
Radiation
Effects, effects observed when ionizing
radiation
strikes living tissue and damages the molecules of cellular matter. Cellular
function may be temporarily or permanently impaired from the radiation, or the
cell may be destroyed. The severity of the injury depends on the type of
radiation, the absorbed dose, the rate at which the dose was absorbed, and the
radiosensitivity of the tissues involved. The effects are the same, whether from
a radiation source outside the body or from material within.

The
biological effects of a large dose of radiation delivered rapidly differ greatly
from those of the same dose delivered slowly. The effects of rapid delivery are
due to cell death, and they become apparent within hours, days, or weeks.
Protracted exposure is better tolerated because some of the damage is repaired
while the exposure continues, even if the total dose is relatively high. If the
dose is sufficient to cause acute clinical effects, however, repair is less
likely and may be slow even if it does occur. Exposure to doses of radiation too
low to destroy cells can induce cellular changes that may be detectable
clinically only after some years.
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II.
Acute Effects
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High
whole-body doses of radiation produce a characteristic pattern of injury. Doses
are measured in grays
or rads,
1 gray being equal to the dose absorbed when one kilogram of matter absorbs one
joule of ionizing radiation, and 100 rads being equal to 1 gray. Doses of more
than 40 grays severely damage the human vascular system, causing cerebral edema,
which leads to profound shock and neurological disturbances; death occurs within 48 hours. Whole-body doses of
10 to 40 grays c
ause less severe vascular damage, but they lead to a loss of
fluids and electrolytes into the intercellular spaces and the gastrointestinal
tract; death occurs within ten days as a result of fluid and electrolyte
imbalance, severe bone-marrow damage, and terminal infection. Absorbed doses of
1.5 to 10 grays cause destruction of human bone marrow, leading to infection and
hemorrhage; death, if it occurs, can be expected about four to five weeks after
exposure. Currently only the effects of these lower doses can be treated
effectively; but if untreated, half the persons receiving as little as 3 to 3.25
grays to the bone marrow will die.
Exposure
of small areas of the body¡Xthe most frequent kind of radiation
accident¡Xleads to localized tissue damage. Damage to the blood vessels in
exposed areas causes disturbed organ function and, at higher doses, necrosis
(localized tissue death) and gangrene.
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