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RADIATION PHYSICS DR. MOHAMMED MOSTAFA EMAM INAYA MEDICAL COLLEGE (IMC) NMT 232 1

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Page 1: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:

RADIATION PHYSICS

DR. MOHAMMED MOSTAFA EMAM

INAYA MEDICAL COLLEGE (IMC)NMT 232

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Radiation:

It is defined as the process by which

energy is emitted from a source and

propagated through the surrounding

medium.

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• This appear is a nucleus; the red ones aregoing to be the protons and the blue ones aregoing to be the neutrons.

NUCLEUS CHARACTERISTICS

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• If we look at the periodic table, we can see neon has same number of proton and neutron, similar way calcium also has same no. of neutrons and protons.

Stable atoms

NUCLEUS CHARACTERISTICS

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• Uranium have 92P and 146N.

Why is that???

Nucleus is held together by a strongnuclear force; All these nucleons are heldtogether by this force (came fromneutrons) which hold the nucleustogether.

NUCLEUS CHARACTERISTICS

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Radioactivity : It is the act of emitting radiation

spontaneously from the unstable atoms.

Unstable atoms differ from stable atoms

because they have an excess of energy or

mass or both.

Unstable atoms are known as radioactive

atoms.

E.g. Carbon 14, Uranium 238

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CLASSIFICATION OF RADIATION

Radiation

Non-ionizing Ionizing

Directly ionizing;

(charged particles)

electrons, protons, etc

Indirectly ionizing

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NON-IONIZING RADIATION

Non-ionizing radiation refers to any type of

electromagnetic radiation that does not carry

enough energy to ionize an atom or molecule.

Examples:

Near ultraviolet radiation

infrared radiation,

microwave,

radio waves, etc

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IONIZING RADIATION

Ionizing radiation has sufficient energy to ionize anatom or molecule.

Ionization is a process in which a charged portionof a molecule (usually electron) is given enoughenergy to break away from the atom.

Ionization results in the formation of chargedparticles or ions; the molecule with net positivecharge and the free electron with a net negativecharge.

All ionizing radiation is capable, directly andindirectly of removing electrons from most of themolecules.

Ionizing radiation has enough energy to damageDNA in cells which in turn may lead to cancer.

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ALPHA RADIATION

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Characteristics of alpha radiation:

Alpha radiation is not able to penetrate skin.

Alpha emitting materials can be harmful to

humans if the materials are inhaled, swallowed

or absorbed through open wounds.

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Characteristics of alpha radiation:

Alpha radiation is not able to penetrate skin.

Alpha radiation is the least penetrating.

It can be stopped (or absorbed) by a sheet of paper.

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Characteristics of alpha radiation:

When alpha particles are emitted outside our bodies, virtually all of their ionizing radiation is harmlessly absorbed by the nonliving outer layer of our skin.

This means that alpha radiation doesn’t have much effect on our health unless radioactive isotopes get inside our bodies and emit radiation internally .

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Alpha radiation travels a very short distance

through air.

A variety of instruments have been

designed to measure alpha radiation.

Instruments can not detect alpha radiation

even a thin layer of water, blood, dust, paper

or other material, because alpha radiation is

not penetrating

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USES OF ALPHA RADIATIONS

Alpha particles are most commonly used in

smoke alarms (smoke detectors). The alpha

particles ionize air between a

small gap. A small current is

pass through the ionized air.

Smoke particles from fire that

enter the air gap reduces the current flow,

sounding the alarm.

Alpha decay can produce safe power sources

for radioisotope thermoelectric generators

used for space probes and artificial heart

pacemakers.

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BETA RADIATION

Beta radiation is a stream of electrons called beta

particles. When a beta particle is ejected, a neutron

in the nucleus is converted to a proton, so the mass number of nucleus is unchanged, but the atomic number increases by one unit.

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Thorium undergoes radioactive decay to form Protactinium and beta particle.

