Tag: Radiation Health Effects

31 Jan 2025

What Really Happens? The Impact of Radiation Inside the Body

What is Radiation?

Radiation is a fundamental phenomenon that exists as a natural part of the world and universe. It is the emission and propagation of energy in the form of waves or particles through space or a material medium. At its most basic level, radiation occurs when unstable atomic nuclei release energy by emitting particles (such as alpha particles, beta particles, or neutrons) and/or electromagnetic waves (such as gamma rays). Electromagnetic radiation is also produced through several other processes: X-rays are generated when electrons transition between inner atomic energy levels or when fast-moving electrons are decelerated (bremsstrahlung), while UV radiation primarily comes from electron transitions in excited gases and thermal emission from very hot objects such as the sun. The impact of radiation has the potential to be either beneficial or destructive to biological systems.

Ionizing and Non-ionizing Radiation

Radiation is categorizable into two groups: ionizing radiation and non-ionizing radiation. Ionizing radiation has enough energy to remove tightly bound electrons from atoms, creating charged particles (ions). This group includes alpha particles, beta particles, gamma rays, X-rays, and neutrons. Ionizing radiation is commonly associated with medical applications, such as X-rays and radiotherapy, but it also occurs naturally, as in the form of cosmic rays or radon decay.

In contrast, non-ionizing radiation does not have sufficient energy to ionize atoms or molecules. This group includes ultraviolet (UV) radiation, visible light, infrared radiation, microwaves, and radio waves. However, ultraviolet (UV) radiation exists on the boundary: lower-energy UV radiation is typically non-ionizing, while higher-energy UV radiation, such as extreme UV, can ionize atoms and molecules. Non-ionizing radiation is generally less harmful and technologies such as communication devices and heating systems use it. On the beneficial side, the visible light radiation coming from the sun enables photosynthesis in plants and infrared radiation provides warmth. As is also common knowledge, the use of X-Rays in medicine is very popular in current times.

Regardless of whether radiation is produced naturally through something such as UV rays, or the high-energy radiation created by humans for radiotherapy and other medical procedures, there are biological impacts for any living creature that encounters it. Today, we will explore the impact of radiation on a cellular level and why, despite these potentially harmful effects, the risk is worth the reward when it comes to continued radiation use.

How Does it Affect the Body Overall?

Ionizing radiation can cause damage to one’s cells in different ways:

Cellular Impact of Radiation

Although any cell within the body exposed to ionizing radiation can have a reaction to it, the impact of this radiation depends heavily on which types of cells are exposed and the intensity of the radiation. Cells, by default, have mechanisms to repair DNA damage. Should the repair be successful, then the cell can continue to function as normal.

Some of the human body’s cells, especially those that have rapidly dividing tissues such as bone marrow and the gastrointestinal system, are more vulnerable to radiation damage.3

Animal Cells and Irradiation Effects

  1. DNA Damage and Mutations: Damage to DNA is probably the most significant consequence of radiation exposure. Radiation can cause single-strand or double-strand breaks in the DNA, which may lead to mutations or chromosomal abnormalities as a result of errors in the repair process. Any such DNA mutation can alter how genes normally function and may result in cancerous growths or even developmental abnormalities, should the cell replicate with damaged DNA.4
  2. Cell Death: Most commonly, cell death from radiation is mitotic death. During the process of cell division, damage to the chromosomes cause cells to fail to complete their replication and die. This occurs most often when radiation damage is severe enough, as happens with double strand breaks, causing failed or incorrect repair. A secondary type of cell death that may occur is apoptosis. Apoptosis, known as programmed cell death, is normally a natural process to aid in getting rid of dysfunctional or no longer needed cells. For example, apoptosis is what allows the tadpole to lose its tail. Radiation damage may also cause a cell to enter into the apoptosis cycle leading to cell death and impaired organ function.5 Radiation induced apoptosis, however, is highly dependent on the type of cell being most common blood cells and cells associated with the immune system.
  3. Genetic Instability and Cancer: One of the most concerning effects of radiation on cells is the potential to cause cancer. The DNA mutations mentioned earlier can lead to the development of oncogenes (genes that promote cancer) or the inactivation of tumor suppressor genes. When these changes happen in critical genes that control the cell cycle and cell division, it can result in uncontrolled cell growth. This, more often than not, leads to cancer.5

Plant cells also may suffer radiation damage. Due to differences of structure and metabolism between animal and plant cell types, plant cells have a higher resistance to the effects of radiation making them more tolerant to ionizing radiation than animals.6 For plants, radiation has a less significant impact and can sometimes produce beneficial effects.

