Absorbed dose of ionizing radiation | |
---|---|
Common symbols | D |
SI unit | Gray |
Other units | Rad |
In SI base units | J⋅kg −1 |
Absorbed dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass. Absorbed dose is used in the calculation of dose uptake in living tissue in both radiation protection (reduction of harmful effects), and radiology (potential beneficial effects, for example in cancer treatment). It is also used to directly compare the effect of radiation on inanimate matter such as in radiation hardening.
The SI unit of measure is the gray (Gy), which is defined as one Joule of energy absorbed per kilogram of matter. [1] The older, non-SI CGS unit rad, is sometimes also used, predominantly in the USA.
Conventionally, in radiation protection, unmodified absorbed dose is only used for indicating the immediate health effects due to high levels of acute dose. These are tissue effects, such as in acute radiation syndrome, which are also known as deterministic effects. These are effects which are certain to happen in a short time. The time between exposure and vomiting may be used as a heuristic for quantifying a dose when more precise means of testing are unavailable. [2]
Phase | Symptom | Whole-body absorbed dose (Gy) | ||||
---|---|---|---|---|---|---|
1–2 Gy | 2–6 Gy | 6–8 Gy | 8–30 Gy | > 30 Gy | ||
Immediate | Nausea and vomiting | 5–50% | 50–100% | 75–100% | 90–100% | 100% |
Time of onset | 2–6 h | 1–2 h | 10–60 min | < 10 min | Minutes | |
Duration | < 24 h | 24–48 h | < 48 h | < 48 h | — (patients die in < 48 h) | |
Diarrhea | None | None to mild (< 10%) | Heavy (> 10%) | Heavy (> 95%) | Heavy (100%) | |
Time of onset | — | 3–8 h | 1–3 h | < 1 h | < 1 h | |
Headache | Slight | Mild to moderate (50%) | Moderate (80%) | Severe (80–90%) | Severe (100%) | |
Time of onset | — | 4–24 h | 3–4 h | 1–2 h | < 1 h | |
Fever | None | Moderate increase (10–100%) | Moderate to severe (100%) | Severe (100%) | Severe (100%) | |
Time of onset | — | 1–3 h | < 1 h | < 1 h | < 1 h | |
CNS function | No impairment | Cognitive impairment 6–20 h | Cognitive impairment > 24 h | Rapid incapacitation | Seizures, tremor, ataxia, lethargy | |
Latent period | 28–31 days | 7–28 days | < 7 days | None | None | |
Illness | Mild to moderate Leukopenia Fatigue Weakness | Moderate to severe Leukopenia Purpura Hemorrhage Infections Alopecia after 3 Gy | Severe leukopenia High fever Diarrhea Vomiting Dizziness and disorientation Hypotension Electrolyte disturbance | Nausea Vomiting Severe diarrhea High fever Electrolyte disturbance Shock | — (patients die in < 48h) | |
Mortality | Without care | 0–5% | 5–95% | 95–100% | 100% | 100% |
With care | 0–5% | 5–50% | 50–100% | 99–100% | 100% | |
Death | 6–8 weeks | 4–6 weeks | 2–4 weeks | 2 days – 2 weeks | 1–2 days | |
Table source [3] |
The absorbed dose is equal to the radiation exposure (ions or C/kg) of the radiation beam multiplied by the ionization energy of the medium to be ionized.
For example, the ionization energy of dry air at 20 °C and 101.325 kPa of pressure is 33.97±0.05 J/C. [4] (33.97 eV per ion pair) Therefore, an exposure of 2.58×10−4 C/kg (1 roentgen) would deposit an absorbed dose of 8.76×10−3 J/kg (0.00876 Gy or 0.876 rad) in dry air at those conditions.
When the absorbed dose is not uniform, or when it is only applied to a portion of a body or object, an absorbed dose representative of the entire item can be calculated by taking a mass-weighted average of the absorbed doses at each point.
More precisely, [5]
Where
For stochastic radiation risk, defined as the probability of cancer induction and genetic effects occurring over a long time scale, consideration must be given to the type of radiation and the sensitivity of the irradiated tissues, which requires the use of modifying factors to produce a risk factor in sieverts. One sievert carries with it a 5.5% chance of eventually developing cancer based on the linear no-threshold model. [6] [7] This calculation starts with the absorbed dose.
