A Bayesian Semiparametric Model for Radiation Dose‐Response Estimation

In evaluating the risk of exposure to health hazards, characterizing the dose‐response relationship and estimating acceptable exposure levels are the primary goals. In analyses of health risks associated with exposure to ionizing radiation, while there is a clear agreement that moderate to high radiation doses cause harmful effects in humans, little has been known about the possible biological effects at low doses, for example, below 0.1 Gy, which is the dose range relevant to most radiation exposures of concern today. A conventional approach to radiation dose‐response estimation based on simple parametric forms, such as the linear nonthreshold model, can be misleading in evaluating the risk and, in particular, its uncertainty at low doses. As an alternative approach, we consider a Bayesian semiparametric model that has a connected piece‐wise‐linear dose‐response function with prior distributions having an autoregressive structure among the random slope coefficients defined over closely spaced dose categories. With a simulation study and application to analysis of cancer incidence data among Japanese atomic bomb survivors, we show that this approach can produce smooth and flexible dose‐response estimation while reasonably handling the risk uncertainty at low doses and elsewhere. With relatively few assumptions and modeling options to be made by the analyst, the method can be particularly useful in assessing risks associated with low‐dose radiation exposures.     

The Impact of Ovarian Cancer on Life Expectancy in Japan

The purpose of this study was to determine how life expectancy is modified by ovarian cancer from 1950-2000. The contributions of ovarian cancer to life expectancy were estimated. The age characteristics of ovarian cancer were detected using the Gompertz relational mortality model. The patterns between years of potential life lost (YPLL) and mortality were obtained by fitting a linear regression equation to the natural logarithm of their ratios. YPLLs are substantially higher in Ireland than in Japan. However, the rates of change were much higher in Japan than in Ireland. YPLLs changed from 0.02 year in 1950 to 0.12 year in 2000. In Japan, there was a sixfold increase in the proportion of YPLLs for death from ovarian cancer relative to those for death from gynaecological cancers during the last half century. The impact of ovarian cancer on life expectancy clearly increased and the age-specific mortality tend to ageing.