- •Contents
- •Preface
- •1 Introduction: the significance of radiobiology and radiotherapy for cancer treatment
- •2 Irradiation-induced damage and the DNA damage response
- •3 Cell death after irradiation: how, when and why cells die
- •4 Quantifying cell kill and cell survival
- •5 Dose–response relationships in radiotherapy
- •6 Linear energy transfer and relative biological effectiveness
- •7 Tumour growth and response to radiation
- •8 Fractionation: the linear-quadratic approach
- •9 The linear-quadratic approach in clinical practice
- •10 Modified fractionation
- •11 Time factors in normal-tissue responses to irradiation
- •12 The dose-rate effect
- •13 Pathogenesis of normal-tissue side-effects
- •14 The volume effect in radiotherapy
- •15 The oxygen effect and fractionated radiotherapy
- •16 The tumour microenvironment and cellular hypoxia responses
- •17 Therapeutic approaches to tumour hypoxia
- •18 Combined radiotherapy and chemotherapy
- •19 Retreatment tolerance of normal tissues
- •20 Molecular image-guided radiotherapy with positron emission tomography
- •21 Molecular-targeted agents for enhancing tumour response
- •22 Biological response modifiers: normal tissues
- •23 Molecular targeting and patient individualization
- •24 Protons and other ions in radiotherapy
- •25 Second cancers after radiotherapy
- •Glossary of terms in radiation biology
- •Index
Index
Abbreviations: RT, radiotherapy. Page numbers in bold refer to the glossary.
abortive cell division |
153–4, |
angiotensin pathway interventions |
ATM (ataxia telangiectasia |
|
|||||||||||||
155, 353 |
|
|
|
309–10 |
|
|
|
|
mutated protein) |
14–16 |
|||||||
ABX-EGF (panitumumab) |
294 |
anti-angiogenic drugs |
242, 243, |
cell cycle checkpoint activation |
|||||||||||||
accelerated RT |
140–4, 353 |
|
|
294–5 |
|
|
|
|
and |
18, 19 |
|
||||||
clinical evaluation |
140–4 |
antibiotic (anticancer) with RT |
drugs targeting 317–18, 320 |
||||||||||||||
hyperfractionation compared |
therapeutic interactions |
252 |
programmed cell death and 17 |
||||||||||||||
with 144 |
|
|
toxicity |
254 |
|
|
|
ATR (AT-related kinase) |
16 |
||||||||
normal-tissue damage |
|
anti-inflammatory agents |
308 |
cell cycle checkpoint activation |
|||||||||||||
early |
174 |
|
|
antimetabolite with RT |
|
|
and |
18, 19 |
|
||||||||
late |
145 |
|
|
|
therapeutic interactions |
252 |
ATR-interacting protein |
|
|||||||||
see also ARCON; continuous |
toxicity |
254 |
|
|
|
(ATRIP) |
16 |
|
|||||||||
hyperfractionated |
|
antioxidants |
304–5, 309 |
|
ATRIP |
16 |
|
|
|
|
|||||||
accelerated radiotherapy |
APEX1 inhibition |
317 |
|
|
autophagy |
29, 30–1, 353 |
|
||||||||||
acetylsalicylic acid 308 |
|
apoptosis |
17, 28–30, 319, 353 |
autophosphorylation of |
|
||||||||||||
adaptation to hypoxia |
225 |
|
drug-induced |
319, 321 |
|
DNA-dependent protein |
|||||||||||
adrenal glands |
181 |
|
|
cytotoxic |
251–2, 252 |
|
kinase catalytic |
|
|||||||||
adverse events see side-effects |
mitotic catastrophe and |
37 |
subunit |
23 |
|
||||||||||||
AE-941 295 |
|
|
|
AQ4N |
241 |
|
|
|
|
Avastin |
295 |
|
|
|
|||
age and second cancer risk |
339 |
ARCON (Accelerated |
|
|
|
|
|
|
|
|
|||||||
AKT (protein kinase B) inhibitors |
|
Radiotherapy to overcome |
banoxantrone |
|
241 |
|
|||||||||||
295–6, 318 |
|
|
|
tumour cell proliferation |
BARD1 |
22 |
|
|
|
|
|||||||
alkylating agent with RT |
|
|
with CarbOgen and |
|
base excision repair (BER) |
12, |
|||||||||||
therapeutic interactions |
252 |
|
Nicotinamide) |
238–9, |
24–5, 353 |
|
|||||||||||
toxicity |
254 |
|
|
|
353 |
|
|
|
|
|
inhibition |
|
317, 320 |
|
|||
/ ratio |
9, 50, 63, 106–8, 108, |
Artemis protein |
23 |
|
|
BAX 30 |
|
|
|
|
|||||||
353 |
|
|
|
aspirin (acetylsalicylic |
|
|
Beclin 1 |
31 |
|
|
|
|
|||||
organ/tissue-specific |
107, |
|
acid) |
308 |
|
|
bevacizumab |
295 |
|
||||||||
179–81 |
|
|
astrocytoma, PET-aided treatment |
BIBX1382BS |
|
307 |
|
||||||||||
tumours with low values |
|
|
planning |
277 |
|
|
biliary tract |
|
180 |
|
|||||||
132–3 |
|
|
|
asymmetrical stem cell division |
biologic effect estimates |
|
|||||||||||
-particles |
60 |
|
|
|
353 |
|
|
|
|
|
adjusting for dose-time |
|
|||||
amifostine |
304 |
|
|
loss |
152–3, 154, 173–4, |
|
fractionation 120–1 |
||||||||||
anal carcinoma, |
|
|
|
353 |
|
|
|
|
|
uncertainty |
|
131–2 |
|
||||
chemoradiotherapy |
247, |
AT-related kinase see ATR |
|
biological phase of radiation |
|||||||||||||
248 |
|
|
|
ataxia telangiectasia mutated |
effects |
|
4, 5 |
|
|||||||||
angiogenesis |
209 |
|
|
|
protein see ATM |
|
|
biological response modifiers |
|||||||||
inhibitors |
242, 243, 294–5 |
ATF6 |
231 |
|
|
|
|
|
301–15 |
|
|
362 |
Index |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
biologically effective dose |
|
BRCA genes |
22, 321 |
|
|
function, early changes in |
171 |
|||||||||||||
|
(extrapolated total dose) |
breast, side-effects |
|
180–1 |
|
growth assays |
46 |
|
|
|
||||||||||
|
114–16, 120, 353, 355 |
in re-irradiated patients |
268 |
loss/depletion |
|
|
|
|
||||||||||||
biomarker, hypoxia-inducible |
breast cancer |
344–6 |
|
|
in normal tissues |
171–4, |
||||||||||||||
|
factor as |
|
227–9 |
|
|
/ ratio for subclinical disease |
174 |
|
|
|
|
|||||||||
bioreductive drugs |
239–41, 323 |
133 |
|
|
|
|
|
in tumours, calculation |
83, |
|||||||||||
bladder |
180, 185 |
|
|
|
|
chemoradiotherapy |
249 |
|
354 |
|
|
|
|
|||||||
/ ratio |
107, 180 |
|
|
re-irradiation tolerance |
268 |
survival see survival |
|
|
|
|||||||||||
re-irradiation responses |
|
role of RT |
