Ma Shumei,Liang Zhenzhen,Chen Qiao,Liu Rui,Guo Yutian,Liu Xiaodong.The challenges of precision radiotherapy technology to the traditional theory of radiobiology[J].Chinese Journal of Radiological Medicine and Protection,2019,39(8):563-571
The challenges of precision radiotherapy technology to the traditional theory of radiobiology
Received:April 02, 2019  
DOI:10.3760/cma.j.issn.0254-5098.2019.08.002
KeyWords:Precision radiotherapy  Radiobiology  Linear-quadratic model  Biological equivalent dose  Radiosensitivity
FundProject:National Key Research and Development Program of China (2017YFC0108602); National Natural Science Foundation of China (81573082, 81773363, 81673092)
Author NameAffiliationE-mail
Ma Shumei School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China  
Liang Zhenzhen MHC Key Lab of Radiation Biology, School of Public Health, Jilin University, Changchun, Jilin 130021, China  
Chen Qiao MHC Key Lab of Radiation Biology, School of Public Health, Jilin University, Changchun, Jilin 130021, China  
Liu Rui MHC Key Lab of Radiation Biology, School of Public Health, Jilin University, Changchun, Jilin 130021, China  
Guo Yutian Shenzhen Haibo Technology Co., Ltd., Shenzhen 518057, China  
Liu Xiaodong School of Public Health and Management, Wenzhou Medical University, Wenzhou, Zhejiang 325035, China liuxd2002@126.com 
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Abstract::
      With the development of modern computing technology and medical physics, radiotherapy has made great progress. The theoretical basis of radiobiology seems to lag behind the clinical application of radiotherapy, which hampers the further improvement of treatment efficacy and the optimization of treatment modality. In this paper, some emerging challenges of precision radiotherapy technology to the traditional theory of radiobiology, such as radiosensitivity, dose-response curve and survival curve, linear-quadratic model, 4Rs theory, as well as the interaction between cancer and microenvironment, radiation-induced second primary cancers (RISPC), will be discussed. The interplay between precision radiotherapy and traditional radiobiology theories will be addressed with the aim to potentially solve some of the challenging problems.
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