is defined for radiation dose assessment as the probability of cancer induction and genetic damage. As dose is averaged over the whole organ; equivalent dose is rarely suitable for evaluation of acute radiation effects or tumour dose in radiotherapy. In the case of estimation of stochastic effects, assuming a linear dose response, this averaging out should make no difference as the total energy imparted remains the same. Effective dose Effective dose is the central dose quantity for radiological protection used to specify exposure limits to ensure that the occurrence of stochastic health effects is kept below unacceptable levels and that tissue reactions are avoided. It is difficult to compare the stochastic risk from localised exposures of different parts of the body (e.g. a chest x-ray compared to a CT scan of the head), or to compare exposures of the same body part but with different exposure patterns (e.g. a cardiac CT scan with a cardiac nuclear medicine scan). One way to avoid this problem is to simply average out a localised dose over the whole body. The problem of this approach is that the stochastic risk of cancer induction varies from one tissue to another. The effective dose E is designed to account for this variation by the application of specific weighting factors for each tissue (WT). Effective dose provides the equivalent whole body dose that gives the same risk as the localised exposure. It is defined as the sum of equivalent doses to each organ (HT), each multiplied by its respective tissue weighting factor (WT). Weighting factors are calculated by the International Commission for Radiological Protection (ICRP), based on the risk of cancer induction for each organ and adjusted for associated lethality, quality of life and years of life lost. Organs that are remote from the site of irradiation will only receive a small equivalent dose (mainly due to scattering) and therefore contribute little to the effective dose, even if the weighting factor for that organ is high. Effective dose is used to estimate stochastic risks for a ‘reference’ person, which is an average of the population. It is not suitable for estimating stochastic risk for individual medical exposures, and is not used to assess acute radiation effects. Dose versus source or field strength Radiation dose refers to the amount of energy deposited in matter and/or biological effects of radiation, and should not be confused with the unit of