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Beta radiation is more hazardous because it can

also cause ionization of living cells. If the particles

hits a molecule of DNA it can cause spontaneous

mutation and cancer.

Characteristics of beta radiation:

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Beta emitting contaminants may be harmful if deposited

internally.

Beta radiation may travel meters in air and is moderately

penetrating, so It can penetrate human skin to “germinal

layer” where new cells are produced.

Characteristics of beta radiation:

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Beta radiation is more hazardous because it can

also cause ionization of living cells. If the particles

hits a molecule of DNA it can cause spontaneous

mutation and cancer.

Characteristics of beta radiation:

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Page 23: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:

Beta radiation is more hazardous because it can

also cause ionization of living cells. If the particles

hits a molecule of DNA it can cause spontaneous

mutation and cancer.

Characteristics of beta radiation:

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Beta radiation cannot be detected with an ionization

chamber such as a CD V-715.

Clothing and turnout gear provide some protection

against most beta radiation. Turnout gear and dry

clothing can keep beta emitters off of the skin.

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USES OF BETA RADIATIONS

Beta radiation are widely used in medicine. In

brachytherapy, beta radioisotopes can be used to

irradiate areas inside a patient to prevent the growth

of certain tissues.

Beta particles are also used in some forms of

therapy to kill cancer cells.

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USES OF BETA RADIATIONS

• Brachytherapy is a procedure that involves placing radioactive material inside your body.

• Brachytherapy is one type of radiation therapy that's used to treat cancer.

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USES OF BETA RADIATIONS

• Brachytherapy is sometimes called internalradiation.

• Brachytherapy allows doctors to deliverhigher doses of radiation to more-specificareas of the body, compared with theconventional form of radiation therapy(external beam radiation) that projectsradiation from a machine outside of yourbody.

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USES OF BETA RADIATIONS

• Brachytherapy may cause fewer side effectsthan does external beam radiation, and theoverall treatment time is usually shorter withbrachytherapy.

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USES OF BETA RADIATIONS

Beta radiation is used in leak detection

in the pipeline. This is achieved by

adding small amount of beta radiation

to the fluid.

The area above the ground where high

intensity of beta radiation is detected

will pin point the leak sources in the

pipeline.

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USES OF BETA RADIATIONS

• Carbon-14 is used as tracers in

chemical and biological research.

• The age of the ancient organic

materials can also be found by

measuring the amount of Carbon-14that is left.

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GAMMA RADIATION

Gamma radiation is electromagnetic radiation of

high frequency and therefore high photons with a

very short wavelength.

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GAMMA RADIATION

The emission of gamma radiation results from an

energy change within the atomic nucleus.

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GAMMA RADIATION

• It should be noted that the emission of gamma rays does not change the mass number or atomic number of the nucleus.

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GAMMA RADIATION

• Alpha and beta emission are often accompanied by

gamma emission, as an excited nucleus drops to a

lower and more stable energy change.

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X-RAYS

X-ray photons carry enough energy to ionize atoms

and disrupt molecular bond.

This makes it a type of ionizing radiation and

thereby harmful to living tissues.

X-ray machine sends individual x-ray particles

through the body. The image is recorded on a

computer or film.

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Characteristics of gamma radiation and x-rays:

Gamma radiation and X-rays are electromagnetic

radiation like visible light, radio waves, and

ultraviolet light. These electromagnetic radiations

differ only in the amount of energy they have.

Gamma rays and X-rays are the most energetic of

these.

X-rays are like gamma rays. They, too, are

penetrating radiation.

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Gamma radiation is able to travel many meters in air

and many centimeters in human tissue.

Radioactive materials that emit gamma radiation and

X-rays constitute both an external and internal hazard to

humans

Gamma radiation or X-rays frequently accompany the

emission of alpha and beta radiation

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Gamma radiation is detected with survey

instruments, including civil defense instruments.

Low levels can be measured with a standard Geiger

counter, such as the CD V-700. High levels can be

measured with an ionization chamber, such as a CD

V-715.