To represent stochastic risk the dose quantities equivalent dose HT and effective dose E are used, and appropriate dose factors and coefficients are used to calculate these from the absorbed dose. [8] Equivalent and effective dose quantities are expressed in units of the sievert or rem which implies that biological effects have been taken into account. The derivation of stochastic risk is in accordance with the recommendations of the International Committee on Radiation Protection (ICRP) and International Commission on Radiation Units and Measurements (ICRU). The coherent system of radiological protection quantities developed by them is shown in the accompanying diagram.
For whole body radiation, with Gamma rays or X-rays the modifying factors are numerically equal to 1, which means that in that case the dose in grays equals the dose in sieverts.
Wilhelm Röntgen first discovered X-rays on November 8, 1895, and their use spread very quickly for medical diagnostics, particularly broken bones and embedded foreign objects where they were a revolutionary improvement over previous techniques.
Due to the wide use of X-rays and the growing realisation of the dangers of ionizing radiation, measurement standards became necessary for radiation intensity and various countries developed their own, but using differing definitions and methods. Eventually, in order to promote international standardisation, the first International Congress of Radiology (ICR) meeting in London in 1925, proposed a separate body to consider units of measure. This was called the International Commission on Radiation Units and Measurements, or ICRU, [lower-alpha 1] and came into being at the Second ICR in Stockholm in 1928, under the chairmanship of Manne Siegbahn. [9] [10] [lower-alpha 2]
One of the earliest techniques of measuring the intensity of X-rays was to measure their ionising effect in air by means of an air-filled ion chamber. At the first ICRU meeting it was proposed that one unit of X-ray dose should be defined as the quantity of X-rays that would produce one esu of charge in one cubic centimetre of dry air at 0 °C and 1 standard atmosphere of pressure. This unit of radiation exposure was named the roentgen in honour of Wilhelm Röntgen, who had died five years previously. At the 1937 meeting of the ICRU, this definition was extended to apply to gamma radiation. [11] This approach, although a great step forward in standardisation, had the disadvantage of not being a direct measure of the absorption of radiation, and thereby the ionisation effect, in various types of matter including human tissue, and was a measurement only of the effect of the X-rays in a specific circumstance; the ionisation effect in dry air. [12]
In 1940, Louis Harold Gray, who had been studying the effect of neutron damage on human tissue, together with William Valentine Mayneord and the radiobiologist John Read, published a paper in which a new unit of measure, dubbed the "gram roentgen" (symbol: gr) was proposed, and defined as "that amount of neutron radiation which produces an increment in energy in unit volume of tissue equal to the increment of energy produced in unit volume of water by one roentgen of radiation". [13] This unit was found to be equivalent to 88 ergs in air, and made the absorbed dose, as it subsequently became known, dependent on the interaction of the radiation with the irradiated material, not just an expression of radiation exposure or intensity, which the roentgen represented. In 1953 the ICRU recommended the rad, equal to 100 erg/g, as the new unit of measure of absorbed radiation. The rad was expressed in coherent cgs units. [11]
In the late 1950s, the CGPM invited the ICRU to join other scientific bodies to work on the development of the International System of Units, or SI. [14] It was decided to define the SI unit of absorbed radiation as energy deposited per unit mass which is how the rad had been defined, but in MKS units it would be J/kg. This was confirmed in 1975 by the 15th CGPM, and the unit was named the "gray" in honour of Louis Harold Gray, who had died in 1965. The gray was equal to 100 rad, the cgs unit.
Absorbed dose is also used to manage the irradiation and measure the effects of ionising radiation on inanimate matter in a number of fields.
Absorbed dose is used to rate the survivability of devices such as electronic components in ionizing radiation environments.
The measurement of absorbed dose absorbed by inanimate matter is vital in the process of radiation hardening which improves the resistance of electronic devices to radiation effects.
Absorbed dose is the physical dose quantity used to ensure irradiated food has received the correct dose to ensure effectiveness. Variable doses are used depending on the application and can be as high as 70 kGy.
