The rem is a unit used to derive a quantity called equivalent dose. This relates the absorbed dose in human tissue to the effective biological damage of the radiation. Not all radiation has the same biological effect, even for the same amount of absorbed dose. Equivalent dose is often expressed in terms of thousandths of a rem, or millirem. To determine equivalent dose (rem), you multiply absorbed dose (RAD) by a quality factor (Q) that is unique to the of incident radiation.