Instruments designed solely for alpha detection will

not detect gamma radiation

Pocket chamber (pencil) dosimeters, film badges,

thermo luminescent, and other types of dosimeters

can be used to measure accumulated exposure to

gamma radiation.

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USES OF GAMMA RADIATIONS

Even after it has been packaged, gamma rays can

be used to kill bacteria, mould and insects in food.

This process prolongs the shelf-life of the food, but

sometimes changes the taste.

Gamma rays are also used to sterilise hospital

equipment, especially plastic syringes that would be

damaged if heated.

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The most common tracer is called Technetium-99 and is

very safe because it only emits gamma rays and doesn't

cause much ionization.

• Radioisotopes can be used for medical purposes, such

as checking for a blocked kidney.

To do this a small amount of Iodine-123 is injected into

the patient, after 5 minutes 2 Geiger counters are placed

over the kidneys.

• Also radioisotopes are used in industry, to detect leaking

pipes. To do this, a small amount is injected into the pipe.

It is then detected with a GM counter above ground.

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Checking welds. If a gamma source is placed on

one side of the welded metal, and a photographic

film on the other side, weak points or air bubbles will

show up on the film, like an X-ray.

Because Gamma rays can kill living cells, they are

used to kill cancer cells without having to resort to

difficult surgery. This is called "Radiotherapy", and

works because cancer cells can't repair themselves

when damaged by gamma rays, as healthy cells can

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Page 42: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:

USES OF X-RAYS

X-rays are used in medicine for medical analysis.

Dentists use them to find complications, cavities and

impacted teeth. Soft body tissue are transparent to

the waves. Bones also block the rays.

X-rays are used in industry to inspect

products made by various kinds of

materials. X-ray machines are used

in airports to check luggage etc.

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In Science x-rays are used to analyze the

arrangement of atoms in many kinds of substances,

particularly crystals. Archaeologists used X-rays to

examine ancient objects covered by a crust of dirt.

X-rays are also used in consumer goods the

manufactures treat certain kinds of plastic to check

the quality of many mass produced products.

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Page 44: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:

How does radiation injure people?

• High energy radiation breaks chemical

bonds or DNA molecules.

• This creates free radicals, like those produced

by other insults as well as by normal cellular

processes in the body.

• The free radicals can change chemicals in the body.

• These changes can disrupt cell function and may kill

cells.

+

-

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Genomic

Instability

Sometimes DNA

damage produces

later changes

which may

contribute to

cancer.

Gene

Expression

A gene may

respond to the

radiation by

changing its

signal to

produce

protein.

Effects of DNA Damage

DNA is the most important moleculethat can be changed by radiation

Studies have shown that most radiation-induced DNA

damage is normally repaired by the body

Gene

Mutation

Sometimes a

specific gene is

changed so that

it is unable to

make its

corresponding

protein

properly

Chromosome

AberrationsSometimes the damage effects

the entire chromosome,

causing it to break or recombine in

an abnormal way. Sometimes parts of two different chromosomes

may be combined

Cell Killing

Damaged DNA

may trigger

apoptosis, or

programmed

cell death. If

only a few

cells are

affected, this

prevents

reproduction of

damaged DNA

and protects

the tissue.

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How does this damage from ionizing

radiation effect our bodies?

Cancer

Sufficient Cell Killing Sufficient Genetic

Alterations

Radiation Sickness

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RadiationDose

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Radiation Dose

One of the most confusing things about

understanding radiation effects is visualizing “how

much” radiation is involved. It is very difficult to keep

the units which measure radiation straight. A number

describing the amount of radiation means nothing

without evaluating the units, but this is not easy.

For example...

