title: Future of Radiation Protection Regulations.
abstract: THERE IS considerable disagreement in the scientific community regarding the carcinogenicity of low-dose radiation (LDR), with publications supporting opposing points of view. However, major flaws have been identified in many of the publications claiming increased cancer risk from LDR. The data generally recognized as the most important for assessing radiation effects in humans, the atomic bomb survivor data, are often cited to raise LDR cancer concerns. However, these data no longer support the linear no-threshold (LNT) model after the 2012 update but are consistent with radiation hormesis. Thus, a resolution of the controversy regarding the carcinogenicity of LDR appears to be imminent, with the rejection of the LNT model and acceptance of radiation hormesis. Hence, for setting radiation protection regulations, an alternative approach to the present one based on the LNT model is needed. One approach would be to determine the threshold dose for the carcinogenic effect of radiation from existing data and establish regulations to ensure radiation doses are kept well below the threshold dose. This can be done by setting dose guidelines specifying safe levels of radiation doses, with the requirement that these safe levels, referred to as guidance levels, not be exceeded significantly. Using this approach, a dose guidance level of 10 cGy for acute radiation exposures and 10 cGy y for exposures over extended periods of time are recommended. The concept of keeping doses as low as reasonably achievable, known as ALARA, would no longer be required for low-level radiation exposures not expected to exceed the dose guidance levels significantly. These regulations would facilitate studies using LDR for prevention and treatment of diseases. Results from such studies would be helpful in refining dose guidance levels. The dose guidance levels would be the same for the public and radiation workers to ensure everyone's safety.
authors.affiliation: *Diagnostic Imaging, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111-2497.
authors.forename: Mohan
authors.initials: M
authors.lastname: Doss
mesh_terms: D004307:Dose-Response Relationship, Radiation; D006291:Health Policy / Q000639:trends*; D006801:Humans; D009381:Neoplasms, Radiation-Induced / Q000517:prevention & control*; D011829:Radiation Dosage; D000069079:Radiation Exposure / Q000032:analysis*; D011835:Radiation Protection / Q000331:legislation & jurisprudence*; D011874:Radiometry / Q000592:standards* / Q000639:trends; D018570:Risk Assessment / Q000331:legislation & jurisprudence* / Q000379:methods