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M.Prasad Naidu
MSc Medical Biochemistry,
Ph.D.Research Scholar
INTRODUCTION
 An Atom is composed of a positively charged nucleus
that is surrounded by a cloud of negatively charged
electrons.
 The number of orbital electrons is equal to the number
of protons present in the nucleus , this number is
known as atomic number ( Z ) .
 The sum of protons & neutrons in a given nucleus is
the mass number.
A = Z + N ( N is the
number of neutrons )
DEFINATION
 Isotopes are nuclides with the same atomic number
but different mass numbers .
 The spontaneous degradation of nucleus &
transmission of one element to another with
consequent emission of rays ( or ) particles is known as
radioactivity .
TYPES OF RADIO ACTIVE DECAY 1 )Decay by negatron emission ,
 2 )Decay by positron emission ,
 3 )Decay by α particle emission ,
 4 )Decay by gamma rays emission ,
 5 )Decay by X rays emission .
 Decay by Negatron emission : When Neutron is
converted to a Proton by the ejection of a negatively
charged β particle called a Negatron ( β - ) is emitted .
Neutron Proton + Negatron
contd Negatron emission is very important to biochemist .
 3 H & 14 C are β emitters can be used to label any
organic compound .
 35 S used to label methionine , to study protein
synthesis.
 32 P , a powerful tool in molecular biology & used as a
nucleic acid label .
 β emitting isotopes are most suitable for
autoradiography , particularly for cell & tissue
localization experiment .
DECAY BY POSITRON EMISSION When Proton is converted to Neutron a positively
charged β particle known as positrons( β+) is emitted .
Proton Neutron + Positron .
 Positrons are extremely unstable , they dissipate their
energy in interaction with electrons .
Contd The mass & energy of 2 particles( positron & electron )
are converted to 2 γ (gamma) rays are emitted at 180
to each other .
 Positrons are detected by the same instrument used to
detect γ radiation .
 Positron emission tomography used to identify active
& inactive areas of brain .
DECAY BY α PARTICLE EMISSION Isotopes of elements with high atomic numbers
frequently decay by emitting α particle .
 An α particle is a helium nucleus contains 2 protons &
2 neutrons (4He2 +).
 α particles have high ionizing power, less penatrance &
are extremely toxic .
 Isotopes that decay by α particle emission are not
frequently encountered in biological work .
ELECTRON CAPTURE Proton captures an electron orbiting in the inner most
shell .
Proton + Electron Neutron + X rays
 Proton becomes a Neutron & electromagnetic X rays
is given out .
DECAY BY EMISSION OF γ RAYS These γ rays result from a transformation in the
nucleus of an atom ( in contrast to X rays emission ) &
frequently accompany α & β particle emission .
 Emission of γ radiation leads to leads to no change in
atomic number or mass .
 γ radiation has low ionizing power but high
penetration .
HALF LIFE OF RADIOISOTOPES
 Half life of radio isotope is the time period required
for radionuclide to decay to one half the amount
originally present .
 t1/2 = 0.693/λ.
 λ is decay constant , a characteristic of a given isotope
decaying in unit time .
UNITS OF RADIOACTIVITY
 Bequerel is the unit of radioactivity is defined as one
disintegration per second (1 d. p. s. ).
 Frequently used units are curie , defined as the
quantity of radioactive material in which the number
of nuclear disintegrations per second is same as the
1gm of radium ( 3.7 X 10 10 Bq ).
 Specific activity is defined as disintegration rate per
unit mass of radioactive atoms.
Detection & Measurement of
Radioactivity Various methods for measuring radioactivity
 1) Autoradiography ,
 2) gas ionization detectors &
 3) fluorescent scintillation , are the basis to detect &
measure radioactivity in clinical laboratory .
AUTORADIOGRAPHY
 In autoradiography a photo graphic emulsion is used
to visualize molecules labeled with a radioactive
element .