1–2 |
|
|
|
|
cell cycle |
|
|
|
|
||||||||
|
early |
262 |
|
|
|
|
|
second cancer risk after |
|
cell killing variations through |
||||||||||
|
late |
264 |
|
|
|
|
|
treatment of |
344–6 |
94–5 |
|
|
|
|
||||||
bladder cancer |
|
|
|
|
|
bronchial cancer, brachytherapy |
checkpoint activation |
17–20, |
||||||||||||
post-treatment risk of |
|
|
125 |
|
|
|
|
|
354 |
|
|
|
|
|||||||
|
in cervical cancer |
343 |
BW12C |
303 |
|
|
|
|
|
accelerated senescence and |
||||||||||
|
in prostate cancer |
344 |
bystander-induced cell death 39, |
32 |
|
|
|
|
||||||||||||
role of RT |
3 |
|
|
|
|
116–17 |
|
|
|
|
drugs interfering with |
319, |
||||||||
BLM |
21 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
321 |
|
|
|
|
blood transfusion |
238, 241 |
C225 see cetuximab |
|
|
|
mitotic catastrophe and |
32 |
|||||||||||||
blood vessels see vasculature |
CA4DP |
243, 244 |
|
|
|
|
chemotherapy-associated |
|
||||||||||||
bone |
179, 188 |
|
|
|
|
|
caffeine |
318, 319 |
|
|
|
|
synchronization |
|
251, 252 |
|||||
bone marrow |
181 |
|
|
|
cancer see tumours |
|
|
|
resensitization |
72 |
|
|
|
|||||||
dose-rate effect |
162 |
|
|
capillaries |
179 |
|
|
|
|
time 80–2, 354 |
|
|
|
|||||||
re-irradiation tolerance |
261–2 |
captopril |
310 |
|
|
|
|
cell death and killing (radiation- |
||||||||||||
repopulation by |
|
|
|
carbogen |
234, 241 |
|
|
|
induced) |
5, 27–40, 354 |
||||||||||
|
haematopoietic stem cells |
see also ARCON |
|
|
|
|
brachytherapy, variations |
|
||||||||||||
|
195 |
|
|
|
|
|
|
carbon ion therapy |
75–6, 336 |
around implanted |
|
|
||||||||
stem/progenitor cells |
|
|
carcinogens and second cancers |
radioactive source |
165 |
|||||||||||||||
|
mobilization |
310–11 |
340 |
|
|
|
|
|
definitions 27 |
|
|
|
||||||||
|
transplantation |
311, |
|
carcinomas |
|
|
|
|
|
independent, in |
|
|
|
|||||||
|
311–12 |
|
|
|
|
|
chemoradiotherapy |
247 |
|
chemoradiotherapy |
249 |
|||||||||
transplantation |
310 |
|
|
differentiation status |
41 |
|
mechanisms |
28–33 |
|
|
|
|||||||||
bowel/intestine |
107, 115, |
|
see also specific tissues/organs |
programmed see programmed |
||||||||||||||||
|
179–80, 183–4 |
|
|
cardiomyopathy |
188 |
|
|
cell death |
|
|
|
|
||||||||
brachial plexopathy |
187 |
|
caries 183 |
|
|
|
|
|
target theory of killing |
47–9, |
||||||||||
brachytherapy (incl. intracavitary |
cartilage |
179, 188 |
|
|
|
359 |
|
|
|
|
||||||||||
|
therapy) |
123, 125, |
caspases |
28, 29, 30 |
|
|
|
variation through cell cycle/ |
||||||||||||
|
164–7, 353 |
|
|
|
|
cataracts |
181, 188 |
|
|
|
cell-cycle delay/ |
|
|
|
||||||
cervical cancer, re-treatment |
CB1954 |
240 |
|
|
|
|
|
redistribution |
94–5 |
|
||||||||||
|
using, tolerance |
268 |
CDKs (cyclin-dependent kinases) |
when and why of 33–9 |
|
|||||||||||||||
endobronchial cancer |
125 |
18–19, 354 |
|
|
|
|
cell division (normal tissue stem |
|||||||||||||
pulsed |
166–7 |
|
|
|
|
celecoxib |
308 |
|
|
|
|
cells post-irradiation) |
|
|||||||
Bragg peak |
75, 76, 332, 353–4 |
cell(s) |
|
|
|
|
|
|
152–5, 172 |
|
|
|
||||||||
brain (incl. cerebrum) |
181, 186 |
chemoradiotherapy |
|
|
abortive 153–4, 155, 353 |
|
||||||||||||||
tumours |
|
|
|
|
|
|
interactions on |
249–50 |
acceleration of |
153, 154–5 |
||||||||||
|
chemoradiotherapy |
246, |
counting, precise |
46 |
|
|
asymmetrical see asymmetrical |
|||||||||||||
|
247 |
|
|
|
|
|
|
cultured, molecular-targeted |
stem cell division |
|
|
|||||||||
|
PET-aided treatment |
|
drug evaluation in |
|
symmetrical see symmetrical |
|||||||||||||||
|
planning |
276–7 |
|
289–90 |
|
|
|
|
cell division |
|
|
|
||||||||
|
see also skull base tumours |
detoxification |
304–5 |
|
see also proliferation |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Index |
363 |
|
|
|
|
|
||||||||||||
central nervous system see brain; |
paediatric, second cancer risk |
anti-VEGF monoclonal |
|
||||||||||||
spinal cord |
|
|
|
340 |
|
|
|
|
antibodies |
295 |
|
||||
cerebrum see brain |
|
|
|
see also drugs |
|
|
|
chemoradiotherapy |
247 |
|
|||||
cervical cancer/carcinoma |
children |
|
|
|
|
|
dose per fraction |
128 |
|
||||||
chemoradiotherapy |
246, |
ion beam RT 336 |
|
|
lymph node staging, |
|
|
||||||||
246–7 |
|
|
|
second cancers after treatment |
PET/CT/MRI in 273 |
||||||||||
therapeutic ratio |
255 |
of |
340, 347–8 |
|
|
PET-aided treatment planning |
|||||||||
lymph node staging, |
|
|
chlorambucil N-oxide |
241 |
281 |
|
|
|
|
||||||
PET/CT/MRI in |
273 |
chondrosarcoma, skull base |
post-treatment risk of |
|
|||||||||||
PET-aided treatment planning |
heavy ion RT |
336 |
|
|
in cervical cancer |
343 |
|
||||||||
281–2 |
|
|
|
proton therapy |
335 |
|
|
in prostate cancer |
344 |
||||||
re-irradiation tolerance |
268 |
chordoma, skull base |
|
|
re-irradiation tolerance |
268 |
|||||||||
role of RT 2 |
|
|
|
heavy ion RT |
336 |
|
|
combined chemotherapy and |
|||||||
second cancers after treatment |
proton therapy |
335 |
|
|
radiotherapy see |
|
|||||||||
of |
342, 342–3 |
|
|
chromatin |
|
354 |
|
|
|
chemoradiotherapy |
|
||||
cetuximab (C225; Erbitux) |
drugs affecting structure |
296, |
Common Terminology Criteria |
||||||||||||
colorectal cancer |
294 |
|
318–19 |
|
|
|
for Adverse Events v3 |
||||||||
head and neck cancer |
293–4 |
chromosome aberrations and |
177 |
|
|
|
|
||||||||
charged particles (ions) |
|
68, 69, |
instability |
354 |
|
|
comparative genomic |
|
|
||||||
74–6, 332–8 |
|
|
chemotherapy-related |
250–1, |
hybridization |
324–5, |
|||||||||
dose specification and planning |
252 |
|
|
|
|
354 |
|
|
|
|
|||||
334–5 |
