医療放射線リスク専門研究会の活動成果報告

「はじめに」医療において放射線が不可欠な存在であることに議論の余地はない. しかし, 医療放射線といえども他の放射線と同様にリスクがあり, 放射線防護を行う必要がある. 診断や治療に利用される放射線は便益がはっきりしているだけに, そのリスクを正当に評価することが難しく, あるときはリスクが無視され, あるときは逆に過大視されて不安を招く. では, 医療放射線のリスクをどのように理解し対峙するのが正当であるのか. 医療放射線リスク専門研究会を立ち上げるに当たって, 私たちが抱いた第一の問題意識である. 2004年2月10日に読売新聞が1面のニュースとして報道した英オックスフォード大学グループの...

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Published in保健物理 Vol. 46; no. 1; pp. 42 - 51
Main Author 日本保健物理学会医療放射線リスク専門研究会
Format Journal Article
LanguageJapanese
Published 日本保健物理学会 2011
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ISSN0367-6110
1884-7560
DOI10.5453/jhps.46.42

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Abstract 「はじめに」医療において放射線が不可欠な存在であることに議論の余地はない. しかし, 医療放射線といえども他の放射線と同様にリスクがあり, 放射線防護を行う必要がある. 診断や治療に利用される放射線は便益がはっきりしているだけに, そのリスクを正当に評価することが難しく, あるときはリスクが無視され, あるときは逆に過大視されて不安を招く. では, 医療放射線のリスクをどのように理解し対峙するのが正当であるのか. 医療放射線リスク専門研究会を立ち上げるに当たって, 私たちが抱いた第一の問題意識である. 2004年2月10日に読売新聞が1面のニュースとして報道した英オックスフォード大学グループの論文「診断X 線による発がんのリスク : 英国および14 か国の評価」は, 日本の医療放射線利用に不安をもたらした.
AbstractList 「はじめに」医療において放射線が不可欠な存在であることに議論の余地はない. しかし, 医療放射線といえども他の放射線と同様にリスクがあり, 放射線防護を行う必要がある. 診断や治療に利用される放射線は便益がはっきりしているだけに, そのリスクを正当に評価することが難しく, あるときはリスクが無視され, あるときは逆に過大視されて不安を招く. では, 医療放射線のリスクをどのように理解し対峙するのが正当であるのか. 医療放射線リスク専門研究会を立ち上げるに当たって, 私たちが抱いた第一の問題意識である. 2004年2月10日に読売新聞が1面のニュースとして報道した英オックスフォード大学グループの論文「診断X 線による発がんのリスク : 英国および14 か国の評価」は, 日本の医療放射線利用に不安をもたらした.
Author 日本保健物理学会医療放射線リスク専門研究会
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15) Low-dose extrapolation of radiation-related cancer risk: ICRP publication 99. Ann ICRP 35, 1-140 (2005).
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3) P. HERZOG, and C. T. RIEGER; Risk of cancer from diagnostic X-rays, Lancet, 363, 340-341 (2004).
18) Non-targeted and delayed effects of exposure to ionizing radiation: UNSCEAR 2006 Report, Scientific Annex C) (United Nations Scientific Committee on the Effects of Atomic Radiation: United Nations, 2006). Available at: http://www.unscear.org/docs/reports/2006/09.81160_Report_Annex_C_2006_Web.pdf
19) Effects of ionizing radiation on the immune system: UNSCEAR 2006 Report, Scientific Annex D. (United Nations Scientific Committee on the Effects of Atomic Radiation: United Nations, 2006). Available at: http://www.unscear.org/docs/reports/2006/09-81160_Report_Annex_D_2006_Web.pdf
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4) Epidemiological studies of radiation and cancer: UNSCEAR 2006 Report, Scientific Annex A. (United Nations Scientific Committee on the Effects of Atomic Radiation: United Nations, 2006). Available at: http://www.unscear.org/docs/reports/2006/07-82087_Report_Annex_A_2006_Web_corr.pdf
6) M. TUBIANA, A. AURENGO, R. MASSE and A. J. VALLERON; Risk of cancer from diagnostic X-rays, Lancet, 363, 1908; author reply 1910 (2004).
11) G. CHODICK, C. M. RONCKERS, V. SHALEV and E. RON; Excess lifetime cancer mortality risk attributable to radiation exposure from computed tomography examinations in children, Isr. Med. Assoc., J9, 584-587 (2007).
14) The 2007 Recommendations of the International Commission on Radiological Protection: ICRP publication 103. Ann ICRP 37, 1-332 (2007).
8) E. PICANO; Risk of cancer from diagnostic X-rays, Lancet, 363, 1909-1910; author reply 1910 (2004).
5) Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2. (National Academy of Sciences: National Academies Press, 2006).
References_xml – reference: 1) D. BRENNER, C. ELLISTON, E. HALL and W. BERDON; Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am. J. Roentgenol., 176, 289-296 (2001).
– reference: 13) G. P. HAMMER et al.; A cohort study of childhood cancer incidence after postnatal diagnostic X-ray exposure, Radiat. Res., 171, 504-512 (2009).
