U.S. Environmental Protection Agency (MC 6608J), Washington, DC 20460, USA.
Health Phys. 2013 Jan;104(1):26-40. doi: 10.1097/HP.0b013e31826119ed.
The U.S. Environmental Protection Agency (EPA) has updated its estimates of cancer risks due to low doses of ionizing radiation for the U.S. population, as well as their scientific basis. For the most part, these estimates were calculated using models recommended in the recent National Academy of Sciences' (BEIR VII) report on health effects from low levels of ionizing radiation. The new risk assessment includes uncertainty bounds associated with the projections for gender and cancer site-specific lifetime attributable risks. For most cancer sites, these uncertainty bounds were calculated using probability distributions for BEIR VII model parameter values, derived from a novel Bayesian analysis of cancer incidence data from the atomic bomb survivor lifespan study (LSS) cohort and subjective distributions for other relevant sources of uncertainty. This approach allowed for quantification of uncertainties associated with: 1) the effect of sampling variability on inferences drawn from the LSS cohort about the linear dose response and its dependence on temporal factors such as age-at-exposure, 2) differences in the radiogenic risks in the Japanese LSS cohort versus the U.S. population, 3) dosimetry errors, and 4) several other non-sampling sources. Some of the uncertainty associated with how risk depends on dose and dose rate was also quantified. For uniform whole-body exposures of low-dose gamma radiation to the entire population, EPA's cancer incidence risk coefficients and corresponding 90% uncertainty intervals (Gy) are 9.55 × 10 (4.3 × 10 to 1.8 × 10) for males and 1.35 × 10 (6.5 × 10 to 2.5 × 10) for females, where the numbers in parentheses represent an estimated 90% uncertainty interval. For many individual cancer sites, risk coefficients differ from corresponding uncertainty bounds by factors of about three to five, although uncertainties are larger for cancers of the stomach, prostate, liver, and uterus. Uncertainty intervals for many, but not all, cancer sites are similar to those given in BEIR VII, which were derived using a non-Bayesian approach.
美国环境保护署 (EPA) 更新了其对美国人口因低剂量电离辐射而致癌风险的估计,以及这些估计的科学依据。在很大程度上,这些估计是使用最近的美国国家科学院 (BEIR VII) 关于低水平电离辐射对健康影响的报告中推荐的模型计算得出的。新的风险评估包括与性别和癌症部位特异性终生归因风险预测相关的不确定性界限。对于大多数癌症部位,这些不确定性界限是使用 BEIR VII 模型参数值的概率分布计算得出的,这些概率分布是从原子弹幸存者寿命研究 (LSS) 队列的癌症发病率数据的新贝叶斯分析以及其他相关不确定性来源的主观分布中得出的。这种方法允许量化与以下因素相关的不确定性:1)抽样变异性对从 LSS 队列中得出的关于线性剂量反应及其对年龄暴露等时间因素的依赖性的推断的影响,2)日本 LSS 队列与美国人口之间的放射性风险差异,3)剂量测定误差,以及 4)其他几种非抽样来源。还量化了与风险如何取决于剂量和剂量率有关的一些不确定性。对于整个人群全身均匀暴露于低剂量伽马辐射,EPA 的癌症发病率风险系数及其相应的 90%不确定性区间 (Gy) 分别为男性 9.55×10(4.3×10 至 1.8×10)和女性 1.35×10(6.5×10 至 2.5×10),括号内的数字代表估计的 90%不确定性区间。对于许多个别癌症部位,风险系数与相应的不确定性界限相差约三到五倍,尽管胃癌、前列腺癌、肝癌和子宫癌的不确定性较大。许多(但不是全部)癌症部位的不确定性区间与 BEIR VII 给出的区间相似,后者是使用非贝叶斯方法得出的。