|
|
|
pre-mitotic cell death and |
complications see side-effects |
||||||||||
physical/biological basis for |
35–7 |
|
|
|
|
computed tomography |
|
|
|||||||
therapy using |
74–5, |
cisplatin |
|
|
|
|
|
dual PET and see positron |
|||||||
332–4 |
|
|
|
in head and neck squamous |
emission tomography/CT |
||||||||||
CHART see continuous |
|
|
cell carcinoma, with RT |
for lymph node staging, PET |
|||||||||||
hyperfractionated |
|
247 |
|
|
|
|
compared with |
272–3 |
|||||||
accelerated radiotherapy |
radiosensitizing effects |
316 |
conjunctiva |
181 |
|
|
|
||||||||
checkpoint activation, cell cycle |
clinical tumour volume (CTV) |
connective tissue 179 |
|
|
|||||||||||
see cell cycle |
|
|
191, 192 |
|
|
|
continuous hyperfractionated |
||||||||
chemical phase of radiation effects |
PET-aided treatment planning |
accelerated radiotherapy |
|||||||||||||
4, 5 |
|
|
|
|
of oesophageal cancer |
(CHART) |
141–2, 145, |
||||||||
chemical radiosensitizers |
234–7 |
280 |
|
|
|
|
146, 354 |
|
|
|
|||||
chemoradiotherapy (combined |
clonogenic cells (colony-forming |
molecular-targeted drugs |
293 |
||||||||||||
chemotherapy and RT) |
cells) |
41, 354 |
|
|
side-effects |
145, 149–50 |
|
||||||||
8, 246–58, 287, 346–7 |
assays |
6, 42–3 |
|
|
|
continuous low-dose-rate |
|
||||||||
clinical overview |
246–8 |
survival |
|
84–5, 354 |
|
|
(CLDR) irradiation |
158, |
|||||||
interactions in |
248–53 |
calculation and assays |
|
162–4 |
|
|
|
|
|||||||
spatial cooperation |
248–9, |
44–6, 85, 90 |
|
|
pulsed dose rate brachytherapy |
||||||||||
358 |
|
|
|
|
colon (large intestine) |
180 |
vs 166, 167 |
|
|
||||||
LQ model and |
133 |
|
|
/ ratio |
107, 180 |
|
|
continuous radiation |
123–5 |
||||||
molecular-targeted drugs in |
recovery from damage |
115 |
incomplete repair in |
112 |
|||||||||||
287–300 |
|
|
|
colony-forming cells see |
|
|
copper-ATSM PET |
282 |
|
||||||
proton beam therapy |
337 |
clonogenic cells |
|
|
corticosteroids (glucocorticoids) |
||||||||||
second cancers risk |
346–7 |
colony stimulating factors (CSFs) |
308 |
|
|
|
|
||||||||
therapeutic ratio |
255 |
|
305–6, 306, 310–11 |
|
counting, cell, precise |
46 |
|
||||||||
toxicity |
253–5 |
|
|
|
colorectal cancer/carcinoma |
Courtenay–Mills assay |
44 |
|
|||||||
chemotherapy (cytotoxic drugs) |
anti-EGFR monoclonal |
|
cranial base tumours see skull base |
||||||||||||
hypoxia and resistance to 215 |
antibodies |
294 |
|
|
tumours |
|
|
|
364 Index
CSFs (colony stimulating factors) |
DNA damage |
11–26, 47 |
dependency of relative |
||||||||||
305–6, 306, 310–11 |
|
assays 46, 211 |
|
|
|
biological effectiveness on |
|||||||
CTCAE v3 |
177 |
|
|
|
checkpoints in cell cycle see cell |
71–2 |
|
|
|||||
cure see local tumour control |
|
cycle |
|
|
|
|
dose recovered per day due to |
||||||
cyclin-dependent kinases |
18–19, |
chemotherapy enhancing |
proliferation (Dprolif) |
||||||||||
354 |
|
|
|
|
250–1, 252 |
|
|
|
125–6 |
|
|
||
cyclo-oxygenase inhibitors |
|
double-strand see double- |
equivalent, in 2-Gy fractions see |
||||||||||
see non-steroidal |
|
|
strand breaks |
|
|
equivalent dose in 2-Gy |
|||||||
anti-inflammatory drugs |
hypoxia and reoxygenation |
fractions |
|
||||||||||
cytokines |
171, 327 |
|
|
|
affecting |
226 |
|
equivalent uniform (EUD) |
|||||
cytotoxic drug therapy see |
|
lethal–potentially lethal (LPL) |
194, 355 |
|
|
||||||||
chemoradiotherapy; |
|
model of |
50–1, 160, 163 |
extrapolated total/biologically |
|||||||||
chemotherapy |
|
|
|
repair see DNA repair |
|
effective |
114–16, 120, |
||||||
cytotoxins, hypoxic cell |
239–41 |
responses to (DDRs) |
14–20, |
353, 355 |
|
||||||||
|
|
|
|
|
354 |
|
|
|
|
|
in ion beam therapy, |
||
D0 concept |
44, 47–8, 49, 50, 354 |
cell death |
17, 27, 32, 33, |
specification |
334–6 |
||||||||
DAHANCA see Danish Head and |
34, 35 |
|
|
|
|
isoeffective, in 2-Gy fractions, |
|||||||
Neck Cancer Group |
|
sensors |
14–16, 358 |
|
converting dose into 123 |
||||||||
damage, DNA see DNA |
|
|
signalling to effectors |
16–17 |
per fraction |
127, 127–9 |
|||||||
Danish Head and Neck Cancer |
single-strand see single-strand |
changing/modifying 121–3, |
|||||||||||
Group (DAHANCA) |
|
breaks |
|
|
|
|
136–8 |
|
|
||||
126, 130, 142–3 |
|
|
sublethal see sublethal damage |
in colorectal cancer patient |
|||||||||
blood transfusion |
238 |
|
DNA-dependent protein kinase |
128 |
|
|
|||||||
molecular-targeted drugs |
293 |
catalytic subunit |
|
errors and their correction |
|||||||||
radiosensitizing drugs |
235, |
(DNA-PKcs) |
16, 23 |
127–9 |
|
|
|||||||
236 |
|
|
|
|
inhibitors |
317 |
|
|
|
see also hyperfractionation; |
|||
death see cell death |
|
|
|
DNA polymerase beta inhibition |
hypofractionation |
||||||||
deblurring, PET images |
274 |
317 |
|
|
|
|
|
in spinal cord irradiation |
|||||
delayed-plating experiments |
94 |
DNA repair |
12, 20–5 |
|
lateral dose distribution |
||||||||
dentition |
183 |
|
|
|
base excision see base excision |
200 |
|
|
|||||
3’-deoxy-3’-fluorothymidine see |
repair |
|
|
|
|
surrounding the high-dose |
|||||||
fluorothymidine |
|
|
double-strand |
|
|
|
volume |
199–200 |
|||||
detoxification, cellular |
304–5 |
see double-strand breaks |
tolerance see tolerance |
||||||||||
diffuse gliomatosis, PET-aided |
drugs inhibiting |
317, 320 |
tumour control (TCD50), assay |
||||||||||
treatment planning |
277 |
cytotoxic |
250–1, 252 |
86–90, 359 |
|
||||||||
diffusion-limited (chronic) hypoxia |
EGFR and |
9 |
|
|
|
see also nominal standard dose; |
|||||||
210, 218, 222, 354 |
|
|