The following table shows radiation quantities in SI and non-SI units:
Quantity | Unit | Symbol | Derivation | Year | SI equivalent |
---|---|---|---|---|---|
Activity (A) | becquerel | Bq | s−1 | 1974 | SI unit |
curie | Ci | 3.7×1010 s−1 | 1953 | 3.7×1010 Bq | |
rutherford | Rd | 106 s−1 | 1946 | 1000000 Bq | |
Exposure (X) | coulomb per kilogram | C/kg | C⋅kg−1 of air | 1974 | SI unit |
röntgen | R | esu / 0.001293 g of air | 1928 | 2.58×10−4 C/kg | |
Absorbed dose (D) | gray | Gy | J⋅kg−1 | 1974 | SI unit |
erg per gram | erg/g | erg⋅g−1 | 1950 | 1.0×10−4 Gy | |
rad | rad | 100 erg⋅g−1 | 1953 | 0.010 Gy | |
Equivalent dose (H) | sievert | Sv | J⋅kg−1 × WR | 1977 | SI unit |
röntgen equivalent man | rem | 100 erg⋅g−1 × WR | 1971 | 0.010 Sv | |
Effective dose (E) | sievert | Sv | J⋅kg−1 × WR × WT | 1977 | SI unit |
röntgen equivalent man | rem | 100 erg⋅g−1 × WR × WT | 1971 | 0.010 Sv |
Although the United States Nuclear Regulatory Commission permits the use of the units curie, rad, and rem alongside SI units, [15] the European Union European units of measurement directives required that their use for "public health ... purposes" be phased out by 31 December 1985. [16]
The sievert is a unit in the International System of Units (SI) intended to represent the stochastic health risk of ionizing radiation, which is defined as the probability of causing radiation-induced cancer and genetic damage. The sievert is important in dosimetry and radiation protection. It is named after Rolf Maximilian Sievert, a Swedish medical physicist renowned for work on radiation dose measurement and research into the biological effects of radiation.
The gray is the unit of ionizing radiation dose in the International System of Units (SI), defined as the absorption of one joule of radiation energy per kilogram of matter.
Radiation dosimetry in the fields of health physics and radiation protection is the measurement, calculation and assessment of the ionizing radiation dose absorbed by an object, usually the human body. This applies both internally, due to ingested or inhaled radioactive substances, or externally due to irradiation by sources of radiation.
Radiation protection, also known as radiological protection, is defined by the International Atomic Energy Agency (IAEA) as "The protection of people from harmful effects of exposure to ionizing radiation, and the means for achieving this". Exposure can be from a source of radiation external to the human body or due to internal irradiation caused by the ingestion of radioactive contamination.
Equivalent dose is a dose quantity H representing the stochastic health effects of low levels of ionizing radiation on the human body which represents the probability of radiation-induced cancer and genetic damage. It is derived from the physical quantity absorbed dose, but also takes into account the biological effectiveness of the radiation, which is dependent on the radiation type and energy. In the SI system of units, the unit of measure is the sievert (Sv).
Health physics, also referred to as the science of radiation protection, is the profession devoted to protecting people and their environment from potential radiation hazards, while making it possible to enjoy the beneficial uses of radiation. Health physicists normally require a four-year bachelor’s degree and qualifying experience that demonstrates a professional knowledge of the theory and application of radiation protection principles and closely related sciences. Health physicists principally work at facilities where radionuclides or other sources of ionizing radiation are used or produced; these include research, industry, education, medical facilities, nuclear power, military, environmental protection, enforcement of government regulations, and decontamination and decommissioning—the combination of education and experience for health physicists depends on the specific field in which the health physicist is engaged.
The roentgen equivalent man (rem) is a CGS unit of equivalent dose, effective dose, and committed dose, which are dose measures used to estimate potential health effects of low levels of ionizing radiation on the human body.
In radiation physics, kerma is an acronym for "kinetic energy released per unit mass", defined as the sum of the initial kinetic energies of all the charged particles liberated by uncharged ionizing radiation in a sample of matter, divided by the mass of the sample. It is defined by the quotient .
The rad is a unit of absorbed radiation dose, defined as 1 rad = 0.01 Gy = 0.01 J/kg. It was originally defined in CGS units in 1953 as the dose causing 100 ergs of energy to be absorbed by one gram of matter. The material absorbing the radiation can be human tissue, air, water, or any other substance.
