aajust tne basic quantities and units as demanded by this ditterent
TVnis deciston predates

Jjiscipline.

munoclunal and

the

finding that most human tuuors are
The use of

thus presuaably single cell in origin.

ubsorbed

dose also became standard practice with studies using "Simple ceil”
Here a defined cell population can be

preparations.

“system”

to which an “organ dose”

However,
encountered.

can be applied,

while a uunber of
the

these problems will be detalled

initial objective is simply to

the difficulties associated witn this

cuncepts and quantities apprupriate

concepts.

the

serious concentunal and operational ditticulties were

this communication,
reason for

regarded as

A new approach

application are

to

for HLE,

later in

indicate

the

attempe to use

basic

the old

for LLE that requires Ph

the evaluation of risk from LLE, and its

then presented,

following which tne method of application

is described.

This

is folluved by a more cetailed and

technical

description of

the underlying concepts and methodologies.

A more derafled

critique of the presently used “dosimetric” system Is then given.
The principal pointe of
alter

the estimates of

the proposed approach is aut necessarily to

the risk of exposure as derived using present

methodologies, althougl such 4 result is probable.
that the present Md framework
cast

Rather,

it is

to show

in which LLE risk assessment is presently

ks conceptually inappropriate and misleading, and should be

replaced

by one appropriate for Ph.

that

stated, and then later demonstrated.

This

the absorbed dose PD to an organ can be shown to be proportional

and a. dependent parameter

for

comprising the elements of

parameter particle fluence.

the quantity exposure of

That

is

to,

the cell population

the organ system, expressihle in

terms of

{ts to say, U is proportional

to

the

the

number of primary particles per untt area, which is a descriptor of

the

radiation source, and of the radiation field in which the cell populution
of an organ or other cell population of
typical organ dose-celi
shown on

interest Ls exposed.

response curves shown in Fig.

l,

Thus,

in the

the absorbed dose

the abscissa should be regarded conceptually alchough not

numerically, as

the exposure expressed

in tecms of particle fluence,

~206-

ae
an
e

will act this point simply be

to LLE risk evaluation

to

or

In,

Be Ot icy, anePe

to the need For a new approach

SE aha ant

A fact central

the New Approach

Game o,

The Problem and

4n¢

Phy
Che

Phys ;
Cumor
Say,

Charac
One

my

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