Are all photon radiations similar in large absorbers?--a comparison of electron spectra

Conventional X rays, i.e. X rays generating voltage between roughly 150 and 300 kV, are used in many radio-diagnostic procedures and also in radiobiological experiments. They release less energetic and, therefore, more densely ionising electrons than the high-energy gamma rays from 60Co or from the A bombs. Accordingly, they are considered to be somewhat more effective, especially at low doses. Various radiobiological studies, especially studies on chromosome aberrations have confirmed this assumption, but epidemiological investigations, e.g. the comparison of the excess relative risk for mammary cancer in the X-ray exposed patients and in the gamma-ray exposed A bomb survivors, have not demonstrated a similar difference. In view of the missing epidemiological evidence and largely for the reasons of practicality in radiation protection, the ICRP has recommended the radiation weighting factor unity equally for all photon radiations. However, in the discussion preceding the 2005 Recommendations of the ICRP, the issue remains controversial. In a recent paper, Harder et al. argue--with reference to an assessment by the German Radiation Protection Commission (SSK)--that the use of the same weighting factor for different photon energies can be justified more directly. For high-energy incident photons, they present the degraded photon spectra at different depths in a phantom, and they conclude that much of the difference between high-energy gamma rays and conventional X rays disappears in a large phantom. The present assessment, which is more direct, compares the spectra of electrons released (through pair production, Compton effect and photo effect) in a small and in a very large receptor for the incident photons of 150 keV, 1 MeV and 6 MeV. For the 1 Mev and 6 MeV photons, there is a substantial shift towards smaller electron energies in the large receptor, but the electron spectra remain much harder than those from the 150 keV incident photons. Furthermore, it is seen--in agreement with earlier conclusions by Straume--that for the broad gamma-ray spectrum from the A bombs there is no shift at all to lower energies within the body, but rather some degree of hardening of the radiation. The assumption that distinct differences between high-energy gamma rays and conventional X rays are restricted to small samples must, thus, be rejected. The attribution of the same effective quality factor or radiation weighting factor to all photon energies remains, therefore, an issue that is based on the considerations beyond dosimetry.