A Different Approach to Evaluating Health Effects from Radiation Exposure 86. nt a V. P. Bond! , C. A. Sondhaus?, and L. E. Feinendegen> 1t%12 nda ane ABSTRACT pres® Absorbed dose D is shown to be a composite variable, the product of the fraction of cells hit (F) and the mean “dose" (hit size) Z to the hit Mone cells. D is suitable for use with high level exposure (HLE) to radiation NS, and its resulting acute organ effects because F = 1.0, and approximates closely enough the mean energy density in both the cell and ral a (193 the organ. However, with low-level exposure (LLE) to radiation and its consequent probability of cancer induction from a single cell, F is <<1.0 and stochastic delivery of energy to cells results acellular of single hit sizes. d with exposure, acrar© at. and s© pe 3 - so that only F can vary with D. 46, none miqul roxide the fraction of cells transformed, obtained with LLE, misleading. It does not mean that any (cell) dose, no matter how small, on the . diat. VK. cells. Rather, it means is that an exposure of a population of the constituent relevant cells of an organ results in a Linear increase in the number of cells dosed, but not in cell dose. The probability of such a dosed cell transforming and initiating a cancer can only be greater than Otherwise stated, misonidazole Ra the apparent proportionality between this zero if the hit size ("dose of energy”) to the cell is large enough. 67) yires However, because D is the quantity and can be lethal, ancer in a wide distribution As a result the expectation value of z is constant mean organ= and not cell dose, 32.C¢ c so that D if the “dose” is defined at the proper level of biological organization, namely, the cell and not the organ, only a large dose to that cell is effective. The above precepts are utilized to develop a drastically different approach to evaluation of the risk from LLE, that holds promise of obviating any requirement for use in this region of the 4 an en nigh See Int. principal components of the present system: absorbed organ dose, LET, a standard radiation, RBE, Q, dose equivalent and rem. ] B rookhaven National Laboratory This research was supported in part by the U.S. Department of Energy under Contract DE-ACO2-76CHO0016. Accordingly, the U.S. Government retains a nonexclusive, royalty-free license to publish or reproduce the published form of this contribution, or allow others to do so, for U.S. Government purposes. Army Chemical School, Radiation Laboratory, Fort McClellan, Alabama 3 Laboratory for Nuclear Research (KFA), Juelich, FRG -203-