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...try to match the letter with the amount of radiation involved in each example

• Amount of potassium 40 in the body

• Dose to Atomic bomb survivors

• You can safety hold this amount of alpha radiation

• One coast to coast flight

• A diagnostic X-ray

A. Billions of becquerels

B. About 250 picocuries

C. 2-10 millirem

E. 2

millirads

D. 0-5 Gy

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Commonly Used Radiation Units

Absorbed dose (Gray or rad)

Average dose

Organ dose

Dose commitment

Collective dose

Effective dose (Sievert or rem)

Committed effective dose

Equivalent dose

Collective equivalent dose

Committed equivalent dose

Uniform equivalent dose

Dose equivalent

Collective dose equivalent

Ambient dose equivalent

Directional dose equivalent

Individual dose equivalent

Individual dose equivalent, penetrating

Individual dose equivalent, superficial

Dose and dose-rate effectiveness factor

Man-gray

Man-sievert

Tissue weighting factor

Relative biological effectiveness (RBE)

Quality factor (Q)

Fatality probability coefficient

Nominal fatality probability coefficient

Radiation weighting factor (wR)

Linear energy transfer (LET)

Radioactivity (Becquerel or curie)

Each of these units has a

different technical meaning.

All are used by experts to talk

about radiation. With so many

terms, you can see why it is

important to know what the

unit means when you are

evaluating radiation

information.

RAD

BecquerelSievert

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ActivityThe number of times, each second, a radioactive material decays and releases radiation.

Exposure Amount of ionization per mass of air due to x and gamma rays.

Dose (Absorbed)The amount of radiation energy absorbed into a given mass of tissue.

Dose (Equivalent) H & Effective dose equivalent (HE )Measures the energy per unit mass times adjustments for the type of radiation;

Involved Radiation (quality factor) and the biological response in the tissue (a weighting factor).

* Equivalent dose converts dose into a measure of risk.

Understanding Radiation Units

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Activity• Disintegration/sec=1 Becquerel (Bq)

• 37 billion Bq = 1 curie

Exposure

• Roentgen

Dose (Absorbed)

• 1 joule/kg=1 Gray(Gy)

• 1Gray=100 rad =100,000 mrad

Dose (Equivalent)

• Gray x quality factors= Sievert (Sv)

• 1 Sievert =100 rem =100,000 mrem

Understanding Radiation Units

Standard Units

S.I. Units

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What is the meaning of activity?

This is the expectation rate of spontaneous nuclear transitions in a source.

Becquerel = 1 disintegration/second.

• This is the SI unit for measuring radioactivity.

Curie.

• Defined as 3.7 x 1010 disintegrations per second= 3.7 x 1010 Bq.

This is the activity of 1 gram of radium

in equilibrium with its decay products

• The Rutherford. 1 Rd = 106Bq.

ACTIVITY

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More curies = a greater amount of radioactivity.

A large amount of material can have a very small amount

of radioactivity; a very small amount of material can have

a lot of radioactivity.

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How much is a Becquerel (Bq)?

• The natural 40K activity in the body of an adult human of normal weight is4000-6000 Bq.

• There is an average of about 50 Bq per cubic meter of air inside a homefrom radon.

• Even though a 60Co source of strong gamma radiation containing billions ofBq can kill you if you are standing 5 meters from it, it is harmless at adistance of 100 meters.

• A Bq has 27 times more disintegrations than a pCi, but is still a very smallamount of radiation.

ACTIVITY

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How much is a picocurie (pCi)?

•Many times the media reports excess radiation in picocuries. It takes 1,000,000,000,000 pCi to make 1 Curie.

A Becquerel is 1 disintegration/second. It takes 27 pCi to make one Bq, so a pCi represents less radioactivity that a Bq and results in very, very little dose.

ACTIVITY

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What is the meaning of exposure?

• The quantity of X- or gamma-radiation to which an object is exposed.

• This electromagnetic radiation produces ionization within the object.

Amount of ionization per mass of air due to x and gamma rays. This is the amount of ionization produced by photons in air.

• Since it is impossible to directly measure the absorbed dose in tissue, the measurement of radiation is performed in air.

• It is measured in roentgen (R) and Sieverts (Sv).

Exposure

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What is the meaning of exposure?

• Roentgen.

