Disaster Medicine · MU Plovdiv

27. Radiology. Ionizing radiation – Measurement, Units, Effects – Determinative, Stochastic

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Topic 27 of 46 in the MU Plovdiv syllabus for Disaster Medicine (Medicine, Year 3). The free AceMed note covers it in 1 section, about 502 words (3 min of reading).

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  1. Radiology. Ionizing radiation- measurements. Units. Effects- determinative, stochastic

Radiology. Ionizing radiation- measurements. Units. Effects- determinative, stochastic

Written by Anam Hussain

Definition:

Ionizing radiation is the energy which radiates and is capable of changing the medium as well as causing the formation/emission of non-charged particles of rays.

Sources of ionizing radiation:

  • Natural background ionizing radiation:
  • Cosmic rays
  • Terrestrial radiations
  • Internal radiations
  • Artificial sources
  • X-ray examinations
  • Crushed rocks used in building materials
  • Phosphate fertilizers
  • Nuclear plant emissions

Effects

  1. Deterministic effects (effects are proportional to IR activity, exposure, AD and EqD) and threshold doses as absorbed does are:
  • Skin erythema: 2-5 Gy
  • Irreversible skin damage: 20-40 Gy (gray)
  • Hair loss: 2-5 Gy
  • Sterility: 2-3 Gy
  • Cataracts (opacity of the lens): 2-10 Gy average 5 Gy
  • Lethality (affecting the whole body): 3-5 Gy
  • Fetal abnormality: 0.1-0.5 Gy
  1. Stochastic effects:
  • Of ionizing radiation are chance events
  • Their occurrence and type of side effects are not known and are not related to the absorbed dose or type and power of radiation
  • Assumed that stochastic effects have no threshold
  • Effects are mainly linked to mutations in cells, induced by radiation
  • If mutated cells are not identified and eliminated as ‘foreign’ by the immune system, this could lead to increase in risk of primary neoplasms
  • Germline mutations could be passed on to offspring and cause congenital defects or increase in hereditary disorders in general

Measurements and units:

  • Activity:
  • defines the potential of the radioactive element to emit ionizing radiation
  • Ionizing radiation is a product of the energy emitted during radioactive decay
  • Hence to measure activity, need to measure how many nuclei are decomposed within a period of time
  • SI unit is Becquirel (Bq)
  • Activity is 1 Bq when one nuclear decays per 1 second (n/s)
  • Exposure dose:
  • Measures the amount of energy that ionizes the air
  • SI unit is Coulomb (energy) per kg (mass of affected air)
  • C/Kg
  • Absorbed dose:
  • Measures the energy deposited in a medium by ionising radiation
  • It is equivalent to the energy deposited per unit mass of a medium so unit is Joules per kilogram (J/Kg)
  • Adopted units are Gray (Gy)
  • AD 1 Gy = 1 J/Kg
  • Measuring biological effect of ionizing radiation:
  • Different units are required because for example 1 Gy of alpha radiation would be more damaging than 1 Gy of gamma radiation
  • Biological effects related to type of radiation measured in: Equivalent dose (EqD)
  • EqD measured in Sievert
  • EqD= AD x Kir (Kir is coefficient specifying the type of radiation)
  • Measuring biological damage on particular tissue

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