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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5196_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Foreword
- •Preface
- •Goal of the textbook and accompanying ancillaries
- •Content
- •New to this edition
- •Chapter contents
- •Instructor materials
- •Using the book
- •About the authors
- •Acknowledgments
- •Learning enhancements
- •Ancillaries
- •Workbook.
- •1 Introduction to radiation protection
- •Objectives
- •Key terms
- •Team concept in the medical field
- •Control of radiant energy
- •Goals of radiation protection
- •Concept of radiation protection
- •Introduction to radiation quantities and units of measure
- •Absorbed dose (milligray [mGy]).
- •Effective dose (millisievert [mSv]).
- •Need to safeguard against adverse biologic effects of ionizing radiation
- •Justification and responsibility for imaging procedures: Benefit verses risk
- •As low as reasonably achievable (ALARA) principle
- •Cardinal rules of radiation protection
- •Responsibility for maintaining ALARA in the medical industry
- •Patient protection and patient education
- •Educating patients about imaging procedures
- •Background equivalent radiation time
- •Increased radiation sensitivity of children
- •Alliance for radiation safety in pediatric imaging
- •Image gently campaign
- •Pause and pulse: Image gently in fluoroscopy campaign.
- •Image wisely campaign
- •Monitoring and reporting radiation dose
- •The NEXT program and reference values
- •Protocols for dose alerts
- •Summary
- •General discussion questions
- •Review questions
- •2 Radiation: Types, sources, and doses received
- •Objectives
- •Key terms
- •Radiation
- •Types of radiation
- •The electromagnetic spectrum
- •Ionizing and nonionizing radiation
- •Particulate radiation
- •An introduction to the concept of radiation dose
- •Biologic damage potential
- •Sources of radiation
- •Natural radiation.
- •Terrestrial radiation.
- •Cosmic radiation.
- •Terrestrial and internal radiation.
- •Air travel.
- •Nuclear fuel for the generation of power.
- •Atmospheric fallout from nuclear weapons testing.
- •Nuclear power plant accidents.
- •Three mile Island unit 2.
- •Chernobyl.
- •Thyroid cancer, leukemia, and breast cancer as a result of the chernobyl disaster.
- •Fukushima Daiichi nuclear plant disaster.
- •Medical radiation.
- •Summary
- •General discussion questions
- •Review questions
- •3 Interaction of X-radiation with matter
- •Objectives
- •Key terms
- •Significance of X-ray absorption in biologic tissue
- •X-ray beam production and energy
- •Production of primary radiation
- •Energy of photons in a diagnostic X-ray beam
- •Attenuation
- •Direct and indirect transmission X-ray photons
- •Absorption vs. scatter.
- •Attenuation vs. transmission.
- •Direct transmission vs. indirect transmission.
- •Primary, exit, and attenuated photons
- •Probability of photon interaction with matter
- •Processes of interaction
- •Coherent scattering
- •Process of coherent scattering.
- •Photoelectric absorption
- •Process of photoelectric absorption.
- •Probability of occurrence of photoelectric absorption.
- •Mass density and effective atomic number of different body structures.
- •Body part thickness and density differences.
- •Effects of attenuation on radiographic images.
- •Impact of photoelectric absorption on radiographic contrast.
- •Photodisintegration
- •Process of photodisintegration.
- •Summary
- •General discussion questions
- •Review questions
- •4 Radiation quantities and units
- •Objectives
- •Key terms
- •Historical evolution of radiation quantities and units
- •Discovery of X-rays
- •First reports of injury
- •Use of contrast media to ensure visualization of anatomic structures.
- •Compton scattering
- •Process of compton scattering in a patient.
- •Pair production
- •Process of pair production.
- •Use of annihilation radiation in positron emission tomography.
- •Investigation of methods for reducing radiation exposure
- •Skin erythema dose
- •The modern era of radiation protection
- •Quantities and units in use today
- •Radiation quantities and their SI units of measure
- •Exposure
- •Air kerma
- •Absorbed dose
- •Equivalence of radiation-produced damage from different sources of ionizing radiation
- •Equivalent dose
- •Effective dose
- •Collective effective dose
- •Total effective dose equivalent
- •Summary
- •General discussion questions
- •Review questions
- •5 Radiation monitoring
- •Objectives
- •Key terms
- •Personnel monitoring
- •Requirement for personnel monitoring
- •Purpose of personnel dosimeters
- •Placement of personnel dosimeters
- •During routine radiographic procedures.
- •When a protective apron is worn.
- •As a second monitor when a protective apron is worn.
- •As a monitor for the embryo-fetus.
- •Extremity dosimeter
- •Advantages of the TLD ring dosimeter.
- •Disadvantages of the TLD ring dosimeter.
- •Record of radiation exposure
- •Personnel dosimeters for occupational monitoring
- •Characteristics
- •Types
- •Optically stimulated luminescence dosimeter.
- •Energy discrimination.
- •Control monitor.
- •Advantages of the OSL dosimeter.
- •Disadvantages of the OSL dosimeter.
- •Personnel monitoring report.
- •Change in employment by radiation worker.
- •Direct ion storage dosimeter.
- •Advantages of the direct ion storage dosimeter.
- •Disadvantages of the direct ion storage dosimeter.
- •Radiation survey instruments for area monitoring
- •Radiation detection and measurement
- •Types of instruments
- •Requirements
- •Gas-filled radiation survey instruments
- •Ionization chamber–type survey meter (cutie pie).
- •Sensitivity ranges and uses.
- •Advantages and disadvantages.
- •Proportional counter.
- •Geiger–Müller survey meter
- •Sensitivity and use.
- •Components.
- •Disadvantages.
- •Instruments used to measure X-ray exposure
- •Summary
- •General discussion questions
- •Review questions
- •6 Overview of cell biology
- •Objectives
- •Key terms
- •The cell
- •Cell chemical composition
- •Protoplasm
- •Organic compounds
- •Proteins.
- •Structural and enzymatic proteins.
- •Repair enzymes.
- •Hormones and antibodies.
- •Carbohydrates.
- •Lipids.
- •Nucleic acids.
- •Deoxyribonucleic and ribonucleic acids.
- •Nitrogenous organic bases in DNA.
- •DNA: The master chemical substance.
- •Structural differences between DNA and RNA.
- •Messenger RNA.
- •Transfer RNA.
- •Ribosomal RNA.
- •Chromosomes and genes.
- •The human genome.
- •Inorganic compounds
- •Function of water within and outside of the cell.
- •Function of mineral salts within the cell.
- •Cell structure
- •Cell membrane—a “plastic storage bag” to contain the cell
- •Cytoplasm
- •Cytoplasmic organelles
- •Endoplasmic reticulum—the “highway” of the cell.
- •Golgi apparatus or complex—Hauls “Freight” within and out of the cell.
- •Mitochondria—the “power-generating station” of the cell.
- •Lysosomes—”garbage bags” with “poison pills.”
