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Re: Children may get too much radiation in CT scan



Here is the origin of the risk estimate, with references.  The references
all appear to be advisory bodies, with no regulatory bodies represented.

"Estimated Risks of Radiation-Induced Fatal Cancer from Pediatric CT"

"The linear extrapolation without a dose threshold that is used to
extrapolate cancer risks to very low doses has been the subject of much
debate [37,38,39,40]; however, the main regulatory and advisory groups that
have reported on this issue [12, 13, 41, 42] have all concluded that the
most scientifically credible approach to risk extrapolation to this dose
range is a linear extrapolation from greater doses, which is the assumption
implicitly adopted here."

References
12.  BEIR V (Committee on the Biological Effects of Ionizing Radiations).
Health effects of exposure to low levels of ionizing radiation. Washington,
DC: National Academy Press, 1990

13.  International Commission on Radiological Protection. 1990
recommendations of the International Commission on Radiological Protection.
Oxford, England: Pergamon, 1991. ICRP publication 60

37.  Strom DJ, Cameron JR, Cohen BL. The LNT model is appropriate for the
estimation of risk from low-level (less than 100 mSv/year) radiation, and
low levels of radon in homes should be considered harmful to health. Med
Phys 1998;25:273 -278[Medline]

38.  Tubiana M. Radiation risks in perspective: radiation-induced cancer
among cancer risks. Radiat Environ Biophys 2000;39:3 -16[Medline]

39.  Heidenreich WF, Paretzke HG, Jacob P. No evidence for increased tumor
rates below 200 mSv in the atomic bomb survivors data. Radiat Environ
Biophys 1997;36:205 -207[Medline]

40.  Pierce DA, Preston DL. On: `No evidence for increased tumor rates below
200 mSv in the atomic bomb survivors' data.' (commentary) Radiat Environ
Biophys 1997;36:209 -210[Medline]

41.  UNSCEAR (United Nations Scientific Committee on the Effects of Atomic
Radiation). Sources and effects of ionizing radiation. New York: United
Nations, 1994. UN publication E.94.IX.11

42.  National Council on Radiation Protection and Measurements. Evaluation
of the linear non-threshold dose-response model. Bethesda, MD: NCRP
Publications, 2000 (in press)

Don Kosloff dkosloff1@msn.com
2910 Main St. Perry OH 44081


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