Millirem to Sievert

ALARA stands for "As Low As Reasonably Achievable" — the idea that radiation doses should be minimized beyond what regulations require, using a cost-benefit analysis. In practice, a hospital might install additional lead shielding in a catheterisation lab wall (reducing staff dose from 300 mrem/year to 50 mrem/year) because the shielding cost is modest compared to the dose reduction. But spending $1 million to reduce a dose from 5 mrem to 4 mrem would not be "reasonable." ALARA is a philosophy, not a number — it forces every radiation facility to continuously ask "can we do better without being absurd?"

Almost everything. A nuclear power plant delivers roughly 0.1–1 mrem/year to its nearest neighbors. Eating one banana: 0.01 mrem. Sleeping next to another person for a year (their K-40): about 0.5 mrem. A cross-country flight: 2–5 mrem. Moving from a wood-frame house to a brick one: ~10 mrem/year from terrestrial gamma. A single chest X-ray: 2 mrem. Living in Denver instead of Miami adds ~50 mrem/year from cosmic rays. Even the potassium in your own body irradiates you at ~17 mrem/year. The nuclear plant next door is the least significant radiation source in most people's lives.

About 620 mrem (6.2 mSv). The breakdown is roughly: radon inhalation 200 mrem, medical imaging 300 mrem (CT scans are the big driver), cosmic radiation 33 mrem, terrestrial gamma 21 mrem, internal radionuclides 29 mrem, and consumer products (smoke detectors, certain ceramics) about 10 mrem. The medical imaging component has nearly doubled since the 1980s due to the explosion of CT and nuclear medicine scans. A single abdominal CT at 1,000–2,000 mrem can exceed a year's worth of natural background in one sitting.

Before the 1920s, radiologists routinely tested X-ray machines by placing their own hands in the beam to check image quality. Cumulative doses to their fingers reached tens of sieverts over years — enough to cause chronic radiation dermatitis, ulceration, and eventually squamous cell carcinoma. Dozens of pioneering radiologists had fingers amputated; some died of metastatic cancer. The "Martyrs of Radiology" memorial in Hamburg lists over 350 names. Their suffering directly led to the first dose limits (the 1928 ICRP recommendations) and the fundamental principle that no one should use their own body as a radiation detection instrument.

A quarterly dosimeter report lists: deep dose equivalent (whole-body penetrating radiation, in mrem), lens of eye dose, shallow dose (skin dose from beta or low-energy photons), and sometimes extremity dose (from ring dosimeters worn in labs). Most workers see "M" for minimal — below the reporting threshold of 10 mrem. A nuclear medicine technologist might report 100–300 mrem/quarter; an interventional cardiologist might see 500+. If any reading exceeds an administrative action level (often 500 mrem/quarter), the radiation safety officer investigates whether something went wrong or if the work simply required it.

At 1 Sv: nausea, vomiting, and fatigue within hours; blood cell counts drop but most people survive with supportive care. At 3 Sv: severe bone marrow damage, bleeding, infection risk, hair loss — survival is possible (~50% with intensive treatment) but uncertain. At 6 Sv: near-total bone marrow destruction plus gastrointestinal damage; even with aggressive treatment including bone marrow transplant, survival is unlikely. Above 10 Sv the gut lining disintegrates and death occurs within days regardless of treatment. These thresholds apply to whole-body, acute exposure — the same total dose spread over months causes far less harm.

Alpha particles are massive (two protons + two neutrons) and highly charged, so they dump all their energy in a tiny volume of tissue — a few cell diameters. That concentrated damage creates complex, hard-to-repair DNA double-strand breaks. Gamma photons spread their energy thinly across a larger volume, causing simpler damage that cells repair more easily. The radiation weighting factor (w_R = 20 for alphas, 1 for gammas) converts absorbed dose in gray to equivalent dose in sieverts, capturing this biological difference. It is a simplification — the real damage depends on many factors — but it works well enough for radiation protection.

ISS crew receive about 0.5–1 mSv per day — roughly 150–200 mSv during a six-month mission — primarily from galactic cosmic rays and occasional solar particle events. NASA limits career dose based on age and sex (historically 1–4 Sv lifetime, recently standardized to 600 mSv), monitored via personal dosimeters and area monitors. During solar storms, crew shelter in the most heavily shielded module (usually near the water tanks). A Mars mission would deliver roughly 1 Sv total, pushing against career limits and making radiation the single biggest health obstacle to deep space travel.

This is one of the most debated questions in radiation science. The "linear no-threshold" (LNT) model, used by most regulators, assumes every additional dose carries some cancer risk proportional to the dose — so there is no perfectly safe level. Critics point out that below about 100 mSv, the added risk is too small to detect statistically against the high natural cancer rate. Some researchers argue low doses may even stimulate repair mechanisms (hormesis). Current regulatory policy uses LNT as a conservative precaution, not because there is proof of harm at very low doses.

Rolf Sievert spent decades in the early-to-mid 1900s building dosimetry instruments and gathering data on how radiation damages living tissue. His work showed that the physical dose (energy deposited) and the biological effect (tissue damage) are not the same thing — you need weighting factors for radiation type and tissue sensitivity. The ICRP formalised this into the concepts of equivalent dose and effective dose, and the 1979 CGPM named the unit after Sievert. One sievert of any radiation type, to any tissue, is supposed to carry the same overall cancer risk — a bold simplification that works reasonably well in practice.