 The emulsion consists of a large number of silver
halide crystals embedded in a solid phase such as
gelatin .
Contd
 As energy from radioactive material dissipated in the
emulsion , the silver halide becomes negatively
charged & is reduced to metallic silver.
 Photographic developers are designed to show these
silver grains as blackening of the film , & fixers remove
any remaining silver halide .
contd Techniques of autoradiography have become more
important in molecular biology .
 Weak β – emitting isotopes ( 3H ,14 C ,35 S) are most
suitable for autoradiography , particularly for cell &
tissue localization experiments .
 Low energy of negatrons & short ionizing track of
isotope will result in discrete image .
contd
 β emitting radioisotopes are used when radioactivity
associated with subcellular organelles is being located
.
 3H is the best radioisotope , since it’s all energy will get
dissipated in the emulsion .
 Electron microscopy can then be used to locate the
image in the developed film .
contd
 For location of DNA bands in electrophoretic gel, 32 P
labeled nucleic acid probes are useful .
 After hybridization ,hydrolysis & separation of DNA
fragments by electrophoresis , a photographic plate is
applied to to the covered gel & allowed to incubate .
Choice of emulsion & film
 X ray films are generally suitable for macroscopic
samples such as whole body, electrophoretographs
, chromatographs .
 When light (or) electron microscopic , detection of
image ( cellular , subcellular localization of
radioactivity ) very sensitive films are necessary .
contd
 Time of exposure & film processing depends upon the
isotope , sample type , level of activity , film type &
purpose of the experiment.
 In Direct autoradiography , the X ray film or emulsion
is placed as close as possible to the sample .
Fluorography
 Fluorography is used to cut short the time of exposure
.
 A fluorescent material such as ( PPO or sodium silicate
)is infiltrated into the gel .
 Negatrons emitted will excite fluorescent material &
emit light , which will react with the film .
Intensifying screens When 32 P labeled or γ –isotope labeled samples are
used because of more penetrating nature of γ rays poor
image is formed .
 Intensifying screens helpful in giving a good image .
 Solid phosphorus is applied on the other side of the
film from the sample .
Other methods for amplifying image
 Sensitivity of film is increased by preflashing .
 Preflashing involves millisecond light flash prior to
sample is being brought to juxtaposition with the film
.
 Low temperature exposure will provide higher
sensivity.
GAS FILLED DETECTORS
 Detectors filled with gases or gas mixtures are
designed to capture & measure the ions produced
by radiation within the detector ( excitation
& ionization produces a pulse of current ).
 Gas filled detectors used to measure radioactivity
include
1) Ionisation chamber
2) Proportional counter
3) Geiger Muller counter
 Geiger muller counter is used in clinical laboratory
.
SCINTILLATION COUNTING
 In scintillation process the radiation causes excitation
& ionization of fluorescent material , the absorbed
energy produces a flash of light.
 The principal types of scintillation detectors found in
clinical laboratory are 1) sodium iodide crystal
scintillation detector .
2) the organic liquid scintillation detector.
APPLICATIONS OF RADIOISOTOPES IN
BIOLOGICAL SCIENCES
 Radioisotopes are frequently used for tracing
metabolic path ways .
 Mixing radiolabeled substrates & samples of the
experimental material & collecting samples at various
times , extract & separate the products by
chromatography.
 Radioactivity detectors can be attached to gas liquid
chromatography or HPLC columns to monitor
radioactivity coming off the column during separation
.
uses
 It is possible to predict the fate of individual carbon
atoms of (14 C ) acetate through TCA cycle.
 Methods have been developed to isolate intermediates
of the cycle & to ascertain the distribution of carbon
atoms within each intermediate( this is called as
specific labeling pattern ) .
uses
 Radioisotopes are used in ascertaining the turnover
times for particular compounds .
 Group of rats injected with radio labeled amino acid
left for 24 hours allowing to assimilate into proteins.