A film badge dosimeter or film badge is a personal dosimeter used for monitoring cumulative radiation dose due to ionizing radiation.
In diagnostic radiology, the F-factor is the conversion factor between exposure to ionizing radiation and the absorbed dose from that radiation. In other words, it converts between the amount of ionization in air and the absorbed dose in air. The two determinants of the F-factor are the effective atomic number (Z) of the material and the type of ionizing radiation being considered. Since the effective Z of air and soft tissue is approximately the same, the F-factor is approximately 1 for many x-ray imaging applications. However, bone has an F-factor of up to 4, due to its higher effective Z.
In dosimetry, linear energy transfer (LET) is the amount of energy that an ionizing particle transfers to the material traversed per unit distance. It describes the action of radiation into matter.
The International Commission on Radiological Protection (ICRP) is an independent, international, non-governmental organization, with the mission to protect people, animals, and the environment from the harmful effects of ionising radiation. Its recommendations form the basis of radiological protection policy, regulations, guidelines and practice worldwide.
The International Commission on Radiation Units and Measurements (ICRU) is a standardization body set up in 1925 by the International Congress of Radiology, originally as the X-Ray Unit Committee until 1950. Its objective "is to develop concepts, definitions and recommendations for the use of quantities and their units for ionizing radiation and its interaction with matter, in particular with respect to the biological effects induced by radiation".
Radiobiology is a field of clinical and basic medical sciences that involves the study of the effects of ionizing radiation on living things, in particular health effects of radiation. Ionizing radiation is generally harmful and potentially lethal to living things but can have health benefits in radiation therapy for the treatment of cancer and thyrotoxicosis. Its most common impact is the induction of cancer with a latent period of years or decades after exposure. High doses can cause visually dramatic radiation burns, and/or rapid fatality through acute radiation syndrome. Controlled doses are used for medical imaging and radiotherapy.
In radiobiology, the relative biological effectiveness is the ratio of biological effectiveness of one type of ionizing radiation relative to another, given the same amount of absorbed energy. The RBE is an empirical value that varies depending on the type of ionizing radiation, the energies involved, the biological effects being considered such as cell death, and the oxygen tension of the tissues or so-called oxygen effect.
The roentgen or röntgen is a legacy unit of measurement for the exposure of X-rays and gamma rays, and is defined as the electric charge freed by such radiation in a specified volume of air divided by the mass of that air . In 1928, it was adopted as the first international measurement quantity for ionizing radiation to be defined for radiation protection, as it was then the most easily replicated method of measuring air ionization by using ion chambers. It is named after the German physicist Wilhelm Röntgen, who discovered X-rays and was awarded the first Nobel Prize in Physics for the discovery.
Effective dose is a dose quantity in the International Commission on Radiological Protection (ICRP) system of radiological protection.
The committed dose in radiological protection is a measure of the stochastic health risk due to an intake of radioactive material into the human body. Stochastic in this context is defined as the probability of cancer induction and genetic damage, due to low levels of radiation. The SI unit of measure is the sievert.
Radiation exposure is a measure of the ionization of air due to ionizing radiation from photons. It is defined as the electric charge freed by such radiation in a specified volume of air divided by the mass of that air. As of 2007, "medical radiation exposure" was defined by the International Commission on Radiological Protection as exposure incurred by people as part of their own medical or dental diagnosis or treatment; by persons, other than those occupationally exposed, knowingly, while voluntarily helping in the support and comfort of patients; and by volunteers in a programme of biomedical research involving their exposure. Common medical tests and treatments involving radiation include X-rays, CT scans, mammography, lung ventilation and perfusion scans, bone scans, cardiac perfusion scan, angiography, radiation therapy, and more. Each type of test carries its own amount of radiation exposure. There are two general categories of adverse health effects caused by radiation exposure: deterministic effects and stochastic effects. Deterministic effects are due to the killing/malfunction of cells following high doses; and stochastic effects involve either cancer development in exposed individuals caused by mutation of somatic cells, or heritable disease in their offspring from mutation of reproductive (germ) cells.