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Risk of low-dose radiation and the BEIR VII report: A critical review of what it does and doesn’t say
Institution:1. Department of Medical Physics, University of Wisconsin Madison, Madison, Wisconsin;2. Department of Radiology, University of Wisconsin Madison, Madison, Wisconsin;3. Vice Chair of Quality and Safety, Department of Radiology, University of Wisconsin, Madison, Wisconsin;4. Department of Biomedical Engineering, University of Wisconsin Madison, Madison, Wisconsin;1. Kantonsspital Aarau – KSA, Switzerland;2. Lausanne University Hospital – CHUV, Switzerland;3. Luzerner Kantonsspital – LUKS, Switzerland;4. Swiss Federal Office of Public Health – BAG, Switzerland;1. Residency Program Director; Director of Shaped Beam Radiosurgery Program, Department of Radiation Oncology, University of Rochester Medical Center, Rochester, New York;2. Professor, The Russell H. Morgan Department of Radiology and Radiological Science; Professor of Medicine, Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland. Co-Chair for the NCRP Report 184; Chair of Faculty Senate at the School of Medicine; Board Member of American College of Radiology; Board Member of American Association of Physicists in Medicine;3. Professor Emeritus, Department of Radiology, University of New Mexico School of Medicine, Albuquerque, New Mexico;4. Louisiana Department of Environmental Quality, Baton Rouge, Louisiana;5. Professor Emeritus of Biophysics, Mayo Clinic, Rochester, Minnesota
Abstract:This article briefly reviews the history behind the BEIR VII report and the use of the linear no-threshold hypothesis. The BEIR VII committee considered four primary sources of data on the stochastic effects of ionizing radiation. These were environmental studies, occupational studies, medical studies and studies on the atomic bomb survivors. These sources are briefly reviewed along with key studies that run counter to the LNT hypothesis. We review many of the assumptions, hypotheses and subjective decisions used to generate risk estimates in the BEIR VII report. Position statement by the Health Physics Society, American Association of Physicists in Medicine, and UNSCEAR support the conclusion that the risk estimates in the BEIR VII report should not be used for estimating cancer risks from low doses of ionizing radiation.
Keywords:Linear no-threshold  Ionizing radiation  Cancer risk assessment  BEIR VII
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