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Health Sciences · Medicine

Effects of Radiation Exposure
Research Guide

What is Effects of Radiation Exposure?

Effects of radiation exposure refer to the biological and clinical consequences of ionizing radiation on living tissues, including DNA damage, oxidative stress, normal tissue injury, genomic instability, bystander effects, hormesis, radioprotectors, radiotherapy outcomes, apoptosis, and fibrosis.

Research on effects of radiation exposure encompasses 60,347 works focused on mechanisms such as radiation-induced bystander effects, hormesis, and oxidative stress. Key studies quantify DNA damage in individual cells and establish toxicity criteria for radiation therapy. Findings also address normal tissue tolerance and radiation sensitivity of progenitor cells like mouse bone marrow cells.

Topic Hierarchy

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graph TD D["Health Sciences"] F["Medicine"] S["Radiology, Nuclear Medicine and Imaging"] T["Effects of Radiation Exposure"] D --> F F --> S S --> T style T fill:#DC5238,stroke:#c4452e,stroke-width:2px
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60.3K
Papers
N/A
5yr Growth
737.0K
Total Citations

Research Sub-Topics

Why It Matters

Effects of radiation exposure directly inform radiotherapy safety and efficacy, with Emami et al. (1991) in "Tolerance of normal tissue to therapeutic irradiation" defining maximum tolerable doses for organs such as the kidney at 23 Gy and the liver at 30 Gy to minimize injury during cancer treatment. Cox et al. (1995) in "Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European organization for research and treatment of cancer (EORTC)" standardize grading of acute and late radiation toxicities, enabling consistent clinical trials and patient management across oncology centers. Pearce et al. (2012) in "Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study" report a dose-response relationship where cumulative CT doses above 30 mGy increase leukemia risk by threefold and brain tumors by threefold in children, guiding pediatric imaging protocols to reduce cancer incidence.

Reading Guide

Where to Start

"A simple technique for quantitation of low levels of DNA damage in individual cells" by Singh et al. (1988) because it introduces the foundational comet assay for measuring radiation-induced DNA damage in single cells, cited 10,689 times as a core method.

Key Papers Explained

Singh et al. (1988) "A simple technique for quantitation of low levels of DNA damage in individual cells" establishes DNA damage quantitation, building to Till and McCulloch (1961) "A Direct Measurement of the Radiation Sensitivity of Normal Mouse Bone Marrow Cells" and Franken et al. (2006) "Clonogenic assay of cells in vitro" for cell survival assays. Emami et al. (1991) "Tolerance of normal tissue to therapeutic irradiation" and Cox et al. (1995) "Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European organization for research and treatment of cancer (EORTC)" translate these to clinical tolerances and grading. Pearce et al. (2012) "Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study" applies findings to epidemiological risks.

Paper Timeline

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graph LR P0["The limited in vitro lifetime of...
1965 · 5.8K cites"] P1["A simple technique for quantitat...
1988 · 10.7K cites"] P2["Tolerance of normal tissue to th...
1991 · 4.4K cites"] P3["Toxicity criteria of the Radiati...
1995 · 4.8K cites"] P4["Clonogenic assay of cells in vitro
2006 · 4.0K cites"] P5["Oxidative stress, inflammation, ...
2010 · 5.1K cites"] P6["A Direct Measurement of the Radi...
2010 · 4.1K cites"] P0 --> P1 P1 --> P2 P2 --> P3 P3 --> P4 P4 --> P5 P5 --> P6 style P1 fill:#DC5238,stroke:#c4452e,stroke-width:2px
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Most-cited paper highlighted in red. Papers ordered chronologically.

Advanced Directions

Current research extends genomic instability and bystander effects into radiotherapy optimization, with focus on oxidative stress links to inflammation and cancer as in Reuter et al. (2010) "Oxidative stress, inflammation, and cancer: How are they linked?". No recent preprints or news reported.

