Radiation injury & dose thresholds

Radiation syndromes & sickness

The radiation syndromes and tissue effects, with the approximate whole-body or local dose that causes each. Doses are for acute, single-fraction exposure unless noted; fractionation and dose rate raise tolerances substantially. Tap a card to expand the detail.

9 topics

The earliest systemic response to whole-body irradiation: a transient, dose-dependent set of symptoms appearing within hours.

Radiation destroys the bone-marrow stem cells, producing progressive pancytopenia; it is the treatable, survivable end of acute radiation syndrome.

At these doses the gut mucosa is denuded faster than it can regenerate, producing intractable GI losses and sepsis; survival is rare.

The highest-dose whole-body syndrome: catastrophic CNS and vascular injury with rapid, inevitable death.

Local high-dose skin injury graded by severity; dose thresholds are local (not whole-body) and depend on fractionation and dose rate.

Ionizing radiation impairs germ cells; temporary and permanent sterility thresholds differ by sex and dose rate.

The lens is highly radiosensitive; radiation-induced cataracts are a classic deterministic effect with a low threshold.

The lung is moderately radiosensitive; radiation pneumonitis is a dose-limiting complication of thoracic irradiation.

Radiation effects split into deterministic (threshold, severity rises with dose) and stochastic (no threshold, probability rises with dose).