The gray has a number of fields of application in measuring dose:
Radiobiology The measurement of absorbed dose in tissue is of fundamental importance in
radiobiology and
radiation therapy as it is the measure of the amount of energy the incident radiation deposits in the target tissue. The measurement of absorbed dose is a complex problem due to scattering and absorption, and many specialist dosimeters are available for these measurements, and can cover applications in 1-D, 2-D and 3-D. In radiation therapy, the amount of radiation applied 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 a pelvic CT scan is 6 mGy, and that from a selective CT scan of the abdomen and the pelvis is 14 mGy.
Radiation protection The absorbed dose also plays an important role in
radiation protection, as it is the starting point for calculating the stochastic health risk of low levels of radiation, which is defined as the
probability of cancer induction and genetic damage. The gray measures the total absorbed energy of radiation, but the probability of stochastic damage also depends on the type and energy of the radiation and the types of tissues involved. This probability is related to the
equivalent dose in
sieverts (Sv), which has the same dimensions as the gray. It is related to the gray by weighting factors described in the articles on
equivalent dose and
effective dose. The
International Committee for Weights and Measures states: "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." :1 \ \mathrm{Gy} = 1\ \frac{\mathrm{J}}{\mathrm{kg}}= 1\ \frac{\mathrm{m}^2}{\mathrm{s}^{2}} The accompanying diagrams show how absorbed dose (in grays) is first obtained by computational techniques, and from this value the equivalent doses are derived. For X-rays and gamma rays the gray is numerically the same value when expressed in sieverts, but for
alpha particles one gray is equivalent to 20 sieverts, and a radiation weighting factor is applied accordingly.
Radiation poisoning The gray is conventionally used to express the severity of what are known as "tissue effects" from doses received in acute exposure to high levels of ionizing radiation. These are effects that are
certain to happen, as opposed to the uncertain effects of low levels of radiation that have a
probability of causing damage. A whole-body acute exposure to 5 grays or more of high-energy radiation usually leads to death within 14 days. The
LD1,
LD50 and LD99 is 2.5, 5 and 8 Gy, respectively. The LD50 dose represents 375 joules for a 75 kg adult.
Absorbed dose in matter The gray is used to measure absorbed dose rates in non-tissue materials for processes such as
radiation hardening,
food irradiation and
electron irradiation. Measuring and controlling the value of absorbed dose is vital to ensuring correct operation of these processes.
Kerma Kerma ("
kinetic
energy
released per unit
mass") is used in radiation metrology as a measure of the liberated energy of ionisation due to irradiation, and is expressed in grays. Importantly, kerma dose is different from absorbed dose, depending on the radiation energies involved, partially because ionization energy is not accounted for. Whilst roughly equal at low energies, kerma is much higher than absorbed dose at higher energies, because some energy escapes from the absorbing volume in the form of
bremsstrahlung (X-rays) or fast-moving electrons. Kerma, when applied to air, is equivalent to the legacy
roentgen unit of radiation exposure, but there is a difference in the definition of these two units. The gray is defined independently of any target material, however, the roentgen was defined specifically by the ionisation effect in dry air, which did not necessarily represent the effect on other media. ==Development of the absorbed dose concept and the gray==