- •Ribosomes—”manufacturing facilities” of the cell.
- •Centrosomes—”weavers of the spindle.”
- •Nucleus—information-processing and administrative center
- •Cell division
- •Mitosis
- •The four phases of mitosis.
- •Prophase.
- •Metaphase.
- •Anaphase.
- •Telophase.
- •Meiosis
- •Multiple births.
- •Summary
- •General discussion questions
- •Review questions
- •7 Molecular and cellular radiation biology
- •Objectives
- •Key terms
- •Ionizing radiation
- •Radiation energy transfer determinants
- •Linear energy transfer
- •Radiation categories according to linear energy transfer.
- •Low–linear energy transfer radiation.
- •High–linear energy transfer radiation.
- •Risk of damage to DNA.
- •Probability of interaction with DNA.
- •Relative biologic effectiveness
- •Oxygen enhancement ratio
- •Molecular effects of irradiation
- •Effects of irradiation on somatic and genetic cells
- •Radiolysis of water
- •Ionization of water molecules.
- •Production of free radicals.
- •Production of cell-damaging substances.
- •Organic free radical formation.
- •Indirect action characteristics
- •Single-strand break.
- •Double-strand break.
- •Chromosome effect after a double-strand break in the same rung of DNA.
- •Mutation.
- •Covalent cross-links.
- •Effects of ionizing radiation on chromosomes
- •Radiation-induced chromosome breaks.
- •Chromosomal fragments.
- •Chromosome anomalies.
- •Summary of structural changes caused by ionizing radiation.
- •Consequences to the cell from structural changes within the nucleus
- •Target theory
- •Effects of irradiation on the entire cell
- •Instant death
- •Reproductive death
- •Apoptosis
- •Mitotic death
- •Mitotic delay
- •Interference with function
- •Survival curves for mammalian cells
- •Cell radiosensitivity
- •Cell maturity and specialization
- •Oxygen enhancement effects
- •Law of Bergonié and Tribondeau
- •Effects of ionizing radiation on human cells and tissues
- •Blood cells
- •Hematologic depression.
- •Depletion of immature blood cells.
- •Repopulation after a period of recovery.
- •Effects on stem cells of the hematopoietic system.
- •Effects of ionizing radiation on lymphocytes.
- •Effects of ionizing radiation on neutrophils.
- •Effects of ionizing radiation on thrombocytes (platelets).
- •Occupational radiation exposure monitoring.
- •Epithelial tissue.
- •Muscle tissue.
- •Nervous tissue.
- •Nerve tissue in the human adult.
- •Nerve tissue in the embryo-fetus.
- •Reproductive cells
- •Spermatogonia.
- •Ova.
- •Summary
- •General discussion questions
- •Review questions
- •Objectives
- •Key terms
- •Somatic and genetic effects
- •Somatic effects
- •Early tissue reactions
- •Acute radiation syndrome (ARS).
- •Symptoms of acute radiation syndrome.
- •Hematopoietic syndrome.
- •Gastrointestinal syndrome.
- •Cerebrovascular syndrome.
- •Lethal dose
- •LD 50/30.
- •LD 10/30, LD 50/60, and LD 100/60.
- •Repair and recovery
- •Local tissue damage
- •Effects on the skin
- •Effects on the reproductive system
- •Hematologic effects
- •Hematopoietic system.
- •Cytogenetic effects
- •Summary
- •General discussion questions
- •Review questions
- •Objectives
- •Key terms
- •Epidemiology
- •Carcinogenesis
- •Radiation dose–response relationship
- •Dose–response curves
- •Threshold and nonthreshold relationships
- •Risk models used to predict cancer risk and heritable damage in human populations
- •Risk models used to predict leukemia, breast cancer, and heritable damage
- •Risk model used to predict high-dose cellular response
- •The rationale for risk model selection
- •Somatic effects
- •Late somatic effects
- •Low-level effects summary
- •Major types of late effects
- •Risk estimates for cancer
- •Absolute risk and relative risk models.
- •Epidemiologic studies for determining the risk of cancer.
- •Radiation-induced cancer.
- •Radium watch-dial painters.
- •Uranium miners.
- •Early medical radiation workers.
- •Incidence of breast cancer in radiation treatment of benign postpartum mastitis.
- •Japanese atomic bomb survivors
- •Atomic bomb detonation on Hiroshima and Nagasaki.
- •Data obtained from epidemiologic studies.
- •Incidence of breast cancer in japanese women.
- •Radiation dose and radiation-induced leukemia.
- •Conclusions from the Chernobyl nuclear disaster
- •Need for follow-up studies.
- •Worldwide effects of the accident.
- •Thyroid cancer from the accident.
- •Life span shortening
- •Animal studies.
- •Human studies
- •American radiologists.
- •American radiologic technologists.
- •Embryologic effects (birth defects)
- •Stages of gestation in humans.
- •Embryonic cell radiosensitivity during the first trimester of pregnancy.
- •Embryonic cell radiosensitivity during the second and third trimesters of pregnancy.
- •Embryonic effects resulting from the chernobyl nuclear power plant accident.
- •Review of fetal effects by UNSCEAR.
- •Effects of low-level ionizing radiation on the embryo-fetus.
- •Genetic (hereditary) effects
- •Irradiation mutations
- •Natural mutations
- •Other agents of genetic mutations
- •Incapacities of mutant genes
- •Dominant or recessive point mutations
- •Ionizing radiation as a possible cause of genetic (hereditary) effects
- •Doubling dose concept
- •Summary
- •General discussion questions
- •Review questions
- •Objectives
- •Key terms
- •Basis of effective dose limiting system
- •Radiation protection standards organizations
- •International commission on radiological protection
- •National council on radiation protection and measurements
- •National academy of sciences/National research council committee on the biological effects of ionizing radiation (NAS/NRC-BEIR)
- •US regulatory agencies
- •Nuclear regulatory commission
- •Agreement states
- •Environmental protection agency (EPA)
- •US food and drug administration (FDA)
- •Occupational safety and health administration (OSHA)
- •Radiation safety program
- •Requirement
- •Radiation for health and safety act of 1968
- •Code of standards for diagnostic X-ray equipment
- •ALARA concept
- •Model for the ALARA concept
- •Food and drug administration white paper
- •Consumer-patient radiation health and safety act of 1981
- •Radiation-induced responses of concern in radiation protection
- •Categories for radiation-induced responses
- •Changes in terminology from the 1970s to the present
- •Tissue reactions.
- •Early and late tissue reactions.
- •Stochastic effects.
- •Current radiation protection philosophy
- •Occupational risk
- •The vulnerability of the embryo-fetus to radiation exposure
- •Basis for the effective dose limiting system
- •Concept underlying radiation protection
- •Tissue weighting factor
- •Current national council on radiation protection and measurements recommendations
- •National council on radiation protection and measurements reports
- •International commission on radiological protection recommendation for downward revision of the annual effective dose limit.
- •Limits for nonoccupationally exposed individuals.