– reference: 12) A. Berrington de GONZÁLEZ et al.; Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch. Intern. Med., 169, 2071-2077 (2009).
– reference: 20) A. AURENGO et al.; Dose-effect relationships and estimation of the carcinogenic effects of low doses of ionizing radiation. (Académie des Sciences - Académie nationale de Médecine: Institut de France Académie des Sciences, 2005). Available at: http://www.academie-sciences.fr/publications/rapports/pdf/dose_effet_07_04_05_gb.pdf
– reference: 9) S. Nagataki; Risk of cancer from diagnostic X-rays, Lancet, 363, 1909; author reply 1910 (2004).
– reference: 17) Biological effects at low radiation doses: UNSCEAR 2000 Report, Scientific Annex G. (United Nations Scientific Committee on the Effects of Atomic Radiation: United Nations, 2000). Available at: http://www.unscear.org/docs/reports/annexg.pdf
– reference: 11) G. CHODICK, C. M. RONCKERS, V. SHALEV and E. RON; Excess lifetime cancer mortality risk attributable to radiation exposure from computed tomography examinations in children, Isr. Med. Assoc., J9, 584-587 (2007).
– reference: 4) Epidemiological studies of radiation and cancer: UNSCEAR 2006 Report, Scientific Annex A. (United Nations Scientific Committee on the Effects of Atomic Radiation: United Nations, 2006). Available at: http://www.unscear.org/docs/reports/2006/07-82087_Report_Annex_A_2006_Web_corr.pdf
– reference: 16) Health Effects of Exposure to Low Levels of Ionizing Radiation: BEIR V. (National Research Council: National Academies Press, 1990).
– reference: 6) M. TUBIANA, A. AURENGO, R. MASSE and A. J. VALLERON; Risk of cancer from diagnostic X-rays, Lancet, 363, 1908; author reply 1910 (2004).
– reference: 14) The 2007 Recommendations of the International Commission on Radiological Protection: ICRP publication 103. Ann ICRP 37, 1-332 (2007).
– reference: 7) J. A. SIMMONS; Risk of cancer from diagnostic X-rays, Lancet, 363, 1908-1909; author reply 1910 (2004).
– reference: 3) P. HERZOG, and C. T. RIEGER; Risk of cancer from diagnostic X-rays, Lancet, 363, 340-341 (2004).
– reference: 18) Non-targeted and delayed effects of exposure to ionizing radiation: UNSCEAR 2006 Report, Scientific Annex C) (United Nations Scientific Committee on the Effects of Atomic Radiation: United Nations, 2006). Available at: http://www.unscear.org/docs/reports/2006/09.81160_Report_Annex_C_2006_Web.pdf
– reference: 19) Effects of ionizing radiation on the immune system: UNSCEAR 2006 Report, Scientific Annex D. (United Nations Scientific Committee on the Effects of Atomic Radiation: United Nations, 2006). Available at: http://www.unscear.org/docs/reports/2006/09-81160_Report_Annex_D_2006_Web.pdf
– reference: 8) E. PICANO; Risk of cancer from diagnostic X-rays, Lancet, 363, 1909-1910; author reply 1910 (2004).
– reference: 5) Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2. (National Academy of Sciences: National Academies Press, 2006).
– reference: 15) Low-dose extrapolation of radiation-related cancer risk: ICRP publication 99. Ann ICRP 35, 1-140 (2005).
– reference: 10) D. DEBNATH; Risk of cancer from diagnostic X-rays, Lancet, 363, 1909; author reply 1910 (2004).
– reference: 2) A. Berrington de GONZÁLEZ and S. DARBY; Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries, Lancet, 363, 345-351 (2004).
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Snippet 「はじめに」医療において放射線が不可欠な存在であることに議論の余地はない. しかし, 医療放射線といえども他の放射線と同様にリスクがあり, 放射線防護を行う必要がある....
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Title 医療放射線リスク専門研究会の活動成果報告
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