• Röntgen or Roentgen may refer to:

• Roentgen (unit), unit of measurement for ionizing radiation, named after Wilhelm Röntgen

• Wilhelm Röntgen (1845–1923), German physicist, discoverer of X-rays

Exposure

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What is the meaning of exposure?

• Roentgen.

• This is defined as the amount of gamma radiation that produces 1 cm3 of air ionization equal to 1 electrostatic unit (esu).

• 1 esu = 3.3 x 10-10 coulombs = 2 x 109 ion pairs/cm3 of air.

• Equivalent to 2.58 x 10-4 C/kg air (0.0087 J/kg of air).

• 1R is approximately 10-2 Sv.

Exposure

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ROENTGEN

• Roentgen was defined as 1R=1 electrostatic unit (esu)/cm3 airat standard temp and pressure(STP) = Δ Q by Δ m;

Where:

Δ Q is the absolute value of total charge of ions of one sign producedin air when all the electrons liberated by photons in air of mass (Δ m).

X = Δ Q/ Δ m

Conventional units is Roentgen

SI unit : c/kg

1R=2.58*10-4 c/kg

60

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What is the meaning of absorbed dose?

• This is the energy imparted/ given to matter by charged or uncharged ionizing particles.

ABSORBED DOSE

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What is the meaning of absorbed dose?

Gray

1Gy = 1 J/kg.

This is the SI unit for absorbed dose of ionizing radiation.

The Rad. 1 rad = 10-2Gy (= 10-2 J/kg).

• This is defined as the amount of radiation that deposits 100 ergs (10-5 J) in each gram of tissue it traverses.

• Two different types of radiation may, however, produce different degrees of biological damage even though they are both rated as 1 rad.

ABSORBED DOSE

62

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How much radiation is an X-ray?ABSORBED DOSE

• 1Gray=100 rad =100,000 mrad

• So, the average chest X-ray may give a dose;

10 millirads = 0.01 rads = 0.0001 Gray.

• A millirad is comparatively small. Average normal background

level of radiation is 370 mrad/year.

• One Gray is a relatively large amount of radiation. If 3-4 Gray

are delivered over a short time to the whole body, they can be

deadly.

63

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What is the meaning of equivalent dose?EQUIVALENT DOSE

This is the quantity used to express on a common scale the risk to exposed persons from all ionizing radiations.

64

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65

Dose Equivalent

Different radiations have different harmful effects on

human tissues.

Dose Equivalent is measured in Sieverts (Sv).

H = D×Q.F.

H = equivalent dose (Sv)

D = dose (Gy)

1 Sv = 1 J/kg = 100 rem

Q.F. = radiation quality factor for the particular type

of ionizing radiation (no unit);

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What is Radiation Quality Factor?EQUIVALENT DOSE

Different types of radiation behave in different ways. In order to compare the amount of risk or biological change that occurs, quality factors are introduced.

Biologic effects of radiation depend not only on dose but also on the type of radiation.

66

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What is Radiation Quality factor?EQUIVALENT DOSE

For example:

• The damage produced by 1 Gy of x-radiation is equalto that produced by 1 Gy of gamma radiation. Thus,Gamma radiation has a quality factor of 1 or 1 Gygamma rays x 1 =1 Sv.

• The damage produced by 20 Gy of x-radiation isequal to that from 1 Gy of alpha radiation. Thus,Alpha radiation has a quality factor of 20 or 1 Gy ofalpha radiation x 20 = 20 Sv.

• Quality factors for other types of radiation are between 1 & 20.

67

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RADIATION Q.F.

