Radiobiological assessment of non-standard and novel radiotherapy treatments using the linear-quadratic model. 1993

R G Dale
District Medical Physics Department, Charing Cross Hospital, London, UK.

The linear-quadratic (LQ) model is useful in the radiobiological assessment of a wide variety of radiotherapy treatment techniques, not being confined to analysis of fractionated treatments alone. The model uses parameters that must be separately specified for tumours and dose-limiting normal tissues, and may therefore be used to help identify treatments that are most likely to maximise tumour cell kill while minimising the risk of severe normal-tissue damage. Additionally, the model is capable of making tentative allowance for the tumour repopulation that can occur during extended treatments. Intercomparisons between different types of treatment are made through the concept of the Extrapolated Response Dose (ERD). The ERD is calculated for each critical tissue and takes account of both the radiobiological parameters and the dose/time pattern of radiation delivery. Known tolerance doses for specified organs may be expressed as an ERDtolerance value, and, if a proposed 'new' treatment is to be successful, its associated ERD value must not exceed ERDtolerance. Examples of this procedure are given in this paper. It is particularly important that medical physicists fully appreciate the scope and limitations of LQ equations, as the analysis of radiobiology problems using the model often requires a degree of mathematical understanding that clinicians may not possess.

UI MeSH Term Description Entries
D008433 Mathematics The deductive study of shape, quantity, and dependence. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Mathematic
D008954 Models, Biological Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment. Biological Model,Biological Models,Model, Biological,Models, Biologic,Biologic Model,Biologic Models,Model, Biologic
D011853 Radiobiology Study of the scientific principles, mechanisms, and effects of the interaction of ionizing radiation with living matter. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Radiation Biology,Biology, Radiation
D011878 Radiotherapy The use of IONIZING RADIATION to treat malignant NEOPLASMS and some benign conditions. Radiotherapy, Targeted,Targeted Radiotherapy,Radiation Therapy,Radiation Therapy, Targeted,Radiation Treatment,Targeted Radiation Therapy,Radiation Therapies,Radiation Therapies, Targeted,Radiation Treatments,Radiotherapies,Radiotherapies, Targeted,Targeted Radiation Therapies,Targeted Radiotherapies,Therapies, Radiation,Therapies, Targeted Radiation,Therapy, Radiation,Therapy, Targeted Radiation,Treatment, Radiation
D011879 Radiotherapy Dosage The total amount of radiation absorbed by tissues as a result of radiotherapy. Dosage, Radiotherapy,Dosages, Radiotherapy,Radiotherapy Dosages
D004307 Dose-Response Relationship, Radiation The relationship between the dose of administered radiation and the response of the organism or tissue to the radiation. Dose Response Relationship, Radiation,Dose-Response Relationships, Radiation,Radiation Dose-Response Relationship,Radiation Dose-Response Relationships,Relationship, Radiation Dose-Response,Relationships, Radiation Dose-Response
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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