Dose Sensitivity Research Articles

Outcomes of newborns screened for congenital hypothyroidism in Turkey- a single center experience.

It was aimed to investigate the outcomes of babies referred to a tertiary health center in Turkey for evaluation primary congenital hypothyroidism (CH) through newborn screening. The hospital files of 328 newborns who were referred for CH from newborn screening between June 2013 and June 2020 were retrospectively reviewed. The newborns were evaluated with their clinical characteristics at admission, as well as their follow-up data and final diagnoses. Sixteen (4.9 %) newborns were diagnosed with transient neonatal hyperthyrotropinemia after follow-up. Treatment was initiated in 166 (50.6 %) of the cases with a diagnosis of CH. The median age at initiation of treatment was 17days (5-69). Treatment was initiated in 88.3 % of the cases in the first month of the life. After at least 3 years of follow-up, 30/120 (20.0 %) of the cases were diagnosed with permanent CH and 11/30 (36.7 %) of them were diagnosed with thyroid dysgenesis. All of the cases who used >37.5 µg per day levothyroxine at the age of 1 or 2 years were diagnosed with permanent CH during their follow-up. For the prediction of transient CH, the sensitivity and specificity of levothyroxine doses of≤25 µg per day at 1 year of age were calculated as 96.2 and 46.2 %, and for 2 years of age, the sensitivity and specificity were calculated as 97.8 and 65.2 %. In this cohort, 10 % of all referrals result in permanent CH. Thyroid imaging with ultrasonography and levothyroxine dose during follow-up can be guiding in predicting permanent CH.

Evaluation of materials for developing a new individual dosemeter using electron spin resonance spectroscopy.

Alanine dosemeters are widely used as solid dosemeters; however, evaluating doses in the mGy order of radiation is difficult because of their lower sensitivity for low doses. We applied the electron spin resonance dosimetry technique to investigate whether hydroxyapatite, the main component of teeth, is a suitable material for a new dosemeter to detect radiation from mGy to Gy. Commercially available synthetic hydroxyapatite possesses the essential characteristics required for a dosemeter material and has been demonstrated to accurately measure doses in the mGy to Gy range.

The overview of imaging protocols for chest CT

Computed Tomography (CT) is a common method of choice in the diagnosis of thoracic diseases. Since CT operates on the principle of ionizing radiation and frequently involves the use of contrast agents, it is crucial to standardize CT protocols to reduce the need for repeat imaging and, consequently, minimize patient exposure to radiation. The selection of a CT protocol primarily depends on the patient’s clinical indications and needs. The main classification of CT protocols distinguishes between the use of contrast agents (CECT) and non-contrast protocols (NCCT). The LDCT protocol is characterized by a low radiation dose and high sensitivity for detecting pulmonary nodules, making it suitable for lung cancer screening. Ultra-LDCT yields satisfactory results in diagnosing pneumonia and pneumothorax. Cine CT enables the assessment of cardiac function throughout the entire cardiac cycle, though it involves a high radiation dose and low temporal resolution. The use of contrast agents is particularly beneficial for differentiating adjacent non-vascular structures, more accurately identifying vascular anatomy, and improving the detection and characterization of pathological lesions. For diagnosing vascular pathologies, CTA is used, while CTPA is essential for diagnosing pulmonary embolism (PE) with high sensitivity and specificity. TRO CT is useful in cases of acute chest pain to rule out emergencies. Dynamic changes in tissue perfusion are monitored with DCE-CT, which is also valuable in tumor diagnostics. In pediatric applications of CT for the chest, it is essential to emphasize the use of the lowest possible radiation dose and contrast agent to minimize risks.

Effect of FBG Fiber Dosimeter Division in Sensing Capability for Low Radiation Doses

