Abstract
A brief overview of fundamental concepts in radiobiology is provided. The concept of cell survival as ability to retain reproductive integrity is introduced, and critical variables influencing the cell survival curve as a function of absorbed radiation dose are discussed. Application of these concepts to radiation oncology and radiotherapy is then outlined. Examples are provided of clinical studies that can be performed with current high-throughput molecular biology and imaging technology. The type of information derived from these studies and its potential are discussed in the context of radiotherapy trial design, radiotherapy schedule and modality tailoring, and planning of treatment dose.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
G.G. Steel: Basic Clinical Radiobiology, Oxford University Press, 3rd Edition, 2002.
E.L. Alpen: Radiation Biophysics, Prentice-Hall, International Editions, London, 1990.
R.K. Sachs, P. Hahnfeld, D.J. Brenner: The link between low-LET dose-response relations and the underlying kinetics of damage production/repair/misrepair, Int J Radiat Biol., 72(4):351–374, 1997.
M.C. Joiner, B. Marples, P. Lambin, S.C. Short, I. Turesson: Low-dose hypersensitivity: current status and possible mechanisms, Int J Radiat Oncol Biol Phys., 49(2):379–389, 2001.
R.G. Dale: The application of the linear quadratic dose effect equation to fractionated and protracted radiotherapy, Br J Radiol., 58:515–528, 1985.
H.D. Thames, J.H. Hendry: Fractionation in Radiotherapy, Taylor & Francis, London, 1987.
J.F. Fowler: The linear-quadratic formula and progress in radiotherapy, Br J Radiol., 62:679– 694, 1989.
D.J. Brenner, L.R. Hlatky, P.J. Hahnfeldt, E.J. Hall, R.K. Sachs: A convenient extension of the linear-quadratic model to include redistribution and reoxygenation, Int J Radiat Oncol Biol Phys., 32(2):379–390, 1995.
S.M. Bentzen: Steepness of the clinical dose-control curve and variation in the in vitro radiosensitivity of head and neck squamous cell carcinoma, Int J Radiat Biol., 61(3):417–423, 1992.
H. Suit, S. Skates, A. Taghian, P. Okunieff, J.T. Efird: Clinical implications of heterogeneity of tumor response to radiation therapy, Radiother Oncol., 25(4):251–260, 1992.
S. Webb, A.E. Nahum: A model for calculating tumour control probability in radiotherapy including the effects of inhomogeneous distributions of dose and clonogenic cell density, Phys Med Biol., 38(6):653–666, 1993.
D.J. Brenner: Dose, volume, and tumor-control predictions in radiotherapy, Int J Radiat Oncol Biol Phys., 26(1):171–179, 1993.
S.M. Bentzen, H.D. Thames: Tumor volume and local control probability: clinical data and radiobiological interpretation, Int J Radiat Oncol Biol Phys., 1; 36(1):247–251, 1996.
H.R. Withers: The four R's of radiotherapy, Adv Radiat Biol., 5:241–247, 1975.
Tucker SL, Taylor JM: Improved models of tumour cure. Int J Radiat Biol., 70(5):539–553, 1996.
M. Zaider, G.N. Minerbo: Tumour control probability: a formulation applicable to any temporal protocol of dose delivery, Phys Med Biol., 45(2):279–293, 2000.
A. Niemierko, M. Goitein: Calculation of normal tissue complication probability and dose-volume histogram reduction schemes for tissues with a critical element architecture, Radiother Oncol., 20(3):166–176, 1991.
C. Burman, G.J. Kutcher, B. Emami, M. Goitein: Fitting of normal tissue tolerance data to an analytic function, Int J Radiat Oncol Biol Phys., 21(1):123–135, 1991.
A. Jackson, G.J. Kutcher, E.D. Yorke: Probability of radiation-induced complications for normal tissues with parallel architecture subject to non-uniform irradiation. Med Phys., 20(3):613–625, 1993.
S.M. Bentzen, L.V. Johansen, J. Overgaard, H.D. Thames: Clinical radiobiology of squamous-cell carcinoma of the oropharynx, Int J Radiat Oncol Biol Phys., 20(6):1197–1206, 1991.
S. Webb: Optimum parameters in a model for tumour control probability including inter-patient heterogeneity, Phys Med Biol., 39(11):1895–1914, 1994.
J.D. Fenwick: Predicting the radiation control probability of heterogeneous tumour ensembles: data analysis and parameter estimation using a closed-form expression. Phys Med Biol., 43(8):2159–2178, 1998.
C.M. West, S.E. Davidson, S.A. Roberts, R.D. Hunter: The independence of intrinsic radio-sensitivity as a prognostic factor for patient response to radiotherapy of carcinoma of the cervix, Br J Cancer, 76(9):1184–1190, 1997.
T. Bjork-Eriksson, C. West, E. Karlsson, C. Mercke: Tumor radiosensitivity (SF2) is a prognostic factor for local control in head and neck cancer, Int J Radiat Oncol Biol Phys., 46(1):13–19, 2000.