- •Limits for pregnant radiation workers.
- •Limits for education and training purposes.
- •Limits for tissues and organs exposed selectively or together with other organs.
- •Negligible individual dose.
- •Action limits
- •Radiation hormesis
- •Occupational and nonoccupational dose limits
- •Effective dose limits for radiation workers and the population as a whole
- •Special limits for selected areas
- •Summary
- •General discussion questions
- •11 Equipment design for radiation protection
- •Objectives
- •Key terms
- •Radiation safety features of radiographic equipment, devices, and accessories
- •Diagnostic-type protective tube housing and functions
- •Control panel, or console
- •Radiographic examination table
- •Source-to-image receptor distance indicator
- •X-ray beam limitation devices for fixed and mobile radiographic equipment
- •Light-localizing variable-aperture rectangular collimators.
- •Construction.
- •Skin sparing.
- •Luminance.
- •Coincidence between the radiographic beam and the localizing light beam.
- •Positive beam limitation.
- •Filtration
- •Purpose and effects of radiographic beam filtration.
- •Types of filtration.
- •Requirement for total filtration.
- •Filtration for general diagnostic radiology.
- •Compensating filters
- •Required radiation exposure characteristics
- •Exposure reproducibility.
- •Exposure linearity.
- •Automatic exposure control (AEC) and phototiming
- •Radiographic grids
- •Grid ratio and patient dose.
- •Effect of source-skin distance on patient entrance exposure.
- •Mobile, or portable, radiographic units
- •General information and radiation safety features of digital imaging equipment and accessories
- •Digital processed radiography imaging modes
- •Digital imaging overview
- •Computed radiography (CR)
- •Kilovoltage.
- •X-ray beam collimation.
- •Use of radiographic grids.
- •Digital radiography (DR)
- •Digital radiography systems advantages and disadvantages.
- •Repeat rates in digital imaging
- •Radiation safety features of fluoroscopic equipment, devices, and accessories
- •Fluoroscopic procedures and patient irradiation rates
- •Fluoroscopic imaging systems: Non-digital
- •Brightness of the fluoroscopic image and patient absorbed dose.
- •Pulsed fluoroscopy.
- •Limiting fluoroscopic field size.
- •Radiation delivery factors
- •Selection of technique exposure factors for adult patients.
- •Selection of technique factors for children.
- •Filtration.
- •Cumulative timing device.
- •Entrance irradiation rate limitations.
- •Primary protective barrier.
- •Fluoroscopic exposure control switch.
- •Mobile fluoroscopic systems
- •Radiation safety features of mobile C-arm fluoroscopy.
- •Radiation safety features of digital fluoroscopic equipment
- •Digital fluoroscopy (DF)
- •Pulsed progressive systems.
- •Last image hold.
- •Digital subtraction angiography (DSA) and interventional systems
- •Interventional procedures.
- •Digital subtraction angiography.
- •Roadmapping.
- •Radiation safety for high-level control interventional procedures
- •Public health advisory about the dangers of overexposure of patients and exposure rate limits
- •Use of fluoroscopic equipment by non-radiologist physicians
- •Summary
- •General discussion questions
- •Review questions
- •Objectives
- •Key terms
- •Effective communication
- •Verbal messages and body language
- •Importance of patient instructions
- •Appropriate communication for procedures that will cause pain or discomfort
- •Repeat radiographic exposures resulting from poor communication
- •Immobilization
- •Need for patient immobilization
- •Types of patient motion
- •Protective shielding
- •Need for protective shielding
- •Gonadal shielding
- •CARES committee.
- •Technical exposure factors
- •Appropriate selection
- •Use of standardized technique charts
- •Use of high-kVp and low-mAs exposure factors to reduce dose to the patient
- •Postprocessing of the radiographic image
- •Quality control program
- •Air gap technique
- •Reduction of scattered radiation
- •High peak kilovoltage radiography
- •Repeat images
- •Consequences of repeat images
- •Increase in repeat rates
- •Concern about risk of exposure during diagnostic imaging procedures
- •Nonessential radiologic examinations
- •Specifying the amount of radiation received by a patient during a diagnostic imaging procedure
- •Skin dose.
- •Gonadal dose
- •Difference in gonadal dose received by male and female patients.
- •Bone marrow dose.
- •Fluoroscopically guided positioning
- •Protecting the pregnant or potentially pregnant patient
- •Position of the american college of radiology on abdominal radiologic examinations of female patients
- •Determining the possibility of pregnancy
- •Irradiation during an unknown pregnancy
- •Procedure to follow and responsibility for absorbed dose determination to the patient’s embryo-fetus
- •Sample cases to estimate approximate equivalent dose to the embryo-fetus
- •Sample cases to obtain an approximate estimate of the fetal equivalent dose
- •Irradiating a known pregnant patient
- •Pediatric considerations during radiographic imaging
- •Vulnerability of children to radiation exposure
- •Children require smaller radiation doses than do adults
- •Patient motion and motion reduction methods
- •Gaining cooperation during the procedure
- •Collimation
- •Patient protection in computed tomography for adults and children: Similarities and necessary changes
- •Image gently campaign
- •Image wisely campaign
- •Summary
- •General discussion questions
- •Review questions
- •13 Special considerations on safety in computed tomography
- •Objectives
- •Key terms
- •Patient dose in computed tomography
- •Radiation exposure
- •Concerns related to patient dose: Skin dose and dose distribution
- •Direct patient shielding
- •Helical, or spiral, computed tomography
- •Methods for reduction of patient dose in CT
- •Tube current modulation
- •Iterative reconstruction
- •Optimization of tube voltage
- •Patient centering
- •Computed tomography dose parameters
- •Effective computed tomography dose
- •Multidetector computed tomography scanning (MDCT)
- •MDCT collimation, slice width, and slice number
- •MDCT advantages
- •Slice thickness and reconstruction interval
- •Computed tomography cardiovascular imaging (CT CVI)
- •Basic heart anatomy and processes
- •Phases of the cardiac cycle
- •CT cardiovascular imaging (CT CVI)
- •ECG gated imaging.
- •Heart beat rate.
- •CT CVI imaging metrics
- •Temporal resolution (TR).
- •Spatial resolution (SR).
- •Contrast resolution (CR).
- •Metrics summary.
- •CT CVI and radiation doses
- •Patient radiation doses and volume scanning
- •Radiation dose and image noise
- •Summary
- •General discussion questions
- •Review questions
- •Objectives
- •Key terms
- •Mammography and breast compression
- •Patient dose in mammography
- •Mammography screening
- •Dose reduction in mammography
- •Filtration for mammographic equipment
- •Digital breast tomosynthesis/3D mammography
- •Tomography
- •Digital breast tomosynthesis (DBT)
- •Effects of tomographic angular scan range
- •On the depth resolution of structures.
- •On in-plane image quality.
- •Effects summary.
- •Image reconstruction (IR)
- •Advantages of DBT
- •Reduce the need for follow-up imaging.