ر A fiber Bragg grating (FBG) as a dosimeter is developed in this simulation study (based on Optisystem 21 software) by dividing its region into five individual regions. The division includes the same properties for all regions, which is a standard SiO2 optical fiber material. In dosimeters, it is convenient to introduce dopants to increase the fiber sensitivity. The new design accepts dopants and can work without such a dopant. Measurements for sensing deflected signals from the FBG sensor confirmed increased sensitivity for low-rate radiation doses in comparison to one bulk region in a traditional fiber dosimeter. The sensitivity of this dosimeter is based on both the FWHM line shape function and the amplitude of the deflected signals. The FBG dosimeter sensor can respond to low-dose radiation in a noticeable manner according to the type of applied simulated effect. Dosimeter body division for multi-regions gives rise to sensitivity in comparison to the traditional bulk region. The measured FWHM from the line-shape function for overall observed signals fluctuates from 0.374 MHz under applied temperature, stress x, y, z, and strain to 0.358, 0.373, 0.3733, 0.368, and 0.3737 MHz, respectively. While this range follows different fitting functions: Sin, Exp.Decay, SinSqu., Exp.Decay3, and GaussAmpl. For last effects, according to measured effect. The same measurements were carried out for signal amplitude variation, with these effects giving a variety of relationships indicating their existing contribution. Results confirmed an efficient tool for use in sensing for low x-ray and gamma ray radiation dose applications versus traditional bulk FBG sensor type.

Time and dose selective glucose metabolism for glucose homeostasis and energy conversion in the liver.

Hepatic glucose metabolism serves dual purposes: maintaining glucose homeostasis and converting glucose into energy sources; however, the underlying mechanisms are unclear. We quantitatively measured liver metabolites, gene expression, and phosphorylated insulin signaling molecules in mice orally administered varying doses of glucose, and constructed a transomic network. Rapid phosphorylation of insulin signaling molecules in response to glucose intake was observed, in contrast to the more gradual changes in gene expression. Glycolytic and gluconeogenic metabolites and expression of genes involved in glucose metabolism including glucose-6-phosphate, G6pc, and Pck1, demonstrated high glucose dose sensitivity. Whereas, glucokinase expression and glycogen accumulation showed low glucose dose sensitivity. During the early phase after glucose intake, metabolic flux was geared towards glucose homeostasis regardless of the glucose dose but shifted towards energy conversion during the late phase at higher glucose doses. Our research provides a comprehensive view of time- and dose-dependent selective glucose metabolism.

An investigation on thermoluminescence properties and kinetic parameters of Çankırı rock salt

This study investigates the thermoluminescence (TL) dosimetric properties and kinetic parameters of natural salt samples sourced from the Çankırı rock salt cave in Turkey using β irradiation. Obvious effective TL maximum observed at around 85 and 230°C. A preheat condition was determined to apply a thermal cleaning for the lower temperature side of TL spectrum. Dose sensitivity, linearity and reusability characteristics were investigated for effective TL maximum on the high temperature side of the spectrum. TL kinetic parameters were determined via various heating rates (VHR) experiment, and whole TL glow curve was studied via Tm−Tstop experiment and glow curve deconvolution. General order kinetics approach was utilized for glow curve deconvolution analysis. Kinetic parameters were determined for at least eight electron trap levels which has activation energies in the range of 0.8–1.53 eV.

Measurement of ionising radiation dose absorbed by bones by using a bone-imitating polymer gel dosimeter

Three-dimensional radiotherapy dosimetry allows for high-resolution dose distribution measurements using dosimeters imitating various tissues. This work concerns bone-imitating dosimeters. The following are investigated: (i) manufacturing of bone-imitating dosimeters with two types of calcium hydroxyapatite, (ii) dose response characteristics after irradiation with a 6 MV photon beam, and (iii) tissue equivalence. The main findings include the dosimetric compositions with two types of calcium hydroxyapatite. For 18 % of one type of hydroxyapatite, the dosimeter imitates trabecular bone. For much higher concentrations (>40 %, another hydroxyapatite), the dosimeter approaches the properties of dense bone. The dynamic dose response is not greater than 30 Gy, the linear dose range is <20 Gy (computed tomography and nuclear magnetic resonance measurements), and the dose sensitivity is 0.11–0.18 Gy−1 s −1 (nuclear magnetic resonance measurements) for different weight fractions of hydroxyapatites. In summary, a bone-imitating polymer gel dosimeter can be used to measure the radiation dose in radiotherapy.