 The rats are killed at suitable time intervals &
radioactivity in organs or tissue of interest is
determined .
uses
 Radioisotopes are widely used in study of the
mechanism & rate of absorption , accumulation &
translocation of inorganic & organic compounds in the
animal .
 Radiolabeled drugs are useful in pharmokinetic
studies ( site of accumulation , rate of accumulation ,
rate of metabolism & metabolic products ) .
ANALYTICAL APPLICATIONS OF
RADIOISOTOPES
 Virtually any enzyme reaction can be assayed using
radioactive tracer methods.
 Radioisotopes have been used in study of 1) The
mechanism of enzyme action &
2)In studies of ligand binding to membrane receptors.
contd
 Isotope dilution analysis : when a known amount of
radioactive tracer is introduced into an unknown
volume , after thorough mixing , the concentration of
radio tracer is estimated .
V = N / n
V = volume to be measured
N = total number of counts injected
n = number of counts per ml
Contd
 By isotope dilution analysis plasma volume , total body
water , E.C.F volume , RBC cell volume , total
exchangeable sodium can be measured .
 131 I labeled human serum albumin useful in
diagnosing protein losing enteropathy .
 51 Cr labeled RBC are given intra venously if there is any
GI blood loss radioactivity can be measured .
Contd
 Radio immuno assays are useful in analysis of
hormones , growth factors , tumour markers
, cytokines , bacterial antigens ,vitamin D & various
biological molecules .
 In RIA either antigen or antibody is radiolabeled .
 Radiolabelling must not interfer in the binding of
antigen & antibody , has to be compared with
unlabeled ones .
Radioisotopes used in Diagnostic
purposes
 Radio active iodine uptake & imaging reveals the
functional status of thyroid tissue , including nodules
, the whole thyroid gland & metastatic foci .
 131I is used for thyroid cancer imaging & management .
 123 I is used for thyroid scan .
contd
 Schilling test : used to detect the malabsorption of
vitamin B12 .
 Measurement of urinary radio labeled B12 following a
saturation dose of non labeled stable B12
 1000µg of non labeled B12 is given IM.
 1µg of labeled B12 is given orally.
 Less than 5% excretion of radio labeled dose indicates
malabsorption of Vit B12.
Contd
 Technetium 99 m ( 99 m Tc ) pertechnetate: it is
trapped by the thyroid gland but not organified , it can
give a reasonable thyroid image even if patient is
taking thyroid replacement therapy .
 99m Tc – MIBI ( 2 – methoxy 2 – methyl propyl
isonitrile ) used in preoperative localization of
parathyroid gland .
contd
 Thalium 201 facilitates detection of 131 I negative
metastatic thyroid cancer lesions in total body scan .
 Iodo cholesterol 131I labeled 6 iodo methyl -19
norcholesterol , NP-59 used in adrenocortical
imaging in cushing disease, cortisol producing
adenoma ,
primary aldosteronism .
contd
 MIBG ( 131 I or 123 I –meta iodo benzyl guanidine )scan is
useful in adrenomedullary imaging in
pheochromocytoma ,
neural crest tumors ,
carcinoid ,
medullary carcinoma thyroid .
 Isotope bone scan is extremely useful in pagets disease
of bone .
contd
 Indium 111 octreotide scan a somatostatin analogue
used to show :
neural crest tumors,
pheochromocytoma ,
carcinoid ,
paraganglioma &
medullary carcinoma thyroid .
Contd
Fluorodeoxy glucose PET helpful in
detection of 131 I negative thyroid
carcinoma ,& MIBG negative
pheochromocytoma .
 Strontium 89 & Samarium 153 are two radionuclides
that are preferentially taken in bone , particularly sites
of new bone formation, capable of controlling bone
metastasis .
contd
 Xenon 133 is useful in lung function tests & is useful in
diagnosing malfunctions of lung ventilation .
 (133 I) iodohippuric acid used in diagnosis of kidney
infections , kidney blockages or imbalance of function
between two kidneys .
