Sievert

The sievert is a derived unit in the International System of Units 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 sievert unit is used for radiation dose quantities such as equivalent dose and effective dose, which represent the risk of external radiation from sources outside the body, and committed dose, which represents the risk of internal irradiation due to inhaled or ingested radioactive substances. According to the International Commission on Radiological Protection, one sievert results in a 5.5% probability of eventually developing fatal cancer based on the disputed linear no-threshold model of ionizing radiation exposure.
To calculate the value of stochastic health risk in sieverts, the physical quantity absorbed dose is converted into equivalent dose and effective dose by applying factors for radiation type and biological context, published by the ICRP and the International Commission on Radiation Units and Measurements. One sievert equals 100 rem, which is an older, CGS radiation unit.
Conventionally, deterministic health effects due to acute tissue damage that is certain to happen, produced by high dose rates of radiation, are compared to the physical quantity absorbed dose measured by the unit gray.

Definition

CIPM definition of the sievert

The SI definition given by the International Committee for Weights and Measures says:
"The quantity dose equivalent H is the product of the absorbed dose D of ionizing radiation and the dimensionless factor Q defined as a function of linear energy transfer by the ICRU"
The value of Q is not defined further by CIPM, but it requires the use of the relevant ICRU recommendations to provide this value.
The CIPM also says that "in order to avoid any risk of confusion between the absorbed dose D and the dose equivalent H, the special names for the respective units should be used, that is, the name gray should be used instead of joules per kilogram for the unit of absorbed dose D and the name sievert instead of joules per kilogram for the unit of dose equivalent H".
In summary:

ICRP definition of the sievert

The ICRP definition of the sievert is:
The sievert is used for a number of dose quantities which are described in this article and are part of the international radiological protection system devised and defined by the ICRP and ICRU.

External dose quantities

When the sievert is used to represent the stochastic effects of external ionizing radiation on human tissue, the radiation doses received are measured in practice by radiometric instruments and dosimeters and are called operational quantities. To relate these actual received doses to likely health effects, protection quantities have been developed to predict the likely health effects using the results of large epidemiological studies. Consequently, this has required the creation of a number of different dose quantities within a coherent system developed by the ICRU working with the ICRP.
The external dose quantities and their relationships are shown in the accompanying diagram. The ICRU is primarily responsible for the operational dose quantities, based upon the application of ionising radiation metrology, and the ICRP is primarily responsible for the protection quantities, based upon modelling of dose uptake and biological sensitivity of the human body.

Naming conventions

The ICRU/ICRP dose quantities have specific purposes and meanings, but some use common words in a different order. There can be confusion between, for instance, equivalent dose and dose equivalent.
Although the CIPM definition states that the linear energy transfer function of the ICRU is used in calculating the biological effect, the ICRP in 1990 developed the "protection" dose quantities effective and equivalent dose which are calculated from more complex computational models and are distinguished by not having the phrase dose equivalent in their name. Only the operational dose quantities which still use Q for calculation retain the phrase dose equivalent. However, there are joint ICRU/ICRP proposals to simplify this system by changes to the operational dose definitions to harmonise with those of protection quantities. These were outlined at the 3rd International Symposium on Radiological Protection in October 2015, and if implemented would make the naming of operational quantities more logical by introducing "dose to lens of eye" and "dose to local skin" as equivalent doses.
In the USA there are differently named dose quantities which are not part of the ICRP nomenclature.

Physical quantities

These are directly measurable physical quantities in which no allowance has been made for biological effects. Radiation fluence is the number of radiation particles impinging per unit area per unit time, kerma is the ionising effect on air of gamma rays and X-rays and is used for instrument calibration, and absorbed dose is the amount of radiation energy deposited per unit mass in the matter or tissue under consideration.

