Abstract
We compare the relative efficacy of high dose rate (HDR) and low dose rate (LDR) irradiation in gynecological implants, using formulations based on the linear-quadratic (α-β) model. We consider both acute reaction and late effect as endpoints in evaluating equivalence for HDR and LDR treatments, at Point A (as defined in the text) and at other locations. We define a therapeutic factor Γ as an index for relative efficacy, with Γ > 1 indicating a gain in substituting HDR for LDR. It is found that Γ < 1 for most clinical situations, although a modest decrease (of about 15%) in dose to critical organs for HDR would raise Γ above unity.
Original language | English (US) |
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Pages (from-to) | 103-110 |
Number of pages | 8 |
Journal | Radiotherapy and Oncology |
Volume | 25 |
Issue number | 2 |
DOIs | |
State | Published - Oct 1992 |
Externally published | Yes |
Keywords
- Brachytherapy radiobiology
- High dose rate intracavitary implant
- Linear-quadratic model
ASJC Scopus subject areas
- Hematology
- Oncology
- Radiology Nuclear Medicine and imaging