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NASA's Biomedical Critical Path Roadmap defines the carcinogenic
risks of radiation exposure as one of only four Type I risks identified.
A type I risk represents a demonstrated, serious problem with
no countermeasure concepts, and may be a potential "show-stopper"
for long duration spaceflight.
Estimating the carcinogenic risks for different tissues in
humans exposed to heavy ions is difficult at present. These ions contribute
significantly to the dose and dose-equivalent received by astronauts
during extended missions in low earth orbit (shuttle and ISS) and
will be even more important for interplanetary excursions or lunar missions.
Space radiation environments are unlike any on earth. It is a significant
challenge to estimate the biological consequences of human space flight
because of the heterogeneous nature of the radiation fields, which
include all charged particle species from protons through uranium at varying
energies of up to tens of GeV/amu. High atomic mass (Z) and high energy
(HZE) particle irradiation is of particular concern because the limited
experimental data to date indicate the relative biological effect (RBE)
for carcinogenesis for individual densely ionizing HZE particles is
several-to-many fold greater than sparsely ionizing radiation like
X-rays or g-radiation. Uncertainties arising from physical issues
such as charged particle fragmentation in shielding and in human
tissue and environmental issues such as prediction of solar
particle events confound NASA's ability to predict the carcinogenic
risks associated with space flight. These uncertainties are
compounded further by our presently incomplete understanding of
carcinogenesis.
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