Roentgen equivalent man

The roentgen equivalent man (rem)^[1][2] is a CGS unit of equivalent dose, effective dose, and committed dose, which are dose measures used to estimate potential health effects of low levels of ionizing radiation on the human body.

Quantities measured in rem are designed to represent the stochastic biological risk of ionizing radiation, which is primarily radiation-induced cancer. These quantities are derived from absorbed dose, which in the CGS system has the unit rad. There is no universally applicable conversion constant from rad to rem; the conversion depends on relative biological effectiveness (RBE).

The rem has been defined since 1976 as equal to 0.01 sievert, which is the more commonly used SI unit outside the United States. Earlier definitions going back to 1945 were derived from the roentgen unit, which was named after Wilhelm Röntgen, a German scientist who discovered X-rays. The unit name is misleading, since 1 roentgen actually deposits about 0.96 rem in soft biological tissue, when all weighting factors equal unity. Older units of rem following other definitions are up to 17% smaller than the modern rem.

Doses greater than 100 rem received over a short time period are likely to cause acute radiation syndrome (ARS), possibly leading to death within weeks if left untreated. Note that the quantities that are measured in rem were not designed to be correlated to ARS symptoms. The absorbed dose, measured in rad, is a better indicator of ARS.^{[3]: 592–593}

A rem is a large dose of radiation, so the millirem (mrem), which is one thousandth of a rem, is often used for the dosages commonly encountered, such as the amount of radiation received from medical x-rays and background sources.