Abstract
The development of nuclear industry and wide application of radioactive isotopes and ionizing radiation (IR) in the industry, medicine, science, and other fields of man’s activity considerably increased the number of people affected by long-term radiation exposure. The operation of nuclear enterprises was performed without proper protection of the personnel. As a result, already in the early 1950s physicians noted the development of a specific clinical syndrome associated with long-term exposure to IR in doses exceeding the threshold for the appearance of tissue reactions. Follow-up of these exposed persons demonstrated that they develop a number of consecutive system changes that gradually form the chronic radiation syndrome (CRS). Russian scientists (Guskova et al. 1954; Kurshakov 1956; Glazunov et al. 1959; Baysogolov 1961; Kireyev 1962, etc.) showed that changes in hematopoietic and nervous systems dominate in clinical CRS picture. The chapter also presents the classification of the chronic radiation syndrome.
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References
Baysogolov GD (1961) Clinical picture of chronic radiation sickness during various periods of its treatment. Institut Biofiziki, Moscow, p 336
Baysogolov GD, Springish VN (1960) Functional status of the hematopoiesis in the period of chronic radiation sickness late effects. Bulleten Radiatsionnoy Meditsiny 1a:96–98 (Russian)
Baysogolov GD, Doshchenko VN, Yurkov NN et al (1968) Late manifestations of CRS in man. Bulleten Radiatsionnoy Meditsiny 2:3–7 (Russian)
Doshchenko VN (1960) On the issue of the secretory, motor, and hematopoietic function of the stomach in persons with chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 1a:57– 65 (Russian)
Doshchenko VN (1999) Cause-of-death structure after significant chronic total body occupational γ-exposure. Meditsinskaya radiologiya 6:38–40 (Russian)
Doshchenko VN, Migunova NI (1985) Syndrome of myocardiodystrophy in late period of chronic radiation sickness and its outcomes. Bulleten Radiatsionnoy Meditsiny 1:20–25 (Russian)
Glazunov IS, Blagoveshchenskaya VV, Malakhova VV (1959) Major results of the scientific research on radiation neurology. Bulleten Radiatsionnoy Meditsiny 1a:3–15 (Russian)
Guskova AK (1960) Neurological syndromes of chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 1a:65–73 (Russian)
Guskova AK (2001) Classification of radiation sickness. In: Ilyin LA (ed) Radiatsionnaya meditsina. IzdAT, Moscow, pp 41–62 (Russian)
Guskova AK (2007) Chronic radiation sickness caused by common uniform exposure. In: Radiation injuries in man. Slovo, Moscow, pp 85–102 (Russian)
Guskova AK, Baysogolov GD (1971) Radiation sickness in man. Meditsina, Moscow (Russian)
Guskova AK, Baysogolov GD, Yemanova EA, Doshchenko VN (1954) On the issue of clinical picture and treatment of chronic radiation injuries. Institut Biofiziki, Moscow, p 228 (Russian)
Guskova AK, Gusev LA, Okladnikova ND (2002) Russian concept of chronic radiation disease in man. Br J Radiol 26:19–23
ICRP (2007) 2007 recommendations of the International Commission on Radiological Protection. ICRP Publication 103, Annals of the ICRP, Elsevier, Amsterdam
Ivanova TA (1959) The status of thrombocytopoiesis in the late period of chronic radiation injury. Bulleten Radiatsionnoy Meditsiny 1:62–68 (Russian)
Kabasheva NY, Doshchenko VN (1971) The status of the stomach in patients with chronic radiation sickness based on dynamic observation. Bulleten Radiatsionnoy Meditsiny 1:45–49 (Russian)
Kireyev PM (1962) Specific features of the clinical course of the chronic radiation sickness depending on the nature of radiation exposure. Bulleten Radiatsionnoy Meditsiny 2a:6–10 (Russian)
Kurshakov NA (1956) Chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 4:3–20
Kurshakov NA, Kirillov SA (1967) Chronic radiation sickness due to external exposure. Bulleten Radiatsionnoy Meditsiny 3:3–12 (Russian)
Kurshakov NA, Sokolova II (1959) On the issue of the hematopoietic changes in chronic radiation sickness in man. Bulleten Radiatsionnoy Meditsiny 3a:38–43 (Russian)
Mitchell CR, Azizova TV, Hande MP et al (2004) Stable intrachromosomal biomarkers of past exposure to densely ionizing radiation in several chromosomes of exposed individuals. Radiat Res 162(3):257–263
Muksinova KN, Mushkachyova GS (1990) Cellular and molecular basis for rearrangement of hemopoiesis in long-term radiation exposures. Energoatomizdat, Moscow, p 161 (Russian)
Okladnikova ND (1985) Chromosome aberrations in the peripheral blood lymphocytes in persons with chronic radiation sickness 25-30 years after the termination of the contact with radiation factor. Bulleten Radiatsionnoy Meditsiny 1:102–106 (Russian)