- •Detect more cancers than a standard mammogram alone.
- •Improve breast cancer detection in dense breast tissue.
- •Artifacts in digital breast tomography
- •Artifacts due to motion.
- •Artifacts due to method of acquisition.
- •Artifacts due to reconstruction process.
- •Properties of DBT summarized
- •Expanding the angular sweep of the X-ray tube.
- •Increasing the number of projections for a given angular range.
- •Number of projections required depends on:
- •DBT imaging unit characteristics
- •DBT procedure: Steps and details
- •Radiation dosage
- •DBT summary
- •Summary
- •Discussion questions
- •Review questions
- •Objectives
- •Key terms
- •Annual limit for occupationally exposed personnel
- •Effective dose limits
- •Annual occupational and nonoccupational effective dose limits
- •Allowance for a larger equivalent dose for radiation workers
- •ALARA concept
- •Dose-reduction methods and techniques
- •Repeats in digital imaging
- •The patient as a source of scattered radiation
- •Scattered radiation—occupational hazard
- •Filtration of the diagnostic X-ray beam
- •Protective apparel
- •Technical exposure factors
- •Patient restraint
- •Protection for pregnant personnel
- •Imaging department protocol
- •Acknowledgment of counseling and understanding of radiation safety measures
- •Protective maternity apparel
- •Work schedule alteration
- •Basic principles of radiation protection for personnel exposure reduction
- •Time
- •Distance
- •Application of the inverse square law.
- •Shielding
- •Protective structural shielding.
- •Primary protective barrier.
- •Secondary protective barrier.
- •Control-booth barrier.
- •Clear lead–acrylic secondary protective barrier.
- •Clear lead–acrylic overhead protective barrier.
- •Accessory protective devices.
- •Requirements for lead aprons and gloves.
- •Neck and thyroid shield.
- •Protective eyeglasses.
- •X-ray tube housing cables
- •Protection during fluoroscopic procedures
- •Personnel protection
- •Dose-reduction techniques
- •Remote-control fluoroscopic systems
- •Protective curtain
- •Bucky slot shielding device
- •Rotational scheduling of personnel
- •Protection during mobile X-ray examinations
- •Use of protective garments
- •Distance as a means of protection
- •Protection during C-arm fluoroscopy
- •Personnel exposure resulting from scattered radiation
- •Need for protective apparel for all personnel and monitoring of imaging personnel
- •Positioning of the C-arm fluoroscope
- •Exposure reduction for personnel
- •Protection during high-level control interventional procedures
- •Increased importance of radiation safety techniques
- •Knowledge of dose-reduction techniques required by the radiographer
- •How the radiologist or other interventional physician can reduce radiation exposure
- •Extremity monitoring
- •Diagnostic X-ray suite protection design
- •Requirement for radiation-absorbent barriers
- •Reason for overshielding
- •Radiation shielding categories
- •Primary radiation.
- •Scatter radiation.
- •Leakage radiation.
- •Calculation considerations
- •Workload.
- •Inverse square law.
- •Use factor.
- •Occupancy factor.
- •Controlled and uncontrolled areas.
- •Calculating barrier shielding requirements
- •Primary barrier calculation.
- •Secondary barrier calculation.
- •Scatter radiation.
- •Leakage radiation.
- •Current approaches to shielding
- •Radiation caution signs
- •Beam-on indicator sign
- •General posting
- •Summary
- •General discussion questions
- •Review questions
- •16 Radioisotopes and radiation protection
- •Objectives
- •Key terms
- •Medical usage
- •Radiation therapy
- •Iodine-125.
- •Iodine-131.
- •Proper handling and disposal of radioactive materials
- •Nuclear medicine
- •Iodine-123.
- •Technetium-99m.
- •Positron emission tomography and computed tomography
- •Imaging.
- •Fluorine-18.
- •Radiation protection and the PET-CT scanner
- •Radioimmunotherapy (RIT)
- •The immune system
- •Monoclonal antibodies
- •Agents of RIT and their destructive capabilities
- •How RIT is performed
- •Radiation safety considerations
- •Imaging for RIT proper treatment delivery
- •Summary of RIT
- •Radiation emergencies: Use of radiation as a terrorist weapon
- •Contamination
- •Cleanup of a contaminated Urban Area
- •Medical management of persons experiencing radiation bioeffects
- •Summary
- •General discussion questions
- •Review questions
- •Image gently pledge
- •Image wisely pledge
- •Pledge for imaging professionals
- •Electron volt common energy designations
- •Common frequency spectrum designations
- •§ 35.50 training for radiation safety officer and associate radiation safety officer
- •Subtitle I—consumer-patient radiation health and safety act of 1981
- •Short title
- •Statement of findings
- •Statement of purpose
- •Promulgation of standards
- •Model statute
- •Compliance
- •Federal radiation guidelines
- •Applicability to federal agencies
- •References
- •Chapter 1
- •Chapter 2
- •Chapter 3
- •Chapter 4
- •Chapter 5
- •Chapter 6
- •Chapter 7
- •Chapter 8
- •Chapter 9
- •Chapter 10
- •Chapter 11
- •Chapter 12
- •Chapter 13
- •Chapter 14
- •Chapter 15
- •Chapter 16
- •GLOSSARY
- •Index

CHAPTER 5 Radiation Monitoring
87
9. Which of the following instruments should be used
to locate a lost radioactive source or detect low-level
radioactive contamination?
A. GM survey meter
B. Proportional counter
C. Ionization chamber–type survey meter (cutie pie)
D. Direct ion storage dosimeter
10. Which of the following instruments should be used
in an x-ray installation to measure the fluoroscopic
scatter radiation exposure rate?
A. Geiger detector
B. Cutie pie
C. Proportional counter
D. Direct ion storage dosimeter

6
Overview of Cell Biology
O B J E C T I V E S
After completing this chapter, the reader will be able to
perform the following:
• Define all key terms.
• State the purpose for acquiring a basic knowledge
of cell structure, composition, and cell function as
a foundation for understanding the effects of
radiation in biology.
• Identify and describe some important roles of the
major classes of organic and inorganic compounds
that exist in the cell.
• List the essential tasks of water in the human body.
C H A P T E R O U T L I N E
The Cell
Cell Chemical Composition
Protoplasm
Organic Compounds
Inorganic Compounds
Cell Structure
Cell Membrane
• Name and describe a landmark event pertaining to the human genome that occurred in 2001, and explain the progress that has been made since then as a result of this project.
• Describe the molecular structure of deoxyribonucleic acid, and explain the way it operates in the cell.
• Describe the structural differences between DNA
and RNA.
• List the various cellular components, and identify
their physical characteristics and functions.
• Distinguish between the two types of cell divisions,
mitosis and meiosis, and describe each process.
