The sievert (symbol: Sv) 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 sievert 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 (ICRP), 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.

Sievert

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 (ICRU). One sievert equals 100 rem, which is an older, CGS radiation unit.

Sievert

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 (Gy).

Sievert

Definition

CIPM definition of the sievert

The SI definition given by the International Committee for Weights and Measures (CIPM) says:

"The quantity dose equivalent H is the product of the absorbed dose D of ionizing radiation and the dimensionless factor Q (quality factor) defined as a function of linear energy transfer by the ICRU"

H = Q × D

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:

gray: quantity D – absorbed dose

1 Gy = 1 joule/kilogram – a physical quantity. 1 Gy is the deposit of a joule of radiation energy per kilogram of matter or tissue.

sievert: quantity H – equivalent dose

1 Sv = 1 joule/kilogram – a biological effect. The sievert represents the equivalent biological effect of the deposit of a joule of radiation energy in a kilogram of human tissue. The ratio to absorbed dose is denoted by Q.

ICRP definition of the sievert

The ICRP definition of the sievert is: "The sievert is the special name for the SI unit of equivalent dose, effective dose, and operational dose quantities. The unit is joule per kilogram."

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.