DAI Yue,HU Chun-hong,LI Xiao-dong,GUO Yan-yan,FENG Yuan-ming.An analysis of the advantage of biologically equivalent dose of unconventionally fractionated radiotherapy[J].Chinese Journal of Radiological Medicine and Protection,2013,33(2):187-190
An analysis of the advantage of biologically equivalent dose of unconventionally fractionated radiotherapy
Received:September 06, 2012  
DOI:10.3760/cma.j.issn.0254-5098.2013.02.020
KeyWords:Altered fractionated radiotherapy  Biologically effective dose  Tumor
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Author NameAffiliationE-mail
DAI Yue Department of Radiotherapy,The Second Hospital of Tianjin Medical University, Tianjin 300211, China  
HU Chun-hong 天津医科大学生物医学工程学院 chunhong_hu@hotmail.com 
LI Xiao-dong 300211 天津医科大学第二医院放疗科  
GUO Yan-yan 300211 天津医科大学第二医院放疗科  
FENG Yuan-ming 天津大学生物医学工程系  
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Abstract::
      Objective To analyze the advantage of altered fractionation radiotherapy by calculating the accumulative effects of daily biologically effective dose (BED) to find out the difference between conventional fractionated radiotherapy and altered fractionation radiotherapy. Methods The data in the report of hyperfractionated or accelerated radiotherapy for head and neck cancer published by Cochrane Collaboration in 2010 was analyzed. Based on the radiotherapy processes mentioned in this report, the accumulative effects of daily BED were calculated and compared in different radiotherapy processes by using linear-quadratic mode. The variation of BED in different radiotherapy processes was find out. Results In total dose of unity as the premise of 70 Gy, altered fractionation especially the hyperfractionated accelerated radiotherapy could give a higher BED to the tumor during a shorter period, hyperfractionated radiotherapy could give a lower BED to normal tissues, and hyperfractionated radiotherapy with split course could give higher BED to the tumor while lower BED to normal tissues. Conclusions The variation of BED in different radiotherapy processes can be shown clearly by linear-quadratic mode. It can be simple and shortcut through mathematical models for the evaluation of different radiotherapy plan, on clinical symptomatic selection play a guiding role in tumor therapy.
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