The gray (symbol: Gy) is the SI derived unit of absorbed dose, specific energy (imparted) and of kerma. Such energies are typically associated with ionising radiation such as X-rays or gamma particles or with other nuclear particles. It is defined as the absorption of one joule of such energy by one kilogram of matter (usually human tissue).^[1]

The gray was named after the British physicist Louis Harold Gray, a pioneer in the field of measurement of radium radiation and X-rays and their effects on living tissue,^[2] and was adopted as part of SI by the 15th CGPM in 1975. The SI unit replaces the traditional cgs unit, the rad (equivalent to 0.01 Gy), which remains common in industry in the United States, while "strongly discouraged" in the style guide for U.S. National Institute of Standards and Technology authors.^[3]

  Definition

One gray is the absorption of one joule of energy, in the form of ionizing radiation, per kilogram of matter.

For xrays and gamma rays, these are the same units as the sievert (Sv). For alpha particles one gray is twenty sievert. To avoid any risk of confusion between the absorbed dose (by matter) and the equivalent dose (by biological tissues), one must use the corresponding special units, gray is used instead of the joule per kilogram for absorbed dose and the sievert instead of the joule per kilogram for the dose equivalent. The word "gray" is both the singular and plural spelling.

The gray was defined in 1975 in honour of Louis Harold Gray (1905–1965) who, in 1940, first proposed a similar concept, "that amount of neutron radiation which produces an increment of energy in unit volume of tissue equal to the increment of energy produced in unit volume of water by one röntgen of radiation".^[4]

This SI unit is named after Louis Harold Gray. As with every International System of Units (SI) unit whose name is derived from the proper name of a person, the first letter of its symbol is upper case (Gy). When an SI unit is spelled out in English, it should always begin with a lower case letter (gray), except where any word would be capitalized, such as at the beginning of a sentence or in capitalized material such as a title. Note that "degree Celsius" conforms to this rule because the "d" is lowercase. —Based on The International System of Units, section 5.2.

  Effect on the body

The gray measures the absorbed energy of radiation. The biological effects vary by the type and energy of the radiation and the organism and tissues involved. The sievert, which has the same dimensions as the gray is a measure of the potential for damage to human tissue.^[5] It is related to the gray by the relationship

where H is the equivalent absorbed dose (measured in sieverts), D the absorbed dose (measured in grays) and Q the quality factor, a dimensionless quantity whose value is dependent on the type of radiation in question, ranging from 1 in the case of gamma particles and X-rays to 20 in the case of alpha particles.^[6]

A whole-body exposure to 5 or more gray of high-energy radiation at one time usually leads to death within 14 days. This dosage represents 375 joules for a 75 kg adult (equivalent to the chemical energy in 20 mg of sugar). Since gray are such large amounts of radiation, medical use of radiation is typically measured in milligray (mGy).

As experienced from follow-up after radiation therapy, epilation may occur on any hair-bearing skin with doses above 1 Gy. It occurs only within the radiation field/s. Hair loss may be permanent with a single dose of 10 Gy, but if the dose is fractionated permanent hair loss may not occur until dose exceeds 45 Gy. The salivary glands and tear glands have a radiation tolerance of about 30 Gy in 2 Gy fractions, a dose which is exceeded by most radical head and neck cancer treatments, potentially causing dryness. Dry mouth (xerostomia) and dry eyes (xerophthalmia) can become irritating long-term problems and severely reduce the patient's quality of life. Similarly, sweat glands in treated skin (such as the armpit) tend to stop working, and the naturally moist vaginal mucosa is often dry following pelvic irradiation.

Dangerously high doses of radiation received by a fetus during the first trimester primarily affect its heart and limbs, while later in pregnancy the brain is the major affected site.^[7]

  Dose by source

In radiation therapy, the amount of radiation varies depending on the type and stage of cancer being treated. For curative cases, the typical dose for a solid epithelial tumor ranges from 60 to 80 Gy, while lymphomas are treated with 20 to 40 Gy. Preventive (adjuvant) doses are typically around 45–60 Gy in 1.8–2 Gy fractions (for breast, head, and neck cancers).

