CURRENT MISINTERPRETATIONS OF THE LINEAR NO-THRESHOLD HYPOTHESIS

Citation
Vp. Bond et al., CURRENT MISINTERPRETATIONS OF THE LINEAR NO-THRESHOLD HYPOTHESIS, Health physics, 70(6), 1996, pp. 877-882
Citations number
5
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging
Journal title
ISSN journal
00179078
Volume
70
Issue
6
Year of publication
1996
Pages
877 - 882
Database
ISI
SICI code
0017-9078(1996)70:6<877:CMOTLN>2.0.ZU;2-Y
Abstract
Contrary to the ''linear no threshold hypothesis,'' which implies that ''any amount, however small'' of radiation energy is a serious cancer threat, it is shown here that only relatively quite large amounts of such energy can pose such a threat to a person or population. Key to d oing this is to make a sharp distinction between the actual amount of the radiation agent imparted energy, epsilon, which must be expressed in units of joules, and the average concentration or density of energy , epsilon/m (i.e, absorbed dose), which is expressed in units of Gy. W ith any cellular system, ag., in tissue culture, one can easily adjust the numbers of cells used at each dose point so that a clearly signif icant number of radiation-induced quantal responses (e.g., mutations, chromosome aberrations, malignant transformations, cell death), in the absorbed dose range of about 0.7 to 3 or more Gy, can be observed. Ho wever, if the number of cells is held constant as the absorbed dose is progressively reduced, a point is reached at which no significant exc ess is observable. This situation is frequently ''remedied'' by includ ing more cells at that point, which, of course, can increase the numbe r of malignant transformations sufficiently to render the excess stati stically valid. However, because both axes are expressed in relative t erms, the data point, despite having gained statistical significance, remains at the same location on the graph. This gives the false impres sion that no more of the agent energy was added or needed to achieve s ignificance. However, if both coordinates are put in absolute terms, i .e., the actual number of quantal responses vs. imparted energy, and t he same exercise of ''improving the statistics'' at low exposures is a ttempted, it then becomes evident that any point thus rendered signifi cant must be relocated at a substantially higher energy point on the g raph. This demonstrates unequivocally the fallacy in the proof of the 'linear hypothesis'' which is based on agent concentration response cu rves and not agent amount, It shows that the smaller the agent concent ration (absorbed dose; epsilon/m), the larger the amount of radiation energy that must be added to the system in order to demonstrate a radi ation-induced response. This suggests a minimum average energy require ment for production of a radiation-attributable cancer. It is conclude d that the 'linear hypothesis'' should be abandoned as the cornerstone of radiation protection and practice.