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 (harmful tissue reactions) 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. Absorbed dose is a term used to describe how much energy that radiation deposits in a material. Common measurements for absorbed dose include rad, or radiation absorbed dose, and gray, or Gy. Dose equivalent calculates the effect of radiation on human tissue. This is done using tissue weighting factor, which takes into account how each tissue in the body has different sensitivity to radiation. The effective dose is the risk of radiation averaged over the entire body. Ionizing radiation is known to cause cancer in humans. We know this from the Life Span Study, which followed survivors of the atomic bombing in Japan during World War 2. Over 100,000 individuals were followed for 50 years. 1 in 10 of the cancers that formed during this time was due to radiation. The study shows a linear dose response for all solid tumors. This means the relationship between dose and human body response is a straight line. The risk of low dose radiation in medical imaging is unproven. It is difficult to establish risk due to low dose radiation. This is in part because there are other carcinogens in the environment, including smoking, chemicals, and pollutants. A common head CT has an effective dose of 2 mSv. This is comparable to the amount of background radiation a person is exposed to in 1 year. Background radiation is from naturally radioactive materials and cosmic radiation from space. The embryo and fetus are considered highly sensitive to radiation exposure. Complications from radiation exposure include malformation of internal organs, reduction of IQ, and cancer formation. The SI unit of exposure is the coulomb per kilogram (C/kg), which has largely replaced the roentgen (R). One roentgen equals 0.000258 C/kg; an exposure of one coulomb per kilogram is equivalent to 3876 roentgens.
Radiation Radiation is a moving form of energy, classified into ionizing and non-ionizing type. Ionizing radiation is further categorized into electromagnetic radiation (without matter) and particulate radiation (with matter). Electromagnetic radiation consists of photons, which can be thought of as energy packets, traveling in the form of a wave. Examples of electromagnetic radiation includes X-rays and gamma rays (see photo "Types of Electromagnetic Radiation"). These types of radiation can easily penetrate the human body because of high energy.
Medical exposure to radiation 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. As of 2012, the risk of low dose radiation in medical imaging was unproven. It is difficult to establish risks associated with low dose radiation. One reason why is that a long period of time occurs from exposure to radiation and the appearance of cancer. Also, there is a natural incidence of cancer. It is difficult to determine whether increases in cancer in a population are caused by low dose radiation. Lastly, we live in environments where other powerful carcinogens may affect the results of these studies. This includes chemicals, pollutants, cigarette smoke, and more. See table for effective doses from common medical diagnostic imaging exams.
Absorbed dose, dose equivalent, and effective dose
The absorbed dose is how much energy that ionizing radiation deposits in a material. The absorbed dose will depend on the type of matter which absorbs the radiation. For an exposure of 1 roentgen by gamma rays with an energy of 1 MeV, the dose in air will be 0.877 rad, the dose in water will be 0.975 rad, the dose in silicon will be 0.877 rad, and the dose in averaged human tissue will be 1 rad. "rad" stands for radiation absorbed dose. This is a special dosimetric quantity used to assess the dose from radiation exposure. Another common measurement for human tissue is gray (Gy, International or SI unit). The reference for this sentence has a table that gives the exposure to dose conversion for these four materials. The amount of energy deposited in human tissue and organs is the basis for the measurements for humans. These doses are then calculated into radiation risk by accounting for the type of radiation, as well as the different sensitivity of organs and tissues. To measure the biological effects of radiation on human tissues, effective dose or dose equivalent is used. The dose equivalent measures the effective radiation dosage in a specific organ or tissue. The dose equivalent is calculated by the following equation: Dose equivalent = Absorbed dosage x Tissue weighting factor Tissue weighting factor reflects the relative sensitivity of each organ to radiation. The effective dose refers to the radiation risk averaged over the entire body. It is the sum of the equivalent dosage of all exposed organs or tissues. Equivalent dose and effective dose are measured in sieverts (Sv).
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