Armitage P
Biometrics. 1982 Mar;38 Suppl:119-39.
The assessment of carcinogenic risk from very low doses of substances to which the population is exposed depends mainly on animal experiments. A variety of statistical models has been proposed for extrapolation to low doses from the much higher doses administered to animals. The most conservative approach uses a multistage model, and is almost equivalent to linear extrapolation. Cornfield has argued against a conservative approach, but linear extrapolation may also be close to the 'best' solution. Species conversion and specification of allowable risks are very difficult problems, and some form of cost-benefit analysis seems to be required.
对人群接触的极低剂量物质的致癌风险评估主要依赖于动物实验。已提出多种统计模型,用于从给予动物的高得多的剂量外推至低剂量。最保守的方法使用多阶段模型,且几乎等同于线性外推。科恩菲尔德反对采用保守方法,但线性外推也可能接近“最佳”解决方案。物种转换和可接受风险的确定是非常困难的问题,似乎需要某种形式的成本效益分析。