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Biological Effects of Ionizing Radiation

Injury due to irradiation is caused mainly by ionization within the tissues of the body. When radiation interacts with a cell, ionizations and excitations are produced in either biological macromolecules or in the medium in which the cellular organelles are suspended, predominantly water. Based on the site of interaction, the radiation-cellular interactions may be termed as either direct or indirect.
  • Direct action occurs when an ionizing particle interacts with and is absorbed by a macromolecule in a cell (DNA, RNA, protein, enzymes, etc.). These macromolecules become abnormal structures which initiate the events that lead to biological changes.
  • Indirect action involves the absorption of ionizing radiation in the medium in which the molecules are suspended. The molecule which most commonly mediates this action is water. Through a complex set of reactions the ionized water molecules form free radicals that can cause damage to macromolecules.
The most important target for radiation in the cell is DNA in the nucleus. Biological effects result when DNA damage is not repaired or is improperly repaired. Extensive damage to DNA can lead to cell death. Large numbers of cells dying can lead to organ failure and death for the individual. Damaged or improperly repaired DNA may develop into lymphoma and cancers in somatic cells. Two kinds of effects may result.
  • Acute, or nonstochastic, effects are health effects, the severity of which varies with the dose and for which a threshold is believed to exist. Radiation-induced cataract formation is an example of a nonstochastic effect (also known as a deterministic effect).
  • Delayed, or stochastic, effects, are health effects that occur randomly and for which the probability of the effect occurring, rather than the severity, is assumed to be a linear function of the dose without threshold. Genetic effects and cancer incidence are examples of stochastic effects.

Tissue and Cell Sensitivity to Radiation

Radiation Safety Manual Table of Contents

 

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