X-rays & gamma rays 1.0

Electron (incld. β-rays) of energy >30kv

1.0

Thermal ( slow) neutron 5

Fast neutrons 20

Conventional unit is Roentgen equivalent in man (rem)

Dose Equivalent

68

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Radiation Q. Factors Illustration

Type and Energy Range Q. Factor

X and γ rays, electrons, positrons and muons 1

Neutrons <10 keV 5

Neutrons 10 keV to 100 keV 10

Neutrons >10 keV to 2 MeV 20

Neutrons > 2 MeV to 20 MeV 10

Neutrons >20 MeV 5

Protons, other than recoil protons and energy >2 MeV 2

Alpha particles, fission fragments, nonrelativistic heavy nuclei 20

EQUIVALENT DOSE

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What is the meaning of equivalent dose?EQUIVALENT DOSE

Sievert (Sv)

1 Sv = 1 J/kg. The Sievert is equal to the absorbed dose in tissue (Gy)multiplied by the 'quality factor' for the particular type of ionizing radiation.The quality factor is a dimensionless number representing the relative effectproduced by the same absorbed doses of different types of radiation.

Rem (Roentgen Equivalent Man):

1 rem = 10-2 Sv (= 10-2 J/kg). This is defined as the amount of radiation whichwhen absorbed by a person, will produce the same biological effects as theabsorption of 1 roentgen of x-ray or gamma-ray radiation.

In older terminology the quality factor was referred to as the RelativeBiological Effectiveness.

number of rem = number of rad x RBE;

70

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Radiation induced cancers have been seen in the atomic bomb survivors exposed to as low as 0.2 Sieverts.

A Sievert is a relatively large amount of radiation.

The annual background radiation exposure for a typical American is 0.0037 Sv, 3.7 mSv or 370 millirem.

1 Sv = 100 rem1000 mSv = 100,000 mrem

EQUIVAENT DOSE

How much is a Sievert (Sv)?

71

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EQUIVAENT DOSE

How much is a millirem (mrem)?

• The annual background radiation exposure for a typical

American 370 mrems.

• The average dose from watching color TV is 2 mrem each

year.

• The granite from Grand Central Station exposes its

employees to 120 mrem of radiation each year.

• People in Denver receive 50 mrem more each year than those

in LA because of the altitude.

• The nuclear industry contributes to less than 1 mrem /year to

an individual’s background radiation.

• A millimrem is a small unit of measure.

72

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What is the meaning of equivalent dose?EQUIVALENT DOSE

In older terminology the quality factor was referred to as the RelativeBiological Effectiveness.

number of rem = number of rad x RBE;

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What is the meaning of equivalent dose?EQUIVALENT DOSE

To define the rem quantitatively, a Relative Biological Effectiveness(RBE) has been established

(number of rem) = (number of rad) x RBE. The following table gives RBE for the usual types of radiation.

RELATIVE BIOLOGICAL EFFECTIVENESS

Type of radiation rad x RBE = rem

x-rays and gamma-rays 1 1 1

Beta radiation 1 1 1

Protons 0.1 10 1

Alpha particles 0.05 20 1

Fast Neutrons 0.1 10 1

Slow Neutrons 0.3 3 1

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EQUIVALENT DOSE EFFECTIVE (HE)

• Whole body exposures are rarely uniform.

• Tissues vary in sensitivity to radiation induced effects

• Effective dose is a measure of radiation and organ system specific damage in man

• The effective dose equivalent HE =Sum of Ht x Wt

• Ht = mean dose equivalent received by the tissue t• Wt =weighing factor of tissue t

75

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Tissue Weighting Factors Illustration

0.01 0.05 0.12 0.20

Bone surface Bladder Bone Marrow Gonads

Skin Breast Colon

Liver Lung

Esophagus Stomach

Thyroid

Remainder

EQUIVALENT DOSE EFFECTIVE (HE)

76

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The effectiveness of the dose is dependent on the dose-rate

Dose

1 bottle of Aspirin

or

250,000 mrem of

Radiation

Dose -Rate

Over 50 seconds??

Or over 50 years??

Over 50 seconds??

Or over 50 years??

Dose-rate

Death

Minimal health risk

Death

Minimal health risk

77

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DR. MOHAMMED MOSTAFA EMAM

Biological Effects of Ionizing Radiation

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79

Objective

To become familiar with the mechanisms of

different types of biological effects following

exposure to ionizing radiation.

