Conceptual basis for evaluating risk from low-level radiation exposure

Serious or lethal injuries that may result from the exposure of animals or human beings to ionizing radiations can be divided into two distinctly different categories, on the basis of whether the injury results only from failure of an entire vital organ, or stems from impairment of the function of a single cell. These two categories of injury are termed here organ effects, normally induced by non-stochastic processes, and single cell effects, normally induced by stochastic processes. This presentation is limited to low-level radiation exposure (LLR) since: (1) only with single hit kinetics does the average number of cell doses per cell in the exposed population essentially equal the number of cells dosed; (2) in excluding multihit all-or-none effects, the functions developed are essentially independent of the time rate at which the (instantaneously deposited) cell doses are laid down, and of considerations of repair of sub-effect injury; and (3) it makes little or no difference with LLR if the incidence of single cell effects is expressed in terms of exposed or surviving cells.