Contd
 51Cr –EDTA , 99m Tc-DTPA & 125I –
iothalamate have clearance closest to inulin . ( useful
in measurement of GFR )
 99m Tc-DTPA has the advantage that it can also be used
for gamma camera imaging .
Therapeutic uses of radioisotopes
 Radioisotopes have role in management of
malignancies .
 Tumour tissues are attacked by beam of radiation .
 131I is used for treatment of thyroid cancer .
 Teletherapy : 60Co is the source of radiation , radiation
occurs from a distant source .
 Radioactive material is impregnated into body in form
of beeds or needles oe either as surface applicants .
contd
 60Co or radium rods are used in treatment of cervical
cancer .
 32 P surafce applicants have role in Rx of squamous cell
carcinoma , superficial angiomas , mycosis fungoides .
 Boron 10 neutron irradiation has been recently used in
the treatment of the inoperable & rapidly fatal brain
tumour like glioblastoma multiforme
Contd
 48Au ( gold ) is used for treatment of malignant pleural
& peritoneal effusions.
 Yttrium90 synovectomy is useful in management of
arthrites in hemophelics .
Radiation hazards Immediate effects :
1 ) Bone marrow syndrome,
2 ) Gastrointestinal track syndrome,
3 ) Central nervous system syndrome .
 Bone marrow syndrome : severe damage to
hematopoietic system , leads to pancytopenia occurs
with exposure of 200-1000 rads.
contd
 Gastro intestinal syndrome : Severe damage to
mucosal epithelium . Exposure of 1000 – 5000 rads is
the cause .
 Central nervous system syndrome : Blood brain barrier
is lost . Exposure of 5000 – 10000 rads is the cause .
 Delayed effects : carcinogenesis by damaging DNA
Radiation safety & protection The most popular triad of radiation protection is time
,distance & shield (TDS).
 Minimum possible time should spent near the
radiation zone .
 Handling of radioactive material should be done from
maximum possible distance .
 Person should be shielded by lead .
Radio isotopes

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Radio isotopes

  • 1. M.Prasad Naidu MSc Medical Biochemistry, Ph.D.Research Scholar
  • 2. INTRODUCTION  An Atom is composed of a positively charged nucleus that is surrounded by a cloud of negatively charged electrons.  The number of orbital electrons is equal to the number of protons present in the nucleus , this number is known as atomic number ( Z ) .  The sum of protons & neutrons in a given nucleus is the mass number. A = Z + N ( N is the number of neutrons )
  • 3. DEFINATION  Isotopes are nuclides with the same atomic number but different mass numbers .  The spontaneous degradation of nucleus & transmission of one element to another with consequent emission of rays ( or ) particles is known as radioactivity .
  • 4. TYPES OF RADIO ACTIVE DECAY 1 )Decay by negatron emission ,  2 )Decay by positron emission ,  3 )Decay by α particle emission ,  4 )Decay by gamma rays emission ,  5 )Decay by X rays emission .  Decay by Negatron emission : When Neutron is converted to a Proton by the ejection of a negatively charged β particle called a Negatron ( β - ) is emitted . Neutron Proton + Negatron
  • 5. contd Negatron emission is very important to biochemist .  3 H & 14 C are β emitters can be used to label any organic compound .  35 S used to label methionine , to study protein synthesis.  32 P , a powerful tool in molecular biology & used as a nucleic acid label .  β emitting isotopes are most suitable for autoradiography , particularly for cell & tissue localization experiment .
  • 6. DECAY BY POSITRON EMISSION When Proton is converted to Neutron a positively charged β particle known as positrons( β+) is emitted . Proton Neutron + Positron .  Positrons are extremely unstable , they dissipate their energy in interaction with electrons .
  • 7. Contd The mass & energy of 2 particles( positron & electron ) are converted to 2 γ (gamma) rays are emitted at 180 to each other .  Positrons are detected by the same instrument used to detect γ radiation .  Positron emission tomography used to identify active & inactive areas of brain .
