

a. The absorbed dose does not provide us with an indication of biological
damage since it is concerned with energy absorption only. It was desirable to establish
an index of damage produced by different kinds of radiation. The relative biological
effectiveness (RBE) factor was introduced.
b. Using damage produced by x-rays (200 KeV) as the standard, other forms of
radiation were compared and RBE values assigned.
c. For example, if our 200 KeV x-rays produce reddening of the skin with a dose
of 200 rads, but another type of radiation produces the same effect with 100 rads, we
can compare dose and calculate the RBE.
rads of Standard (Skin Reddening) 200
RBE = rads of Other Radiation (Same Effect) = 100 = 2
So we would assign the other radiation an RBE value of two. This value is used
primarily in the study of radiobiology.
d. The RBE demonstrated the need for a unit of dose that would take into account biological damage. Thus, a unit of dose equivalent was established and called
the roentgen equivalent man (rem).
rem = rad x RBE (Radiobiology)
or
rem = rad x Q x N
where Q is the quality factor and N is any other modifying factor. This is used in
radiation protection.
e. Recently, a new name and unit of dose equivalent has been introduced. The
Sievert (symbol Sv) is the new unit of dose equivalent.
1 rem = 0.01 joule/kilogram = 0.01 Sv
Therefore, 1 Sv = 100 rem.