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Effect of Fractionation in Stereotactic Body Radiation Therapy Using the Linear Quadratic Model
Journal article

Effect of Fractionation in Stereotactic Body Radiation Therapy Using the Linear Quadratic Model

Jun Yang, John Lamond, Jack Fowler, Rachelle Lanciano, Jing Feng and Luther Brady
International journal of radiation oncology, biology, physics, v 86(1)
01 May 2013
PMID: 23245283

Abstract

Life Sciences & Biomedicine Oncology Radiology, Nuclear Medicine & Medical Imaging Science & Technology
Purpose: To examine the fractionation effect of stereotactic body radiation therapy with a heterogeneous dose distribution. Methods: Derived from the linear quadratic formula with measurements from a hypothetical 2-cm radiosurgical tumor, the threshold percentage was defined as (alpha/beta(tissue)/alpha/beta(tumor)), the balance alpha/beta ratio was defined as (prescription dose/tissue tolerance*alpha/beta(tumor)), and the balance dose was defined as (tissue tolerance/threshold percentage). Results: With increasing fractions and equivalent peripheral dose to the target, the biological equivalent dose of "hot spots" in a target decreases. The relative biological equivalent doses of serial organs decrease only when the relative percentage of its dose to the prescription dose is above the threshold percentage. The volume of parallel organs at risk decreases only when the tumor's alpha/beta ratio is above the balance alpha/beta ratio and the prescription dose is lower than balance dose. Conclusions: The potential benefits of fractionation in stereotactic body radiation therapy depend on the complex interplay between the total dose, alpha/beta ratios, and dose differences between the target and the surrounding normal tissues. (C) 2013 Elsevier Inc.

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Collaboration types
Domestic collaboration
Web of Science research areas
Oncology
Radiology, Nuclear Medicine & Medical Imaging
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