Uncertainties in risk assessment from solar particle events (SPE) include t
he role of high linear energy transfer (LET) secondary ions, the assessment
of dose-rate effects as they relate to acute injury, the risk of cancer mo
rtality and the modification of health effects due to the stress of spacefl
ight. We discuss several issues where new knowledge is required for improvi
ng estimates of radiation risk from SPE's. Secondary particles such as neut
rons and low energy and charge ions (LZE) may dominate radiation risk behin
d a storm shelter and their biological effects are poorly understood, espec
ially at low dose-rate. Dose-rate modulation of radiation response is also
related to genetic pre-disposition an important determinant of radiation se
nsitivity. Molecular pathways that control cell death and tissue response h
ave been elucidated in recent years and should provide new understanding of
dose-rate effects for risk assessment. We consider some of these factors a
nd discuss calculations using radiation transport codes, track structure mo
dels of energy deposition, and a molecular kinetics approach to model radia
tion response. Published by Elsevier Science Ltd.