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Two types of late effects of irradiation

Deterministic (non-stochastic) effects

Severity increases with dose. There is a threshold !

e.g

tissue fibrosis, ulceration, perforation, necrosis, loss of organ function

(

xerostomia, nephrosclerosis

), cataracts

Mechanism involves effects (often cell kill) on many

cells

Stochastic effects

No threshold, probability increases with dose but

severity is independent of dose

e.g. cancer and genetic effects