hypoxia and reoxygenation |
time–dose–fractionation |
|||||||||
clinical procedures operating |
affecting |
116 |
|
dose fractionation see |
|
||||||||
against 238 |
|
|
|
incomplete see incomplete |
fractionation |
|
|||||||
division see cell division |
|
|
repair |
|
|
|
|
dose-modifying factor (DMF) |
|||||
DNA |
|
|
|
|
saturation model |
51–2, 358 |
354 |
|
|
||||
methylation, measurement |
single-strand see single-strand |
calculation |
89, 92, 249–50 |
||||||||||
324–5 |
|
|
|
breaks |
|
|
|
|
dose-rate effect |
94, 158–68, 354 |
|||
structure |
13 |
|
|
|
systems of |
12 |
|
|
|
cell survival and 159–60 |
|||
synthesis, hypoxia and |
|
|
doranidazole |
236 |
|
|
inverse 164 |
|
|
||||
reoxygenation affecting |
dose |
|
|
|
|
|
mechanisms |
158–9 |
|||||
226 |
|
|
|
|
converting to response rates |
in normal tissues |
160–2 |
||||||
transcription, hypoxia affecting |
from change in |
130 |
dose-recovery factor |
160 |
|||||||||
227–9 |
|
|
|
delivery, errors |
127–9 |
dose-reduction factor |
354–5 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Index |
365 |
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
dose–response curves |
6–7 |
ear |
181, 188 |
|
|
|
|
|
for continuous irradiation |
|
||||||||
position |
|
59–60 |
|
|
edge-preserving filtering (PET) |
112 |
|
|
|
|
||||||||
shapes |
57–9 |
|
|
|
|
275 |
|
|
|
|
|
equivalent uniform dose (EUD) |
||||||
steepness |
|
|
|
|
EF3 (3,3,3-trifluoropropylamine) |
194, 355 |
|
|
|
|||||||||
clinical estimates |
61–3 |
|
282 |
|
|
|
|
|
Erbitux see cetuximab |
|
|
|||||||
modifying |
64–5 |
|
effective dose (ED50) |
43 |
|
ERCC1 |
25 |
|
|
|
|
|||||||
quantifying |
60–1 |
|
biologically |
|
114–16, 120, 353 |
erlotinib |
294 |
|
|
|
||||||||
dose–response relationships |
effectors in DNA damage |
355 |
errors in dose delivery |
127–9 |
||||||||||||||
56–67 |
|
|
|
signalling to |
|
16–17 |
|
|
erythropoietin (EPO) |
238 |
|
|||||||
methodological problems in |
EGFR see epidermal growth factor |
essential fatty acids |
308 |
|
||||||||||||||
estimation from clinical |
|
receptor |
|
|
|
|
etanidazole |
236 |
|
|
|
|||||||
data |
64 |
|
|
|
eIFs (translation initiation |
|
Ethyol |
304 |
|
|
|
|
||||||
dose–survival relationships |
47, 59 |
|
factors) |
230, 231 |
|
European Organisation for |
|
|||||||||||
dose–volume models and |
|
Elkind recovery see recovery from |
Cancer Research |
|
||||||||||||||
distribution |
194–5 |
|
sublethal damage |
|
(EORTC), head and neck |
|||||||||||||
dose–volume histogram (DVH) |
endobronchial cancer, |
|
|
cancer |
|
|
|
|||||||||||
66, 193, 194, 203 |
|
|
brachytherapy |
125 |
accelerated RT 143, 174 |
|
||||||||||||
second cancer risk reduction |
endoplasmic reticulum, hypoxic |
early effects of radiation |
174 |
|||||||||||||||
and |
349, 350 |
|
|
stress |
231 |
|
|
|
hyperfractionation |
|
137 |
|
||||||
dosimetric aspects of |
|
|
endothelial cells |
175 |
|
|
see also Radiation Therapy |
|
||||||||||
methodological problems |
function inhibitors |
243 |
Oncology Group/EORTC |
|||||||||||||||
in estimation of |
|
endpoint dilution assay |
90 |
joint classification of |
|
|||||||||||||
dose–response relationships |
enhancement ratio (ER) |
92 |
side-effects |
|
|
|
||||||||||||
from clinical data |
64 |
oxygen see oxygen |
|
|
|
European Organisation for |
|
|||||||||||
see also microdosimetry |
|
sensitizer (SER) |
235, 236, 358 |
Cancer Research/NCIC |
||||||||||||||
dosimetric hot spots |
130 |
|
EO9 |
240 |
|
|
|
|
|
joint study of glioblastoma |
||||||||
double-strand breaks (DSBs) 13, |
EORTC see European |
|
|
chemoradiotherapy |
246 |
|||||||||||||
47 |
|
|
|
|
|
|
Organisation for Cancer |
excision assay |
87, 90 |
|
|
|||||||
repair |
12, 20–3 |
|
|
|
Research; Radiation |
excision repair |
|
|
|
|||||||||
EGFR and |
9 |
|
|
|
Therapy Oncology |
|
base (BER) |
12, 24–5 |
|
|||||||||
targeting 317 |
|
|
|
Group/EORTC joint |
nucleotide (NER) |
12, 25 |
|
|||||||||||
sensors |
|
15–16 |
|
|
|
classification of |
|
|
experimental assays |
|
|
|
||||||
single and, link between |
24 |
|
side-effects |
|
|
|
molecular-targeted drugs |
|
||||||||||
double trouble phenomenon |
epidermal (epithelial) growth |
289–90 |
|
|
|
|||||||||||||
130, 131, 355 |
|
|
|
factor receptor (EGFR) |
radiation effects on tumours |
|||||||||||||
doubling time |
355 |
|
|
|
9, 96, 171, 289, 307 |
|
85–92 |
|
|
|
|
|||||||
potential |
82–3, 323, 357 |
inhibitors |
290, 291–4, 297, |
exponential growth |
79–80, 355 |
|||||||||||||
volume |
|
78–9, 359 |
|
|
307 |
|
|
|
|
|
expression microarrays |
325–6, |
||||||
drugs |
|
|
|
|
|
|
clinical data 292–4 |
|
357 |
|
|
|
|
|||||
bioreductive |
239–41, 323 |
epidermis, re-irradiation tolerance |
extrapolated total dose |
|
|
|||||||||||||
cytotoxic see |
|
|
|
|
260 |
|
|
|
|
|
(biologically effective dose) |
|||||||
chemoradiotherapy; |
epithelial growth factor receptor |
114–16, 120, 353, 355 |
|
|||||||||||||||
chemotherapy |
|
|
|
see epidermal growth |
extrapolation number |
234, 355 |
||||||||||||
modulation of radiation effects |
|
factor receptor |
|
|
eye 181, 188 |
|
|
|
||||||||||
on normal tissues |
301–15 |
Eppendorf histograph |
212, 213, |
|
|
|
|
|
|
|||||||||
radiosensitizing see |
|
|
|
323 |
|
|
|
|
|
F-Miso |
282 |
|
|
|
|
|||
radiosensitivity |
|
equivalent dose in 2-Gy fractions |
FANC (Fanconi genes) |
22 |
|
|||||||||||||
targeted see molecular targeted |
|
(EQD2) |
109, 121, 122, |
farnesyltransferase inhibitors |
|
|||||||||||||
agents |
|
|
|
|
126, 355 |
|
|
|
|
296 |
|
|
|
|
366 Index
FAS ligand |
28 |
|
changing time-interval |
