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KCI 6547
401879

9
Acute Whole Body Radiation Injury: Pathogenesis.
Pre- and Postradiation Protection
Vicror P. Boxp, M.D., Pu.D., Etaexr P. Crongkire, M.D.,
AND Ropert A. Conanrp, MLD.

‘False facts are highly injurious to the progress of seience for they often endure
long; but false views. if supported by someevidence, dolittle hurm for everyone tukes
a salutory pleasure in proving their falseness.’”’

Caries Darwin

9.1 General Notes

Exposure of the body to penetrating radiatious produces ionization in
the tissues. There is a disagreement as to theinitial biological effect therefrom and the sequence of subsequent effects is not adequately known. At
the present time it is not possible to bridge satisfactorily the gaps Letween
the effects of radiation on pure chemical systems, the single cell, and the
integrated mammal. Accordingly, it can be stated that little is known
about the precise mechanisms of the action of ionizing radiation at the
mammalian level. On the other hand, effects at the various levels have been
studied extensively and certainly the end results in the mammal are well
characterized today,
Radiation illness in its broad sense can be produeed by all types of
ionizing radiation. However, the dose required varies with the kind, the

rate of administration and the penetrability of the rays. Furthermore.
there may be situations in which the injuries are produced by a combination of different radiations, some of which are highly penetrating and some
of which may be absorbed completely by the surface lavers of the body.
Much confusion has arisen because of the inadequate means of measuring
the response to radiation and the standardization of a physical unit that
ix adaptable for all sizes of animals and all types of radiation. The roentgen,
or “rr,” a measure of the ionization in air, does not necessarily measure the

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