Losing the balance in risk-benefit analysis

• Published in: Journal of radiological protection 2023-06, Vol.43 (2), p.24002
• Main Author: Rehani, Madan M
• Format: Article
• Language: English
• Subjects: benefit alone; nuclear industry; patient exposure; radiation risks; risk alone; risk versus benefit; risk-benefit analysis
• ISSN: 0952-4746; 1361-6498
• DOI: 10.1088/1361-6498/acdd7e

The idea of a benefit-risk analysis has been used for decades, but no one has probably bothered to see if there is a ratio or even questioned the concept because it does give an intuitive sense. There are situations where the tendency to lose the balance between the risk and benefit has been observed to move either towards benefit alone or risk alone. This may happen in medicine for benefit alone and in the nuclear industry for risk alone when public perceptions are involved. For example, in medicine, when the risk is uncertain and/or may happen in the long term as against the benefit, which may be immediate, the tendency to ignore risk has been observed. On the other hand, accidents in the nuclear industry shadow the benefits of nuclear power, resulting in authorities abandoning nuclear power in some countries. Similarly, tissue reactions to patients in fluoroscopic guided interventions have been highlighted despite the fact that the stochastic risks in the same procedure may be tens of times higher. Attention has been drawn to the analogy of risks in pharmaceuticals as against radiation and better-developed system for drugs for us to learn from. This article describes situations of losing balance and provides motivation for the International Commission on Radiological Protection (ICRP) to develop solutions for situations that entail immediate benefits with long-term radiation risk, commonly encountered in medical exposure.