The early damage to genes and cells due to ionizing radiation is initiated by the overlay of the track structure of charged particles and of the structure of radiosensitive sub-cellular volumes. As a result of this overlay, a specified number of ionizations (the ionization cluster size) is formed per primary particle. Therefore, one of the aims of nanodosimetry is to determine ionization cluster-size distributions in nanometric volumes of liquid water, as a substitute to sub-cellular structures. After a short description of the main aspects of cluster-size formation by charged particles, an overview of the advanced measuring techniques that use millimetric target volumes filled with a low-pressure gas to simulate nanometric target volumes at unit density is given. Afterwards, physical principles are discussed which are applicable to convert ionization cluster-size distributions measured in gases into those for liquid water. Finally, a tentative possibility is proposed of how to relate parameters derived from cluster-size distributions in liquid water to parameters derived from radiation-induced radiobiological experiments.