WE-C-217A-03: Biology versus Epidemiology: The Need for an Integrated Model of Radiation Risk

Medical Physics
D Vetter

Abstract

The lifetime attributable risk estimates from the National Academy of Sciences BEIR VII report have been used by a number of authors to estimate cancer mortality caused by radiation exposure from medical diagnostic radiology exams. This controversial practice assumes that the dose response relationship between radiation and cancer is linear with no threshold (LNT). For purposes of protecting public health, use of the LNT model is widely accepted. But is it appropriate for estimating risk to individuals exposed to low doses of radiation from medical procedures? Radiation biology research demonstrates that not all biological processes are linear. Italso has provided data that support not only LNT but supra linear and sub linear response models. Results from epidemiology studies can also be used to support the use of any of these models, but the confidence intervals are much larger. Since we can't prove which model is correct, for purposes of protecting patients we assume that any exposure has the potential for harm and we use optimization to keep exposures as low as reasonably achievable.Several areas of research are contributing insight into this dilemma, but they still leave several important questions unanswered: • How can we ...Continue Reading

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