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Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
10 topics, 52 min. of video
Intro to Radiation Biology
4 m.Radiation Effects at Tissue Level
9 m.Radiation Effects at Cellular Level
4 m.Radiation Effects at Chromosomal Level
4 m.Parameters Characterizing Radiation Effects
6 m.Relative Biological Effectiveness (RBE)
7 m.Radiation Effects at Organ Level
3 m.Stochastic and Non-Stochastic Effects of Radiation
7 m.Radiation Syndrome
9 m.Radiation Induced Carcinogenesis
5 m.0:00
What about the radiation effects at the organ level?
0:04
This particular diagram nicely pictures what happens if the entire organ is exposed
0:10
to radiation. If the entire organ is exposed to radiation, there are two scenarios
0:14
can happen. One is if the dose is very high,
0:19
the organ dies. That leads to death.
0:22
On the other hand, if the radiation is less than very high dose, the organ will try
0:27
to heal. And the healing process can be looked in two different ways.
0:32
One is called the repair mechanism, the other one is called the regeneration
0:37
mechanism. Let's examine the repair mechanism.
0:41
In the repair mechanism, the replacement of damaged cells by different cell type
0:47
will happen.
0:48
And even though the organ not return to its pre-irradiated state, it is repaired,
0:54
so therefore, the organ is not appears exactly like the previous one.
0:59
It has its mark of the radiation exposure, and you can see the healing as
1:04
repaired, but it is not completely brought to the original status.
1:10
This type of repair mechanism occurs in radioresistant tissues, such as muscles and
1:15
CNS, where it can try to repair itself, even though the repair can result
1:21
to the organ not to the original form, but at least it survived.
1:27
The second type of healing is called the regeneration.
1:30
The regeneration mechanism basically replaces the damaged cells by the
1:36
same cell type. Because of that, the organ returns to the
1:41
pre-irradiated state. The radiosensitive tissues undergo this type of
1:47
regeneration, such as skin, bone marrow, and GI tract.
1:51
When they're healing, they try to regenerate, and it shows up as if nothing has
1:56
happened. It brings it back to the original pre-irradiated state.
Interactive Transcript
0:00
What about the radiation effects at the organ level?
0:04
This particular diagram nicely pictures what happens if the entire organ is exposed
0:10
to radiation. If the entire organ is exposed to radiation, there are two scenarios
0:14
can happen. One is if the dose is very high,
0:19
the organ dies. That leads to death.
0:22
On the other hand, if the radiation is less than very high dose, the organ will try
0:27
to heal. And the healing process can be looked in two different ways.
0:32
One is called the repair mechanism, the other one is called the regeneration
0:37
mechanism. Let's examine the repair mechanism.
0:41
In the repair mechanism, the replacement of damaged cells by different cell type
0:47
will happen.
0:48
And even though the organ not return to its pre-irradiated state, it is repaired,
0:54
so therefore, the organ is not appears exactly like the previous one.
0:59
It has its mark of the radiation exposure, and you can see the healing as
1:04
repaired, but it is not completely brought to the original status.
1:10
This type of repair mechanism occurs in radioresistant tissues, such as muscles and
1:15
CNS, where it can try to repair itself, even though the repair can result
1:21
to the organ not to the original form, but at least it survived.
1:27
The second type of healing is called the regeneration.
1:30
The regeneration mechanism basically replaces the damaged cells by the
1:36
same cell type. Because of that, the organ returns to the
1:41
pre-irradiated state. The radiosensitive tissues undergo this type of
1:47
regeneration, such as skin, bone marrow, and GI tract.
1:51
When they're healing, they try to regenerate, and it shows up as if nothing has
1:56
happened. It brings it back to the original pre-irradiated state.
Report
Faculty
Mahadevappa Mahesh, PhD, FACR, MS, FAAPM, FACMP, FSCCT, FIOMP
Professor of Radiology and Cardiology
Johns Hopkins University School of Medicine
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