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Journal ArticleDOI

Tolerance of normal tissue to therapeutic irradiation.

TLDR
The updated information on tolerance of normal tissues of concern in the protocols of this contract, based on available data, is presented, with a special emphasis on partial volume effects.
Abstract
The importance of knowledge on tolerance of normal tissue organs to irradiation by radiation oncologists cannot be overemphasized. Unfortunately, current knowledge is less than adequate. With the increasing use of 3-D treatment planning and dose delivery, this issue, particularly volumetric information, will become even more critical. As a part of the NCI contract N01 CM-47316, a task force, chaired by the primary author, was formed and an extensive literature search was carried out to address this issue. In this issue. In this manuscript we present the updated information on tolerance of normal tissues of concern in the protocols of this contract, based on available data, with a special emphasis on partial volume effects. Due to a lack of precise and comprehensive data base, opinions and experience of the clinicians from four universities involved in the contract have also been contributory. Obviously, this is not and cannot be a comprehensive work, which is beyond the scope of this contract.

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Citations
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Journal ArticleDOI

Cancer and radiation therapy: current advances and future directions.

TL;DR: Significant advances in the techniques of radiation treatment and progress made in understanding the biology of cancer cell responses to radiation will endeavor to increase the survival and reduce treatment side effects for cancer patients.
Journal ArticleDOI

Use of normal tissue complication probability models in the clinic.

TL;DR: The Quantitative Analysis of Normal Tissue Effects in the Clinic (QUANTEC) review summarizes the currently available three-dimensional dose/volume/outcome data to update and refine the normal tissue dose/ volume tolerance guidelines provided by the classic Emami et al. paper published in 1991.
Journal ArticleDOI

Fitting of normal tissue tolerance data to an analytic function

TL;DR: A four-parameter empirical model has been applied to a compilation of clinical tolerance data developed by Emami et al. and the four parameters to characterize the tissue response have been determined and graphical representations of the derived probability distributions are presented.
Journal ArticleDOI

Relative biological effectiveness (RBE) values for proton beam therapy.

TL;DR: There is too much uncertainty in the RBE value for any human tissue to propose RBE values specific for tissue, dose/fraction, proton energy, etc, and experimental in vivo and clinical data indicate that continued employment of a generic RBEvalue is reasonable.
Journal ArticleDOI

Clinical dose-volume histogram analysis for pneumonitis after 3D treatment for non-small cell lung cancer (NSCLC)

TL;DR: The V20 from the total lung DVH is a useful parameter easily obtained from most 3D treatment planning systems and may be useful in comparing competing treatment plans to evaluate the risk of pneumonitis for individual patient treatment.
References
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Journal ArticleDOI

Therapeutic irradiation and brain injury.

TL;DR: Eighty cases were identified in which the patient was given a single course of radiation therapy and in which reasonable estimates of the time-dose-fractionation regimen could be made, and total dose, overall treatment time and number of treatment fractions were analyzed.
Journal ArticleDOI

Changes in early and late radiation responses with altered dose fractionation: Implications for dose-survival relationships

TL;DR: These findings imply that the shape of the dose-survival curve for the target cells whose depletion results in late effects is different from that for target cells for acute effects: as the dose increases the contribution to cell killing from accumulated sublethal injury, relative to killing from single hit events, increases more rapidly in thetarget cells for late effects.
Journal ArticleDOI

Areas of failure found at reoperation (second or symptomatic look) following "curative surgery" for adenocarcinoma of the rectum. Clinicopathologic correlation and implications for adjuvant therapy.

TL;DR: Postoperative irradiation may be a logical adjuvant in view of the high percentage of local‐regional failures and the ability to identify subgroups of patients at highest risk for such failure.
Journal ArticleDOI

Dose, time and fractionation: A clinical hypothesis

TL;DR: A formula is suggested which relates total dose, number of fractions and overall treatment time to a quantity termed ‘Nominal Standard Dose’, which represents the biological effect of a given treatment regime.
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