glioblastoma, chemoradiotherapy |
||||||||
fatty acids, essential |
308 |
between dose fractions |
246, 247 |
|
|
|||||||
FGF (fibroblast growth factor) |
123 |
|
|
|
glioblastoma multiforme, proton |
|||||||
306 |
|
|
|
free radicals |
5, 208–9, 355 |
therapy |
335 |
|
||||
fibroblast(s) |
175–6 |
|
scavenging |
304–5 |
|
glioma, PET-aided treatment |
||||||
fibroblast growth factor (FGF) |
function |
|
|
|
planning |
277 |
||||||
306 |
|
|
|
cell, early changes in |
171 |
glucocorticoids |
308 |
|
||||
fibrosis, subcutaneous see |
tissue, assays 6 |
|
|
glutathione peroxidase |
||||||||
subcutaneous fibrosis |
functional (molecular) imaging |
stimulation |
305 |
|||||||||
field-size effect |
355 |
|
8, 166, 271–86, 355, 357 |
GM-CSF (granulocyte |
||||||||
filtering, PET images |
274, 275 |
functional subunits (FSUs) |
macrophage colony |
|||||||||
flow cytometry |
81–2, 355 |
193–4, 355 |
|
|
stimulating factor) 305, |
|||||||
FLT see fluorothymidine |
repopulation and arrangement |
306 |
|
|
||||||||
fluorescence-activated cell sorter |
of 195 |
|
|
Gompertz equation |
79 |
|||||||
46 |
|
|
|
tolerance dose and |
192–3 |
gossypol |
319 |
|
|
|||
fluorodeoxyglucose (FDG) see |
|
|
|
|
|
gradient-based PET image |
||||||
positron emission |
G1/S checkpoint (and its |
segmentation |
275–6 |
|||||||||
tomography |
|
activation) |
18, 20 |
grading of normal tissue effects |
||||||||
fluoromisonidazole |
282 |
inhibition |
319 |
|
|
177 |
|
|
||||
fluorothymidine (FLT) in PET |
transient, leading to accelerated |
granulocyte colony stimulating |
||||||||||
282 |
|
|
|
senescence |
32 |
|
factor (G-CSF) 305, 306, |
|||||
tumour proliferation estimates |
G2 checkpoints |
|
|
310–11 |
|
|
||||||
using |
|
82 |
|
early |
19, 20 |
|
|
granulocyte macrophage colony |
||||
foci, ionizing radiation-induced |
inhibition |
319 |
|
|
stimulating factor |
|||||||
(IRIF) |
14, 356 |
late |
19, 20 |
|
|
|
(GM-CSF) 305, 306 |
|||||
four-dimensional distribution of |
mitotic catastrophe and 32 |
Gray (Gy) |
335, 355 |
|
||||||||
radiation dose |
282–3 |
-rays |
68, 69 |
|
|
Gray equivalents |
355–6 |
|||||
fraction |
|
|
|
-value |
60 |
|
|
|
gross target volume |
191, 192 |
dose per see dose |
clinical importance |
61–3, 64 |
PET-aided treatment |
multiple, per day, incomplete |
gaps in treatment |
|
planning |
repair in 124 |
planned/intentional |
144 |
head and neck squamous cell |
fractionation 5, 9, 102–19, |
unplanned/unintentional 127 |
carcinoma 277, 278 |
135–48, 162–4 |
|
gastrointestinal tract, volume |
lung cancer (non-small cell) |
||
biological effect estimates and |
effects 201–3 |
278–80 |
|
||
adjustment for dose–time |
see also specific regions |
oesophageal cancer |
280–1 |
||
fractionation |
120–1 |
G-CSF (granulocyte colony |
gross tissue effects, scoring |
6 |
|
conventional 135–6 |
stimulating factor) 305, |
gross tumour volume 191, 192 |
|||
modified 135–48 |
|
306, 310–11 |
growth |
|
|
late increased normal-tissue |
gefitinib 294 |
delay |
356 |
|
|
damage after |
145 |
genes |
assay of delayed regrowth |
||
scheduling considerations |
in cell death control 28–32 |
87, 91–2 |
|
||
145–6 |
|
and their expression, methods |
net |
91 |
|
see also hyperfractionation; |
of looking at 9, 324–6 |
specific |
91 |
|
||
hypofractionation |
genetic instability 355 |
tumour |
78–83 |
|||
reoxygenation and |
214–15 |
hypoxia and 226 |
exponential |
79–80, 355 |
||
sensitivity of normal tissues |
genetic predisposition to cancer |
measuring |
78 |
|||
and tumours |
122, 355 |
340 |
time (TGT) |
91 |
||
sparing effect |
94 |
|
genome-wide studies/assays 9, |
see also regrowth |
||
time factors |
138–40 |
324–6 |
tumour cell, assays 46 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Index |
367 |
|
|
|
|
|
|
|
|
|
|||||||||||
growth factors |
305–8 |
|
|
normal-tissue damage after |
hyperfractionation |
108–9, |
|
|||||||||||
endogenous, targeting |
|
modified fractionation |
136–7, 356 |
|
|
|
|
|||||||||||
signalling |
307–8 |
|
150, 174 |
|
|
|
|
accelerated RT vs |
144 |
|
|
|||||||
exogenous, therapeutic use |
late |
145 |
|
|
|
|
late normal-tissue damage |
145 |
||||||||||
305–7 |
|
|
|
|
|
PET-aided treatment planning |
see also continuous |
|
|
|||||||||
growth fraction 80–2, 356 |
|
277–8 |
|
|
|
|
hyperfractionated |
|
|
|||||||||
|
|
|
|
|
|
re-irradiation tolerance |
|
266–8 |
accelerated radiotherapy |
|||||||||
H2AX phosphorylation see histone |
role of RT 2–3 |
|
|
|
hyperradiosensitivity (HRS), |
|
||||||||||||
H2AX phosphorylation |
heart 179, 187–8 |
|
|
|
|
low-dose |
53–4, 164 |
|
||||||||||
haematopoietic growth factors |
recovery from damage |
|
115 |
hyperthermia |
|
356 |
|
|
|
|||||||||
305–6, 306 |
|
|
|
|
heavy particles/ion therapy |
68, |
hypofractionation |
108–9, 137–8, |
||||||||||
haematopoietic stem cells, bone |
75–6, 332, 334, 335, 336 |
356 |
|
|
|
|
|
|
||||||||||
marrow repopulation by |
helicases |
21 |
|
|
|
|
late normal-tissue damage |
145 |
||||||||||
195 |
|
|
|
|
|
helium ion beams |
75–6 |
|
|
hypoxia 9, 209–15, 217–45, |
|
|||||||
haemoglobin |
|
|
|
|
|
hepatic irradiation see liver |
|
322–3, 356 |
|
|
|
|
||||||
concentrations |
|
|
|
|
high-linear energy transfer |
|
acute/perfusion-limited see |
|
||||||||||
pretreatment |
212 |
|
|
(high-LET) 39, 69, |
perfusion-limited hypoxia |
|||||||||||||
therapeutic raising |
237–8 |
332–4 |
|
|
|
|
adaptation to |
|
225 |
|
|
|||||||
oxygen saturation, |
|
|
|
biological basis and |
|
|
|
chronic/diffusion-limited see |
||||||||||
measurement |
211 |
|
characteristics |
72–3, |