Cytoplasm
Cytoplasmic Organelles
Nucleus
Cell Division
Mitosis
Meiosis
Summary
K E Y T E R M S
amino acids
anaphase
carbohydrates
cell division
cell membrane
centrosome
chromosomes
cytoplasm
cytoplasmic organelles
deoxyribonucleic acid (DNA)
endoplasmic reticulum (ER)
genes
88
human genome
inorganic compounds
interphase
lipids
meiosis
messenger RNA (mRNA)
metaphase
mitochondria
mitosis (M)
nucleic acids
nucleus
organic compounds
osmosis
oxidation
prophase
proteins
protein synthesis
protoplasm
ribonucleic acid (RNA)
ribosomal RNA (rRNA)
ribosomes
saccharides
telophase
transfer RNA (tRNA)

CHAPTER 6 Overview of Cell Biology
89
Biology is a science that explores living things and
life processes. Cells are the basic units of all living matter. The cell is the fundamental element of structure,
development, growth, and life processes in the human
body. Before imaging professionals can comprehend the
effects of ionizing radiation on the human body, they
must acquire a basic knowledge of how cells are assembled, what they are made of, and how they operate. This
chapter is designed to provide an understanding of
cellular biology, which ultimately will help the learner
appreciate the effects of radiation in the body.
THE CELL
The human body is composed of trillions of cells.
These cells exist in a multitude of different forms and
perform many diverse functions for the body, such as
the following:
• Conduction of nerve impulses
• Contraction of muscles
• Support of various organs
• Transportation of body fluids, such as blood
Some cells are freely moving, independent units
(e.g., leukocytes), whereas others remain in one position
as part of the tissues of larger organisms throughout
their lifetimes (e.g., bone marrow cells). Every mature
human cell is highly specialized and has predetermined
tasks to perform in support of the body.
Cells:
• Move
• Grow
• React
• Protect themselves
• Repair damage
• Regulate life processes
• Reproduce
To ensure efficient cell operation, the body must have
food as a source of raw material for the release of energy,
be supplied with oxygen to help break down the food,
and have enough water to transport inorganic substances such as calcium and sodium into and out of
the cell. In turn, proper cell function enables the body
as a whole to maintain homeostasis or equilibrium,
which is the ability to operate in a normal manner
despite any changes the body may undergo due to outside influences, such as stress, exercise, injury, or disease.
In summary, cells are engaged in an ongoing process
of obtaining energy and converting it to support their
vital functions. Cells absorb molecular nutrients
through the cell membrane and use these nutrients to
produce energy and synthesize molecules. If exposure to
outside influences, such as ionizing radiation, damages
the components involved in molecular synthesis beyond
repair, then cells either behave abnormally or die.
CELL CHEMICAL COMPOSITION
Protoplasm
Cells are made of protoplasm, the living contents of a
cell surrounded by a plasma membrane. The protoplasm
is the chemical building material for all living things. This
substance carries on the:
• Complex process of metabolism
• Reception and processing of food and oxygen
• Elimination of waste products
Metabolism enables the cell to synthesize proteins
and produce energy. Protoplasm, which includes both
small and very large molecules, called macromolecules,
consists of:
• Organic compounds (those compounds that contain
carbon, hydrogen, and oxygen)
• Inorganic materials (compounds that do not contain
carbon)
These are either dissolved or suspended in water.
The biomolecules that constitute protoplasm are
formed from many elements, among which there are
four primary components:
• Carbon
• Hydrogen
• Oxygen
• Nitrogen
When combined with phosphorus and sulfur, they
comprise the essential major organic compounds:
• Proteins
• Carbohydrates
• Lipids
• Nucleic acids
These compounds are discussed later in this chapter.
The most important inorganic substances are:
• Water
• Mineral salts (electrolytes)
Water plays a fundamental role in sustaining life and
is the most abundant inorganic compound in the body.
The essential functions of water are listed in Box 6.1 and
are also discussed later in this chapter. Depending on
cell type, water normally accounts for 80% to 85% of

90
PROTOPLASM COMPOSITION
CHAPTER 6 Overview of Cell Biology
BOX 6.1 Life-Sustaining Role of Water in
the Human Body
• Acts as the medium in which acids, bases, and salts
are dissolved
• Functions as a solvent by dissolving chemical sub-
stances in the cell
• Functions as a transport vehicle for material the cell
uses or eliminates
• Maintains a constant body core temperature of
98.6°F (37°C)
• Provides a cushion for vital organs, such as the brain
and lungs
• Regulates concentration of dissolved substances
• Lubricates the digestive system
• Lubricates skeletal articulations (joints)
1% Nucleic acids
15% Protein
80% to 85%
Water
The Cell
Fig. 6.1 Depending on cell type, water normally accounts for
80% to 85% of protoplasm. (From Radiobiology and radiation
protection: Mosby’s radiographic instructional series, St. Louis,
1999, Elsevier.)
1% Carbohydrates
2% Lipids
protoplasm (Fig. 6.1). Mineral salts exist in smaller
quantities but are of vital importance in sustaining cell
life because they help produce energy and aid in the
conduction of nerve impulses. Mineral salts are also
instrumental in the prevention of muscle cramping.
Organic Compounds
The four major classes of organic compounds (proteins, carbohydrates, lipids [fats], and nucleic acids) all
contain carbon as a fundamental constituent (Box 6.2).
By combining with:
• Hydrogen
• Nitrogen
• Oxygen
carbon makes life possible. Of the four classes of
organic compounds, proteins contain the most carbon.
BOX 6.2 Major Classes of Organic
Compounds That Compose the Cell
Proteins Lipids (fats)
Carbohydrates Nucleic acid
Proteins. Proteins are the most elementary building
blocks of cells, and they make up approximately 15% of
cell content (see Fig 6.1). Proteins are essential for
growth, the construction of new body tissue (including
acellular tissue such as hair and nails), and the repair of
injured or debilitated tissue. Proteins are formed when
organic compounds called amino acids combine into
long, chainlike molecular complexes. Amino acids are
essentially composed of combinations of NH2 (called
amine) and COOH (carboxyl group) molecules. Thus
nitrogen, hydrogen, carbon, and oxygen are the key
constituents of amino acids, of which approximately
500 different types are currently known, although
humans require only 22 specific amino acids. To summarize, proteins are macromolecules made up of strings
of amino acids. When proteins are produced within a
cell, a process known as protein synthesis, the order of
arrangement of amino acids, determines the precise
function of each protein molecule, and the types
of proteins that any given cell contains determine the
characteristics, or genetics, of that cell. Key components
of genetic material, called chromosomes and genes, which
organize the amino acids into different orderings to
make different types of proteins, are discussed later in
this chapter (Fig. 6.2).
Structural and enzymatic proteins. Structural pro-
teins, such as those found in muscle, provide the body
with its shape and form and are a source of heat and
energy. Enzymatic proteins function as organic catalysts, that is, agents that affect the rate or speed of
chemical reactions without being altered themselves.
