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10.7 Medical Applications and Biological Effects of Nuclear Radiation

Nuclear physics is an integral part of our everyday lives (Figure 10.26). Radioactive compounds are used to identify cancer, study ancient artifacts, and power our cities. Nuclear fusion also powers the Sun, the primary source of energy on Earth. The focus of this chapter is nuclear radiation. In this section, we ask such questions as: How is nuclear radiation used to benefit society? What are its health risks? How much nuclear radiation is the average person exposed to in a lifetime?

A photograph of a woman setting a mummy in a scanning machine.
Figure 10.26 Dr. Tori Randall, a curator at the San Diego Museum of Man, uses nuclear radiation to study a 500-year-old Peruvian mummy. The origin of this radiation is the transformation of one nucleus to another.Dr. Tori Randall, a curator at the San Diego Museum of Man, uses nuclear radiation to study a 500-year-old Peruvian mummy. The origin of this radiation is the transformation of one nucleus to another. (credit: Samantha A. Lewis, U.S. Navy)

Medical Applications

Most medical and related applications of nuclear physics are driven, at their core, by the difference between a radioactive substance and a non-radioactive substance. One of the first such methods is the precision measurement and detection method known as radioimmunoassay (RIA). Developed by Rosalyn Sussman Yalow and Solomon Berson in the late 1950s, RIA relies on the principle of competitive binding. For the particular substance being measured, a sample containing a radioactive isotope is prepared. A known quantity of antibodies is then introduced. By measuring the amount of "unbound" antibodies after the reaction, technicians can detect and measure the precise amount of the target substance. Radioimmunoassay is essential in cancer screening, hepatitus diagnosis, narcotics investigation, and other analyses.

One of the most important uses of nuclear radiation is the location and study of diseased tissue. This application requires a special drug called a radiopharmaceutical. A radiopharmaceutical contains an unstable radioactive isotope. When the drug enters the body, it tends to concentrate in inflamed regions of the body. (Recall that the interaction of the drug with the body does not depend on whether a given nucleus is replaced by one of its isotopes, since this interaction is determined by chemical interactions.) Radiation detectors used outside the body use nuclear radiation from the radioisotopes to locate the diseased tissue. Radiopharmaceuticals are called radioactive tags because they allow doctors to track the movement of drugs in the body. Radioactive tags are for many purposes, including the identification of cancer cells in the bones, brain tumors, and Alzheimer’s disease (Figure 10.27). Radioactive tags are also used to monitor the function of body organs, such as blood flow, heart muscle activity, and iodine uptake in the thyroid gland.

Two images of brains are shown. The one on the left has many red and orange areas and some blue areas. The one on the right is mostly blue with very small areas in red and yellow.
Figure 10.27 These brain images are produced using a radiopharmaceutical. The colors indicate relative metabolic or biochemical activity (red indicates high activity and blue indicates low activity). The figure on the left shows the normal brain of an individual and the figure on the right shows the brain of someone diagnosed with Alzheimer’s disease. The brain image of the normal brain indicates much greater metabolic activity (a larger fraction of red and orange areas).These brain images are produced using a radiopharmaceutical. The colors indicate relative metabolic or biochemical activity (red indicates high activity and blue indicates low activity). The figure on the left shows the normal brain of an individual and the figure on the right shows the brain of someone diagnosed with Alzheimer’s disease. The brain image of the normal brain indicates much greater metabolic activity (a larger fraction of red and orange areas). (credit: modification of works by National Institutes of Health)

Table 10.2 lists some medical diagnostic uses of radiopharmaceuticals, including isotopes and typical activity (A) levels. One common diagnostic test uses iodine to image the thyroid, since iodine is concentrated in that organ. Another common nuclear diagnostic is the thallium scan for the cardiovascular system, which reveals blockages in the coronary arteries and examines heart activity. The salt TlCl can be used because it acts like NaCl and follows the blood. Note that Table 10.2 lists many diagnostic uses for 99mTc, where “m” stands for a metastable state of the technetium nucleus. This isotope is used in many compounds to image the skeleton, heart, lungs, and kidneys. About 80% of all radiopharmaceuticals employ 99mTc because it produces a single, easily identified, 0.142-MeV γ ray and has a short 6.0-h half-life, which reduces radiation exposure.