Thermoluminescence characteristics of gamma-irradiated Gd:Mg doped silica glass

This study explores the characteristics of thermoluminescence (TL) yield of silica glass doped with Gd2O3 and MgO for dosimetry via sol-gel route, with varying concentrations of rare earth metal oxides, ranging from 0.1 to 0.8 mol%. Gamma irradiation was delivered using 1.25 MeV 60Co, with entrance doses of 2–10 Gy. The characterization of Gd:Mg-doped SiO2 included assessing TL dose response, sensitivity, linearity index, glow curve, and fading. It has been found that 0.2 mol% Gd:Mg-doped SiO2 shows promising TL dosimetric properties due to its high linearity, high sensitivity, and low thermal fading. In addition, it demonstrated exceptional dosimetric response across the entire dose range studied, with a coefficient of determination R2 exceeding 91%. A computerized glow curve deconvolution method was conducted to determine the kinetic parameters by using Glowfit software. The glow curves include five peaks associated with activation energies and frequency factors with values 0.88–2.42 eV and 5.58 × 106–7.22 × 1026 s−1, respectively. The 0.2 mol% Gd:Mg-doped SiO2 demonstrates minimal fading effects, retaining a significant portion of the TL signal with ∼33% of the initial signal lost over 28 days post-irradiation. The results indicate that the Gd:Mg-doped SiO2 offers a promising performance as a low-cost passive radiation dosimeters.

A method to improve sensitivity of Ferrous ammonium sulfate - Benzoic acid - Xylenol orange (FBX) aqueous radiation dosimeter

Ferrous ammonium sulfate - Benzoic acid - Xylenol orange (FBX) solution is known for its dosimetry properties in the dose range applicable in radiation oncology. Several attempts at improving its dose sensitivity have been reported in literature. The current work explores a novel method to improve the dose response of the system in the range 0–10 Gy with the original standard composition of the solution. Value of the sensitivity of the dosimeter was found to be 7.471/Gy with excellent linearity using the developed method. This is 115 times higher than the sensitivity obtained using the conventional methods.

Cell-Free Biosensors Based on Modular Eukaryotic Riboswitches That Function in One Pot at Ambient Temperature.

Artificial riboswitches responsive to user-defined analytes can be constructed by successfully inserting in vitro selected aptamers, which bind to the analytes, into untranslated regions of mRNA. Among them, eukaryotic riboswitches are more promising as biosensors than bacterial ones because they function well at ambient temperature. In addition, cell-free expression systems allow the broader use of these riboswitches as cell-free biosensors in an environmentally friendly manner without cellular limitations. The current best cell-free eukaryotic riboswitch regulates eukaryotic canonical translation initiation through self-cleavage mediated by an implanted analyte-responsive ribozyme (i.e., an aptazyme, an aptamer-ribozyme fusion). However, it has critical flaws as a sensor: due to the less-active ribozyme used, self-cleavage and translation reactions must be conducted separately and sequentially, and a different aptazyme has to be selected to change the analyte specificity, even if an aptamer for the next analyte is available. We here stepwise engineered novel types of cell-free eukaryotic riboswitches that harness highly active self-cleavage and thus require no reaction partitioning. Despite the single-step and one-pot reaction, these riboswitches showed higher analyte dose dependency and sensitivities than the current best cell-free eukaryotic riboswitch requiring multistep reactions. In addition, the analyte specificity can be changed in an extremely facile way, simply by aptamer substitution (and the subsequent simple fine-tuning for giant aptamers). Given that cell-free systems can be lyophilized for storage and transport, the present one-pot and thus easy-to-handle cell-free biosensors utilizing eukaryotic riboswitches are expected to be widely used for on-the-spot sensing of analytes at ambient temperature.

Qualification of In Vitro Dissolution Absorption System 2 (IDAS2) with Caco-2 and MDCK Cell Monolayers: Dose Sensitivity Study Using BCS Class I and III Drugs.

This study aimed to validate the In vitro Dissolution Absorption System 2 (IDAS2) containing a biological barrier of Caco-2 or Madin-Darby canine kidney (MDCK) cell monolayer through dose sensitivity studies. Metoprolol and propranolol were selected as Biopharmaceutics Classification System (BCS) Class I model drugs, and atenolol as a Class III model drug. The IDAS2 is comprised of a dissolution vessel (500 mL) and two permeation chambers (2 × 8.0 mL) mounted with Caco-2 or MDCK cell monolayer. One or two immediate-release tablet(s) of the model drug were added to the dissolution vessel, and the time profiles of dissolution and permeation were observed. Greater than 85% of metoprolol and propranolol (tested at two dosing concentrations) were dissolved by 15 min, and all drugs were fully dissolved by 30 min. All three drugs were more permeable across Caco-2 cells than MDCK cells with a linear increase in permeation across both cells at both dose concentrations. Thus, the dose sensitivity of the IDAS2 was demonstrated using both cell barriers. These results indicate a successful qualification of IDAS2 for the development/optimization of oral formulations and that MDCK cells can be utilized as a surrogate for Caco-2 cells.