As a result of this, enzymatic proteins (commonly called
enzymes) moderate or control the cell’s various physiologic activities. Among other tasks, enzymes can cause
an increase in cellular activity that in turn causes biochemical reactions to occur more rapidly to meet the
needs of the cell in stressful situations. In general,
proper cell functioning depends heavily on enzymes.
Repair enzymes. Many of the proteins produced in
the cell, by necessity, are enzymes, initiating vital chemical reactions within the cell at the appropriate time.

CHAPTER 6 Overview of Cell Biology
91
Chromosomes Genes
Organize
22 different amino acids
INTO
Certain sequence
aa aa
Structural
proteins
Fig. 6.2 Chromosomes and genes organize the 22 different
amino acids into certain sequences to form the different structural and enzymatic proteins.
aa aa aa
TO FORM
Enzymatic
proteins
Some of the enzymes produced, called repair enzymes,
can also mend damaged molecules and are therefore
capable of helping the cell recover from a small amount
of radiation-induced damage. Both the catalytic (i.e.,
reaction facilitator) and repair capabilities of enzymes
are of vital importance to the survival of the cell.
Repair enzymes work effectively in radiation induced
cell injury associated with both diagnostic and therapeutic radiation energy ranges. However, if the radiation damage is excessive because of a large delivered
equivalent dose, the cellular harm will be too severe for
repair enzymes to have enough positive effect. Thus,
when ionizing radiation is used for therapeutic purposes to destroy malignant cells, a very significant effort
using the latest advances in imaging and treatment
planning algorithms is always made to minimize the
absorbed dose to healthy surrounding tissue. In radiation therapy, this concept is referred to as a therapeutic
ratio, wherein the intent is to deliver enough radiation
to kill cancerous cells in a tumor (i.e., damage them sufficiently so that they are irreparable) while delivering a
much less-than-cell-killing equivalent dose to any surrounding noncancerous tissue structure. This concept is
the foundation on which successful radiation therapy
rests.
Hormones and antibodies. In addition to provid-
ing structure and support for the body, proteins may
function as hormones and antibodies. Hormones are
chemical secretions manufactured by various endocrine glands (i.e., organs that secrete substances into
the blood stream) and carried by the bloodstream to
influence the activities of other parts of the body. For
example, hormones produced by the thyroid gland
located in the neck control metabolism throughout
the body. Hormones also regulate body functions, such
as growth and development.
Antibodies are protein molecules created by specialized cells in the bone marrow called B lymphocytes.
Lymphocytes are white blood cells involved in the
body’s immune reactions. Antibodies are produced
when other lymphocytes in the body, known as T lym-
phocytes, detect the presence of molecules that do not
belong to the body. These foreign objects (e.g., bacteria,
flu viruses) are called antigens. Although the skin of the
body is the initial barrier to any outside invasion by
pathogens or the like, once it has been penetrated, the
body’s primary defense mechanism against infection
and disease are the antibodies that chemically attack any
foreign invaders.
Carbohydrates. Carbohydrates, also referred to as
saccharides, make up approximately 1% of cell content
(see Fig. 6.1). They include starches and various sugars.
Carbohydrates range from simple to complex compounds (Box 6.3), even though they are composed
of only carbon, hydrogen, and oxygen. Simple sugars
such as glucose, fructose, and galactose, have six carbon
atoms and six molecules of water (e.g., glucose has the
chemical formula C6H12O6). Glucose is the primary
energy source for the cell. Because it is a simple sugar,
it is called a monosaccharide. Other sugars that have
two units of a simple sugar linked together are called
disaccharides. Sucrose (cane sugar) and lactose are
examples of disaccharides. Both monosaccharides and
disaccharides are relatively small molecules. Polysaccha-
rides contain several or many molecules of simple sugar.
BOX 6.3 Simple to Complex
Carbohydrates
Monosaccharides
C
6H12O6
Disaccharides
C
Polysaccharides
C
1 C6H12O
6H12O6
1 C6H12O6 1 C6H12O6 1 C6H12O6 1 .........
6H12O6
6

92
CHAPTER 6 Overview of Cell Biology
BOX 6.4 Lipid Formation
Fats or lipids
h
1 molecule of glycerin 1 3 molecules of fatty acid
h
Carbon, oxygen, hydrogen
Plant starches and animal glycogen* are the two most
important polysaccharides. Through the process of
metabolism, the body breaks these down into simpler
sugars for energy.
Carbohydrates, simply described as chains of sugar
molecules, function as short-term energy warehouses
for the body. Their primary purpose is to provide fuel
for cell metabolism. Although carbohydrates are found
throughout the human body, they are most abundant in
the liver and in muscle tissue. They also are important
structural parts of intercellular materials.
Lipids. Lipids can simply be defined as substances such
as fats and fatty acids, oil, or wax that dissolve in alcohol
but not in water. Lipids are organic macromolecules,
in general containing carbon, hydrogen, and oxygen. In
their simplest form, they are made up of a molecule of
glycerin† and three molecules of fatty acid** (Box 6.4).
Lipids are the structural parts of cell membranes, constituting approximately 2% of cell content (see Fig. 6.1).
Therefore, lipids are present in all body tissue. The functions they perform for the body are listed in Box 6.5.
Nucleic Acids. Nucleic acids are complex macromole-
cules comprising approximately 1% of the cell (see Fig. 6.1).
*Glycogen, also known as animal glycogen, is a polysaccharide
that is the main storage form for glucose in both animals and
humans. In humans, it is mainly concentrated in the liver,
comprising about 10% of the liver mass.
†
Glycerin is a clear, odorless, syrupy liquid that is a simple
sugar and alcohol compound. It has the chemical formula
C3H8O3.
**When glucose is broken down in the body during respiration, fats are among the generated intermediate products.
When a fat combines with an acidic group of atoms (e.g., the
carboxyl group, COOH), a fatty acid is formed. An example of
a fatty acid is CH3COOH, which is commonly known as acetic
acid
. Fatty acids are constituents of amino acids from which
proteins are built.
BOX 6.5 Functions That Lipids Perform
for the Body
1. Act as reservoirs for the long-term storage of energy
2. Insulate and guard the body against the environment
3. Support and protect organs such as the eyes and
kidneys
4. Provide essential substances necessary for growth
and development
5. Lubricate the joints
6. Assist in the digestive process
The much smaller structures that are the building blocks
of nucleic acids are called nucleotides. Each nucleotide is
a unit formed from a nitrogen-containing organic base,*
a five-carbon sugar molecule (deoxyribose), and a phos-
phate molecule.**
Deoxyribonucleic and ribonucleic acids. Cells
contain two types of nucleic acids that are of primary
importance to all life:
• Deoxyribonucleic acid (DNA)
• Ribonucleic acid (RNA)
The DNA macromolecule is composed of two long
sugar–phosphate chains, which twist around each other
in a double-helix (spiral) configuration and are linked
by pairs of nitrogenous organic bases*** (purines and
pyrimidines) at the sugar molecules of the chain to
*In general, a base is a substance that, among other characteristics, is slippery to the touch in aqueous solutions, tends to
accept protons (i.e., ionized hydrogen atoms) from any proton
donor, and reacts with acids to neutralize them, forming salts
in the process. If the base contains one or more carbon and
hydrogen bonded components, it may be classified as an
organic base.