Papers at a Glance

# Paper Year Venue Citations Open Access
1 A simple technique for quantitation of low levels of DNA damag... 1988 Experimental Cell Rese... 10.7K
2 The limited in vitro lifetime of human diploid cell strains 1965 Experimental Cell Rese... 5.8K
3 Oxidative stress, inflammation, and cancer: How are they linked? 2010 Free Radical Biology a... 5.1K
4 Toxicity criteria of the Radiation Therapy Oncology Group (RTO... 1995 International Journal ... 4.8K
5 Tolerance of normal tissue to therapeutic irradiation 1991 International Journal ... 4.4K
6 A Direct Measurement of the Radiation Sensitivity of Normal Mo... 2010 Radiation Research 4.1K
7 Clonogenic assay of cells in vitro 2006 Nature Protocols 4.0K
8 A Direct Measurement of the Radiation Sensitivity of Normal Mo... 1961 Radiation Research 3.7K
9 Radiation exposure from CT scans in childhood and subsequent r... 2012 The Lancet 3.6K
10 Management of Virus Hepatitis 1964 The Lancet 2.9K

Frequently Asked Questions

What technique quantifies low levels of DNA damage from radiation in individual cells?

Singh et al. (1988) in "A simple technique for quantitation of low levels of DNA damage in individual cells" describe the comet assay, which detects single-strand breaks by electrophoresis of lysed cells forming comet-like tails. The tail moment measures damage extent, applied to assess radiation-induced genomic instability. This method enables detection at low doses relevant to environmental and medical exposures.

How is normal tissue tolerance to therapeutic irradiation defined?

Emami et al. (1991) in "Tolerance of normal tissue to therapeutic irradiation" provide dose-volume tolerances for complications like myelopathy at 60 Gy for spinal cord. Tolerances vary by endpoint, such as 45 Gy for 5% risk of severe liver damage. These guidelines shape radiotherapy planning to balance tumor control and toxicity.

What are standard toxicity criteria in radiation therapy?

Cox et al. (1995) in "Toxicity criteria of the Radiation Therapy Oncology Group (RTOG) and the European organization for research and treatment of cancer (EORTC)" grade acute effects from grade 1 (mild) to grade 5 (death) and late effects similarly. Criteria cover skin, mucosa, and organ-specific reactions like pneumonitis. They standardize reporting in clinical studies.

What is the radiation sensitivity of normal mouse bone marrow cells?

Till and McCulloch (1961) in "A Direct Measurement of the Radiation Sensitivity of Normal Mouse Bone Marrow Cells" use splenic colony counts to measure survival post-irradiation. Progenitor cells show D0 of 95 rads and extrapolation number of 1.6. This clonogenic assay establishes hematopoietic stem cell radiosensitivity benchmarks.

How does childhood CT radiation exposure affect cancer risk?

Pearce et al. (2012) in "Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study" find children with cumulative doses of 30-60 mGy from CT scans have three times higher leukemia risk. Brain tumor risk triples at doses over 60 mGy. The study covers 178,000 UK children followed for cancer incidence.

What is a clonogenic assay for radiation effects?

Franken et al. (2006) in "Clonogenic assay of cells in vitro" detail plating cells post-irradiation and counting colonies from surviving clonogens. Survival curves quantify radiosensitivity via SF2 (surviving fraction at 2 Gy). It assesses reproductive cell death from radiation-induced damage.

Open Research Questions

  • ? How do radiation-induced bystander effects propagate genomic instability beyond directly exposed cells?
  • ? What molecular pathways mediate radiation hormesis in low-dose exposures?
  • ? Which radioprotectors most effectively mitigate oxidative stress and normal tissue injury during radiotherapy?
  • ? How does fibrosis develop temporally following radiation-induced apoptosis in normal tissues?
  • ? What dose-response models best predict long-term cancer risks from low-dose diagnostic radiation like CT scans?

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