Plant Cells and Irradiation Effects

  1. DNA Damage and Mutations: As with animal cells, the nucleus of plant cells is the area of highest injury from ionizing radiation. The amount of damage that may occur to the DNA is dependent on chromosome volume. This volume changes between plants and is also affected by the different stages of the plant life cycle. Mutations (DNA deletions, base substitutions, and chromosomal alterations) can vary from non-lethal to lethal depending on the dosage of radiation exposure. 6
  2. Phenotypical Responses: As a consequence of the genetic mutations plant cells may develop after radiation exposure, the plant itself can go through a phenotypical response such as reduced growth, altered leaf morphology, and impaired development. High doses of irradiation (several Gy) can likely cause structural modifications during the plant’s growth, but chronic low levels of radiation may also introduce changes in plant traits. These studies are normally done with plant seeds that are irradiated and then observed as they develop. However, if the exposed cells have greater radioresistance, this resistance will prevent them from producing a more pronounced phenotypical response as the seed matures.6
  3. Photosynthesis: High doses of gamma radiation exposure to plants can result in a decrease of photosynthesis by disrupting the photosynthetic pigment–chlorophyll–and the photosynthetic electron transfer rate in some plants. As with the potential for DNA damage or mutations however, the impact to photosynthesis can be influenced by the plant’s developmental stage with younger or actively growing plants potentially experiencing a more significant impact compared to mature plants.6

How Radiation can Beneficially Impact the Body

Despite the tendency to associate the aforementioned biological effects with harm, radiation can have positive applications. These are mostly within the medical field but are recognizable throughout other industries as well. Here are a few ways that humans have turned the potency of radiation into a benefit:

Cancer Treatment (Radiotherapy):

Cancer treatment is, unsurprisingly, one of the most significant uses of radiation for good. High-energy radiation is usable for targeting and destroying cancerous cells by decreasing the rate of tumor cell proliferation through cell cycle arrest stimulated by DNA damage. By preferentially focusing radiation on solid tumors and limiting the dose to normal critical structure, cancer cells may be either killed or shrunk sufficiently to prevent cancer from spreading or to make it easier to remove through other means. Cancer cells divide rapidly, which makes them more sensitive to radiation than normal cells making them an ideal target for radiation therapy.7

  • Radiation in Chemotherapy: Radiation therapy is usable in conjunction with chemotherapy drugs, which increases the effectiveness of an overall treatment plan and can prevent tumor growth.8

Medical Imaging and Diagnostics

Diagnostic work and medical imaging benefit from radiation as well, as we’ve covered in previous blogs. Whether they are imaging options such as X-rays and CT scans, or nuclear medicine diagnostics using injected radioactive tracers, these techniques allow doctors to visualize internal structures of the body. This helps with diagnosis and monitoring of various health conditions and provides detailed anatomical information needed for planning radiation therapy. Although these procedures do involve exposure to low doses of radiation, the reward of accurate diagnosis and treatment planning to manage radiation treatment in the long run is worth the small but inherent risk.

Sterilization and Disinfection

Somewhat within and outside of the medical field, sterilizing medical equipment and food products is possible with ionizing radiation. This helps to reduce the risk of foodborne illnesses and infections. This is a process known as radiation sterilization. Through it, controlled doses of radiation can help to destroy bacteria, viruses, and other pathogens.

Balancing the Positive and Negative Aspects

The impact that radiation has at the cellular level and on the overall body is a double-edged sword: the potential to heal can also be potential for harm. When using radiation for things like treatment or imaging, the difficulty lies in ensuring as small a risk as possible while maximizing the benefit. Precise and controlled radiation doses in these procedures require careful planning and monitoring that have been developed over the years.

One of the arguments for the benefits of radiation exists in a hypothesis for how radiation can impact the body depending on dosage. Despite the harmful effects of radiation that we detailed earlier, scientists have seen evidence for some beneficial effects in an area known as radiation hormesis.

The radiation hormesis model supports the idea that low-dose radiation can stimulate adaptive or protective mechanisms within cells (both plant and mammalian) when exposed. This low-dose radiation can aid with prevention of both spontaneous and toxicant-related cancers, along with other adverse health effects. Through this stimulation, the adaptive protection developed by the cells would thereby improve health.10 The radiation hormesis model, though well known by professionals in the field, requires more research, time, and development. There are no accredited organizations in the medical physics world that recognize radiation hormesis as a usable model and the LNT (Linear-No-Threshold) model maintains as the worldwide safety standard.

