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Low Doses: OER = 2.2

0.7

0.9

0.8

1.0

1.5

1.0

2.0

0 0.5

3.0

2.5

Aerated

Hypoxic

High Doses: OER = 3.0

0.1

1.0

5

0

30

10

20

15

25

Aerated

Hypoxic

0.01

OER

2 nm

4 nm

Indirect Action (70%)

OH

·

H

H

O

Direct

and

Indirect

action of radiation in

biological systems – X-rays & photons

Dose (Gy)

Surviving fraction

most important for sparsely ionising

radiations

e.g.

X rays (=low LET)

Direct Action

(30%)