Little M P, Hoel D G, Molitor J, Boice J D, Wakeford R, Muirhead C R
Department of Epidemiology and Public Health, Imperial College, London, UK.
Radiat Res. 2008 Jun;169(6):660-76. doi: 10.1667/RR1091.1.
Generalized relative and absolute risk models are fitted to the latest Japanese atomic bomb survivor solid cancer and leukemia mortality data (through 2000), with the latest (DS02) dosimetry, by classical (regression calibration) and Bayesian techniques, taking account of errors in dose estimates and other uncertainties. Linear-quadratic and linear-quadratic-exponential models are fitted and used to assess risks for contemporary populations of China, Japan, Puerto Rico, the U.S. and the UK. Many of these models are the same as or very similar to models used in the UNSCEAR 2006 report. For a test dose of 0.1 Sv, the solid cancer mortality for a UK population using the generalized linear-quadratic relative risk model is estimated as 5.4% Sv(-1) [90% Bayesian credible interval (BCI) 3.1, 8.0]. At 0.1 Sv, leukemia mortality for a UK population using the generalized linear-quadratic relative risk model is estimated as 0.50% Sv(-1) (90% BCI 0.11, 0.97). Risk estimates varied little between populations; at 0.1 Sv the central estimates ranged from 3.7 to 5.4% Sv(-1) for solid cancers and from 0.4 to 0.6% Sv(-1) for leukemia. Analyses using regression calibration techniques yield central estimates of risk very similar to those for the Bayesian approach. The central estimates of population risk were similar for the generalized absolute risk model and the relative risk model. Linear-quadratic-exponential models predict lower risks (at least at low test doses) and appear to fit as well, although for other (theoretical) reasons we favor the simpler linear-quadratic models.
采用经典(回归校准)和贝叶斯技术,考虑剂量估计误差和其他不确定性因素,将广义相对风险模型和绝对风险模型应用于最新的日本原子弹幸存者实体癌和白血病死亡率数据(截至2000年)以及最新的(DS02)剂量测定数据。拟合线性二次模型和线性二次指数模型,并用于评估中国、日本、波多黎各、美国和英国当代人群的风险。这些模型中有许多与联合国原子辐射效应科学委员会2006年报告中使用的模型相同或非常相似。对于0.1 Sv的测试剂量,使用广义线性二次相对风险模型估计英国人群的实体癌死亡率为5.4% Sv⁻¹ [90%贝叶斯可信区间(BCI)3.1,8.0]。在0.1 Sv时,使用广义线性二次相对风险模型估计英国人群的白血病死亡率为0.50% Sv⁻¹(90% BCI 0.11,0.97)。不同人群之间的风险估计差异不大;在0.1 Sv时,实体癌的中心估计值范围为3.7至5.4% Sv⁻¹,白血病为0.4至0.6% Sv⁻¹。使用回归校准技术的分析得出的风险中心估计值与贝叶斯方法的非常相似。广义绝对风险模型和相对风险模型的人群风险中心估计值相似。线性二次指数模型预测的风险较低(至少在低测试剂量下),并且似乎拟合效果也很好,尽管出于其他(理论)原因,我们更倾向于更简单的线性二次模型。