Princpios_de_Radiobiologia.pdf

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    P R

    A S R, G, FCM,UNLLIP, B, J 2010

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    I

    W :

    W : C R

    E R

    R

    I :

    R P

    R C P R G

    H :

    X

    N M

    C (, , )

    O

    N A

    N

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    H

    L

    K

    P

    G, B

    C, B

    L, G

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    M S I

    2.4 S/

    I CT

    BEIR V, NRC, 1990

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    ?

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    C

    A : 1 G (G) = 1J/ ,

    S

    QUALITY FACTOR

    1 G

    1 G X .

    G, 1

    B, 1

    N, 5

    N, 20

    A, 20

    A SIEVERT (S)

    ,

    , X

    .

    H () = D (G)

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    S

    C

    E (E) (HT) WT

    .

    E = HT x WT

    O WT

    G 0.20

    B ,C, , 0.12

    B, , , 0.05

    S, 0.01

    ICRP

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    P

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    A P

    R

    H L H L

    I

    D

    I

    D

    W

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    C

    I

    DNA

    DNA

    C

    L

    D

    I

    (

    )

    S

    E R

    C

    H

    G

    S

    M, 2005; L, 2003

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    S NS

    S ( )

    S ,

    ()

    CM H

    S A C

    F

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    KIN EFFEC

    A ( RX)

    > 2 - 3 Gy Epilation (temp.; def > 7 10 Gy)> 3 Gy Erythema (> 1 week)

    Heals with (dry) desquamation and

    > 10 - 20 Gy Erythema, oedema, large painful blisters,

    wet desquamation, ulceration (weeksmonths),radionecrosis.

    Heals slowly with atrophy, telangiectasia, irregularpigmentation

    Some lesions may never completely heal chronicstage

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    A

    6,5 . I192

    Turaie.a., BMJ 2004, 328: 568-572

    2: , 9: ,

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    A

    T ,

    .

    T .

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    DEELOPMEN EFFEC

    G:

    E :

    P (0 9 )

    O (10 6 ) G

    / () F ( 6 )

    O .> 0,1 S ( ), 10 26 , .

    M J

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    FEILI EFFEC

    Doses, in general, lower than 10% of lethal doses induce alterations inthe reproductive organs

    Female Sex: Greater probability of sterility in older women.

    Doses of 3 Gy (gonads) can provoke temporary sterilityin oun women but ermanent in older women.

    Doses > 4 Gy (gonads) provoke permanent sterilityregardless of age.

    Male Sex:

    Temporary sterility and qualitative alterations in sperm

    with doses of 0,15 Gy (gonads). Permanent sterility with doses between 3,5 and 6 Gy

    (gonads).

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    GENETIC (HEREDITARY ) EFFECTS?

    N ()

    C

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    CANCER EFFECTS

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    F X

    W

    ?

    50 100

    )!

    10 50 ()!

    B, PNAS, 2003

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    R CT

    P C

    1989: 4% C

    1993: 6%

    UNSCEAR 2000; B, D.

    2000: 11%

    : 6 100

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    P, R, 1999

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    C

    60

    80

    sdatiride

    Bielorssia (2.000.000)

    Ucrnia (11.000.000)Bryansk (300.000)

    Orel-Tula-Kaluga (800.000)

    Nmero de casos de cancro da tiride em crianas

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    P ( ) A 20(S)1

    L (19861987)

    ( )240 000 >100

    E (1986) 116 000 >33

    R SCZ (>555

    B/2)(19862005)270 000 >50

    T 20

    C

    R . (37B/2) (19862005)

    5 000 000 1020

    N 2.4 S/ (

    110, >20)48

    A : CT 12 S

    0.13 S

    0.08 S

    [1] T . WHO, 2006

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    D (G) P 19501997

    D E

    F

    < 0.005 37,458 3833 3844 0

    O 19501997

    (L S S)

    . . ,

    0.10.2 5732 668 622 39

    0.20.5 6332 763 678 97

    0.51 3299 438 335 109

    12 1613 274 157 103

    2+ 488 82 38 48

    T 86,572 9335 8895 440

    (K, ICS, 2007; P, R. R., 2003)

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    B

    aleffect

    Dose

    Biolog

    i

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    Between 1944 and 2002: 420 incidents worldwide

    134 deaths (28 deaths Chernobyl 1986)

    G

    0% ra at ons nc ents n n ustry

    10% medical incidents (diagnosis/therapy)

    50% of fatal exposures due to calibration errors inmedical equipment or because of insecure storageof spent sources for radiotherapy

    T E.A., BMJ, 2004

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    CELLLA AND MOLECLA EFFEC

    B

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    DNA LEION

    Ionizing

    Radiation

    (DSB)

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    H LE

    M

    ( )

    L LE

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    H DNA ?

