Dose dependence, radiation-induced

Radiation is carcinogenic. The frequency of death from cancer of the thyroid, breast, lung, esophagus, stomach, and bladder was higher in Japanese survivors of the atomic bomb than in nonexposed individuals, and carcinogenesis seems to be the primary latent effect of ionizing radiation. The minimal latent period of most cancers was <15 years and depended on an individual s age at exposure and site of cancer. The relation of radiation-induced cancers to low doses and the shape of the dose-response curve (linear or nonlinear), the existence of a threshold, and the influence of dose rate and exposure period have to be determined (Hobbs and McClellan 1986). 

The incidence of ovarian tumors in mice, guinea pigs, and rabbits increased after 3 years of chronic irradiation at doses as low as 1.1 mGy daily (Lorenz et al. 1954). Unlike other tumors, the induction of ovarian tumors depended on a minimum total dose and seemed to be independent of a daily dose (Lorenz et al. 1954). Radiation-induced neoplastic transformation of hamster cells may be associated initially with changes in expression of the genes modifying cytoskeletal elements (Woloschak et al. 1990b). 

Following intravenous injection of Thorotrast in humans and animals, various malignancies were found, primarily liver cancers (latency period of 25-30 years), leukemia (latency period of 20 years), and bone cancers (latency period of about 26 years). Short-lived daughter products of thorium also resulted in the induction of bone sarcoma because of their short radioactive half-lives. Intravenous injection of thorium-228 resulted in dose-dependent induction of bone sarcoma in dogs (Lloyd et al. 1985 Mays et al. 1987 Stover 1981 Wrenn et al. 1986). At the highest administered level, the animals died from systemic radiological effects (e.g., radiation induced blood dyscrasia and nephritis) before the bone sarcoma could develop (Stover 1981 Taylor et al. 1966). A relationship was found between the amount of thorium-227 (half-life of 18.7 days) injected intraperitoneally and the incidence of bone sarcoma in mice (Luz et al. 1985 Muller et al. 1978). 

The possible formation of an alloyed or a core-shell cluster depends on the kinetic competition between, on one hand, the irreversible release of the metal ions displaced by the excess ions of the more noble metal after electron transfer and, on the other hand, the radiation-induced reduction of both metal ions, which depends on the dose rate (Table 5). The pulse radiolysis study of a mixed system [66] (Fig. 7) suggested that a very fast and total reduction by the means of a powerful and sudden irradiation delivered for instance by an electron beam (EB) should prevent the intermetal electron transfer and produce alloyed clusters. Indeed, such a decisive effect of the dose rate has been demonstrated [102]. However, the competition imposed by the metal displacement is more or less serious, because, depending on the couple of metals, the process may not occur [53], or, on the contrary, may last only hours, minutes, or even seconds [102]. 

Whatever mathematical model is assumed for the dose-incidence relationship, it is noteworthy that susceptibility can vary markedly with age, so that the radiation-induced cancer excess at various times after irradiation may more nearly approximate a constant percentage of the natural age-specific incidence than a constant number of additional cases, depending on the neoplasm in question. For some individual neoplasms, but not the leukemias, the data do in fact suggest that the "relative risk model is more appropriate than the absolute risk model (see Section 6.1.7). For all neoplasms combined, also, the excess of radiation-induced cases at different times after irradiation approximates more nearly a constant percentage of the age-specific incidence. 

Of special interest in the recent years was the kinetics of defect radiation-induced aggregation in a form of colloids-, in alkali halides MeX irradiated at high temperatures and high doses bubbles filled with X2 gas and metal particles with several nanometers in size were observed [58] more than once. Several theoretical formalisms were developed for describing this phenomenon, which could be classified as three general categories (i) macroscopic theory [59-62], which is based on the rate equations for macroscopic defect concentrations (ii) mesoscopic theory [63-65] operating with space-dependent local concentrations of point defects, and lastly (iii) discussed in Section 7.1 microscopic theory based on the hierarchy of equations for many-particle densities (in principle, it is infinite and contains complete information about all kinds of spatial correlation within different clusters of defects). 

Radiation-induced chlorination of polyisobutene in carbon tetrachloride was studied at various temperatures. The process is a chain reaction with a G value of about 10 to 105, depending on the reaction conditions. At very low dose rates (0.1 to 0.2 rad I sec), the chlorination rate is directly proportional to the dose rate. At higher dose rates, the rate approaches a square-root dependence on the dose rate. The termination reaction and the influence of oxygen are discussed. The reaction is first order with respect to chlorine concentration. An activitation energy of about 4 kcal/mole was obtained. In connection with the chlorination reaction, degradation of the polyisobutene takes place. This degradation was followed by osmometric measurements. The structure of the chlorinated product was briefly investigated by IR spectroscopy. 

Massive diffuse hemorrhage due to cyclophosphamide-induced or radiation cystitis has been treated successfully with intravesicular PGE1 PGEj, and carboprost. Febrile reactions and severe bladder spasm are dose-dependent (63-65). 

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