A cell population kinetic model for fractionated radiation therapy. I. Normal tissues.

A cell population kinetic model was designed to simulate the effects of fractionated radiation therapy. A computer program was used to search for best-fitting and biologically valid estimates of 7 parameters required to define the final surviving fraction. Parameters were fitted to crude clinical data on reactions in irradiated skin, central nervous system, lung, and gut, studied over a wide range of field sizes and fractionation schemes. Probit analysis proved the results to be statistically acceptable. Solution sets were compatible with clinical and experimental observation. The model is presumed adequate for studying real kinetic changes in irradiated cell populations.

[1]  S. J. Baum A measure of nonreparable injury to hematopoietic stem cells in rats exposed repeatedly to x-rays. , 1967, Radiation research.

[2]  L. Cohen,et al.  Fractionation procedures in radiation therapy: a computerised approach to evaluation. , 1968, The British journal of radiology.

[3]  M. Spittle,et al.  An analysis of 40 cases treated by total thoracic irradiation. , 1969, Clinical radiology.

[4]  M. Griem,et al.  Persistent impairment of hair growth afterssingle large doses of x-rays. , 1970, Radiation research.

[5]  L. Cohen,et al.  Estimation of Biological Dosage Factors in Clinical Radiotherapy , 1951, British Journal of Cancer.

[6]  I. Brick Effects of million volt irradiation on the gastrointestinal tract. , 1955, A.M.A. archives of internal medicine.

[7]  H. A. S. van den Brenk,et al.  Radiosensitivity of the human oxygenated cervical spinal cord based on analysis of 357 cases receiving 4 MeV x rays in hyperbaric oxygen. , 1968, The British journal of radiology.

[8]  F. Ellis Tolerance Dosage in Radiotherapy with 200 kV X rays , 1942 .

[9]  W. K. Sinclair X-RAY-INDUCED HERITABLE DAMAGE (SMALL-COLONY FORMATION) IN CULTURED MAMMALIAN CELLS. , 1964, Radiation research.

[10]  R. Guttmann,et al.  Changes in lung and pleura following two-million-volt therapy for carcinoma of the breast. , 1957, Radiology.

[11]  W. Ross The Radiotherapeutic and Radiological Aspects of Radiation Fibrosis of the Lungs * , 1956, Thorax.

[12]  J. Fabrikant The Kinetic of Cellular Proliferation in Human Tissues. Determination of Duration of DNA Synthesis Using Double Labeling Autoradiography , 1970, British Journal of Cancer.

[13]  L. Lajtha,et al.  CLONE-SIZE ANALYSIS IN THE STUDY OF CELL GROWTH FOLLOWING SINGLE OR DURING CONTINUOUS IRRADIATION. , 1965, International journal of radiation biology and related studies in physics, chemistry, and medicine.

[14]  F Ellis,et al.  Dose, time and fractionation: a clinical hypothesis. , 1969, Clinical radiology.

[15]  I. Lampe Radiation tolerance of the central nervous system. , 1958, Progress in radiation therapy.

[16]  K. J. Vikterlöf,et al.  Gastric ulceration following cobalt teletherapy. Estimation of the tolerance dose. , 1969, Acta radiologica: therapy, physics, biology.

[17]  R. Oliver,et al.  A NEW METHOD OF ESTIMATING THE CELL CYCLE TIME IN EPITHELIAL TISSUES OF LONG GENERATION TIME , 1968 .

[18]  T. J. Wachowski,et al.  Degenerative Effects of Large Doses of Roentgen Rays on the Human Brain1 , 1945 .

[19]  M. Greenfield,et al.  Post-irradiation neuropathy. , 1948, The American journal of roentgenology and radium therapy.

[20]  H. Withers The dose-survival relationship for irradiation of epithelial cells of mouse skin. , 1967, The British journal of radiology.

[21]  I. Brick,et al.  Irradiation damage of the intestines following 1,000-kv Roentgen therapy; evaluation of tolerance dose. , 1951, Radiology.

[22]  W. E. Liversage A general frmula for equating protracted and acute regimes of radiation. , 1969, The British journal of radiology.

[23]  L. Cohen Theoretical "iso-survival" formulae for fractionated radiation therapy. , 1968, The British journal of radiology.

[24]  E. O. Coates,et al.  Pulmonary radiation reaction: a vital-capacity and time-dose study. , 1959, Radiology.

[25]  B. Jolles Quantitative biological dose control in interstitial radium therapy. , 1946, The British journal of radiology.

[26]  J. Till,et al.  DECLINE IN COLONY-FORMING ABILITY OF MARROW CELLS SUBJECTED TO SERIAL TRANSPLANTATION INTO IRRADIATED MICE. , 1964, Journal of cellular and comparative physiology.

[27]  W. H. Bond,et al.  RADIATION REACTIONS IN THE LUNG1 , 1956 .

[28]  H. Withers Recovery and repopulation in vivo by mouse skin epithelial cells during fractionated irradiation. , 1967, Radiation research.

[29]  M. Gray,et al.  Rectal and bladder injuries following radium therapy for carcinoma of the cervix at the Radium-hemmet. , 1957, American journal of obstetrics and gynecology.

[30]  G. Boden Radiation myelitis of the cervical spinal cord. , 1948, The British journal of radiology.