The average radiation dose from an abdominal X-ray is 1.4 mGy, that from an abdominal CT scan is 8.0 mGy, that from a pelvic CT scan is 25 mGy, and that from a selective CT scan of the abdomen and the pelvis is 30 mGy.^[8]

  Leading up to the gray

The adoption of the gray by the 15th CGPM in 1975 as the unit of measure of the absorption of ionising radiation, specific energy absorption and of kerma in 1975^[9] was the cumulation of over half a century of work, both in the understanding of the nature of ionising radiation and in the refinement of measuring techniques.

Wilhelm Röntgen first discovered X-Rays on November 8, 1895 and within a few years they were being used to examine broken bones. One of the earliest techniques of measuring the intensity of X-Rays was to measure their ionisation potential in air. Initially various countries developed their own standards, but in order to promote international cooperation, the First International Congress of Radiology (ICR) which met in London in 1925 proposed a separate body to consider units of measure. This body, the International Commission on Radiation Units and Measurements (ICRU),^{[Note 1]} came into being at the Second ICR in Stockholm in 1928 under the chairmanship Manne Siegbahn^{[10][11][Note 2]} and at their first meeting proposed that one unit 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 a standard atmosphere. This unit was named the roentgen in honour of Röntgen who had died five years previously. At the 1937 meeting of the ICRU, this definition was extended to apply to gamma radiation as well as X-Rays.^[12] This technique, although appropriate for the technology of the day, had the disadvantage that it was not a direct measure of either the intensity X-rays or of their absorption, but rather was a measurement of the effect of the X-Rays in a specific circumstance.^[13]

In 1940, Gray, who had been studying the effect of neutron damage on human tissue, together with Mayneord and Read published a paper in which a unit of measure, dubbed the "gram roentgen" (symbol: gr) 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"^[4] was proposed. This unit was found to be equivalent to 88 ergs in air. 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.^[12]

In the late 1950's the ICRU was invited by the CGPM to join other scientific bodies to work with the International Committee for Weights and Measures (CIPM) in the development of a system of units that could be used consistently over many disciplines. This body, initially known as the "Commission for the System of Units" (renamed in 1964 as the "Consultative Committee for Units") was responsible overseeing the development of the International System of Units (SI).^[14] At the same time it was becoming increasingly obvious that the definition of the roentgen was unsound and many calls were made for its redefinition. In 1962 it was redefined.^[15] The definition of the roentgen had the advantage over the gray of being simpler to measure, but the gray is independent of the primary ionising radiation^[16]

The CCU decided to define the SI unit of absorbed radiation in terms of energy per unit mass, which in MKS units was J/kg. This was confirmed in 1975 by 15th GCPM and the unit was named the "gray" in honour of Hal Gray who had died in 1965. The gray was exactly equal to 100 rad.

  Notes

  See also

• Dose area product (Gy·cm²)
• International System of Units base units
• SI derived unit
• Orders of magnitude (radiation)
• Roentgen equivalent man
• Rad (unit)
• Sievert, SI derived unit of dose equivalent radiation

