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Review
. 2020 Sep-Oct;39(5):303-315.
doi: 10.1016/j.remn.2020.05.006. Epub 2020 Jul 18.

The downfall of the linear non-threshold model

[Article in English, Spanish]
Affiliations
Review

The downfall of the linear non-threshold model

[Article in English, Spanish]
J P Suárez Fernández. Rev Esp Med Nucl Imagen Mol (Engl Ed). 2020 Sep-Oct.

Abstract

The linear non-threshold model (LNTM) is a theoretical dose-response function as a result of extrapolating the late effects of high-dose exposure to ionizing radiation to the low-dose range, but there is great uncertainty about its validity. The acceptance of LNTM as the dominant probabilistic model have survived to the present day and it is actually the cornerstone of current radiation protection policies. In the last decades, advances in molecular and evolutive biology, cancer immunology, and many epidemiological and animal studies have cast serious doubts about the reliability of the NLTM, as well as suggesting alternative models, like the hormetic theory. Considering the given evidences, a discussion between the involved scientific societies and the regulatory commissions is promtly required in order to to reach a redefiniton of theradiation protection basis, as it would be specially crucial in the medical field.

Keywords: Carcinogenesis; Carcinogénesis; Hormesis; Linear non-threshold model; Modelo lineal sin umbral; Radiobiology; Radiobiología.

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