Radioactive Isotopes

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RADIOACTIVE ISOTOPES

Objectives:
 Introduction
 Definition
 Clinical Applications
 Biological effects of radiations
 Precautions
Introduction:
 Lord Ernest Rutherford (Nobel prize, 1908) put forward the nuclear
theory of atom.
 Proton carries one positive charge
 Neutron carries no net charge. It has the same mass as that of
proton. Protons and neutrons together constitute the nucleus of
atoms.
 Electron is generally abbreviated as e and revolves around the
nucleus.
 Valency: Electrons are taking part in all chemical reactions. The
electrons revolve around the nucleus at different energy levels or in
shells.
Definition:
1. ISOTOPES: Isotopes are the elements having the same atomic
number (protons) but different mass number (varying number of
neutrons).
2. RADIOACTIVITY: The spontaneous degradation of nucleus and
transmutation of one element to another with consequent emission
of rays or particles is known as radioactivity.
3. Curie (Ci): One Curie, abbreviated as Ci, is equivalent to 3.7 ×
1010 disintegrations per second (dps).
4. Becqueral (Bq): Becqueral (Bq) is defined as decay per second,
(dps). 1 Bq = 1 dps. It is often expressed as kilobecquerals (kBq).
5. Half-life: The half-life is the time taken for a radioactive isotope to
become half of its original activity.
Clinical Applications:
 Radioactivity is used for treatment of cancer.
 131I are used to detect functional derangements of thyroid gland.
 Twenty-four hours after administering the dose of 131I
intravenously, the patient is placed under the scanner, which detects
the radioactive emissions from the neck region.
 Bone scanning: 90Sr (radioactive strontium) is employed.
Osteoblastoma (cancer arising from bone forming cells) could be
detected very early by this method
 Kidney scanning is done by injecting 131I-labeled hippuran
Biological effects of radiations:
 Direct Effects on Cancer Tissues:
 The radiation damages DNA molecules.
 But the damage is observed during the next mitosis. Since new DNA
cannot be synthesized, cells die at the attempt of the next division.
 Indirect Effects on Cancer Tissues:
 Damage to local blood supply cuts off the nutrition and causes local
necrosis and cell death.
 Effects on Skin:
 Sweat glands may be permanently damaged.
 There may be erythema and sometimes blisters. This is called acute
radiodermatitis.
 Chronic radio dermatitis is seen after a few months of radiotherapy.
There will be atrophy of skin, hypopigmentation, fibrosis, loss of
elasticity
 Effects on Mucous Membrane:
 The gastrointestinal mucosa is very sensitive to radiation.
 These include nausea, vomiting, diarrhea and in severe cases
ulceration and bleeding.
 Effects on Blood Cells:
 Bone marrow and lymphoid tissues are highly radiosensitive
because of the higher rate of cell division in these organs.
 Effects on Reproductive Organs:
 Gonads (ovary and testis) are highly radiosensitive. Complete
sterility is effected at 1000 rads.
Radiation Monitoring and Precautions:
 Doctors, nurses, radiographers and research workers using the
radioactive substances should wear a badge containing a piece of
film.
1. Keep the source farther away.
2. Shield the radioactive sources; cover them with lead bricks.
3. Handling is done by remote devices. Use lead-rubber gloves and
aprons.
4. Radioactive materials are to be handled with speed. The shorter
the time spent near the source, the lower the dose received

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