To be aware of the models used to derive risk

coefficients for estimating the damage.

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80

Contents

• Basic concepts, cellular effects

• Deterministic effects

• Stochastic effects

• Effects on embryo and fetus

• Risk estimates

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Biological Effects

81

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• 1895 X-rays discovered by Roentgen

• 1896 First skin burns reported

• 1896 First use of x-rays in the treatment of cancer

• 1896 Becquerel: Discovery of radioactivity

• 1897 First cases of skin damage reported

• 1902 First report of x-ray induced cancer

• 1911 First report of leukaemia in humans and lung

cancer from occupational exposure

• 1911 94 cases of tumour reported in Germany (50

being radiologists)

Early Observations of the Effects of

Ionizing Radiation

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83

Information comes from:

studies of diseases propagation (epidemiology)

Experimental Radiobiology (studies of animals and

plants)

Fundamental studies of cells and their components

(cellular and molecular biology)

The key to understanding the health effects of

radiation is the interaction between these sources of

information.

Effects of Radiation Exposure

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84

Radiation exposure affects

the center of life:

the cell

Chromosomes

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85

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86

radiation

hit cell

nucleus!

No change

DNA mutation

Exposure of the Cell

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87

DNA Mutation

Cell survives

but mutated

Cancer?

Cell death

Mutation

repaired

Unviable Cell

Viable Cell

Outcomes after cell exposure

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88

Repair

The human body contains about 1014 cells. An

absorbed dose of 1 mGy per year (natural sources)

will produce about 1016 ionizations, which means

100 per cell in the body.

If we assume that the mass of DNA is 1% of the

mass of the cell, the result will be one ionization in

the DNA-molecule in every cell in the body each

year.

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89

… order of magnitudes

• 999 of 1000 harms are repaired

• 999 of 1000 damaged cells die (not a major

problem as millions of cells die every day

in every person)

• many cells may live with damage (could be

mutated)

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90

Cell killing

Radio-Sensitivity

• RS = Probability of a cell, tissue

or organ of suffering an effect per

unit of dose.

• Bergonie and Tribondeau (1906):

“RS LAWS”: RS will be greater if

the cell:

• Is highly mitotic.

• Is undifferentiated.

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91

RADIOSENSITIVITY

High RS Medium RS Low RS

Bone Marrow

Spleen

Thymus

Lymphatic

nodes

Eye lens

Lymphocytes

Skin

Mesoderm

organs (liver,

heart, lungs…)

Muscle

Bones

Nervous system

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92

Biological Effects at Cellular Level

Possible mechanisms

of cell death:

• Physical death

• Functional death

• Death during

interphase

• Mitotic delay

• Reproductive failure

Cellular effects of ionizing radiation

are studied by cell survival curves

% s

urv

ival cell

s (

sem

i lo

gari

thm

ic)

Dose

Dq

D0

(threshold)

(radiosensitivity)

100%

Hereditary

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Linear Energy Transfer (LET)

(Term used in Dosimetry)

- LET (Linear Energy Transfer) is the

amount of energy (MeV) a particle will

lose in traversing a certain distance (m)

of a material.

- It describe the action upon matter.

93

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Linear Energy Transfer (LET)

(Term used in Dosimetry)

- It is identical to the retarding force

acting on a charged particle travelling

through the matter by unit distance.

- LET is a positive quantity and depends

on the nature of the radiation as well as

on the material traversed.

94EXTRACT

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Schematic of the cell cycle (Mitosis)

95

outer ring: I = Interphase, M = Mitosis; inner ring: M = Mitosis, G1 = Gap 1, G2 –Gap 2, S = Synthesis; not in ring: G0 = Gap 0/Resting.

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96

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Stages of Mitosis

97

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Meiosis

98

• Meiosis occurs during the formation of

gametes.

• Gametes are haploid reproductive cells, the

egg and sperm cells.