**A phosphate molecule has the chemical description PO4 and
therefore consists of one phosphorus atom bonded to four
oxygen atoms. It is a negative ion carrying a charge of 23
produced by the dissolution of phosphoric acid H3PO4. Excluding the phosphate molecule, Fig. 6.3 displays the molecular structure of the sugars and the organic bases. The latter are
divided into two categories called purines and pyrimidines.
***If an organic base is covalently bonded (i.e., a chemical
union formed when electrons are shared between two atoms
wherein each atom typically contributes one electron to form
a pair of electrons that are shared by both atoms) to one or
more nitrogen atoms, this chemical combination is called a
nitrogenous base. A nitrogenous base may also contain oxygen
atoms that form bonds with carbon.

CHAPTER 6 Overview of Cell Biology
SUGARS
93
form a tightly coiled structure resembling a twisted
ladder or spiral staircase. The sugar–phosphate compounds are the rails, and the pairs of nitrogenous
bases, which consist of complementary chemicals, are
the steps, or rungs, of the DNA ladder-like structure
(Fig. 6.3). Hydrogen bonds attach the bases to each
other and join the two side rails of the DNA ladder.
A~T
A~T
P
C~G
S
P
S
P
S
P
S
P
S
P
S
P
S
P
S
P
S
A~T
T~A
G~C
T~A
C~G
C~G
P
S
T~A
C~G
A~T
G~C
T~A
P
A~T
C~G
P
S
P
S
P
S
P
S
H
T~A
S
P
S
P
S
Nitrogenous organic bases in DNA. The four
nitrogenous organic bases (Fig. 6.4) in DNA macromol-
ecules are as follows:
• Adenine (A)
• Cytosine (C)
• Guanine (G)
• Thymine (T)
H
C O
C
C
O
H
D-ribose
H
H
N
C
N C
C
H
H
H
C
C
C N
H
N
C
H
Cytosine (C) Thymine (T)
H
HH O
O
HH
C
C
HH
H
O
PURINES
H
N
C
C
N
N
N
O
H
PYRIMIDINES
H
H
O
O
C
N
C C
N
H
H
H
H
C
H
C O
C
HH
C
O
D-2-deoxyribose
O
N C
N
H
H
H
C
C
H
Guanine (G)Adenine (A)
H H
H
N
C
N
C
C
C
N
H
O
C
HH
C
HH
O
H
H
C
N
H
O
C
N
HH
C
O
Fig. 6.3 Diagram of a DNA macromolecule that illustrates its
twisted ladder-like or spiral staircase–like configuration. Alternating sugar and phosphate molecules form the side rails of
the ladder, and the nitrogenous organic bases, which consist
of the complementary chemicals adenine (A), thymine (T),
guanine (G), and cytosine (C), form the rungs, or steps. A
hydrogen bond joins the bases together.
Uracil (U)
Fig. 6.4 The components of nucleic acid (H, hydrogen; C,
carbon; N, nitrogen; O, oxygen). Sugars are strung together
with phosphate groups, and a base is attached to each sugar.
DNA uses d-2-deoxyribose sugar, and RNA uses d-ribose. Both
nucleic acids use the same two purines, but thymine (T) in
DNA is replaced by uracil (U) in RNA.

94
CHAPTER 6 Overview of Cell Biology
Adenine and guanine are purines, and the compounds cytosine and thymine are classified as pyrimi-
dines. As can be seen in the figure, a primary difference
between the two classes of compounds is the number of
carbon–nitrogen rings, with purines always having two
rings and pyrimidines only one. A unique characteristic
of these organic bases in DNA is that purines link with
pyrimidines only in certain specific combinations; more
precisely, adenine always bonds only with thymine,
and cytosine bonds only with guanine. This property
is the reason the two strands of DNA are described as
complementary.
DNA: the master chemical substance. DNA, which
is a very large conglomeration of complex molecules, is
regarded as the master chemical substance because it
contains all of the information a cell needs to function.
DNA carries the genetic information necessary for cell
replication and regulates all cellular activity needed to
direct protein synthesis. DNA establishes an individual’s
personal characteristics by regulating the ordering of
amino acids in the person’s constituent proteins during
the synthesis of these proteins. These arrangements
of amino acids are determined by the succession of
adenine–thymine and cytosine–guanine base pairs in
the DNA macromolecules. Therefore, the sequence
of nitrogenous base pairs in the DNA molecule constitutes a genetic code. Different sequences of amino acids
produce proteins with different functions. Protein characteristics determine cell characteristics, and cell characteristics ultimately determine the characteristics of
the entire individual. All of the information necessary to
construct and maintain a living organism is written in
the “genetic code book” of DNA—the letters, words, and
sentences are the arrangements and groupings of the
nitrogenous organic bases. Why is one person’s DNA dif-
ferent from another’s? Small differences in base pair
layouts are responsible for variations in human beings
because such slightly altered base pair configurations
lead to changes in the proteins produced, how much are
produced, and when they are produced.
Structural differences between DNA and RNA. RNA
is a long, single-stranded chain of cells that processes
protein. The nucleic acid polymer (a macromolecule
containing many repeated subunits) RNA plays an
essential part in the translation of genetic information
from DNA into protein products. To do this, RNA
functions as a messenger between DNA and the ribosomes, or “protein factories,” where synthesis occurs.
RNA differs structurally from DNA in several ways,
some of which are as follows:
• RNA is a single-strand macromolecular structure,
whereas DNA is a double-strand macromolecular
structure. Both have spiral ladder-like arrangements
of their bases.
•
RNA contains ribose,* whereas DNA contains
deoxyribose.*
• RNA has the nitrogenous base uracil (see Fig. 6.4) as
a component of its ladder steps, whereas DNA has
thymine instead in its ladder steps. Both also contain
the bases adenine, guanine, and cytosine as elements
of their spiral structure. Unlike with DNA, where
thymine forms a bond with adenine, for RNA, uracil
links with an adenine base.
• RNA performs many different biologic functions
(e.g., acts as an enzyme), but DNA carries the genetic
information.
• RNA has a much shorter chain of nucleotides than
DNA.
Messenger RNA. Because DNA is found mostly
in the cell nucleus, it cannot directly influence cellular
activity such as growth and differentiation, which occur
in the cytoplasm (the part of the cell that lies outside
the nucleus). Instead, DNA regulates cellular activity
indirectly, transmitting its genetic information outside
the cell nucleus by reproducing itself in the form of
messenger RNA (mRNA), which is able to leave the
cell nucleus. Once in the cytoplasm, mRNA directs the
process of making proteins from amino acids.