Table 10.2 Diagnostic Uses of Radiopharmaceuticals
Procedure, IsotopeActivity (mCi), where 1mCi=3.7×107BqProcedure, IsotopeActivity (mCi), where 1mCi=3.7×107Bq
Brain scanThyroid scan
99mTc7.5131I0.05
15O (PET)50123I0.07
Lung scanLiver scan
133Xe7.5198Au (colloid)0.1
99mTc299mTc (colloid)2
Cardiovascular blood poolBone scan
131I0.285Sr0.1
99mTc299mTc10
Cardiovascular arterial flowKidney scan
201Tl3197Hg0.1
24Na7.599mTc1.5

The first radiation detectors produced two-dimensional images, like a photo taken from a camera. However, a circular array of detectors that can be rotated can be used to produce three-dimensional images. This technique is similar to that used in X-ray computed tomography (CT) scans. One application of this technique is called single-photon-emission CT (SPECT) (Figure 10.28). The spatial resolution of this technique is about 1 cm.

A photograph of a person lying in an imaging machine.
Figure 10.28 The SPECT machine uses radiopharmaceutical compounds to produce an image of the human body. The machine takes advantage of the physics of nuclear beta decays and electron-positron collisions.The SPECT machine uses radiopharmaceutical compounds to produce an image of the human body. The machine takes advantage of the physics of nuclear beta decays and electron-positron collisions. (credit: “Woldo”/Wikimedia Commons)

Improved image resolution is achieved by a technique known as positron emission tomography (PET). This technique use radioisotopes that decay by β+ radiation. When a positron encounters an electron, these particle annihilate to produce two gamma-ray photons. This reaction is represented by

e++e2γ.

These γ-ray photons have identical 0.511-MeV energies and move directly away from one another (Figure 10.29). This easily identified decay signature can be used to identify the location of the radioactive isotope. Examples of β+-emitting isotopes used in PET include 11C,13N,15O,and18F. The nuclei have the advantage of being able to function as tags for natural body compounds. Its resolution of 0.5 cm is better than that of SPECT.

The figure of a person lying with his head within a circular chamber. Two rays labeled gamma radiate outwards from his head. Their point of origin is labeled e positive plus e negative annihilation.
Figure 10.29 A PET system takes advantage of the two identical γ-ray photons produced by positron-electron annihilation. These γ rays are emitted in opposite directions, so that the line along which each pair is emitted is determined.

PET scans are especially useful to examine the brain’s anatomy and function. For example, PET scans can be used to monitor the brain’s use of oxygen and water, identify regions of decreased metabolism (linked to Alzheimer’s disease), and locate different parts of the brain responsible for sight, speech, and fine motor activity

Biological Effects

Nuclear radiation can have both positive and negative effects on biological systems. However, it can also be used to treat and even cure cancer. How do we understand these effects? To answer this question, consider molecules within cells, particularly DNA molecules.

Cells have long, double-helical DNA molecules containing chemical codes that govern the function and processes of the cell. Nuclear radiation can alter the structural features of the DNA chain, leading to changes in the genetic code. In human cells, we can have as many as a million individual instances of damage to DNA per cell per day. DNA contains codes that check whether the DNA is damaged and can repair itself. This repair ability of DNA is vital for maintaining the integrity of the genetic code and for the normal functioning of the entire organism. It should be constantly active and needs to respond rapidly. The rate of DNA repair depends on various factors such as the type and age of the cell. If nuclear radiation damages the ability of the cell to repair DNA, the cell can

  1. Retreat to an irreversible state of dormancy (known as senescence);
  2. Commit suicide (known as programmed cell death); or
  3. Progress into unregulated cell division, possibly leading to tumors and cancers.

Nuclear radiation can harm the human body is many other ways as well. For example, high doses of nuclear radiation can cause burns and even hair loss.

Biological effects of nuclear radiation are expressed by many different physical quantities and in many different units. A common unit to express the biological effects of nuclear radiation is the rad or radiation dose unit. One rad is equal to 1/100 of a joule of nuclear energy deposited per kilogram of tissue, written:

1rad=0.01J/kg.