• Meiosis reduces the chromosome number by

½. Ex. 23 + 23 = 46

• 2n = diploid, 1n = haploid

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99

In cells without a nucleus (prokaryotic), the cell

cycle occurs via a process termed binary fission.

In cells with a nucleus (eukaryotes), the cell cyclecan be divided into three periods: interphase, themitotic (M) phase, and cytokinesis.

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100

• Physical• LET (linear energy transfer): RS

• Dose rate: RS

• Temperature: RS

• Chemical• OXYGEN, cytotoxic drugs: RS

• SULFURE (cys, cysteamine…): RS

• Biological• Cycle status:

• G2, M: RS

• S: RS

G1

S

G2

M

G0

Factors Affecting Radio-Sensitivity

EXTRACT

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101

.....

.....

.............

Låg LET

Hög LET

low LET

high LEThigh LET

low LET

Absorbed dose

Surviving fraction

LET (linear energy transfer) is the amount of energy (MeV) a particle will loose

in traversing a certain distance (m) of a material.

Cell Survival

Radiation Quality

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102

Direct

effects

Indirect

effects

Cell death

Primary

damage

Modified

cell

Damage

to organ

Somatic

cells

Germ

cells

Hereditary

effects

Cancer

Leukemia

Death of

organism

Repair

Deterministic

effects

Stochastic

effects

Biological Effects

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103

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105

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106

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107

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108

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109

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110

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Definition

• A free radical is a molecule oratom, which is not combined toanything (free) and carries anunpaired electron in its outershell. It is in a state associatedwith a high degree of chemicalreactivity.

111

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Indirect Action of free radical

• In indirect action the radiationinteracts with other moleculesand atoms (mainly water, sinceabout 80% of a cell iscomposed of water) within thecell to produce free radicals,which can, through diffusion inthe cell, damage the criticaltarget within the cell.

112

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Indirect Action

• In indirect action the radiationinteracts with other moleculesand atoms (mainly water, sinceabout 80% of a cell iscomposed of water) within thecell to produce free radicals,which can, through diffusion inthe cell, damage the criticaltarget within the cell.

113

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Indirect Action

• In interactions of radiation withwater, short lived yetextremely reactive freeradicals such as H2O

+ (waterion) and OH* (hydroxyl radical)are produced.

• The free radicals in turn cancause damage to the targetwithin the cell.

114

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• If the water molecule is ionized

H2O = H2O+ + e-

(H2O is the water molecule ; H2O+

is an ion radical )

• Ion meaning it is electricallycharged, because it has lost anelectron and a radical because ithas an unpaired electron in theouter shell, making it veryreactive.

115

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• Ion radicals have a short life,usually no more than 10-10 s,before they decay to form freeradicals

• Free radicals are not charged,

but do have an unpaired electron

in the outer shell.

116

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• The water ion radical can, for

example, do the following:

H2O+ + H2O = H3O

+ + OH*

(H2O+, H3O

+ are the ion radicals

H2O is a water molecule)

• OH* is a highly reactive hydroxyl radical, with 9 electrons, therefore one is unpaired.

117

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• Hydroxyl radicals (OH*), are

highly reactive and can go on to

react with DNA;

It is estimated that 2/3 of the x-ray

damage to mammalian DNA is by

hydroxyl radicals.

118

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119

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120

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121

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122

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Biological Response to Radiation

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125

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Cellular Repair

126

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128

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129

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Radiation Protection

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Page 136: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 137: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 138: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
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Page 143: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
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Page 146: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 147: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 148: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 149: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 150: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 151: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 152: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 153: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 154: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 155: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
Page 156: RADIATION NUCLEAR AND NANO MEDICINES · 2016. 5. 5. · Clothing and turnout gear provide some protection ... computer or film. 35. Characteristics of gamma radiation and x-rays:
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Rational for Radiotherapy

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158

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159

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160

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161

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162

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163

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164

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165

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166

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167

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168

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169

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170

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171

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172

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173

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174

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175

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176

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177

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178