Conclusion

Even if human-made radiation had never come to exist, natural radiation makes it an intrinsic part of our lives. Knowing the biological impact that radiation can have down to the cellular level allows us to harness its potential in the safest ways possible for the greatest benefits and smallest risk. Although radiation can damage cells in a way that leads to mutations, cancer, or even organ failure, it is vital in treating diseases, making diagnoses, and sterilizing necessary items like food or medical equipment. As with many sources in the world, humans must strike a balance with its use. Through understanding the full effects of radiation, good and bad, we pave the way to using radiation in an effective and responsible manner.

Sources

  1. Ionizing Radiation and Non-Ionizing Radiation – Frequently Asked Questions a RESOURCE for VETERANS, SERVICE MEMBERS, and THEIR FAMILIES. https://www.warrelatedillness.va.gov/WARRELATEDILLNESS/education/factsheets/Radiation.pdf
  2. Di Meo S, Venditti P. Evolution of the Knowledge of Free Radicals and Other Oxidants. Oxidative Medicine and Cellular Longevity. 2020;2020:1-32. doi:https://doi.org/10.1155/2020/9829176
  3. Nuclear Regulatory Commission. Reactor Concepts Manual Biological Effects of Radiation Biological Effects of Radiation.; 2023. https://www.nrc.gov/reading-rm/basic-ref/students/for-educators/09.pdf
  4. Baskar R, Dai J, Wenlong N, Yeo R, Yeoh KW. Biological response of cancer cells to radiation treatment. Frontiers in Molecular Biosciences. 2014;1(24). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4429645/
  5. Little JB. Principal Cellular and Tissue Effects of Radiation. Nih.gov. Published 2014. https://www.ncbi.nlm.nih.gov/books/NBK12344/
  6. Arena C, De Micco V, Macaeva E, Quintens R. Space radiation effects on plant and mammalian cells. Acta Astronautica. 2014;104(1):419-431. doi:https://doi.org/10.1016/j.actaastro.2014.05.005
  7. ‌ American Cancer Society. How Radiation Therapy Is Used to Treat Cancer. www.cancer.org. Published December 27, 2019. https://www.cancer.org/cancer/managing-cancer/treatment-types/radiation/basics.html
  8. Rallis KS, Yau THL, Sideris M. Chemoradiotherapy in Cancer Treatment: Rationale and Clinical Applications. Anticancer Research. 2021;41(1):1-7. doi:https://doi.org/10.21873/anticanres.14746
  9. Xiong Y, Jian H, Han X, Li L, Zhou L. A decade of incremental advances in radiopharmaceuticals: a promising future ahead. Journal of Translational Medicine. 2024;22(1). doi:https://doi.org/10.1186/s12967-024-05891-4
  10. Vaiserman AM. Radiation hormesis: historical perspective and implications for low-dose cancer risk assessment. Dose Response. 2010;8(2):172-191. Published 2010 Jan 18. doi:10.2203/dose-response.09-037.Vaiserman

21 Apr 2021

Deterministic vs. Stochastic Effects: What Are the Differences?

Ionizing radiation is useful for diagnosing and treating a range of health conditions–broken bones, heart problems, and cancer, for example.  Medical imaging with x-rays, diagnostic radiopharmaceuticals, and radiation therapy are often life-saving procedures.

However, the accidental or misuse of medical radiation can sometimes cause unforeseen and unfortunate consequences.  Radiation protection guidelines and policies help to ensure the safe use of radiation in the medical setting for both patients and staff.

The health effects of ionizing radiation are usually classified into two categories: deterministic and stochastic.

Deterministic Effects


According to the International Atomic Energy Agency (IAEA), a health effect that requires a specific level of exposure to ionizing radiation before it can occur is called a deterministic effect. The severity of a deterministic effect increases as the dose of exposure increases and considers a minimum threshold, below which no detectable clinical effects occur. This type of effect is predictable and reproducible.  For example, localized doses to certain parts of the body at increasing levels will result in the same biological effects.

Deterministic effects are caused by severe cell damage or death. Individuals who experience the physical effects of this cell death do so when it is large enough to cause significant tissue or organ impairment.

Deterministic effects are short-term, adverse tissue reactions resulting from a dose that is significantly high enough to damage living tissues.  The severity of a deterministic effect increases with radiation dose above a threshold, below which the detectable tissue reactions are not observed. 