diffusion-limited hypoxia |
|||||||||||||
hair follicles |
178, 179 |
|
|
332–4 |
|
|
|
|
experimental animals |
210–11 |
||||||||
Hayflick limit |
31 |
|
|
|
|
relative biological effectiveness |
heterogeneity |
|
218–24 |
|
|
|||||||
head and neck cancer |
|
|
|
70, 333 |
|
|
|
|
interpatient |
223–4 |
|
|
||||||
accelerated RT |
141–2, 142–3, |
high-oxygen gas breathing |
234 |
in severity |
218–21 |
|
|
|||||||||||
144 |
|
|
|
|
|
histone deacetylase inhibitors |
in space |
221–2 |
|
|
||||||||
chemoradiotherapy |
|
246–7, |
296, 318–19 |
|
|
|
in time |
222–3 |
|
|
|
|||||||
247, 250 |
|
|
|
|
histone H2AX phosphorylation |
high-LET and |
72 |
|
|
|||||||||
converting from change in dose |
14–16 |
|
|
|
|
human tumours |
211–12 |
|
||||||||||
to response rate |
130 |
assays |
46 |
|
|
|
|
malignancy influenced by |
|
|||||||||
correcting for overall treatment |
Hodgkin’s disease, |
|
|
|
|
225–6 |
|
|
|
|
|
|
||||||
time |
126 |
|
|
|
|
chemoradiotherapy |
249 |
malignant phenotype and |
|
|||||||||
dose recovered per day due to |
second cancer risk |
346–7 |
224–5 |
|
|
|
|
|
|
|||||||||
proliferation |
126 |
|
homologous recombination (HR) |
in normal tissues, systemic and |
||||||||||||||
fractionation sensitivity |
122 |
12, 20–2, 356 |
|
|
|
local induction of |
303–4 |
|||||||||||
hyperfractionation |
137, 144 |
choice between |
|
|
|
|
PET tracers |
282 |
|
|
|
|||||||
CHART |
141–2 |
|
|
|
non-homologous |
|
|
response pathways |
226–31 |
|||||||||
hypoxia-related therapeutic |
end-joining and |
23–4 |
therapeutic approaches to |
|
||||||||||||||
approaches |
242 |
|
as drug target |
320 |
|
|
|
212, 233–45 |
|
|
|
|||||||
radiosensitizing drugs |
235, |
hot spots, dosimetric |
130 |
|
assessment of tumour |
|
||||||||||||
236 |
|
|
|
|
|
H-R3 (monoclonal antibody), |
hypoxia |
322–3 |
|
|
||||||||
raising haemoglobin levels |
head and neck cancer |
drugs increasing |
|
|
||||||||||||||
during radiotherapy |
238 |
294 |
|
|
|
|
radiosensitivity of hypoxic |
|||||||||||
incomplete repair in |
145 |
HuMax-EGFr (zalutumumab) |
cells |
234–7, 241, 319, 321 |
||||||||||||||
with multiple fractions per |
294 |
|
|
|
|
transient |
222–3, 359 |
|
|
|||||||||
day 124 |
|
|
|
|
hybridization, comparative |
|
hypoxia-inducible factor |
227–9 |
||||||||||
lymph node staging, |
|
|
genomic |
324–5, 354 |
|
|
|
|
|
|
|
|||||||
PET/CT/MRI in |
272–3 |
7-hydroxystaurosporine |
319 |
ice chips, chewing |
304 |
|
|
|||||||||||
molecular-targeted drugs |
|
hyperbaric oxygen therapy (HBO) |
IGF-1 (insulin-like growth |
|
||||||||||||||
292–3 |
|
|
|
|
|
233–4, 241, 356 |
|
|
|
factor-1) |
306 |
|
|
368 Index
imaging, functional/molecular |
foci induced by (IRIF) |
14, 356 |
after childhood treatment |
||
8, 166, 271–86, 355, 357 |
IRE-1 231 |
|
|
340, 347, 348 |
|
IMPORT High trial 345 |
irradiated volume (IR) |
191, 192 |
life-threatening (grade 4) effects |
||
in vitro assays |
|
isoeffect curve/isoeffect |
|
|
177 |
in vitro colony assays 44, 90 |
relationships 6–7, 94, |
ligase 1 |
21 |
||
short-term 45–6 |
102, 104, 162–4, 356 |
ligase 3 |
25 |
||
incomplete repair |
109–12, 119, |
alternative formulae |
114–16 |
light particles in RT 68 |
|
356 |
|
LQ model and 106 |
|
limiting-dilution assay 45 |
|
clinical impact |
145 |
isoeffective dose in 2-Gy fractions |
linear energy transfer (LET) 39, |
in multiple fractions per day |
converting dose into |
123 |
47, 68–77, 357 |
|
|
|||||||||||
124 |
|
|
|
|
for subcutaneous fibrosis 124, |
biological basis and |
|
|
||||||||
increased radioresistance region |
131 |
|
|
|
|
characteristics |
72–3, 104, |
|||||||||
(IRR) |
53–4 |
|
|
|
|
|
|
|
332–4 |
|
|
|
|
|
||
individual patients |
321–8 |
|
JBT3200 |
309 |
|
|
|
biological effects dependent |
||||||||
individualized treatment |
|
jejunum |
|
|
|
|
|
upon |
69–71 |
|
|
|||||
321–8 |
|
|
|
|
/ ratio |
107 |
|
|
|
linear–quadratic–cubic model |
||||||
variability, oxygenation of |
|
recovery from damage |
115 |
(LQC) |
52–3 |
|
|
|||||||||
tumour |
|
223–4 |
|
|
|
|
|
|
|
linear–quadratic model (LQ) |
||||||
variations, dose–response |
65 |
keratinocyte growth factor (KGF) |
49–50, 51, 59, 103–8, |
|||||||||||||
induced repair (IndRep) model |
306, 306–7 |
|
|
|
120–34, 357 |
|
|
|
||||||||
54 |
|
|
|
|
KGF (keratinocyte growth factor) |
in clinical practice |
120–34 |
|||||||||
infliximab 307 |
|
|
|
306, 306–7 |
|
|
|
current issues |
132–4 |
|||||||
initiation factors (IFs), translation |
Ki67 labelling |
81 |
|
|
|
detailed aspects |
105–8 |
|||||||||
230, 231 |
|
|
|
kidney |
180, 184–5, 200–1 |
|
incomplete repair and |
110 |
||||||||
inspired gas, raising oxygen |
|
/ ratio |
107, 180 |
|
|
limited applicability |
116 |
|||||||||
content of |
233–4 |
|
recovery from damage |
115 |
modifications/alternative |
|||||||||||
insulin-like growth factor-1 |
|
re-irradiation tolerance |
264 |
models |
54, 116 |
|
||||||||||
(IGF-1) |
|
306 |
|
volume effects |
200–1 |
|
power-law models vs |
|
103–4 |
|||||||
integrin activity inhibitors |
243, |
killing see cell death and killing |
time factor |
112–14 |
|
|
||||||||||
308 |
|
|
|
|
kinases see specific kinases |
|
lip mucosa, recovery from damage |
|||||||||
intensity-modulated radiotherapy |
kinetics, cell cycle, determination |
115 |
|
|
|
|
|
|||||||||
(IMRT) |
|
121, 138, 158, |
80–2 |
|
|
|
|
live cell recognition system, |
||||||||
167, 356 |
|
|
|
Ku70-Ku-80 complex |
16, 22, 23 |
microscopic |
46 |
|
||||||||
dose rate and |
167 |
|
|
|
|
|
|
|
liver 180, 183, 201 |
|
|
|
||||
PET tracers |
282 |
|
|
lag phase of repopulation |