Improved sensitivity and ambient light stability of radiochromic plastic dosimeters through composite azo compounds

The aim of this study is to evaluate and compare the dose sensitivity and ambient light resistance of radiochromic plastic dosimeters (RPDs) incorporating mixed azo compound with those incorporating individual azo compounds.RPDs were fabricated using a mixture of polyurethane, leuco dye, initiator, and solvent.In this study, three azo compounds (tartrazine, sunset yellow, and allura red) were incorporated into RPDs either individually or in combination. Thus, we produced five dosimeter types: one original RPD (A) without azo compounds, three RPDs (B, C, D) with individual azo compounds, and one RPD (E) with mixed azo compounds. Initially, to compare dose response and sensitivity, one group of each sample was delivered to doses ranging from 0.2 Gy to 3 Gy with 6 MV photon beams at 600 cGy/min. To assess ambient light resistance, another group was exposed to light for varying durations. Following irradiation and light exposure, optical density (OD) was obtained using a cone-beam optical CT scanner for each group. Wavelength spectra for each sample were acquired using a spectrometer. This study encompassed analysis and comparison of dose response curves, sensitivity, and netOD-time graphs among samples. Additionally, the absorption wavelength spectra of the samples were compared with the light spectrum emitted by a light bulb.The dose response curves were represented by linear functions, with the slope indicating the sensitivity of each sample. The sensitivity for samples A-E were 0.0759, 0.0988, 0.0902, 0.0809, and 0.1013 ΔOD/Gy, respectively. Samples B-E demonstrated increases in sensitivity of 30.1%, 18.8%, 6.5%, and 33.4%, respectively, compared to sample A. Sample E, which incorporated mixed azo compounds, demonstrated the highest sensitivity and remarkable resistance to ambient light. The results suggested that all azo compounds influenced the sensitivity of the RPDs, and that mixed azo compounds does not reduce the sensitivity of the RPDs. The ambient light resistance was dictated by the overlap between the light bulb's wavelength and the azo dyes' absorption range, which for mixed azo compounds spanned widely from 300 nm to 600 nm. The mixed azo compounds, as opposed to a single azo compound, allowed for the absorption of a wider range of light wavelengths, leading to an increased resistance to ambient light.Our study demonstrated that the inclusion of azo compounds enhances the sensitivity of RPDs. Specifically, the use of mixed azo compounds provided the highest sensitivity and exhibited superior resistance to ambient light. This improved performance can be attributed to the broader absorption wavelength spectrum achievable with mixed azo compounds, enabling absorption across a wider range of light wavelengths. These findings highlight the potential utility of mixed azo compounds in the fabrication of RPDs, enhancing their function as highly sensitive and resistant dosimeters to ambient light.

A model-assisted design for partially or completely ordered groups.

This paper proposes a trial design for locating group-specific doses when groups are partially or completely ordered by dose sensitivity. Previous trial designs for partially ordered groups are model-based, whereas the proposed method is model-assisted, providing clinicians with a design that is simpler. The proposed method performs similarly to model-based methods, providing simplicity without losing accuracy. Additionally, to the best of our knowledge, the proposed method is the first paper on dose-finding for partially ordered groups with convergence results. To generalize the proposed method, a framework is introduced that allows partial orders to be transferred to a grid format with a known ordering across rows but an unknown ordering within rows.

Proton FLASH: Impact of Dose Rate and Split Dose on Acute Skin Toxicity in a Murine Model