  • 8. DECAY BY α PARTICLE EMISSION Isotopes of elements with high atomic numbers frequently decay by emitting α particle .  An α particle is a helium nucleus contains 2 protons & 2 neutrons (4He2 +).  α particles have high ionizing power, less penatrance & are extremely toxic .  Isotopes that decay by α particle emission are not frequently encountered in biological work .
  • 9. ELECTRON CAPTURE Proton captures an electron orbiting in the inner most shell . Proton + Electron Neutron + X rays  Proton becomes a Neutron & electromagnetic X rays is given out .
  • 10. DECAY BY EMISSION OF γ RAYS These γ rays result from a transformation in the nucleus of an atom ( in contrast to X rays emission ) & frequently accompany α & β particle emission .  Emission of γ radiation leads to leads to no change in atomic number or mass .  γ radiation has low ionizing power but high penetration .
  • 11. HALF LIFE OF RADIOISOTOPES  Half life of radio isotope is the time period required for radionuclide to decay to one half the amount originally present .  t1/2 = 0.693/λ.  λ is decay constant , a characteristic of a given isotope decaying in unit time .
  • 12. UNITS OF RADIOACTIVITY  Bequerel is the unit of radioactivity is defined as one disintegration per second (1 d. p. s. ).  Frequently used units are curie , defined as the quantity of radioactive material in which the number of nuclear disintegrations per second is same as the 1gm of radium ( 3.7 X 10 10 Bq ).  Specific activity is defined as disintegration rate per unit mass of radioactive atoms.
  • 13. Detection & Measurement of Radioactivity Various methods for measuring radioactivity  1) Autoradiography ,  2) gas ionization detectors &  3) fluorescent scintillation , are the basis to detect & measure radioactivity in clinical laboratory .
  • 14. AUTORADIOGRAPHY  In autoradiography a photo graphic emulsion is used to visualize molecules labeled with a radioactive element .  The emulsion consists of a large number of silver halide crystals embedded in a solid phase such as gelatin .
  • 15. Contd  As energy from radioactive material dissipated in the emulsion , the silver halide becomes negatively charged & is reduced to metallic silver.  Photographic developers are designed to show these silver grains as blackening of the film , & fixers remove any remaining silver halide .
  • 16. contd Techniques of autoradiography have become more important in molecular biology .  Weak β – emitting isotopes ( 3H ,14 C ,35 S) are most suitable for autoradiography , particularly for cell & tissue localization experiments .  Low energy of negatrons & short ionizing track of isotope will result in discrete image .
  • 17. contd  β emitting radioisotopes are used when radioactivity associated with subcellular organelles is being located .  3H is the best radioisotope , since it’s all energy will get dissipated in the emulsion .  Electron microscopy can then be used to locate the image in the developed film .
  • 18. contd  For location of DNA bands in electrophoretic gel, 32 P labeled nucleic acid probes are useful .  After hybridization ,hydrolysis & separation of DNA fragments by electrophoresis , a photographic plate is applied to to the covered gel & allowed to incubate .
  • 19. Choice of emulsion & film  X ray films are generally suitable for macroscopic samples such as whole body, electrophoretographs , chromatographs .  When light (or) electron microscopic , detection of image ( cellular , subcellular localization of radioactivity ) very sensitive films are necessary .
  • 20. contd  Time of exposure & film processing depends upon the isotope , sample type , level of activity , film type & purpose of the experiment.  In Direct autoradiography , the X ray film or emulsion is placed as close as possible to the sample .
  • 21. Fluorography  Fluorography is used to cut short the time of exposure .  A fluorescent material such as ( PPO or sodium silicate )is infiltrated into the gel .  Negatrons emitted will excite fluorescent material & emit light , which will react with the film .
