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Home › Research › Risk & Gap Atlas › Radiation & cancer

DRAFT · NOT REVIEWED — AI-assisted draft for educational use only; not medical advice and not operational guidance. It has not been reviewed by a medical or scientific reviewer. Evidence grades are proposals pending reviewer confirmation. Items marked “pending verification” could not be confirmed against a primary source. Disclaimer
RSK-01 · NASA human-system risk · Research

Radiation & cancer

Also: Space radiation carcinogenesis

RadiationOncologyIn-flightLifetime SurveillanceLEO long-durationLunar surfaceMars transit & surfacePublicClinicianResearcher

draft AI-assisted Last reviewed: Pending review · Reviewer: Pending review

Bottom line
  • Space radiation may increase lifetime cancer risk, but no human data exist for this type of radiation. The risk is estimated from Earth-based data adjusted with animal and cell studies. ◆◆◆◇ Moderate · M C E
  • NASA rates in-flight cancer risk as very low and accepted. The concern is long-term health, which NASA says requires mitigation for Mars missions. ◆◆◆◆ High · E
  • No medication or treatment has been shown to lower radiation cancer risk. Protection today comes from shielding, mission design, ALARA and dose limits. ◆◆◆◆ High · E

Proposed certainty (◆ High → ◇ Very low) and evidence-type tags: F flight · A analog · M model/animal · C computational · E expert/operational/standards. AI-proposed, pending reviewer confirmation. How to read the grades.

NASA risk title (verbatim)

Risk of Radiation Carcinogenesis

NASA short title: Carcinogenesis · HRP element: Space Radiation (SR) · Status: Active [current research ongoing] [1]

What it is

Beyond Earth’s protective magnetic field, crews are exposed to galactic cosmic rays (GCR) and solar particle events (SPEs). NASA’s concern is that this exposure raises a person’s chance of developing, or dying from, cancer later in life [1]. Unlike X-rays or gamma rays on Earth, space radiation includes high-energy protons, heavy ions and neutrons. These particles leave dense tracks of damage in cells that are hard to repair [1].

Current evidence

  • There are no epidemiological data for people exposed to space radiation. Estimates are built from Earth-based radiation-exposed groups and then adjusted for space radiation using animal and cell experiments [1].
  • Animal and cell studies suggest particle radiation may cause more cancer-related effects than X-rays or gamma rays, such as tumors appearing sooner or being more malignant [1].
  • NASA’s model (NASA Space Cancer Risk, NSCR) expresses risk as the risk of exposure-induced death (REID). It uses Monte Carlo simulation to carry uncertainty about radiation quality, dose rate and the Earth-based data into the estimate [1].
  • The space radiation field is roughly 87% protons, 12% helium nuclei and 1% heavier, high-energy ions (HZE). Spacecraft shielding against it is still imperfect [1].
  • The Mars Science Laboratory measured a dose equivalent of 0.66 ± 0.12 sievert for the shortest Mars round trip possible with current propulsion and comparable shielding [4].
  • A 2021 National Academies report reviewed how NASA manages and communicates these cancer risks [5].

NASA’s risk posture

NASA scores each risk for each design reference mission (DRM) as likelihood × consequence (LxC). Both run from 1 (lowest) to 5 (highest) on the HSRB’s 5×5 matrix [1][3]. Each score comes with a disposition, such as “Accepted”, “Requires Characterization” or “Requires Mitigation”. These ratings were last approved by NASA’s Human System Risk Board (HSRB) (see note) [1].

MissionDurationIn-mission (operations)Long-term health
LEOShort (under 30 d)1x1 · Accepted3x1 · Accepted
LEOLong (30 d–1 yr)1x1 · Accepted3x2 · Requires Characterization
Lunar orbitShort1x1 · Accepted3x1 · Accepted
Lunar orbitLong1x1 · Accepted3x2 · Requires Characterization
Lunar orbit + surfaceShort1x1 · Accepted3x1 · Accepted
Lunar orbit + surfaceLong1x1 · Accepted3x2 · Requires Characterization
Mars preparatoryUnder 1 yr1x1 · Accepted3x3 · Requires Mitigation
Mars planetary730–1,224 d1x1 · Accepted3x3 · Requires Mitigation

NASA notes that these ratings were set under the HSRB’s previous 3×4 matrix and are due to be re-rated on the current 5×5 matrix [1]. In-flight (operations) risk is rated very low. The concern is long-term health.

Copied from the Human Research Roadmap on 2026-10-14. Ratings change. Check the live record before citing.

Open knowledge gaps

NASA lists 12 knowledge gaps for this risk, 12 of them open as of 2026-10-14 [1]. Each gap ID links to its page on the Human Research Roadmap (HRR).