Okladnikova ND (2001) Chronic radiation sickness induced by exposure to external, or predominantly external gamma-radiation in man. In: Ilyin LA (ed) Radiatsionnaya meditsina. Izdat, Moscow, pp 253–274 (Russian)
Okladnikova ND, Pesternikova VS, Sumina MV et al (1992) Chronic radiation sickness induced by external gamma-exposure, long-term period. Vestnik Akademii Med Nauk SSSR 2:22–28 (Russian)
Okladnikova ND, Pesternikova VS, Sumina MV, Doshchenko VN (1993) Occupational diseases from radiation exposure at the first nuclear plant in USSR. Meditsinskaya radiologiya 12:24– 28 (Russian)
Oliper TV (1960) Ostealgic syndrome in the clinical course of the chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 1a:73–80 (Russian)
Osovets SV, Azizova TV, Bannikova MV (2011) Assessment of the impact of dose characteristics on the period of formation and duration of the chronic radiation syndrome. Meditsinskaya radiologiya i radiatsionnaya bezopasnost 56(4):17–23 (Russian)
Pesternikova VS, Muksinova KN (1973) Proliferative activity of BM cells in persons with chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 1:65–72 (Russian)
Pesternikova VS, Okladnikova ND (2003) Evaluation of the parameters of the morphological composition of peripheral blood in patients with chronic radiation syndrome of a 40-year period of follow-up. Voprosy radiatsionnoy bezopasnosti 3:60–66 (Russian)
Pesternikova VS, Okladnikova ND (2004) Assessment of BM hematopoiesis in patients with chronic radiation sickness after 40 years of follow-up. Voprosy radiatsionnoy bezopasnosti 4:41–45 (Russian)
Sokolova II (1959) Characterization of the peripheral blood in patients with chronic radiation sickness induced by exposure to uranium and its fission products. Bulleten Radiatsionnoy Meditsiny 2a:144–148 (Russian)
Sokolova II (1963) Hematopoiesis in chronic radiation sickness of different degree of severity and in case of radiation exposure sequelae. Bulleten Radiatsionnoy Meditsiny 3a:99–104 (Russian)
Sokolova II, Vyalova NA, Shirenina MP, Ivanova TA (1963) On the issue of some specific features of the impairment of hematopoiesis in chronic radiation sickness, induced by the effect of combined external exposure or of particular radionuclides. Bulleten Radiatsionnoy Meditsiny 3a:21–26 (Russian)
Sumina MV, Azizova TV (1989) Risk factors and clinical and functional assessment of the early cerebral atherosclerosis in persons with chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 4:53–58 (Russian)
Sumina MV, Azizova TV (1991) Retrospective assessment of the major neurologic syndromes of the chronic radiation sickness over the 40-year follow-up period. Bulleten Radiatsionnoy Meditsiny 1:3–7 (Russian)
UNSCEAR (2009) Effects of ionizing radiation on the immune system. In: United Nations Scientific Committee on the Effects of Atomic Radiation 2006 Report to the General Assembly, with scientific annexes. UN Publication Sales No. E.09.IX.5. United Nations, New York
Verbenko AA, Chusova VN (1967) On changes in the sexuality of women with chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 3:67–74 (Russian)
Verbenko AA, Naumova AF, Chusova VN (1959) On the issue of changes in ovarian-menstrual function in women with chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 3a:116–119 (Russian)
Verbenko AA, Ivanov AI, Chusova VN, Malysheva MS (1963) On some functional disturbances of the reproductive system in women with severe forms of chronic radiation sickness. Bulleten Radiatsionnoy Meditsiny 3a:122–129 (Russian)
Vologodskaya IA, Telnov VI, Okladnikova ND (1989) Immune status in persons with chronic radiation sickness, induced by external γ-exposure. Bulleten Radiatsionnoy Meditsiny 4:82–87 (Russian)
Vorobyov AI, Shakhmatov VI (1970) On the issue of chronic radiation sickness in man. Bulleten Radiatsionnoy Meditsiny 3:3–8 (Russian)
Vyalova NA, Mironova GV, Sokolova II (1959) Some peculiarities of the circulatory system damage in case of chronic radiation sickness, induced by plutonium, uranium and polonium fission products. Bulleten Radiatsionnoy Meditsiny 3a:49–53 (Russian)
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Akleyev, A.V. (2014). Definition, Classification, and Clinical Presentation of Chronic Radiation Syndrome (CRS) Associated with Total Exposure to External Radiation. In: Chronic Radiation Syndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45117-1_1
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DOI: https://doi.org/10.1007/978-3-642-45117-1_1
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