or 12 inches of iron
-penetrates skin to organs

51
Q

Characteristics of Radioactive Decay

A

-occurs at a constant rate: characteristic half-life
-proportional to the number of atoms present
-declines exponentially (starts off high and the less there is; the less decay will occur)
-unaffected by environment such as temperature, pH

52
Q

What is half life

A

Length of time required for ½ of original number of atoms to decay, i.e. lose half of its radioactivity
-An important consideration in the choice of elements used in RIA

53
Q

Ionizing Radiation

A

-it is a linear hypothesis Effect vs radiation dose

-if there are induced mutations the graph could look like exponential curve upwards

54
Q

units of measurement
Becquerel (Bq)
Curie (Ci)

A

Becquerel (Bq)-rate of decay/unit time

Curie (Ci) -rate of decay/unit time/unit reference mass

Specific Activity -radioactivity/unit mass of radionuclide