Dosimetric aspects of exposure of the population to ionizing radiation

Radiation carcinogenesis is generally considered to be the most important detrimental effect of exposure to ionizing radiation. The collective effective dose-equivalent values due to medical procedures amount to values between 10 and 20 per cent of the doses received from natural radiation. Risk factors have been derived up to the present from three large epidemiological studies, notably atomic bomb survivors, spondylitis patients and female patients treated for cancer of the cervix. The assessment of the absorbed doses received by the inhabitants of Hiroshima and Nagasaki has received continuous attention and the latest estimates are summarized. On the basis of original radiotherapy records the absorbed doses in organs adjacent to the primary treatment field can be derived from computerized dosimetry and this source of information should be further exploited. European co-operation has been established to investigate dosimetric problems for medical applications and radiation protection. The risk factors obtained up to the present are derived at relatively high dose levels (in excess of 0.3 Gy). The uncertainties in the extrapolation of these values to the area of low doses administered at low dose rates are discussed.