Deterministic effects are usually predictable and reproducible.  For example, localized doses to certain parts of the body at increasing levels will result in well-understood biological effects.

how to understand and communicate radiation risk diagram
Figure 1 Radiation – Deterministic and Stochastic Effects – Image Wisely, March 2017 “How to Understand and Communicate Radiation Risk”

Some examples of deterministic effects include:

  • Radiation-induced skin burns
  • Acute radiation syndrome
  • Radiation sickness
  • Cataracts
  • Sterility
  • Tumor Necrosis

Stochastic Effects


Stochastic effects are probabilistic effects that occur by chance.  An extremely rare stochastic effect is the development of cancer in an irradiated organ or tissue.  The probability of occurrence is typically proportional to the dose received. Stochastic effects after exposure to radiation occur many years later (the latent period).  The severity is independent of the dose originally received.

Since many agents in the environment are also known carcinogens, and since many cancers occur spontaneously, it is not possible in most cases to directly link radiation exposure to an observed cancer.  If a population group receives a dose of ionizing radiation at one time, it is therefore not possible to predict who in that group will develop cancer, if any, or to tell if the people who do develop cancer did so as a result of the dose of ionizing radiation or some other lifestyle factor, such as smoking.   

Examples of stochastic effects include:

  • Cancer
  • Heritable or genetic changes


Dose Limits and Radiation Protection


In our day-to-day lives, we are exposed to both background and man-made sources of radiation.  Everyone receives radiation exposure from natural cosmic and solar rays, and radionuclides in soil.  The benefits of diagnostic and therapeutic medical radiation far exceed the risks.  Fortunately, the health risks associated with natural background levels are small, and by regulations, we are protected from man-made radiation. 

The National Council on Radiation Protection and Measurements (NCRP) recommends dose limits for managing exposures to ionizing radiation and protecting humans from adverse effects.  Their purpose is to prevent acute and chronic radiation-induced tissue reactions (deterministic effects) and to reduce the probability of cancer (stochastic effect) while maintaining the benefits to people and society from activities that generate radiation exposures (NCRP Report No. 180, 2018).

Type of limit Radiation worker Public
Stochastic limits Effective dose, whole body (mSv/year) 50 1
Deterministic limits Tissue absorbed dose (mGy/year)
Lens of the eye 50 15
Skin 500
Extremities (hands and feet) 500

Figure 2.  Values from NCRP Report No. 180, Management of Exposure to Ionizing Radiation:  Radiation Protection Guidance for the United States (2018).

The concept of dose limits also takes into account the ideas that any use of radiation should do more good than harm, and that permissible exposure should be maintained “as low as reasonably achievable” (ALARA).   In line with this philosophy, medical professionals strive to minimize medical radiation exposures to patients without compromising imaging quality and therapy effectiveness. 

Conclusion


Adverse health effects can occur after exposure to ionizing radiation.  For radiation protection, scientific advisory organizations have recommended dose limits to prevent deterministic effects and reduce the probability of stochastic effects in radiation workers, medical professionals, patients, and other members of the general public. 


Versant Physics is a full-service medical physics and radiation safety consulting company based in Kalamazoo, MI. Contact us for all of your regulatory, radiation safety, and personnel dosimetry needs.

Sources:

  1. https://hps.org/publicinformation/ate/faqs/regdoselimits.html
  2. https://www.nrc.gov/reading-rm/basic-ref/glossary/non-stochastic-effect.html
  3. https://www.nrc.gov/about-nrc/radiation/around-us/uses-radiation.html
  4. https://www.radioactivity.eu.com/site/pages/Deterministic_Effects.htm
  5. https://www.imagewisely.org/Imaging-Modalities/Computed-Tomography/How-to-Understand-and-Communicate-Radiation-Risk
  6. https://www.radiation-dosimetry.org/what-is-dose-limit-radiation-definition/

tps:" ]); var d=document, g=d.createElement('script'), s=d.getElementsByTagName('script')[0]; g.type='text/javascript'; g.async=true; g.src=u+'matomo.js'; s.parentNode.insertBefore(g,s); })(); document.addEventListener("cmplz_fire_categories", function (e) { var consentedCategories = e.detail.categories; if (!cmplz_in_array( 'statistics', consentedCategories )) { _paq.push(['forgetCookieConsentGiven']); } else { _paq.push(['rememberCookieConsentGiven']); } });