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用于计算辐射致癌因果概率的辐射有效性因子。

Radiation effectiveness factors for use in calculating probability of causation of radiogenic cancers.

作者信息

Kocher D C, Apostoaei A I, Hoffman F O

机构信息

SENES Oak Ridge, Inc., 102 Donner Drive, Oak Ridge, TN 37830, USA.

出版信息

Health Phys. 2005 Jul;89(1):3-32. doi: 10.1097/01.hp.0000154172.48895.45.

Abstract

This paper presents so-called radiation effectiveness factors that are intended to represent the biological effectiveness of different radiation types, relative to high-energy Co gamma rays, for the purpose of estimating cancer risks and probability of causation of radiogenic cancers in identified individuals. Radiation effectiveness factors are expressed as subjective probability distributions to represent uncertainty that arises from uncertainties in estimates of relative biological effectiveness obtained from radiobiological studies of stochastic endpoints, limited data on biological effectiveness obtained from human epidemiological studies, and other judgments involved in evaluating the applicability of available information to induction of cancers in humans. Primarily on the basis of reviews and evaluations of available data by experts, probability distributions of radiation effectiveness factors are developed for the following radiation types: neutrons of energy less than 10 keV, 10-100 keV, 0.1-2 MeV (including fission neutrons), 2-20 MeV, and greater than 20 MeV; alpha particles of any energy emitted by radionuclides; photons of energy 30-250 keV and less than 30 keV; and electrons of energy less than 15 keV. Photons of energy greater than 250 keV and electrons of energy greater than 15 keV are assumed to have the same biological effectiveness as reference Co gamma rays and are assigned a radiation effectiveness factor of unity, without uncertainty. For neutrons and alpha particles, separate probability distributions of radiation effectiveness factors are developed for solid tumors and leukemias, and small corrections to represent an inverse dose-rate effect are applied to those distributions in cases of chronic exposure. A radiation effectiveness factor different from unity for 15-60 keV electrons is discussed but is not adopted due to a lack of relevant radiobiological data. Radiation effectiveness factors presented in this paper are incorporated in the Interactive RadioEpidemiological Program and were developed for use by The National Institute for Occupational Safety and Health and U.S. Department of Labor in evaluating claims for compensation for radiogenic cancers by workers at U.S. Department of Energy facilities.

摘要

本文提出了所谓的辐射有效性因子,旨在相对于高能钴伽马射线,表征不同辐射类型的生物学有效性,以便估计已识别个体的癌症风险和辐射诱发癌症的因果概率。辐射有效性因子表示为主观概率分布,以体现因随机终点放射生物学研究中相对生物学有效性估计的不确定性、人类流行病学研究中获得的生物学有效性有限数据以及评估现有信息对人类癌症诱发适用性时涉及的其他判断所产生的不确定性。主要基于专家对现有数据的审查和评估,针对以下辐射类型制定了辐射有效性因子的概率分布:能量小于10 keV、10 - 100 keV、0.1 - 2 MeV(包括裂变中子)、2 - 20 MeV以及大于20 MeV的中子;放射性核素发射的任何能量的α粒子;能量为30 - 250 keV以及小于30 keV的光子;能量小于15 keV的电子。能量大于250 keV的光子和能量大于15 keV的电子被假定与参考钴伽马射线具有相同的生物学有效性,并被赋予辐射有效性因子为1,且无不确定性。对于中子和α粒子,针对实体瘤和白血病分别制定了辐射有效性因子的概率分布,并且在慢性照射情况下,对这些分布应用了表示逆剂量率效应的小修正。文中讨论了15 - 60 keV电子不同于1的辐射有效性因子,但由于缺乏相关放射生物学数据而未采用。本文提出的辐射有效性因子已纳入交互式放射流行病学程序,是为美国国家职业安全与健康研究所和美国劳工部在评估美国能源部设施工人辐射诱发癌症的赔偿索赔时使用而制定的。

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