F.M. Buffa, S.E. Davidson, R.D. Hunter, A.E. Nahum, C.M.L. West: Incorporating biologic measurements (SF2, CFE) into a tumor control probability model increases their prognostic significance: A study in cervical carcinoma treated with radiation therapy, Int J Radiat Oncol Biol Phys., 50(5):1113–1122, 2001.
M. Baumann, M. Krause, R. Hill: Exploring the role of cancer stem cells in radioresistance, Nat Rev Cancer, 8(7):545–554, 2008.
S.M. Bentzen: Radiobiological considerations in the design of clinical trials, Radiother Oncol., 32(1):1–11, 1994.
J.H. Kaanders, K.I. Wijffels, H.A. Marres, A.S. Ljungkvist, L.A. Pop, F.J. van den Hoogen, P.C. de Wilde, J. Bussink, J.A. Raleigh, A.J. van der Kogel: Pimonidazole binding and tumor vascularity predict for treatment outcome in head and neck cancer, Cancer Res., 62:7066– 7074, 2002.
F.M. Buffa, S.M. Bentzen, F.M. Daley, S. Dische, M.I. Saunders, P.I. Richman, G.D. Wilson: Molecular marker profiles predict locoregional control of head and neck squamous cell carcinoma in a randomized trial of continuous hyperfractionated accelerated radiotherapy, Clin Cancer Res., 10(11):3745–3754, 2004.
J.G. Eriksen, F.M. Buffa, J. Alsner, T. Steiniche, S.M. Bentzen, J. Overgaard: Molecular profiles as predictive marker for the effect of overall treatment time of radiotherapy in supraglottic larynx squamous cell carcinomas, Radiother Oncol., 72(3):275–282, 2004.
J. Overgaard, J.G. Eriksen, M. Nordsmark, J. Alsner, M.R. Horsman; Danish Head and Neck Cancer Study Group: Plasma osteopontin, hypoxia, and response to the hypoxia sensitiser nimorazole in radiotherapy of head and neck cancer: results from the DAHANCA 5 randomised double-blind placebo-controlled trial, Lancet Oncol., 6(10):757–764, 2005.
J. Akervall: Gene profiling in squamous cell carcinoma of the head and neck, Cancer Metastasis Rev., 24:87–94, 2005.
C.N. Andreassen: Can risk of radiotherapy-induced normal tissue complications be predicted from genetic profiles? Acta Oncol., 44:801–815, 2005.
M. Lobrich and J. Kiefer: Assessing the likelihood of severe side effects in radiotherapy, Int. J. Cancer, 118:2652–2656, 2006.
J.G Eriksen, T. Steiniche, J. Overgaard: The influence of epidermal growth factor receptor and tumor differentiation on the response to accelerated radiotherapy of squamous cell carcinomas of the head and neck in the randomized DAHANCA 6 and 7 study, Radiother. Oncol., 74:93–100, 2005.
S.M. Bentzen, B.M. Atasoy, F.M. Daley, S. Dische, P.I. Richman, M.I. Saunders, K.R. Trott, G.D. Wilson: Epidermal growth factor receptor expression in pretreatment biopsies from head and neck squamous cell carcinoma as a predictive factor for a benefit from accelerated radiation therapy in a randomized controlled trial, J Clin Oncol., 23(24):5560–5567, 2005.
S.M. Bentzen: Dose painting and theragnostic imaging: towards the prescription, planning and delivery of biologically targeted dose distributions in external beam radiation oncology, Cancer Treat Res., 139:41–62, 2008.
M. Baumann, C. Petersen, M. Krause: TCP and NTCP in preclinical and clinical research in Europe, Rays, 30(2):121–126, 2005.
A.J. Chalmers, S.M. Bentzen, F.M. Buffa: A general framework for quantifying the effects of DNA repair inhibitors on radiation sensitivity as a function of dose, Theor Biol Med Model. 4:25, 2007.
G.A. Plataniotis, R.G. Dale: Use of concept of chemotherapy-equivalent biologically effective dose to provide quantitative evaluation of contribution of chemotherapy to local tumor control in chemoradiotherapy cervical cancer trials, Int J Radiat Oncol Biol Phys., 72(5):1538–1543, 2008.
S.M. Bentzen, P.M. Harari, J. Bernier: Exploitable mechanisms for combining drugs with radiation: concepts, achievements and future directions, Nat Clin Pract Oncol., 4(3):172–180, 2007.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer Science + Business Media B.V.
About this paper
Cite this paper
Buffa, F.M. (2009). Fundamental Radiobiology and its Application to Radiation Oncology. In: Lemoigne, Y., Caner, A. (eds) Radiotherapy and Brachytherapy. NATO Science for Peace and Security Series B: Physics and Biophysics. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-3097-9_1
Download citation
DOI: https://doi.org/10.1007/978-90-481-3097-9_1
Publisher Name: Springer, Dordrecht
Print ISBN: 978-90-481-3095-5
Online ISBN: 978-90-481-3097-9
eBook Packages: Physics and AstronomyPhysics and Astronomy (R0)