Talapko Jasminka, Talapko Domagoj, Katalinić Darko, Kotris Ivan, Erić Ivan, Belić Dino, Vasilj Mihaljević Mila, Vasilj Ana, Erić Suzana, Flam Josipa, Bekić Sanja, Matić Suzana, Škrlec Ivana
Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.
Faculty of Electrical Engineering, Computer Science and Information Technology Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.
Medicina (Kaunas). 2024 Apr 18;60(4):653. doi: 10.3390/medicina60040653.
Radioactivity is a process in which the nuclei of unstable atoms spontaneously decay, producing other nuclei and releasing energy in the form of ionizing radiation in the form of alpha (α) and beta (β) particles as well as the emission of gamma (γ) electromagnetic waves. People may be exposed to radiation in various forms, as casualties of nuclear accidents, workers in power plants, or while working and using different radiation sources in medicine and health care. Acute radiation syndrome (ARS) occurs in subjects exposed to a very high dose of radiation in a very short period of time. Each form of radiation has a unique pathophysiological effect. Unfortunately, higher organisms-human beings-in the course of evolution have not acquired receptors for the direct "capture" of radiation energy, which is transferred at the level of DNA, cells, tissues, and organs. Radiation in biological systems depends on the amount of absorbed energy and its spatial distribution, particularly depending on the linear energy transfer (LET). Photon radiation with low LET leads to homogeneous energy deposition in the entire tissue volume. On the other hand, radiation with a high LET produces a fast Bragg peak, which generates a low input dose, whereby the penetration depth into the tissue increases with the radiation energy. The consequences are mutations, apoptosis, the development of cancer, and cell death. The most sensitive cells are those that divide intensively-bone marrow cells, digestive tract cells, reproductive cells, and skin cells. The health care system and the public should raise awareness of the consequences of ionizing radiation. Therefore, our aim is to identify the consequences of ARS taking into account radiation damage to the respiratory system, nervous system, hematopoietic system, gastrointestinal tract, and skin.
放射性是一个过程,在此过程中不稳定原子的原子核自发衰变,产生其他原子核,并以α(α)和β(β)粒子形式的电离辐射以及γ(γ)电磁波的发射形式释放能量。人们可能会以各种形式接触辐射,比如作为核事故的受害者、发电厂的工人,或者在医疗保健领域工作并使用不同辐射源时。急性放射综合征(ARS)发生在短时间内受到非常高剂量辐射的个体身上。每种辐射形式都有独特的病理生理效应。不幸的是,高等生物——人类——在进化过程中并未获得直接“捕获”辐射能量的受体,辐射能量是在DNA、细胞、组织和器官层面传递的。生物系统中的辐射取决于吸收能量的量及其空间分布,尤其取决于线能量传递(LET)。低LET的光子辐射会导致在整个组织体积内均匀的能量沉积。另一方面,高LET辐射会产生快速布拉格峰,产生低输入剂量,随着辐射能量的增加,其在组织中的穿透深度也会增加。其后果是突变、细胞凋亡、癌症发展和细胞死亡。最敏感的细胞是那些分裂活跃的细胞——骨髓细胞、消化道细胞、生殖细胞和皮肤细胞。医疗保健系统和公众应该提高对电离辐射后果的认识。因此,我们的目标是考虑到辐射对呼吸系统、神经系统、造血系统、胃肠道和皮肤的损害,确定急性放射综合征的后果。