The rad is a unit of absorbed radiation dose, defined as 1 rad = 0.01 Gy = 0.01 J/kg. It was originally defined in CGS units in 1953 as the dose causing 100 ergs of energy to be absorbed by one gram of matter. The material absorbing the radiation can be human tissue or silicon microchips or any other medium (for example, air, water, lead shielding, etc.). It has been replaced by the gray (Gy) in SI derived units, but is still used in the United States, although this is "strongly discouraged" in Chapter 5.2 of the Guide to the SI, which was written and published by the U.S. National Institute of Standards and Technology. However, the numerically equivalent SI unit, the centigray, is widely used to report absorbed doses within radiotherapy. The roentgen, used to quantify the radiation exposure, may be related to the corresponding absorbed dose by use of the F-factor. Health effects A dose of under 100 rad will typically produce no immediate symptoms other than blood changes. A dose of 100 to 200 rad delivered to the entire body in less than a day may cause acute radiation syndrome (ARS), but is usually not fatal. Doses of 200 to 1,000 rad delivered in a few hours will cause serious illness, with poor prognosis at the upper end of the range. Whole body doses of more than 1,000 rad are almost invariably fatal. Therapeutic doses of radiation therapy are often given and tolerated well even at higher doses to treat discrete, well-defined anatomical structures. The same dose given over a longer period of time is less likely to cause ARS. Dose thresholds are about 50% higher for dose rates of 20 rad/h, and even higher for lower dose rates. The International Commission on Radiological Protection maintains a model of health risks as a function of absorbed dose and other factors. That model calculates an effective radiation dose, measured in units of rem, which is more representative of the stochastic risk than the absorbed dose in rad. In most power plant scenarios, where the radiation environment is dominated by X- or gamma rays applied uniformly to the whole body, 1 rad of absorbed dose gives 1 rem of effective dose. In other situations, the effective dose in rem might be thirty times higher or thousands of times lower than the absorbed dose in rad. Dose examples History In