For example, if a 50.0-kg person is exposed to nuclear radiation over their entire body and absorbs 1.00 J, then their whole-body radiation dose is

(1.00J)/(50.0kg)=0.0200J/kg=2.00rad.

Nuclear radiation damages cells by ionizing atoms in the cells as they pass through the cells (Figure 10.30). The effects of ionizing radiation depend on the dose in rads, but also on the type of radiation (alpha, beta, gamma, or X-ray) and the type of tissue. For example, if the range of the radiation is small, as it is for α rays, then the ionization and the damage created is more concentrated and harder for the organism to repair. To account for such affects, we define the relative biological effectiveness (RBE). Sample RBE values for several types of ionizing nuclear radiation are given in Table 10.3.

Two rows of nine cells each are shown. A gamma ray of low ionization density passes through the upper row. Two cells are damaged. An alpha ray of high ionization density passes through the lower row. Five cells are damaged.
Figure 10.30 The image shows ionization created in cells by α and γ radiation. Because of its shorter range, the ionization and damage created by α rays is more concentrated and harder for the organism to repair. Thus, the RBE for α rays is greater than the RBE for γ rays, even though they create the same amount of ionization at the same energy.
Table 10.3 Relative Biological Effectiveness
Type and Energy of RadiationRBE[1]
X-rays1
γ rays1
β rays greater than 32 keV1
β rays less than 32 keV1.7
Neutrons, thermal to slow (<20 keV)2–5
Neutrons, fast (1–10 MeV)10 (body), 32 (eyes)
Protons (1–10 MeV)10 (body), 32 (eyes)
α rays from radioactive decay10–20
Heavy ions from accelerators10–20

A dose unit more closely related to effects in biological tissue is called the roentgen equivalent man (rem) and is defined to be the dose (in rads) multiplied by the relative biological effectiveness (RBE). Thus, if a person had a whole-body dose of 2.00 rad of γ radiation, the dose in rem would be (2.00rad)(1)=2.00 rem for the whole body. If the person had a whole-body dose of 2.00 rad of α radiation, then the dose in rem would be (2.00rad)(20)=40.0 rem for the whole body. The α rays would have 20 times the effect on the person than the γ rays for the same deposited energy. The SI equivalent of the rem, and the more standard term, is the sievert (Sv) is

1Sv=100rem.

The RBEs given in Table 10.3 are approximate but reflect an understanding of nuclear radiation and its interaction with living tissue. For example, neutrons are known to cause more damage than γ rays, although both are neutral and have large ranges, due to secondary radiation. Any dose less than 100 mSv (10 rem) is called a low dose, 0.1 Sv to 1 Sv (10 to 100 rem) is called a moderate dose, and anything greater than 1 Sv (100 rem) is called a high dose. It is difficult to determine if a person has been exposed to less than 10 mSv.

Biological effects of different levels of nuclear radiation on the human body are given in Table 10.4. The first clue that a person has been exposed to radiation is a change in blood count, which is not surprising since blood cells are the most rapidly reproducing cells in the body. At higher doses, nausea and hair loss are observed, which may be due to interference with cell reproduction. Cells in the lining of the digestive system also rapidly reproduce, and their destruction causes nausea. When the growth of hair cells slows, the hair follicles become thin and break off. High doses cause significant cell death in all systems, but the lowest doses that cause fatalities do so by weakening the immune system through the loss of white blood cells.

Table 10.4 Immediate Effects of Radiation (Adults, Whole-Body, Single Exposure)
Dose in Sv[1]Effect
0–0.10No observable effect.
0.1–1Slight to moderate decrease in white blood cell counts.
0.5Temporary sterility; 0.35 for women, 0.50 for men.
1–2Significant reduction in blood cell counts, brief nausea and vomiting. Rarely fatal.
2–5Nausea, vomiting, hair loss, severe blood damage, hemorrhage, fatalities.
4.5Lethal to 50% of the population within 32 days after exposure if not treated.
5–20Worst effects due to malfunction of small intestine and blood systems. Limited survival.
>20Fatal within hours due to collapse of central nervous system.