PurposePreclinical studies have shown a preferential normal tissue sparing effect of FLASH radiotherapy with ultra-high dose rates. The aim of the present study was to use a murine model of acute skin toxicity to investigate the biological effect of varying dose rates, time structure, and of introducing pauses in the dose delivery. Materials and MethodsThe right hind limbs of non-anaesthetized mice were irradiated in the entrance plateau of a PBS proton beam with 39.3 Gy. Experiment 1 with varying field dose rates (0.7- 80 Gy/s) without repainting, Experiment 2 with varying field dose rates (0.37- 80 Gy/s) with repainting, and Experiment 3 where the dose was split into 2, 3, 4 or 6 identical deliveries with 2 minutes pauses. In total 320 mice were included with 6-25 mice per group. The endpoints were skin toxicity of different levels up to 25 days after irradiation. ResultsThe Dose rate50, dose rate to induce response in 50% of the animals, depended on the level of skin toxicity, with the higher toxicity levels displaying a FLASH effect at 0.7-2 Gy/s. Repainting resulted in higher toxicity for the same field dose rate. Splitting the dose into two deliveries reduced the FLASH effect, and for three or more deliveries, the FLASH effect was almost abolished for lower grades of toxicity. ConclusionsThe dose rate that induced a FLASH effect varied for different skin toxicity levels, which are characterized by a differing degree of sensitivity to radiation dosage. Conclusions on a threshold for the dose rate needed to obtain a FLASH effect can therefore be influenced by the dose sensitivity of the used endpoint. Splitting the total dose into more deliveries compromised the FLASH effect. This can have an impact for fractionation as well as for regions where two or more FLASH fields overlap within the same treatment session.

Characterization of the chemical and structural modifications induced by X rays on the HEMA based polymer gel

The use of polymer gels in the radiation dosimetry field is rapidly increasing due to the possibility of 3 dimensional (3D) dosimetry. The aim of this study is to produce a new polymer gel with high dose sensitivity. This involved the production of polymer gel compositions containing different percentages of 2-hydroxyethyl methacrylate (HEMA) monomer and Di(ethylene glycol) dimethacrylate (DEGDMA) and 1-Vinyl-2-pyrrolidinone (VP) crosslinkers and these gels were irradiated with radiation dose between 0.5 Gy to 11 Gy, using 6 MV X-ray energy of the medical linear accelerator. The degree of polymerization was assessed by using magnetic resonance imaging (MRI) based on the R2-dose response. Then, Fourier Transform Infrared Spectroscopy (FTIR) analysis and Scanning Electron Microscope (SEM) images of the gels were taken. Polymer gels consisting of DEGDMA as crosslinker and Tetrakis (Hydroxymethyl) phosphonium chloride (THPC) as antioxidant were found to have a potential for use in radiation therapy dosimeter. The concentration of HEMA showing the most effective dose response was identified as 12 wt%. It was found that HEMA polymer gels containing DEGDMA crosslinker provide a better dose response than HEMA and HEMA-VP normoxic polymer gels.

Characterization of an enhanced formulation N-(3-methoxypropyl) acrylamide polymer gel dosimeter by the addition of an organic sensitizer for clinical practice

Polymer gel dosimeters are being developed and improved to perform measurements of radiation dose distributions in 3-dimensions (3-D) for the purpose of patient specific quality assurance for cancer patients and the configuration of treatment planning systems. The effect of organic glucose sensitizer (GL) material on N-(3-methoxypropyl) acrylamide polymer gel dosimeter (NMPAGAT) was presented in this study and evaluated after irradiation using nuclear magnetic resonance (NMR) read-out technique in terms of spin–spin relaxation rate (R2) of hydrogen protons within the water molecule. The improved tissue equivalent polymers of GL-NMPAGAT were irradiated using a medical linear accelerator with photon beams with doses up to 20 Gy, energies range 6–15 MV, dose rates range 50–500 cGy/min, and irradiation temperatures range 15–25 °C. The R2 dose sensitivity of GL-NMPAGT polymer with a concentration of 25 % wt GL was improved significantly and found to be two times higher than the same gel without GL in the linear dose response of 0.07–8 Gy. The 0.07 Gy represents the minimum detectable dose in the improved dosimeters. The dosimeter was found stable within a period of up to two weeks after irradiation, which is significant. No significant dose rate, energy dependence, and irradiation temperature for the dosimeter was observed over the range studied. There is decrease in R2 values with increasing scanning temperature. The gel is water equivalent and has theoretical energy-independent response from 0.1 to 20 MeV with density of 1.023 ± 0.003 g/cm3 and Zeff of 7.53. The results of the improved dosimeter in this study (i.e., 100 %, 0.32 s−1 Gy−1, and 8 Gy linearity) are toward the upper limit compared to other polymer gel dosimeters even with sensitizer additives.

TBXT dose sensitivity and the decoupling of nascent mesoderm specification from EMT progression in 2D human gastruloids.