DNA serves as a prototype for mRNA, but mRNA
differs from DNA in two important ways:
1. mRNA contains in its backbone the sugar molecule, ribose, which differs only in the presence
of an extra O–H bond from the sugar molecule,
deoxyribose, found in the backbone or side rails
of DNA (see Fig. 6.3).
2. In mRNA, the pyrimidine base uracil (U) replaces
the thymine that is found in DNA (Fig. 6.5).
An mRNA macromolecule, as does any type of RNA,
resembles one half of a DNA macromolecule. RNA
*Ribose is an organic compound classified as a simple sugar.
Chemically, ribose is made up of a bonded pentagon-shaped
arrangement of 5 carbon atoms, 10 hydrogen atoms, and
5 oxygen atoms. If a ribose molecule should lose one of its
oxygen atoms, it is called deoxyribose.

CHAPTER 6 Overview of Cell Biology
Amino acid
aa
U
U
C
S
P
S
P
S
U
S
P
C
A
S
P
S
P
aa
aa
aa
mRNA
aa
aa
aa
Ribosome
aa
aa
95
aa
tRNA
G
A
A
G
G
U
P
S
P
S
P
S
G
C
Fig. 6.5 Messenger RNA (mRNA) resembles one half of a
DNA macromolecule. It appears as a single strand (one side
rail) of the DNA ladder-like configuration, with the ladder being
severed in half lengthwise. Uracil (U) replaces thymine (T) as
one of the nitrogenous organic bases in the mRNA molecule.
G
U
C
A
A
A
S
P
S
G
S
therefore appears as a single strand of the DNA ladderlike configuration, with the ladder being severed in
half lengthwise (see Fig. 6.5).
Transfer RNA. Macromolecules of mRNA carry
their genetic codes in their sequences of nitrogenous
organic bases (e.g., U, U, C, C, A, U, G, etc.) from the cell
Fig. 6.6 Ribosomes, the cell’s protein factories, travel along
the messenger RNA (mRNA) rails, linking transfer RNA (tRNA)
and its corresponding amino acids in the proper sequences to
produce the proteins appropriate for the needs of the cell.
nucleus to the ribosomes.* Proteins are manufactured
in the ribosomes. Within the ribosome, both mRNA
and transfer RNA (tRNA) macromolecules are present.
The mRNA delivers its genetic code to tRNA. This
encoded tRNA combines with individual amino acids
from different areas of the cell and attaches them
to the ribosomes, where the amino acids are subsequently arranged in specific orders to form chainlike
protein molecules. Each tRNA molecule is specifically
coded for a particular amino acid. Because each of the
22 different amino acids has an associated tRNA, at least
22 different types of tRNAs exist. The ribosomes travel
along the mRNA and link tRNA and its corresponding
amino acids in the correct order so that the proteins
necessary to provide for the needs of the cell are produced (Fig. 6.6).
Ribosomal RNA. Ribosomal RNA (rRNA) is yet
another type of RNA. Ribosomal RNA’s function is
to assist in the linking of mRNA to the ribosome to
facilitate protein synthesis.
Chromosomes and genes. Chromosomes are tiny,
rod-shaped bodies that under a microscope appear
to be long, threadlike structures that become visible
only in dividing cells (Fig. 6.7). Chromosomes are
composed of:
• Protein
• The genetic material DNA
*Ribosomes: small, spherical organelles (subunits of a cell that
perform a specific function) that are the assembly sites (similar to an auto assembly line) where mRNA and tRNA combine
amino acids into proteins. A further discussion of ribosomes
is provided later in this chapter.

96
A
Fig. 6.7 (A) A chromosome viewed under a microscope appears
rod shaped; (B) when further magnified, a chromosome appears
as a tightly wound spiral structure composed of hundreds of
genes—(C) a segment of the DNA macromolecule.
CHAPTER 6 Overview of Cell Biology
B
C
A normal human being has 46 different chromosomes composed of 23 pairs in each somatic (nonreproductive) cell. Individual male and female reproductive
cells, also known as germ cells, do not have this pairing.
Instead, each of these germ cells has only 23 chromosomes, which pair up to form a full set of 46 chromosomes when a sperm cell fertilizes an egg cell. The DNA
that makes up every chromosome is divided into many
hundreds of segments or subunits called genes. Each
gene, because of the ordering of its nitrogenous base
pairs, contains information responsible for or related to
one or more of the following:
• Directing cytoplasmic activities
• Controlling growth and development of the cell
• Transmitting various aspects of hereditary informa-
tion (e.g., hair color, blood type, general body char-
acteristics, etc.)
Thus, genes are the basic units of heredity. Taken as a
whole, they control the formation of proteins in every
cell through the intricate process of parentally shared
genetic coding.
The human genome. The total amount of genetic
material (DNA) contained within the chromosomes of
a human being is called the human genome. The human genome is the blueprint for each person’s body.
The process of locating and identifying the genes in the
genome is called mapping. A landmark event occurred
in 2001, when after years of intense effort two rival
groups succeeded in deciphering the human genome.1
Essentially, they uncovered the entire sequence of DNA
base pairs (i.e., all of the “rungs” of the DNA ladder
structure) on all 46 chromosomes. This major milestone in biology and medicine was accomplished by
Celera Genomics, a private company in Rockville,
Maryland, and the International Human Genome
Sequencing Consortium, a group of academic centers
funded mostly by the National Institutes of Health and
the Wellcome Trust of London.
2
The groups found that there are 2.9 billion base pairs
in the human genome and that these base pairs are
arranged into approximately 30,000 genes. It is estimated that these genes are capable of producing at least
90,000 different proteins.
According to the National Institutes of Health (2010),
the Human Genome Project has already led to the discovery of more than 1800 disease genes. In addition,
with the knowledge gained from the project, today’s
researchers can find a gene suspected of causing an
inherited disease in a matter of days, rather than the
years it took before the genome sequence was discovered. There are now more than 2000 genetic tests
for human conditions. These tests enable patients to
learn their genetic risks for disease and help health
care professionals diagnose disease. As of 2013 at least
350 biotechnology-based products resulting from the
Human Genome Project have been placed in clinical
trials. Possessing the complete sequence of the human
genome is similar to owning all the pages of a manual
needed to create the human body. The challenge now is
to determine how to read the contents of these pages
and understand how all of these many complex parts
function together in human health and disease.3 The
potential gain from this effort is to be able to eventually
both predict a person’s risk of disease and provide that
person with specific drugs for targeting and stopping
the disease.
Interpreting the map of the human genome is
similar to that of a building contractor discovering a
list of all the items that are needed to build a house
but not a blueprint that demonstrates how often or
in what order the steps should be performed. Presymptomatic testing, carrier screening, workplace genetic
screening, and testing by insurance companies pose
significant ethical issues. Second, the burgeoning
ability to manipulate human genes raises a number of
important ethical questions. Ethical, legal and social
issues raised by genomic research include: possible
discrimination by employers or health insurers, the
need for ethical standards for work with human
research subjects or tissues, and consideration of social,
cultural and religious perspectives on genetics and
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