    J.P. P, S. J. M, E J N M (2001) 28:541561

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    R DSB

    J H. J. H N 411, 366374 (2001)

    M 100

    I DNA

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    ()

    N

    ()

    T

    ()

    R

    ()

    D

    ()

    C

    ()

    C

    C

    B

    N.G.O, (2003)

    C

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    R

    C

    D

    F

    F

    O M.G 2002

    T F

    D

    D

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    D C

    L, A. 2006

    G !

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    C

    H

    79

    A

    (1) (2) (3)

    N.O , 2002

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    30

    40

    50

    60

    70

    /100

    C

    A : 5 G

    H: 2 G

    L F: 50 G

    0

    10

    20

    0 50 100 150 200 250

    D

    ()

    M

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    M

    C B N.O , 2002

    M

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    M

    M

    M

    O M.G 2002

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    O DNA:

    R

    DC

    (H )

    (DSB)

    /FIH

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    /FIH

    ..

    /FIH

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    /FIH

    O M.G ITN

    H2A

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    H2A

    No possvelapresentar aimagem.O computador podeno ter memriasuficienteparaabrir aimagemou a imagempodeter sido danificada.Reinicieo computador e,emseguida,abra o ficheiro novamente.Seo x vermelho continuar aaparecer,poder ter deeliminar aimagemeinseri-lanovamente.

    H2A

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    H2A

    C

    No possvelapresentar aimagem.O computador podeno ter memriasuficienteparaabrir aimagemou a imagempodeter sido danificada.Reinicieo computador e,emseguida,abra o ficheiro novamente.Seo x vermelho continuar aaparecer,poder ter deeliminar aimagemeinseri-lanovamente.

    A

    (H )

    H2AX

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    H2AX

    H2AX

    No possvelapresentar aimagem.O computador podeno ter memriasuficienteparaabrir aimagemo u aimagempodeter sido danificada.Reinicieo computador e,emseguida,abra o ficheiro novamente.Se o x vermelho continuar aaparecer,poderter deeliminar aimagemeinseri-lanovamente.

    DSB induction in MRC-5 cells. -H2AX foci werecounted 3 min after irradiation

    PFGE

    R L, PNAS, 100, 50575062 (2003)

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    CAE DIE

    D

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    1

    1,2

    1,4

    1,6

    (%)

    D

    131I (2590 MB)

    D (G) : 200 300 G

    0

    0,2

    0,4

    0,6

    0,8

    T0 T1 T6 T24

    D

    O.M G ., M, 15, 6975,2000

    M

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    A G 1,400 C

    137

    T , ,

    G

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    112000 (10 % )

    250

    20

    G

    ,

    R 28 14

    8 ARS

    4 ()

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    C (CA)

    137C G, B ( )

    D CA

    129

    5 > 3 G

    16 > 1G

    24 > 0.5 G

    IAEA, 1988

    137C

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    137C

    G, B (10 )

    12

    14

    16

    18

    20

    000

    clulas

    00

    0.8 G

    0.9 G

    1.9 G

    1.0 G

    0.8 G

    M.L. C

    0

    2

    4

    6

    8

    10

    I1 I1 I3 I4 I5 I6 I7 I8 I9 I10 C1 C2 C3 C4 C5

    Transloca

    es/

    Indivduos estudados

    T/1

    D (G)

    D (G)

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    P?

    Cartografia doCartografia do radorado emem

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    Cartografia doCartografia do radorado ememPortugalPortugal

    60 % < 50 B/3

    2,6 % > 400 B/3

    A U E (D

    90/143/EURATOM)

    < 25

    25 - 50

    50 - 200

    Locais com concentraes superiores a 400 Bq/m3.

    Legenda: Rado (Bq/m3)

    [mdias anuais por concelho]

    400 B/3

    200 B/3.

    Instituto Tecnolgico e NuclearInstituto Tecnolgico e NuclearDepartamento de Proteco RadiolgicaDepartamento de Proteco Radiolgicae Segurana Nucleare Segurana Nuclear