152, |
volume effects |
201 |
|
|
|||||||
interpatient variability |
|
153, 154 |
|
|
|
local induction of hypoxia in |
||||||||||
see individual patients |
large intestine see colon; colorectal |
normal tissues |
304 |
|||||||||||||
interphase death |
33–4, 42, 356 |
cancer |
|
|
|
|
local tumour control |
|
|
|
||||||
intestine/bowel |
|
107, 115, |
|
larynx |
180 |
|
|
|
|
( cure) |
5, 83–4, 85–90, |
|||||
179–80, 183–4 |
|
lens cataracts |
181, 188 |
|
92–7, 357 |
|
|
|
|
|||||||
intracavitary therapy |
|
LENT/SOMA system |
177, 178 |
factors influencing |
92–7 |
|||||||||||
see brachytherapy |
|
lethal damage, potentially (PLD), |
probability ( cure probability; |
|||||||||||||
inverse dose-rate effect 164 |
recovery from |
94, 357–8 |
TCP) |
5, 85–90, 359 |
||||||||||||
ion beams see charged particles |
lethal–potentially lethal (LPL) |
tumour volume and |
96–7 |
|||||||||||||
ionization tracks, |
|
|
|
damage model |
50–1, |
loco-regional recurrence, |
|
|||||||||
microdosimetric |
|
160, 163 |
|
|
|
re-irradiation see |
|
|||||||||
calculations |
68–9 |
|
leukaemia |
|
|
|
|
re-irradiation |
|
|
||||||
ionizing radiation |
|
|
chemoradiotherapy |
249 |
logistic dose–response model |
|||||||||||
DNA damage by |
11–12 |
|
as second cancer |
346, 347 |
57, 59 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Index |
369 |
|
|
|
|
|
|
||||||||||||||||
low-dose hyperradiosensitivity |
mean inactivation dose |
357 |
molecular targeted agents |
|
||||||||||||||||
53–4, 164 |
|
|
|
Medical Research Council (MRC), |
|
287–300, 305–8, 316–31, |
||||||||||||||
low-dose-rate irradiation |
158 |
hyperbaric oxygen therapy |
|
359 |
|
|
|
|
|
|
||||||||||
effects of proliferation |
163–4 |
trial |
233 |
|
|
|
|
trials |
|
290–1 |
|
|
|
|
||||||
possible radiobiological |
|
melanoma, proton therapy |
335 |
tumour specificity |
320–1 |
|||||||||||||||
advantages |
|
165–6 |
meningioma, PET-aided |
|
monoclonal antibodies |
|
|
|||||||||||||
low-linear energy transfer |
|
treatment planning |
277 |
anti-EGFR |
291, 292 |
|
||||||||||||||
(Low-LET) |
|
47, 69, 72 |
mesenchymal stem cell |
|
|
head and neck cancer |
293–4 |
|||||||||||||
relative biological effectiveness |
transplantation |
310 |
other cancers |
|
294 |
|
||||||||||||||
70 |
|
|
|
|
messenger RNA see RNA |
|
anti-VEGF |
295 |
|
|
|
|||||||||
lung 180, 184, 195–8 |
|
metabolic activity, tumour, |
|
MRC, hyperbaric oxygen therapy |
||||||||||||||||
/ ratio |
107, 180 |
|
measurement |
211 |
|
|
trial |
|
233 |
|
|
|
|
|||||||
recovery from damage |
115 |
metastases |
|
|
|
|
|
|
MRE11 |
15, 21, 318 |
|
|
||||||||
re-irradiation tolerance |
|
distant, targeted drugs and 291 |
MRN |
15, 21 |
|
|
|
|
|
|||||||||||
clinical studies |
268 |
|
lymph nodes, imaging methods |
as drug target |
317–18, 320 |
|||||||||||||||
experimental studies |
263–4 |
(in staging) |
272–3 |
mTOR |
|
230–1, 295 |
|
|
|
|||||||||||
volume effects |
195–8 |
|
methionine (11C-labelled) in |
multiple fractions per day, |
|
|||||||||||||||
lung cancer |
|
|
|
|
PET-aided treatment |
|
incomplete repair in |
124 |
||||||||||||
accelerated RT |
142, 143 |
planning |
277 |
|
|
multi-target single-hit |
|
|
||||||||||||
angiogenesis inhibitors |
295 |
methoxyamine |
317 |
|
|
|
inactivations |
48, 49, |
||||||||||||
chemoradiotherapy 247 |
methylation, DNA |
324–5 |
|
|
357 |
|
|
|
|
|
|
|||||||||
lymph node staging, |
|
microarrays, expression 325–6, |
myelopathy |
|
186–7 |
|
|
|
||||||||||||
PET/CT/MRI in |
273 |
357 |
|
|
|
|
|
|
volume effect and |
198, 199, |
||||||||||
re-irradiation tolerance |
268 |
microdosimetry |
68–9 |
|
|
|
200 |
|
|
|
|
|
|
|||||||
role of RT |
2 |
|
|
|
microenvironment, tumour |
myocardial damage |
188 |
|
||||||||||||
tyrosine kinase inhibitors 294 |
209–10, 217–32 |
|
|
|
|
|
|
|
|
|
|
|
||||||||
see also endobronchial cancer |
micronucleus test |
|
45–6 |
|
N-oxides |
240–1 |
|
|
|
|
||||||||||
lung colony assay |
45, 90 |
|
microRNA |
326, 357 |
|
|
National Cancer Institute |
|
||||||||||||
Lyman–Kutcher–Burman (LKB) |
microscopic live cell recognition |
|
(Canada)/EORTC joint |
|||||||||||||||||
model |
193, 203 |
|
system |
46 |
|
|
|
|
study of glioblastoma |
|||||||||||
Lyman model |
65–6, 193 |
|
mismatch repair (MMR) |
12, 25, |
|
chemoradiotherapy |
246 |
|||||||||||||
lymph nodes |
|
|
|
|
357 |
|
|
|
|
|
|
National Cancer Institute (US) |
||||||||
adverse effects on |
181 |
|
misonidazole |
|
234–6 |
|
|
CTCAE v3 |
177 |
|
|
|
||||||||
imaging methods compared in |
mitomycin-C |
239–40 |
|
|
terminology on normal tissue |
|||||||||||||||
staging of |
272–3 |
|
mitosis (post-irradiation) |
42 |
|
protection |
|
302 |
|
|||||||||||
lymphatic system, adverse effects |
cell death after |
|
34–9, 42 |
NBS1 |
15, 16, 318 |
|
|
|
||||||||||||
on 181 |
|
|
|
cell death before (interphase |
NCI see National Cancer |
|
||||||||||||||
lymphoma |
|
|
|
|
death) |
33–4, 42, 356 |
|
Institute |
|
|
|
|
||||||||
Hodgkin’s see Hodgkin’s disease |
delayed entry |
357 |
|
|
NCIC/EORTC joint study of |
|||||||||||||||
role of RT |
3 |
|
|
|
mitotic catastrophe |
29, 357 |
|
glioblastoma |
|
|
|
|||||||||
|
|
|
|
|
MMT (tetrazolium)-based cell |
|
chemoradiotherapy |
246 |
||||||||||||
macrophage activity modulation |
growth assays |
46 |
|
necrosis |
29, 31, 357 |
|
|
|||||||||||||
308–9 |
|
|
|
|
modified fractionation see |
|
tumour |
209 |
|
|
|
|
||||||||
magnetic resonance imaging |
fractionation |
|
|
neovasculature see angiogenesis |
||||||||||||||||
(MRI) for lymph node |
molecular (functional) imaging |
Neovastat |
295 |
