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Radiation-induced Cancer
Carcinogenesis as a long-term late effect of radiation exposure.
26
Physics
Undergraduate 4
11/08/2008

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Cards

Term
In what year was it proven that exposure to radiation can indeed cause cancer?
Definition
1902
Term
What is the most thoroughly studied human carcinogen?
Definition
Radiation
Term
Most radiation-induced cancers have what type of dose-response relationship?
Definition
linear-quadratic
Term
Breast cancer and thyroid cancer have which type of dose-response relationship?
Definition
Direct-linear
Term
How is radiation-induced cancer different from non-radiation-induced cancer?
Definition
It isn't - radiation does not produce a unique cancer - cancer caused by radiation exposure acts like any other cancer.
Term
These six types of tissues/organs are the most prone to radiation-induced cancer:
Definition
1. Bone marrow
2. Breast
3. Thyroid
4. Colon
5. Lung
6. Stomach
Term
Which stage of radiation sickness is relatively long in radiation-induced cancers?
Definition
Latent
Term
The latent period for radiation-induced cancers can be up to ** years.
Definition
50
Term
What is the latent period range for:
Most solid tumors?
Leukemia?
Definition
Most solid tumors: 10 to 50 years.
Leukemia: 5 to 10 years.
Term
The most commonly occurring radiation-induced cancer is:
Definition
leukemia
Term
What is the DRR for leukemia?
Definition
Linear-Quadratic
Term
At what dose level does the incidence level become exponential for leukemia?
Definition
Above 300 RADs (acute OR chronic)
Term
Which form of leukemia do adults tend to develop? Children? Which is more aggressive?
Definition
Adults: Myelogenous leukemia
Children: Lymphatic leukemia - more aggressive
Term
What did Marie Curie and her daughter both die of?
Definition
Myelogenous leukemia
Term
Name the three main sources of data we have for leukemia as a response to radiation exposure.
Definition
1. Atomic bomb survivors
2. Radiologists and radiographers
3. Radiation therapy patients with ankylosing spondylitis in England 1935-1955
Term
For leukemia, give the relative risks for the survivors of Hiroshima and Nagasaki and explain why they are different
Definition
Hiroshima: 5.08
Nagasaki: 2.85
Hiroshima was a Uranium bomb which emitted higher LET radiation than the Plutonium bomb used in Nagasaki
Term
What is the latent period and at-risk period for leukemia as a LTLE?
Definition
Latent period: 5 to 10 years
At-risk period: 20 years
Term
Which gender is more susceptible to radiation-induced leukemia? By how much?
Definition
Males are 1.5 to 2 times more susceptible.
Term
For radiologists and radiographers, give the relative risks of leukemia for:
1) before 1943
2) 1948-1963
3) Since 1970
Definition
1) before 1943 -- RR=10
2) 1948-1963 -- RR=2
3) Since 1970 -- RR=1
Term
Give the relative risk and absolute risk for patients who received radiation therapy in England from 1935-1955 for ankylosing spondylitis.
Definition
RR = 9.5
Absolute risk = 0.8/million/RAD/year
Term
What report summarized all the data for the three major studies done on leukemia as a LTLE?
Definition
NAS-BEIR report: National Academy of Scientists-Biological Effects of Ionizing Radiation
Term
The NAS-BEIR report made two general statements about radiation exposure and leukemia. The are:
Definition
1) A single dose of 10 RADs increases risk of leukemia by 2.6%
2) A dose of 1 RAD per year over a lifetime (75 years) increases risk of leukemia by 14%.
Term
Thyroid cancer accounts for what percentage of all cancers worldwide?
What type of DRR does it have?
Definition
1% to 2%
Linear-direct.
Term
For thyroid cancer, the two major studies giving data for radiation exposure are:
Definition
1) Ann Arbor Study - children who received radiation to thymus gland as babies
2) Rochester Study - children who received radiation therapy for tonsillitis and acne
Term
Thyroid cancer (from radiation exposure) has been show to affect which gender more? by how much?
Definition
Female children 4x more than male children.
Term
Give the latent period and absolute risk for thyroid cancer based on the Ann Arbor and Rochester studies
Definition
Latent period: 5 to 35 years
Absolute risk: 2.5/million/RAD/year
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