  • 22. Intensifying screens When 32 P labeled or γ –isotope labeled samples are used because of more penetrating nature of γ rays poor image is formed .  Intensifying screens helpful in giving a good image .  Solid phosphorus is applied on the other side of the film from the sample .
  • 23. Other methods for amplifying image  Sensitivity of film is increased by preflashing .  Preflashing involves millisecond light flash prior to sample is being brought to juxtaposition with the film .  Low temperature exposure will provide higher sensivity.
  • 24. GAS FILLED DETECTORS  Detectors filled with gases or gas mixtures are designed to capture & measure the ions produced by radiation within the detector ( excitation & ionization produces a pulse of current ).  Gas filled detectors used to measure radioactivity include 1) Ionisation chamber 2) Proportional counter 3) Geiger Muller counter  Geiger muller counter is used in clinical laboratory .
  • 25. SCINTILLATION COUNTING  In scintillation process the radiation causes excitation & ionization of fluorescent material , the absorbed energy produces a flash of light.  The principal types of scintillation detectors found in clinical laboratory are 1) sodium iodide crystal scintillation detector . 2) the organic liquid scintillation detector.
  • 26. APPLICATIONS OF RADIOISOTOPES IN BIOLOGICAL SCIENCES  Radioisotopes are frequently used for tracing metabolic path ways .  Mixing radiolabeled substrates & samples of the experimental material & collecting samples at various times , extract & separate the products by chromatography.  Radioactivity detectors can be attached to gas liquid chromatography or HPLC columns to monitor radioactivity coming off the column during separation .
  • 27. uses  It is possible to predict the fate of individual carbon atoms of (14 C ) acetate through TCA cycle.  Methods have been developed to isolate intermediates of the cycle & to ascertain the distribution of carbon atoms within each intermediate( this is called as specific labeling pattern ) .
  • 28. uses  Radioisotopes are used in ascertaining the turnover times for particular compounds .  Group of rats injected with radio labeled amino acid left for 24 hours allowing to assimilate into proteins.  The rats are killed at suitable time intervals & radioactivity in organs or tissue of interest is determined .
  • 29. uses  Radioisotopes are widely used in study of the mechanism & rate of absorption , accumulation & translocation of inorganic & organic compounds in the animal .  Radiolabeled drugs are useful in pharmokinetic studies ( site of accumulation , rate of accumulation , rate of metabolism & metabolic products ) .
  • 30. ANALYTICAL APPLICATIONS OF RADIOISOTOPES  Virtually any enzyme reaction can be assayed using radioactive tracer methods.  Radioisotopes have been used in study of 1) The mechanism of enzyme action & 2)In studies of ligand binding to membrane receptors.
  • 31. contd  Isotope dilution analysis : when a known amount of radioactive tracer is introduced into an unknown volume , after thorough mixing , the concentration of radio tracer is estimated . V = N / n V = volume to be measured N = total number of counts injected n = number of counts per ml
  • 32. Contd  By isotope dilution analysis plasma volume , total body water , E.C.F volume , RBC cell volume , total exchangeable sodium can be measured .  131 I labeled human serum albumin useful in diagnosing protein losing enteropathy .  51 Cr labeled RBC are given intra venously if there is any GI blood loss radioactivity can be measured .
  • 33. Contd  Radio immuno assays are useful in analysis of hormones , growth factors , tumour markers , cytokines , bacterial antigens ,vitamin D & various biological molecules .  In RIA either antigen or antibody is radiolabeled .  Radiolabelling must not interfer in the binding of antigen & antibody , has to be compared with unlabeled ones .
  • 34. Radioisotopes used in Diagnostic purposes  Radio active iodine uptake & imaging reveals the functional status of thyroid tissue , including nodules , the whole thyroid gland & metastatic foci .  131I is used for thyroid cancer imaging & management .  123 I is used for thyroid scan .
