DuMouchel W, Groër P G
BBN Software Products Corporation, Cambridge, MA 02238.
Health Phys. 1989;57 Suppl 1:411-8. doi: 10.1097/00004032-198907001-00058.
This paper describes a Bayesian methodology for integrating studies in experimental animals and humans to obtain a risk estimate for a radionuclide for which no data or very limited human data are available. The method is quite general and is not limited to radiation studies. In fact, it was first developed for chemical toxicants. The methodology is illustrated using studies with rats, beagles, and humans exposed to isotopes of Ra and Pu. The goal is a quantitative risk estimate for bone cancer in humans exposed to internally deposited Pu. The choice of bone cancer as an end point and of Pu as the source of exposure was made partially because of its inherent interest but also because of issues of data availability and suitability. We performed Poisson regression analyses on 13 of 15 data sets. These analyses form the basis for the unifying method of interpreting the entire ensemble of studies. Each of the studies is summarized by the estimated dose-response slope and its estimated standard error. These summary statistics are combined with other available biological and physical information about species differences, physical and metabolic characteristics of isotopes, disease mechanisms, and the like. This information enters the analysis in the form of prior assumptions about the parameters of the Bayesian model combining the studies. The posterior distribution for the bone cancer rate in man from the Bayesian analysis of the 13 studies is updated with the limited data on Pu in humans. This update gives the final probability density for the bone cancer rate in humans exposed to internally deposited Pu. This density has a median of about three cancers per 100 Gy and has a 95% probability interval from 0.8 to 11 bone cancers per 100 Gy.
本文描述了一种贝叶斯方法,用于整合实验动物和人类研究,以获得针对某放射性核素的风险估计值,该放射性核素没有数据或仅有非常有限的人类数据。该方法非常通用,不限于辐射研究。事实上,它最初是为化学毒物开发的。使用暴露于镭(Ra)和钚(Pu)同位素的大鼠、比格犬和人类的研究来说明该方法。目标是对暴露于体内沉积钚的人类患骨癌的风险进行定量估计。选择骨癌作为终点以及钚作为暴露源,部分原因是其本身具有研究价值,也因为数据的可用性和适用性问题。我们对15个数据集中的13个进行了泊松回归分析。这些分析构成了解释整个研究集合的统一方法的基础。每项研究都通过估计的剂量反应斜率及其估计的标准误差进行总结。这些汇总统计数据与关于物种差异、同位素的物理和代谢特征、疾病机制等其他可用的生物学和物理信息相结合。这些信息以关于结合研究的贝叶斯模型参数的先验假设的形式进入分析。根据13项研究的贝叶斯分析得出的人类骨癌发生率的后验分布,用人类钚暴露的有限数据进行更新。此更新给出了暴露于体内沉积钚的人类骨癌发生率的最终概率密度。该密度的中位数约为每100戈瑞有3例癌症,95%概率区间为每100戈瑞0.8至11例骨癌。