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Photons deposit energy in the medium through a two step process:

1. energy is transferred to charged particles released in the medium

2. the released charged particles act as directly ionizing radiation

KERMA

:

K

inetic

E

nergy

R

eleased per unit

Ma

ss (J/kg = Gy)

Sum of initial kinetic energies transferred from

indirectly ionizing

radiation to

charged particles (electrons) in a sample of matter

Photons are indirectly ionizing

initial kinetic energies of e

-

1

and e

-

2

contribute

to the

KERMA

as both were generated in V, e

-

3

was generated outside V, so does not contribute

e

-

1

and e

-

3

contribute to the

Dose

in V, while e

-

2

deposits energy outside V, so does not

contribute

e

-

1

e

-

2

e

-

3

V