Show NASA’s gap list (verbatim)
GapNASA gap statementStatus
Cancer-202Evaluate the contribution of genetic background/diversity on carcinogenesis risk.Open
Cancer-203Evaluate the tissue-specific risks of space radiation exposure on cancer outcomes.Open
Cancer-103Determine the effects of radiation quality on cancer initiation, promotion, and progression.Open
Cancer-104Determine the effects of radiation dose and dose-rate on cancer initiation, promotion and progression.Open
Cancer-204Evaluate the sex-specific risks of space radiation exposure on cancer outcomes.Open
Cancer-303Identify early surrogate biomarkers that correlate with cancer, pre-malignancy, or the hallmarks of cancer.Open
Cancer-304Identify and/or develop strategies for accelerated countermeasure development.Open
Cancer-402Identify and/or develop monitoring tools to support spaceflight research, long-term health surveillance, and countermeasure implementation.Open
Cancer-502Systematically identify safe and effective countermeasures to reduce radiation carcinogenesis.Open
Cancer-503Validate identified countermeasures to reduce radiation carcinogenesis risks in advanced biological model systems.Open
Cancer-602Operationalize identified and validated interventional countermeasures for space flight.Open
Cancer-603Operationalize identified monitoring/preventative countermeasures.Open

See also Open questions.

Active countermeasure research

  • Ground radiobiology at the NASA Space Radiation Laboratory (NSRL). Studies began with single-ion beams. Newer GCR-simulator beams now approximate the mixed radiation field inside a spacecraft [1].
  • Tissue-specific research. NASA Specialized Centers of Research study lung, breast, colon, blood and lymphatic, liver and brain cancers. They are also looking for biomarkers that could catch pre-malignant disease early [1].
  • Better risk models. New data-driven computational models aim to translate ground results into human risk [1].
  • Operational protection, in place now. Dose limits and ALARA keep exposure down. NASA-STD-3001 sets a career limit of less than 600 mSv effective dose (see Requirements referenced below). No medical countermeasure that lowers cancer risk from space radiation has been validated [1].

Project-level detail, including status, investigators and results, is in the NASA Task Book and on each HRR gap page.

Clinical articles

For practical, clinic-facing guidance, see:

Evidence profile
Overall certainty
◆◆◇◇ Low (proposed)
Evidence types
M · Model / animalC · ComputationalE · Expert / operational / standards
Literature through
2026-10-14
NASA source
Human Research Roadmap risk page (last published 08/17/26; read 2026-10-14)
Requirements referenced 5
RequirementTitlePlain-language meaning
[V1 4029]ALARA PrincipleAll crew exposures are minimized as low as reasonably achievable, even below limits.
[V1 4030]Career Space Permissible Exposure LimitCareer effective dose from spaceflight less than 600 mSv; universal for all ages and sexes.
[V1 4031]Short-Term Limits – Solar Particle EventsProtect from the design-reference SPE (sum of Oct 1989 events) to less than 250 mSv effective dose.
[V1 4033]Limits from Galactic Cosmic RadiationHabitats for more than 60 days: GCR effective dose rate below 1.3 mSv/day in free space, 0.9 mSv/day on planetary surfaces.
[V2 6161]–[V2 6162]Area and Personal Radiation MonitoringMonitor GCR, solar particles, trapped radiation (and neutrons where required) in the cabin and per crewmember.

IDs as published in NASA-STD-3001 Vol. 1 Rev C (2023-09-15) and NASA-STD-3001 Vol. 2 Rev F (2026-07-14). NASA-STD-3001 binds NASA programs; it is not a regulation for commercial flights. Paraphrased. Standards quick reference.

References 5
  1. NASA Human Research Roadmap. Risk record: “Risk of Radiation Carcinogenesis”. Accessed 2026-10-14. humanresearchroadmap.nasa.gov/Risks/?i=96 NASA E
  2. NASA Human Research Program. Evidence Report: Risk of Ionizing Radiation Carcinogenesis (2026). humanresearchroadmap.nasa.gov/evidence/reports/HRP-ER-CANCER… NASA E
  3. Antonsen EL, et al. Updates to the NASA human system risk management process for space exploration. NPJ Microgravity. 2023;9:72. doi:10.1038/s41526-023-00305-z PMID:37679359 Peer-reviewed E
  4. Zeitlin C, et al. Measurements of energetic particle radiation in transit to Mars on the Mars Science Laboratory. Science. 2013;340(6136):1080–1084. doi:10.1126/science.1235989 PMID:23723233 Peer-reviewed F
  5. National Academies of Sciences, Engineering, and Medicine. Space Radiation and Astronaut Health: Managing and Communicating Cancer Risks. Washington, DC: The National Academies Press; 2021. doi:10.17226/26155 Other E

Machine-checked on 2026-10-14: each URL resolved, each DOI's title/journal/year matched via Crossref, and claims were checked against the source text (abstract or full NASA page). Human verification against full text is still required before review. NASA documents are U.S. Government works (public domain) and are summarized with attribution; journal articles are summarized, not reproduced.

Article info
Authors
Pending (AI-assisted draft)
Reviewer
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Last reviewed
Pending review
Literature through
2026-10-14
AI-assisted
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COI
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Use
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Cite this version
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