developed science, and extremely sensitive analyses exist for all forms of internal
contamination. The knowledge of retention and excretion functions is fairly well-accepted,
and is certainly much better established than at the time of this incident. However,if
pooror limited data exist, the use of these models will produce results with large
uncertainties. For instance, the use ofa single sample of pooled urines obtained 15 days.

after the initial intakes, will have a very poor predictive potential. If periodic samplingis
conducted for individuals beginning shortly after exposure to catch short lived
radionuclides and characterize early clearance, analyses of internal doses can be made with
good confidence. Long term follow-up, by continued in-vivo counting can also result in
characterization of retention patterns and dosimetry of radionuclides sequestered in the
thyroid or skeleton that are reasonably accurate.
6.2

Radiation Dosimetry: Biomarkers

Several biomarkers are currently in use or under investigation as tools for estimating
biological dose in populations exposed to ionizing radiation (38). Among these are assays
that detect chromosome damage and somatic mutations at the hprt orHLA-A locus in
peripheral blood lymphocytes and two assays that detect mutations induced in erythroid
stem-cells that are subsequently expressed as variants or mutations in erythrocytes (i.e.,
hemoglobin variants or mutations at the glycophorin-A [GPA] locus). Each of the assays
for mutations has advantages and disadvantages. For example, GPA analyses are
automated and can be rapidly accomplished on large numbers of blood samples. However,
mutations are only detected in heterozygotes, the assay requires several weeks post-

exposure for expression of stem-cell mutations, andit is not possible to produce in vitro
dose response curves as calibration standards.

By far the mostsensitive biological method that is currently available for estimating wholebody radiation dose soon after exposure is cytogenetic dosimetry using radiation-induced
chromosomeaberrations in cultured lymphocytes as the biomarker of exposure. The
Bravo accident occurred somesix years before techniques for the culture of lymphocytes

werefirst published and a full decade before the first suggestion that radiation-induced
chromosomeaberrations could be used as a biological dosimeter to estimate absorbed dose
39

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