In the nascent mesoderm, TBXT expression must be precisely regulated to ensure that cells exit the primitive streak and pattern the anterior-posterior axis, but how varying dosage informs morphogenesis is not well understood. In this study, we define the transcriptional consequences of TBXT dosage reduction during early human gastrulation using human induced pluripotent stem cell models of gastrulation and mesoderm differentiation. Multi-omic single-nucleus RNA and single-nucleus ATAC sequencing of 2D gastruloids comprising wild-type, TBXT heterozygous or TBXT null human induced pluripotent stem cells reveal that varying TBXT dosage does not compromise the ability of a cell to differentiate into nascent mesoderm, but instead directly influences the temporal progression of the epithelial-to-mesenchymal transition with wild type transitioning first, followed by TBXT heterozygous and then TBXT null. By differentiating cells into nascent mesoderm in a monolayer format, we further illustrate that TBXT dosage directly impacts the persistence of junctional proteins and cell-cell adhesions. These results demonstrate that epithelial-to-mesenchymal transition progression can be decoupled from the acquisition of mesodermal identity in the early gastrula and shed light on the mechanisms underlying human embryogenesis.

Radiation Dose Sensitivity of Subregions of the Larynx to Patient-Reported Swallowing Outcomes

PurposeAssess any correlation between swallowing dysfunction and radiation dose to five subregions of the larynx. Methods and MaterialsA cohort of 136 head and neck cancer patients, treated with either photon or proton radiotherapy, was assessed using an endpoint of patient-reported swallowing scores, evaluated with the EORTC QLQ-H&N35 survey, within one month following treatment. Five subregions of the larynx were contoured and dosimetric metrics were extracted for each subregion as well as the total larynx. Univariate and multivariate logistic regression statistical analyses were used to determine statistical correlation with the dose metrics and clinical variables. Univariate regression models were statistically compared using a non-nested model test. ResultsUnder univariate analysis, unilateral vs. bilateral nodal irradiation (p=0.004), concurrent chemotherapy (p=0.007), and surgery (p=0.015) were statistically significant predictors of poor swallowing score. Unilateral vs. bilateral irradiation was statistically significant under multivariate analysis (p=0.039). The epiglottis was the most predictive subregion of swallowing score with a majority (21 out of 25) of dosimetric variables being identified as statistically significant. The maximum dose to the epiglottis was the most significant dosimetric variable tested for poor swallowing score in both univariate (p=0.003) and multivariate (p=0.051) analyses. Comparison of univariate models indicated a general preference for epiglottic variables with the mean dose to the epiglottis being preferred at a statistically significant level in many cases. ConclusionsThese results show the relatively increased sensitivity of the epiglottis compared to the rest of the larynx when considering patient-reported decrements in quality-of-life swallowing score and support both the inclusion of the epiglottis in standard larynx contours and the assessment of the epiglottis dose during plan evaluation. Our data suggests that keeping the mean and max doses to the epiglottis <20–37 Gy and <53–60 Gy, respectively, will reduce swallowing difficulties.

Tempered glass as a thermoluminescent medium for retrospective dosimetry

Globally, the use of nuclear facilities and the potential risks associated with the dispersal of ionizing radiation due to natural disasters or technical failures are on the rise. These risks can have severe consequences for the environment and all living organisms, particularly humans. There is currently no practical method available to accurately estimate the radiation doses received by the surrounding areas and individuals in such situations. To address this issue, retrospective dosimetry can be employed to estimate the actual radiation dose, followed by the implementation of remediation techniques. Considering this need, tempered glass, which is commonly used as a screen protector for smartphones by the general public, has been identified as a promising medium for retrospective dosimetry. The present study aimed to investigate the thermoluminescence (TL) properties of six different types of tempered glass subjected to 60Co gamma rays, specifically examining the TL dose response, linearity, repeatability, and fading. Among the various glass samples tested, HD anti-peep tempered glass demonstrates a highly linear dose-response and the greatest dose sensitivity within the examined dose range of 2–50 Gy. Additionally, the HD anti-peep tempered glass exhibits minimal loss of TL yield (∼23%) at 28 days post-irradiation, making it particularly suitable for use as a retrospective dosimeter.

The tumor dose sensitivity matrix and stem cells in head and neck cancer

The tumor dose sensitivity matrix and stem cells in head and neck cancer