Abstract

Stereotactic body radiation therapy (SBRT) uses high doses of radiation to treat tumors. The cell survival behavior at these high doses is subject to debate. We investigated this high-dose region by fitting a variety of formulas to cell survival data. Each of the formulas is motivated by a discussion of the theory of cell survival. Fourteen cell lines are examined. These are fit to a variety of equations. Among the equations include the traditional single-hit multi-target and linear quadratic as well as recent proposals such as the universal survival curve (USC). The χ2/df of each fit is compared to determine the best fit. While no formula is clearly superior for all cell lines, the newer formulas often provide better fits than the single-hit multi-target and linear quadratic. We recommend that the more recent formula discussed herein be used over the linear quadratic in dealing with the high-dose regions dealt with in SBRT.

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