Effective dose

Last revised by Mateusz Wilczek on 21 Mar 2025

The effective dose (E) is a hypothetical equivalent dose uniformly applied to the whole body, which would result in the same health detriment through stochastic effects as the partial-body exposition being considered. It is calculated by summating the equivalent doses (HT) delivered to the irradiated organs and tissues multiplied by their respective tissue weighting factors (WT) 1.

For example, if we assume that the abdomen and pelvis contain about a half of the body's radiosensitive tissues (based on tissue weighting factors), an abdominopelvic CT with a 20 mSv equivalent dose would translate to an effective dose of 10 mSv, i.e. the 20 mSv equivalent dose of this CT has an effect similar to a uniform exposition of the entire body to an equivalent dose of 10 mSv. By definition, the effective dose of a partial-body exposition is always smaller than the equivalent dose of that exposition.

Effective dose is an attempt to summarise the detrimental effect of a radiation exposition in a single number 2. It is a very rough estimate based on arbitrary weighting factors and it does not account for patient's age, sex, or size 1,2. As such, it can only be used for gross orientation and order-of-magnitude comparison between different imaging techniques 2. It is neither practical nor meaningful to calculate the effective dose for a particular exposition of a particular patient. The effective dose has been criticised for being of doubtful utility and often misused 2.

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