to use the mean energy density in the organ as the absocbed dose. In other words, in these high-exposure regions, the cell dose and the orgun dose are, for all practical purposes, identical. Ome can then characterize and predict the probability of a biological response in the organ itself, {in in the cell population, or terws of a single parameter, the absorbed dose D to the organ, However, at the bend in the curve, independent components, cell, F, large, the exposure splits into the mean cell dose z and the number of hits per Note that the expectation value of Z, even tnough the variance is remains constant, so that the only cellular parameter that can increase with increasing expusure is F, cell. the number of hits per exposed Thus, with LLE, neither the dose to the cells nor the mean dose fnereases; it is only the nunber of cells dosed that can increase, While LLE has {ts counterpart in the macro accident situation, ia which only a small fraction of an exposed human population is hit with increasing exposure, acciécents, there is no analogue of HLE exposure with macro The reason for this is that, for practical and ethical reasons, if the accident rate in a gtven population Increases above a very small fcactlon per year, even drastic action is likely to be taken to effect a decrease. With radiation, on the other hand, the accident rate can be increased at will, so that any given cell can readily be subjected to dozens or more accidents, is only because of this in the course of minutes, seconds, or less. It fact, which may permit interactions between the effects of the hits before repair can take place, that the “quadratic” term, seen only with high-level exposure of cells tu low-LET radiation, exists. The transition from low- to high-level radiation exposure is depicted 1a Figure 9, for cell lethality only. the LLE ragion, Because of in hote the initial linear Increase Lu the number of quantal ras ponders as a function of 7. multiple hits and interactive processes, steeply beginning in the transition zone, the curve rises rather ae so that a large fraction of organ ak cells have been killed as one enters the HLE reyion. ‘7B In this region, some #4 a: of the organs and therefore the organisms, at a given value of 0D, will fail % functionally and dite, Increases, with HLE the Again, focus and the fractinn will iucrease to unity as D the largest difference between the two regions is that {ts on the indfviduzl, -222- and the single parameter DP ts : “4 Th. Fat Var t