Sources of Radiation

Human are also exposed to many sources of nuclear radiation. A summary of average radiation doses for different sources by country is given in Table 10.5. Earth emits radiation due to the isotopes of uranium, thorium, and potassium. Radiation levels from these sources depend on location and can vary by a factor of 10. Fertilizers contain isotopes of potassium and uranium, which we digest in the food we eat. Fertilizers have more than 3000 Bq/kg radioactivity, compared to just 66 Bq/kg for Carbon-14.

Table 10.5 Background Radiation Sources and Average Doses
SourceDose (mSv/y)[1]
AustraliaGermanyUSWorld
Natural radiation – external
Cosmic rays0.300.280.300.39
Soil, building materials0.400.400.300.48
Radon gas0.901.12.01.2
Natural radiation – internal
40K,14C,226Ra0.240.280.400.29
Artificial radiation
Medical and dental0.800.900.530.40
TOTAL2.63.03.52.8

Medical visits are also a source of nuclear radiation. A sample of common nuclear radiation doses is given in Table 10.6. These doses are generally low and can be lowered further with improved techniques and more sensitive detectors. With the possible exception of routine dental X-rays, medical use of nuclear radiation is used only when the risk-benefit is favorable. Chest X-rays give the lowest doses—about 0.1 mSv to the tissue affected, with less than 5% scattering into tissues that are not directly imaged. Other X-ray procedures range upward to about 10 mSv in a CT scan, and about 5 mSv (0.5 rem) per dental X-ray, again both only affecting the tissue imaged. Medical images with radiopharmaceuticals give doses ranging from 1 to 5 mSv, usually localized.

Table 10.6 Typical Doses Received During Diagnostic X-Ray Exams
ProcedureEffective Dose (mSv)
Chest0.02
Dental0.01
Skull0.07
Leg0.02
Mammogram0.40
Barium enema7.0
Upper GI3.0
CT head2.0
CT abdomen10.0

Summary

  • Nuclear technology is used in medicine to locate and study diseased tissue using special drugs called radiopharmaceuticals. Radioactive tags are used to identify cancer cells in the bones, brain tumors, and Alzheimer’s disease, and to monitor the function of body organs, such as blood flow, heart muscle activity, and iodine uptake in the thyroid gland.
  • The biological effects of ionizing radiation are due to two effects it has on cells: interference with cell reproduction and destruction of cell function.
  • Common sources of radiation include that emitted by Earth due to the isotopes of uranium, thorium, and potassium; natural radiation from cosmic rays, soils, and building materials, and artificial sources from medical and dental diagnostic tests.
  • Biological effects of nuclear radiation are expressed by many different physical quantities and in many different units, including the rad or radiation dose unit.

Key Equations

Atomic mass numberA=Z+N
Standard format for expressing an isotopeZAX
Nuclear radius, where r0 is the radius of a single protonr=r0A1/3
Mass defectΔm=Zmp+(AZ)mnmnuc
Binding energyE=(Δm)c2
Binding energy per nucleonBEN=EbA
Radioactive decay ratedNdt=λN
Radioactive decay lawN=N0eλt
Decay constantλ=0.693T1/2
Lifetime of a substanceT=1λ
Activity of a radioactive substanceA=A0eλt
Activity of a radioactive substance (linear form)lnA=λt+lnA0
Alpha decayZAXZ2A4X+24He
Beta decayZAXZ+1AX+−10e+v
Positron emissionZAXZ1AX++10e+v
Gamma decayZAX*ZAX+γ

Conceptual Questions

Why is a PET scan more accurate than a SPECT scan?

Isotopes that emit α radiation are relatively safe outside the body and exceptionally hazardous inside. Explain why.

Alpha particles do not penetrate materials such as skin and clothes easily. (Recall that alpha radiation is barely able to pass through a thin sheet of paper.) However, when produce inside the body, neighboring cells are vulnerable.

Ionizing radiation can impair the ability of a cell to repair DNA. What are the three ways the cell can respond?

Problems

What is the dose in mSv for: (a) a 0.1-Gy X-ray? (b) 2.5 mGy of neutron exposure to the eye? (c) 1.5m Gy of α exposure?

