PATHWAY TO A PARADIGM - THE LINEAR NONTHRESHOLD DOSE-RESPONSE MODEL IN HISTORICAL CONTEXT - THE AMERICAN-ACADEMY-OF-HEALTH-PHYSICS 1995 RADIOLOGY CENTENNIAL HARTMAN-ORATION
Rl. Kathren, PATHWAY TO A PARADIGM - THE LINEAR NONTHRESHOLD DOSE-RESPONSE MODEL IN HISTORICAL CONTEXT - THE AMERICAN-ACADEMY-OF-HEALTH-PHYSICS 1995 RADIOLOGY CENTENNIAL HARTMAN-ORATION, Health physics, 70(5), 1996, pp. 621-635
This paper traces the evolution of the linear nonthreshold dose-respon
se model and its acceptance as a paradigm in radiation protection prac
tice and risk analysis, Deterministic effects such as skin bums and ev
en deep tissue trauma were associated with excessive exposure to x ray
s shortly after their discovery, and carcinogenicity was observed as e
arly as 1902, Still, it was not until 1925 that the first protective l
imits were suggested, For three decades these limits were based on the
concept of a tolerance dose which, if not exceeded, would result in n
o demonstrable harm to the individual and implicitly assumed a thresho
ld dose below which radiation effects would be absent. After World War
II largely because of genetic concerns related to atmospheric weapons
testing, radiation protection dose limits were expressed in terms of
a risk based maximum permissible dose which clearly implied no thresho
ld. The 1927 discovery by Muller of x-ray induced genetic mutations in
fruit flies, Linear with dose and with no apparent threshold, was an
important underpinning of the standards. The linear nonthreshold dose-
response model was originally used to provide an upper limit estimate
of the risk, with zero being the lower limit, of low level irradiation
since the dose-response curve could not be determined at low dose lev
els, Evidence to the contrary such as hormesis and the classic studies
of the radium dial painters notwithstanding, the linear nonthreshold
model gained greater acceptance and in the centennial year of the disc
overy of x rays stands as a paradigm although serious questions are be
ginning to be raised regarding its general applicability, The work inc
ludes a brief digression describing the work of x-ray protection pione
er William Rollins and concludes with a recommendation for application
of a de minimis dose level in radiation protection.