Operational quantities

Operational quantities are measured in practice, and are the means of directly measuring dose uptake due to exposure, or predicting dose uptake in a measured environment. In this way they are used for practical dose control, by providing an estimate or upper limit for the value of the protection quantities related to an exposure. They are also used in practical regulations and guidance.
The calibration of individual and area dosimeters in photon fields is performed by measuring the collision "air kerma free in air" under conditions of secondary electron equilibrium. Then the appropriate operational quantity is derived applying a conversion coefficient that relates the air kerma to the appropriate operational quantity. The conversion coefficients for photon radiation are published by the ICRU.
Simple "phantoms" are used to relate operational quantities to measured free-air irradiation. The ICRU sphere phantom is based on the definition of an ICRU 4-element tissue-equivalent material which does not really exist and cannot be fabricated. The ICRU sphere is a theoretical 30 cm diameter "tissue equivalent" sphere consisting of a material with a density of 1 g·cm⁻³ and a mass composition of 76.2% oxygen, 11.1% carbon, 10.1% hydrogen and 2.6% nitrogen. This material is specified to most closely approximate human tissue in its absorption properties. According to the ICRP, the ICRU "sphere phantom" in most cases adequately approximates the human body as regards the scattering and attenuation of penetrating radiation fields under consideration. Thus radiation of a particular energy fluence will have roughly the same energy deposition within the sphere as it would in the equivalent mass of human tissue.
To allow for back-scattering and absorption of the human body, the "slab phantom" is used to represent the human torso for practical calibration of whole body dosimeters. The slab phantom is depth to represent the human torso.
The joint ICRU/ICRP proposals outlined at the 3rd International Symposium on Radiological Protection in October 2015 to change the definition of operational quantities would not change the present use of calibration phantoms or reference radiation fields.

Protection quantities

Protection quantities are calculated models, and are used as "limiting quantities" to specify exposure limits to ensure, in the words of ICRP, "that the occurrence of stochastic health effects is kept below unacceptable levels and that tissue reactions are avoided". These quantities cannot be measured in practice but their values are derived using models of external dose to internal organs of the human body, using anthropomorphic phantoms. These are 3D computational models of the body which take into account a number of complex effects such as body self-shielding and internal scattering of radiation. The calculation starts with organ absorbed dose, and then applies radiation and tissue weighting factors.
As protection quantities cannot practically be measured, operational quantities must be used to relate them to practical radiation instrument and dosimeter responses.

Instrument and dosimetry response

This is an actual reading obtained from such as an ambient dose gamma monitor, or a personal dosimeter. Such instruments are calibrated using radiation metrology techniques which will trace them to a national radiation standard, and thereby relate them to an operational quantity. The readings of instruments and dosimeters are used to prevent the uptake of excessive dose and to provide records of dose uptake to satisfy radiation safety legislation; such as in the UK, the Ionising Radiations Regulations 1999.

Calculating protection dose quantities

The sievert is used in external radiation protection for equivalent dose, and effective dose.
These dose quantities are weighted averages of absorbed dose designed to be representative of the stochastic health effects of radiation, and use of the sievert implies that appropriate weighting factors have been applied to the absorbed dose measurement or calculation.
The ICRP calculation provides two weighting factors to enable the calculation of protection quantities.
When a whole body is irradiated uniformly only the radiation weighting factor W_R is used, and the effective dose equals the whole body equivalent dose. But if the irradiation of a body is partial or non-uniform the tissue factor W_T is used to calculate dose to each organ or tissue. These are then summed to obtain the effective dose. In the case of uniform irradiation of the human body, these summate to 1, but in the case of partial or non-uniform irradiation, they will summate to a lower value depending on the organs concerned; reflecting the lower overall health effect. The calculation process is shown on the accompanying diagram. This approach calculates the biological risk contribution to the whole body, taking into account complete or partial irradiation, and the radiation type or types.
The values of these weighting factors are conservatively chosen to be greater than the bulk of experimental values observed for the most sensitive cell types, based on averages of those obtained for the human population.