Abstract

Abstract Cellular lethality models generally require up to 6 parameters to simulate a clinical course of fractionated radiation therapy and to derive an estimate of the cellular surviving fraction for a given treatment scheme. These parameters are the mean cellular lethal dose, the extrapolation number, the ratio of sublethal to irreparable events, the regeneration rate, the repopulation limit (cell cycles) and a field-size or tumor-volume factor. A computer program (RAD3) was designed to derive best-fitting values for these parameters in relation to available clinical data based on the assumption that if a number of different fractionation schemes yield similar reactions, the cellular surviving fractions will be about equal in each instance. Parameters were derived for a variety of human tissues from which realistic iso-effect functions could be generated.

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