  • 35. contd  Schilling test : used to detect the malabsorption of vitamin B12 .  Measurement of urinary radio labeled B12 following a saturation dose of non labeled stable B12  1000µg of non labeled B12 is given IM.  1µg of labeled B12 is given orally.  Less than 5% excretion of radio labeled dose indicates malabsorption of Vit B12.
  • 36. Contd  Technetium 99 m ( 99 m Tc ) pertechnetate: it is trapped by the thyroid gland but not organified , it can give a reasonable thyroid image even if patient is taking thyroid replacement therapy .  99m Tc – MIBI ( 2 – methoxy 2 – methyl propyl isonitrile ) used in preoperative localization of parathyroid gland .
  • 37. contd  Thalium 201 facilitates detection of 131 I negative metastatic thyroid cancer lesions in total body scan .  Iodo cholesterol 131I labeled 6 iodo methyl -19 norcholesterol , NP-59 used in adrenocortical imaging in cushing disease, cortisol producing adenoma , primary aldosteronism .
  • 38. contd  MIBG ( 131 I or 123 I –meta iodo benzyl guanidine )scan is useful in adrenomedullary imaging in pheochromocytoma , neural crest tumors , carcinoid , medullary carcinoma thyroid .  Isotope bone scan is extremely useful in pagets disease of bone .
  • 39. contd  Indium 111 octreotide scan a somatostatin analogue used to show : neural crest tumors, pheochromocytoma , carcinoid , paraganglioma & medullary carcinoma thyroid .
  • 40. Contd Fluorodeoxy glucose PET helpful in detection of 131 I negative thyroid carcinoma ,& MIBG negative pheochromocytoma .  Strontium 89 & Samarium 153 are two radionuclides that are preferentially taken in bone , particularly sites of new bone formation, capable of controlling bone metastasis .
  • 41. contd  Xenon 133 is useful in lung function tests & is useful in diagnosing malfunctions of lung ventilation .  (133 I) iodohippuric acid used in diagnosis of kidney infections , kidney blockages or imbalance of function between two kidneys .
  • 42. Contd  51Cr –EDTA , 99m Tc-DTPA & 125I – iothalamate have clearance closest to inulin . ( useful in measurement of GFR )  99m Tc-DTPA has the advantage that it can also be used for gamma camera imaging .
  • 43. Therapeutic uses of radioisotopes  Radioisotopes have role in management of malignancies .  Tumour tissues are attacked by beam of radiation .  131I is used for treatment of thyroid cancer .  Teletherapy : 60Co is the source of radiation , radiation occurs from a distant source .  Radioactive material is impregnated into body in form of beeds or needles oe either as surface applicants .
  • 44. contd  60Co or radium rods are used in treatment of cervical cancer .  32 P surafce applicants have role in Rx of squamous cell carcinoma , superficial angiomas , mycosis fungoides .  Boron 10 neutron irradiation has been recently used in the treatment of the inoperable & rapidly fatal brain tumour like glioblastoma multiforme
  • 45. Contd  48Au ( gold ) is used for treatment of malignant pleural & peritoneal effusions.  Yttrium90 synovectomy is useful in management of arthrites in hemophelics .
  • 46. Radiation hazards Immediate effects : 1 ) Bone marrow syndrome, 2 ) Gastrointestinal track syndrome, 3 ) Central nervous system syndrome .  Bone marrow syndrome : severe damage to hematopoietic system , leads to pancytopenia occurs with exposure of 200-1000 rads.
  • 47. contd  Gastro intestinal syndrome : Severe damage to mucosal epithelium . Exposure of 1000 – 5000 rads is the cause .  Central nervous system syndrome : Blood brain barrier is lost . Exposure of 5000 – 10000 rads is the cause .  Delayed effects : carcinogenesis by damaging DNA
  • 48. Radiation safety & protection The most popular triad of radiation protection is time ,distance & shield (TDS).  Minimum possible time should spent near the radiation zone .  Handling of radioactive material should be done from maximum possible distance .  Person should be shielded by lead .