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Title: Field size dependence of radiation sensitivity and dose fractionation response in skin

Journal Article · · Int. J. Radiat. Oncol., Biol. Phys.; (United States)

Four sets of data from the literature were analyzed to assess the effects of field size on dose tolerance and dose fraction size dependence in irradiated skin. The data consisted of combinations of total dose and dose per exposure (or number of fractions) required to yield a given degree of visible damage to the skin, for fields of different sizes. Putative cell survival curves were constructed, under the assumptions that the isoeffect represents a fixed cell survival, and that each exposure during a course of fractionated irradiation has equal effect on cell survival. The analysis showed that 1) overall sensitivity to radiation, and 2) dependence on dose per exposure, both increase with field size. To account for these results the authors describe a model that can be qualitatively related to the geometric properties of the dermal vascular network. The model predicts a greater fractionation sensitivity in large than in small fields, in agreement with our analysis of the isoeffect data. It is therefore possible that the advantages of hyperfractionation in reducing late effects in normal tissues may be related to vascular architecture, to inherent differences between late and acutely responding cell populations.

Research Organization:
City of Hope Medical Center, Duarte, CA
OSTI ID:
5444730
Journal Information:
Int. J. Radiat. Oncol., Biol. Phys.; (United States), Vol. 11:6
Country of Publication:
United States
Language:
English