Skin carcinogenesis following uniform and non-uniform β irradiation

Where workers or the general public may be exposed to ionising radiation, the irradiation is rarely uniform. The risk figures and dose limits recommended by the International Commission on Radiological Protection (ICRP) are based largely on clinical and epidemiological studies of reasonably uniform irradiated organs. The paucity of clinical or experimental data for highly non-uniform exposures has prevented the ICRP from providing adequate recommendations. This weakness has led on a number of occasions to the postulate that highly non-uniform exposures of organs could be 100,000 times more carcinogenic than ICRP risk figures would predict. This so-called ''hot-particle hypothesis'' found little support among reputable radiobiologists, but could not be clearly and definitively refuted on the basis of experiment. An experiment, based on skin tumour induction in mouse skin, is described which was developed to test the hypothesis. The skin of 1200 SAS/4 male mice has been exposed to a range of uniform and non-uniform sources of the β emitter 170Tm (Emax ∼ 1 MeV). Non-uniform exposures were produced using arrays of 32 or 8 2-mm diameter sources distributed over the same 8-cm2 area as a uniform control source. Average skin doses varied from 2-100 Gy. The results for the non-uniform sources show a 30% reduction in tumour incidence by the 32-point array at the lower mean doses compared with the response from uniform sources. The eight-point array showed an order-of-magnitude reduction in tumour incidence compared to uniform irradiation at low doses. These results, in direct contradiction to the ''hot particle hypothesis'', indicate that non-uniform exposures produce significantly fewer tumours than uniform exposures. (author)