Find the radiation dose in Gy for: (a) A 10-mSv fluoroscopic X-ray series. (b) 50 mSv of skin exposure by an α emitter. (c) 160 mSv of β and γ rays from the 40K in your body.

Gy=SvRBE: a. 0.01 Gy; b. 0.0025 Gy; c. 0.16 Gy

Find the mass of 239Pu that has an activity of 1.00μCi.

In the 1980s, the term picowave was used to describe food irradiation in order to overcome public resistance by playing on the well-known safety of microwave radiation. Find the energy in MeV of a photon having a wavelength of a picometer.

1.24 MeV

What is the dose in Sv in a cancer treatment that exposes the patient to 200 Gy of γ rays?

One half the γ rays from 99mTc are absorbed by a 0.170-mm-thick lead shielding. Half of the γ rays that pass through the first layer of lead are absorbed in a second layer of equal thickness. What thickness of lead will absorb all but one in 1000 of these γ rays?

1.69 mm

How many Gy of exposure is needed to give a cancerous tumor a dose of 40 Sv if it is exposed to α activity?

A plumber at a nuclear power plant receives a whole-body dose of 30 mSv in 15 minutes while repairing a crucial valve. Find the radiation-induced yearly risk of death from cancer and the chance of genetic defect from this maximum allowable exposure.

For cancer: (3rem)(10106rem·y)=30106y, The risk each year of dying from induced cancer is 30 in a million. For genetic defect: (3rem)(3.3106rem·y)=9.9106y, The chance each year of an induced genetic defect is 10 in a million.

Calculate the dose in rem/y for the lungs of a weapons plant employee who inhales and retains an activity of 1.00μCi 239Pu in an accident. The mass of affected lung tissue is 2.00 kg and the plutonium decays by emission of a 5.23-MeV α particle. Assume a RBE value of 20.

Additional Problems

The wiki-phony site states that the atomic mass of chlorine is 40 g/mol. Check this result. Hint: The two, most common stable isotopes of chlorine are: 1735Cl and 1737Cl. (The abundance of Cl-35 is 75.8%, and the abundance of Cl-37 is 24.2%.)

atomic mass(Cl)=35.5g/mol

A particle physicist discovers a neutral particle with a mass of 2.02733 u that he assumes is two neutrons bound together.

(a) Find the binding energy.

(b) What is unreasonable about this result?

A nuclear physicist finds 1.0μg of 236U in a piece of uranium ore (T1/2 = 2.348×107y). (a) Use the decay law to determine how much 236U would had to have been on Earth when it formed 4.543×109y ago for 1.0μg to be left today. (b) What is unreasonable about this result? (c) How is this unreasonable result resolved?

a. 1.71×1058kg; b. This mass is impossibly large; it is greater than the mass of the entire Milky Way galaxy. c. 236U is not produced through natural processes operating over long times on Earth, but through artificial processes in a nuclear reactor.

A group of scientists use carbon dating to date a piece of wood to be 3 billion years old. Why doesn’t this make sense?

According to your lab partner, a 2.00-cm-thick sodium-iodide crystal absorbs all but 10% of rays from a radioactive source and a 4.00-cm piece of the same material absorbs all but 5%? Is this result reasonable?

If 10% of rays are left after 2.00 cm, then only (0.100)2=0.01=1% are left after 4.00 cm. This is much smaller than your lab partner’s result (5%).

In the science section of the newspaper, an article reports the efforts of a group of scientists to create a new nuclear reactor based on the fission of iron (Fe). Is this a good idea?

The ceramic glaze on a red-orange “Fiestaware” plate is U2O3 and contains 50.0 grams of 238U, but very little 235U. (a) What is the activity of the plate? (b) Calculate the total energy that will be released by the 238U decay. (c) If energy is worth 12.0 cents per kW·h, what is the monetary value of the energy emitted? (These brightly-colored ceramic plates went out of production some 30 years ago, but are still available as collectibles.)

a. 1.68×10−5Ci; (b) From Appendix B, the energy released per decay is 4.27 MeV, so 8.65×1010J; (c) The monetary value of the energy is $2.9×103

Large amounts of depleted uranium (238U) are available as a by-product of uranium processing for reactor fuel and weapons. Uranium is very dense and makes good counter weights for aircraft. Suppose you have a 4000-kg block of 238U. (a) Find its activity. (b) How many calories per day are generated by thermalization of the decay energy? (c) Do you think you could detect this as heat? Explain.