  References

1. ^ "The International System of Units (SI)". Bureau International des Poids et Mesures (BIPM). http://www.bipm.org/utils/common/pdf/si_brochure_8_en.pdf. Retrieved 2010-01-31. 
2. ^ "Rays instead of scalpels". LH Gray Memorial Trust. 2002. http://www.lhgraytrust.org/lhgraybiography.html. Retrieved 15 May 2012. 
3. ^ "NIST Guide to SI Units - Units temporarily accepted for use with the SI". http://physics.nist.gov/Pubs/SP811/sec05.html#5.2. 
4. ^ ^{a b} Gupta, S. V. (2009-11-19). "Louis Harold Gray". Units of Measurement: Past, Present and Future : International System of Units. Springer. p. 144. ISBN 978-3-642-00737-8. http://books.google.com/books?id=pHiKycrLmEQC&pg=PA144. Retrieved 2012-05-14. 
5. ^ "Conversion Table: Energy". Electropedia. Battery and Energy Technologies. http://www.mpoweruk.com/conversion_table.htm. Retrieved 15 May 2012. 
6. ^ "Measures Relative to the Biological Effect of Radiation Exposure". NDT Test Center. http://www.ndt-ed.org/EducationResources/CommunityCollege/RadiationSafety/quan_units/units.htm. Retrieved 15 May 2012. 
7. ^ medscape.com >What Risk Dose X-Ray Pose to Fetus? From USMLEasy from McGraw-Hill. Posted: 09/16/2010.
8. ^ Baden, Jeffrey M.; Jay B. Brodsky (1985). The Pregnant surgical patient. London: Futura. ISBN 0-87993-238-4. ^{[page needed]}
9. ^ International Bureau of Weights and Measures (2006), The International System of Units (SI) (8th ed.), p. 157, ISBN 92-822-2213-6, http://www.bipm.org/utils/common/pdf/si_brochure_8_en.pdf 
10. ^ Siegbahn, Manne; et al (October 1929). "Recommendations of the International X-Ray Unit Committee". Radiology 13 (4): 372-373. DOI:10.1148/13.4.372. http://radiology.rsna.org/content/13/4/372.full.pdf. Retrieved 20 May 2012. 
11. ^ "About ICRU - History". International Commission on Radiation Units & Measures. http://www.icru.org/index.php?option=com_content&task=view&id=25&Itemid=63. Retrieved 20 May 2012. 
12. ^ ^{a b} Guill, JH; Moteff, John (June 1960). "Dosimetry in Europe and the USSR". Third Pacific Area Meeting Papers - Materials in Nuclear Applications - American Society Technical Publication No 276. Symposium on Radiation Effects and Dosimetry - Third Pacific Area Meeting American Society for Testing Materials, October 1959, San Francisco, 12-16 October 1959. Baltimore: ASTM International. p. 64. LCCN 60-14734. http://books.google.co.uk/books?id=czTi4G6-Hq8C&pg=PA63&lpg=PA63&dq=roentgen+redefinition&source=bl&ots=Ha5UORUMvK&sig=2InfcxgNMCdnKBsJw9JMWDmrn0Y&hl=de&sa=X&ei=X3CyT7-ENabP4QTA0dyLCQ&ved=0CGMQ6AEwBA#v=onepage&q=roentgen%20redefinition&f=false. Retrieved 15 May 2012. 
13. ^ Lovell, S (1979). An introduction to Radiation Dosimetry. Cambridge, United Kingdom: Cambridge University Press. pp. 52 - 64. ISBN 0 521 22436 5. http://books.google.de/books?id=lK48AAAAIAAJ&pg=PA56&lpg=PA56&dq=roentgen+defined&source=bl&ots=DGneAMV5Ea&sig=a4ra-zQGp4-49WMn1sxb_IU0YA8&hl=de&sa=X&ei=AlmyT6KAOpPT4QT8soyOCQ&ved=0CHYQ6AEwCQ#v=onepage&q=roentgen%20defined&f=false. Retrieved 15 May 2012. 
14. ^ "CCU: Consultative Committee for Units". International Bureau of Weights and Measures (BIPM). http://www.bipm.org/en/committees/cc/ccu/. Retrieved 18 May 2012. 
15. ^ Anderson, Pauline C. The Dental Assistant (7th ed.). Albany, NY: Delmar. p. 554. ISBN 0-7668-1113-1. http://books.google.co.uk/books?id=IEhJpyEBKYIC&pg=PA554&lpg=PA554&dq=roentgen+1925+1937+1962+ionisation&source=bl&ots=ZKipzcuUUn&sig=l0kKmjEJ6Fud-rBDvsTnY8AVChg&hl=en&sa=X&ei=acG2T_b1G8TFtAbVsJGaCA&sqi=2&ved=0CE8Q6AEwAw#v=onepage&q=roentgen%201925%201937%201962%20ionisation&f=false. 
16. ^ Lovell, S (1979). An introduction to Radiation Dosimetry. Cambridge, United Kingdom: Cambridge University Press. pp. 43 - 51. ISBN 0 521 22436 5. http://books.google.de/books?id=lK48AAAAIAAJ&pg=PA56&lpg=PA56&dq=roentgen+defined&source=bl&ots=DGneAMV5Ea&sig=a4ra-zQGp4-49WMn1sxb_IU0YA8&hl=de&sa=X&ei=AlmyT6KAOpPT4QT8soyOCQ&ved=0CHYQ6AEwCQ#v=onepage&q=roentgen%20defined&f=false. Retrieved 15 May 2012. 

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