In this article we review the history of key epidemiological studies of populations exposed to ionizing radiation. We highlight historical and recent findings regarding radiation-associated risks for incidence and mortality of cancer and non-cancer outcomes with emphasis on study design and methods of exposure assessment and dose estimation along with brief consideration of sources of bias for a few of the more important studies. We examine the findings from the epidemiological studies of the Japanese atomic bomb survivors, persons exposed to radiation for diagnostic or therapeutic purposes, those exposed to environmental sources including Chornobyl and other reactor accidents, and occupationally exposed cohorts. We also summarize results of pooled studies. These summaries are necessarily brief, but we provide references to more detailed information. We discuss possible future directions of study, to include assessment of susceptible populations, and possible new populations, data sources, study designs and methods of analysis.
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August 2024
EPIDEMIOLOGY|
July 18 2024
A Historical Survey of Key Epidemiological Studies of Ionizing Radiation Exposure Available to Purchase
Mark P. Little;
Mark P. Little
1
aRadiation Epidemiology Branch, National Cancer Institute, Bethesda, Maryland 20892-9778
bFaculty of Health and Life Sciences, Oxford Brookes University, Headington Campus, Oxford, OX3 0BP, United Kingdom
1Address for correspondence: Radiation Epidemiology Branch, National Cancer Institute, 9609 Medical Center Drive, Bethesda, MD 20892-9778; email: [email protected].
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Dimitry Bazyka;
Dimitry Bazyka
cNational Research Center for Radiation Medicine, Hematology and Oncology, Kyiv 04050, Ukraine
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Amy Berrington de Gonzalez;
Amy Berrington de Gonzalez
dDivision of Genetics and Epidemiology, Institute of Cancer Research, London, United Kingdom
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Alina V. Brenner;
Alina V. Brenner
eRadiation Effects Research Foundation, 5-2 Hijiyama Park, Minami-ku, Hiroshima 732-0815, Japan
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Vadim V. Chumak;
Vadim V. Chumak
cNational Research Center for Radiation Medicine, Hematology and Oncology, Kyiv 04050, Ukraine
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Harry M. Cullings;
Harry M. Cullings
eRadiation Effects Research Foundation, 5-2 Hijiyama Park, Minami-ku, Hiroshima 732-0815, Japan
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Robert D. Daniels;
Robert D. Daniels
fNational Institute for Occupational Safety and Health, Cincinnati, Ohio
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Benjamin French;
Benjamin French
gDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee
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Eric Grant;
Eric Grant
eRadiation Effects Research Foundation, 5-2 Hijiyama Park, Minami-ku, Hiroshima 732-0815, Japan
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Nobuyuki Hamada;
Nobuyuki Hamada
hBiology and Environmental Chemistry Division, Sustainable System Research Laboratory, Central Research Institute of Electric Power Industry (CRIEPI), 1646 Abiko, Chiba 270-1194, Japan
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Michael Hauptmann;
Michael Hauptmann
iInstitute of Biostatistics and Registry Research, Brandenburg Medical School Theodor Fontane, 16816 Neuruppin, Germany
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Gerald M. Kendall;
Gerald M. Kendall
jCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Headington, Oxford, OX3 7LF, United Kingdom
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Dominique Laurier;
Dominique Laurier
kInstitute for Radiological Protection and Nuclear Safety, Fontenay aux Roses, France
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Choonsik Lee;
Choonsik Lee
aRadiation Epidemiology Branch, National Cancer Institute, Bethesda, Maryland 20892-9778
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Won Jin Lee;
Won Jin Lee
lDepartment of Preventive Medicine, Korea University College of Medicine, Seoul, South Korea
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Martha S. Linet;
Martha S. Linet
aRadiation Epidemiology Branch, National Cancer Institute, Bethesda, Maryland 20892-9778
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Kiyohiko Mabuchi;
Kiyohiko Mabuchi
aRadiation Epidemiology Branch, National Cancer Institute, Bethesda, Maryland 20892-9778
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Lindsay M. Morton;
Lindsay M. Morton
aRadiation Epidemiology Branch, National Cancer Institute, Bethesda, Maryland 20892-9778
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Colin R. Muirhead;
Colin R. Muirhead
mNewcastle upon Tyne, United Kingdom
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Dale L. Preston;
Dale L. Preston
nHirosoft International, Eureka, California 95501
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Preetha Rajaraman;
Preetha Rajaraman
eRadiation Effects Research Foundation, 5-2 Hijiyama Park, Minami-ku, Hiroshima 732-0815, Japan
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David B. Richardson;
David B. Richardson
oEnvironmental and Occupational Health, University of California, Irvine, Irvine, California 92697-3957
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Ritsu Sakata;
Ritsu Sakata
eRadiation Effects Research Foundation, 5-2 Hijiyama Park, Minami-ku, Hiroshima 732-0815, Japan
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Jonathan M. Samet;
Jonathan M. Samet
pDepartment of Epidemiology, Colorado School of Public Health, Aurora, Colorado
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Steven L. Simon;
Steven L. Simon
aRadiation Epidemiology Branch, National Cancer Institute, Bethesda, Maryland 20892-9778
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Hiromi Sugiyama;
Hiromi Sugiyama
eRadiation Effects Research Foundation, 5-2 Hijiyama Park, Minami-ku, Hiroshima 732-0815, Japan
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Richard Wakeford;
Richard Wakeford
qCentre for Occupational and Environmental Health, The University of Manchester, Manchester, M13 9PL, United Kingdom
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Lydia B. Zablotska
Lydia B. Zablotska
rDepartment of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco, San Francisco, California 94143
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Radiat Res (2024) 202 (2): 432–487.
Article history
Received:
January 16 2024
Accepted:
April 23 2024
Citation
Mark P. Little, Dimitry Bazyka, Amy Berrington de Gonzalez, Alina V. Brenner, Vadim V. Chumak, Harry M. Cullings, Robert D. Daniels, Benjamin French, Eric Grant, Nobuyuki Hamada, Michael Hauptmann, Gerald M. Kendall, Dominique Laurier, Choonsik Lee, Won Jin Lee, Martha S. Linet, Kiyohiko Mabuchi, Lindsay M. Morton, Colin R. Muirhead, Dale L. Preston, Preetha Rajaraman, David B. Richardson, Ritsu Sakata, Jonathan M. Samet, Steven L. Simon, Hiromi Sugiyama, Richard Wakeford, Lydia B. Zablotska; A Historical Survey of Key Epidemiological Studies of Ionizing Radiation Exposure. Radiat Res 1 August 2024; 202 (2): 432–487. doi: https://doi.org/10.1667/RADE-24-00021.1
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