A piece of wood from an ancient Egyptian tomb is tested for its carbon-14 activity. It is found to have an activity per gram of carbon of A=10decay/min·g. What is the age of the wood?

We know that λ=3.84×10−12s1 and A0=0.25decays/s·g=15decays/min·g.
Thus, the age of the tomb is
t=13.84×10−12s1ln10decays/min·g15decays/min·g=1.06×1011s3350y.

Challenge Problems

This problem demonstrates that the binding energy of the electron in the ground state of a hydrogen atom is much smaller than the rest mass energies of the proton and electron.

(a) Calculate the mass equivalent in u of the 13.6-eV binding energy of an electron in a hydrogen atom, and compare this with the known mass of the hydrogen atom.

(b) Subtract the known mass of the proton from the known mass of the hydrogen atom.

(c) Take the ratio of the binding energy of the electron (13.6 eV) to the energy equivalent of the electron’s mass (0.511 MeV).

(d) Discuss how your answers confirm the stated purpose of this problem.

The Galileo space probe was launched on its long journey past Venus and Earth in 1989, with an ultimate goal of Jupiter. Its power source is 11.0 kg of 238Pu, a by-product of nuclear weapons plutonium production. Electrical energy is generated thermoelectrically from the heat produced when the 5.59-MeV α particles emitted in each decay crash to a halt inside the plutonium and its shielding. The half-life of 238Pu is 87.7 years.

(a) What was the original activity of the 238Pu in becquerels?

(b) What power was emitted in kilowatts?

(c) What power was emitted 12.0 y after launch? You may neglect any extra energy from daughter nuclides and any losses from escaping γ rays.

a. 6.97×1015Bq; b. 6.24 kW; c. 5.67 kW

Find the energy emitted in the β decay of 60Co.

Engineers are frequently called on to inspect and, if necessary, repair equipment in nuclear power plants. Suppose that the city lights go out. After inspecting the nuclear reactor, you find a leaky pipe that leads from the steam generator to turbine chamber. (a) How do the pressure readings for the turbine chamber and steam condenser compare? (b) Why is the nuclear reactor not generating electricity?

a. Due to the leak, the pressure in the turbine chamber has dropped significantly. The pressure difference between the turbine chamber and steam condenser is now very low. b. A large pressure difference is required for steam to pass through the turbine chamber and turn the turbine.

If two nuclei are to fuse in a nuclear reaction, they must be moving fast enough so that the repulsive Coulomb force between them does not prevent them for getting within R10−14m of one another. At this distance or nearer, the attractive nuclear force can overcome the Coulomb force, and the nuclei are able to fuse.

(a) Find a simple formula that can be used to estimate the minimum kinetic energy the nuclei must have if they are to fuse. To keep the calculation simple, assume the two nuclei are identical and moving toward one another with the same speed v. (b) Use this minimum kinetic energy to estimate the minimum temperature a gas of the nuclei must have before a significant number of them will undergo fusion. Calculate this minimum temperature first for hydrogen and then for helium. (Hint: For fusion to occur, the minimum kinetic energy when the nuclei are far apart must be equal to the Coulomb potential energy when they are a distance R apart.)

For the reaction, n+3He4He+γ, find the amount of energy transfers to 4He and γ (on the right side of the equation). Assume the reactants are initially at rest. (Hint: Use conservation of momentum principle.)

The energies are
Eγ=20.6MeVE4He=5.68×10−2MeV. Notice that most of the energy goes to the γ ray.

Engineers are frequently called on to inspect and, if necessary, repair equipment in medical hospitals. Suppose that the PET system malfunctions. After inspecting the unit, you suspect that one of the PET photon detectors is misaligned. To test your theory you position one detector at the location (r,θ,φ)=(1.5,45,30) relative to a radioactive test sample at the center of the patient bed. (a) If the second photon detector is properly aligned where should it be located? (b) What energy reading is expected?