|
|
|
|
|||||||||||||
staging, PET compared |
8, 166, 271–86, 355, 357 |
nephropathy, radiation |
184–5 |
|||||||||||||||||
with |
272–3 |
|
|
molecular interactions in |
|
see also kidney |
|
|
|
|
||||||||||
malignant tumours see tumours |
chemoradiotherapy |
|
nerves, peripheral |
181, 187 |
||||||||||||||||
MDM2 17 |
|
|
|
|
249–53 |
|
|
|
|
|
fractionation sensitivity |
122 |
370 Index
nervous system |
|
186–7 |
|
|
experimental observations |
|
damage by (incl. oxygen |
|||||||||||||
net growth delay |
|
91 |
|
|
|
|
150–1 |
|
|
|
|
|
enhancement ratio) |
108, |
||||||
neutrons (in high-LET) |
69, 74–5 |
late/chronic responses |
|
207–8, 357 |
|
|
|
|||||||||||||
new primaries see second cancers |
|
174–8, 356 |
|
|
|
linear energy transfer and |
||||||||||||||
NF B inhibitors |
|
318 |
|
|
|
repair halftime |
124 |
|
|
108, 207–8 |
|
|
|
|||||||
Nijmegen breakage syndrome 15 |
tolerance see tolerance |
|
therapeutic use of effect |
|||||||||||||||||
nimorazole |
236 |
|
|
|
|
|
see also organs |
|
|
|
|
212, 233–4 |
|
|
|
|||||
nitroimidazoles |
|
234–7, 240 |
nuclear factor kappa B inhibitors |
importance |
207–9 |
|
|
|||||||||||||
nitroxides, organic |
240–1 |
|
|
318 |
|
|
|
|
in normal tissues, modification |
|||||||||||
NLCQ-1 240 |
|
|
|
|
|
|
nucleotide excision repair (NER) |
|
of normal levels |
303–4 |
||||||||||
nominal standard dose (NSD) |
|
12, 25, 357 |
|
|
|
see also hyperbaric oxygen; |
||||||||||||||
model |
103 |
|
|
|
|
|
|
|
|
|
|
hypoxia; reoxygenation |
||||||||
non-exponential growth |
79–80 |
ocular (eye) effects |
181, 188 |
oxygen-fixation hypothesis |
208 |
|||||||||||||||
non-homologous end-joining |
oesophagus |
178–83 |
|
|
|
|
|
|
|
|
|
|||||||||
(NHEJ) |
|
12, 22–3, 357 |
cancer/carcinoma |
|
|
|
p53 |
17, 30 |
|
|
|
|
|
|||||||
choice between homologous |
chemoradiotherapy |
247, 248 |
hypoxia and |
225–6 |
|
|
||||||||||||||
recombination and |
23–4 |
lymph node staging, |
|
paclitaxel (taxol) and |
|
|
||||||||||||||
non-small cell lung cancer |
|
|
PET/CT/MRI in |
273 |
|
reoxygenation |
252 |
|
||||||||||||
(NSCLC) |
|
|
|
|
|
re-irradiation tolerance |
260–1 |
paediatric cancer see children |
||||||||||||
accelerated RT |
|
142 |
|
|
volume effects 202 |
|
|
palifermin |
306 |
|
|
|
||||||||
angiogenesis inhibitors |
|
295 |
ophthalmological (eye) effects |
palliative therapy, single-dose |
||||||||||||||||
chemoradiotherapy |
247 |
|
181, 188 |
|
|
|
|
irradiation of |
|
|
||||||||||
lymph node staging, |
|
|
optic nerve |
181 |
|
|
|
|
hypofractionation |
138 |
||||||||||
PET/CT/MRI in |
273 |
oral cavity |
|
|
|
|
pancreas 180, 184 |
|
|
|
||||||||||
tyrosine kinase inhibitors |
294 |
cooling with ice chips |
304 |
cancer, EGFR inhibitors |
294 |
|||||||||||||||
non-steroidal anti-inflammatory |
mucosal reactions (inc. |
|
panitumumab |
|
|
|
|
|||||||||||||
drugs (NSAIDs) |
308 |
|
mucositis) |
122, 150, |
colorectal cancer |
294 |
|
|||||||||||||
COX-2-selective |
296, 308 |
|
178–83 |
|
|
|
head and neck cancer |
294 |
||||||||||||
normal tissue architecture |
|
|
re-irradiated patients |
260–1 |
parotid gland |
183 |
|
|
|
|||||||||||
repopulation by stem cells and |
volume effect and |
202 |
volume effects 203–4 |
|
||||||||||||||||
195 |
|
|
|
|
|
|
|
organ(s) |
|
|
|
|
PARP (poly-(ADP-ribose) |
|
||||||
tolerance dose and |
192–3 |
architecture affecting tolerance |
|
polymerase) |
25 |
|
||||||||||||||
normal tissue responses |
5–6, |
|
dose |
192–3 |
|
|
inhibitors |
24, 317, 321 |
|
|||||||||||
149–57, 169–90 |
|
|
specific |
|
|
|
|
partial pressure of oxygen (PO2) |
||||||||||||
/ ratio |
107 |
|
|
|
|
|
side-effects see side-effects |
|
estimation |
211, 212 |
||||||||||
adverse see side-effects |
|
|
volume effects, clinical and |
patient, individual see individual |
||||||||||||||||
documentation and assessment |
|
experimental studies |
|
patients |
|
|
|
|
||||||||||||
176–8 |
|
|
|
|
|
|
|
|
195–204 |
|
|
|
patient-to-patient variability see |
|||||||
dose-rate effect |
|
160–2 |
|
see also functional subunits; |
|
individual patients |
|
|||||||||||||
drugs modulating |
301–15 |
|
normal tissue |
|
|
PDGF (platelet-derived growth |
||||||||||||||
fractionation sensitivity |
122 |
organic nitroxides |
240–1 |
|
factor) |
306 |
|
|
|
|||||||||||
recovery from damage |
115 |
ovary |
180 |
|
|
|
|
pentoxifylline |
309, 319 |
|
||||||||||
repopulation see repopulation |
oxidative stress reduction (with |
perfusion-limited (acute) hypoxia |
||||||||||||||||||
retreated patients see |
|
|
|
antioxidants) |
304–5, 309 |
|
210, 218, 222, 353, 345 |
|||||||||||||
re-irradiation |
|
|
|
oxygen |
207–32 |
|
|
|
clinical procedures and |
238 |
||||||||||
time factors |
149–57 |
|
|
assessment of oxygenation |
pericarditis |
188 |
|
|
|
|||||||||||
clinical observations |
|
|
|
status in human tumours |
perifosine |
319 |
|
|
|
|||||||||||
149–50 |
|
|
|
|
|
|
|
211 |
|
|
|
|
peripheral nerves see nerves |
|
||||||
early responses |
170–4, 355 |
enhancement of radiation |
PERK |
231 |
|
|
|
|
|
|
|
|
Index 371 |
|
|
|
|
perspiratory glands 178, 179 |
image acquisition and |
proton therapy 335–6 |
|
PET see positron emission |
reconstruction |
273–4 |
role of RT 2 |
tomography |
image segmentation |
274–6 |
second cancers after treatment |
phenotype, malignant, hypoxia |
theragnostic 282–3 |
|
of 342, 343–4 |
and 224–5 |
treatment planning |
276–82 |
proteasome inhibitors 318 |
phosphoinositide-3-kinase/ |
positron emission |
|
|
protein |
|
|
|
|
||||||
protein kinase B pathway |
tomography/CT, dual |
synthesis in hypoxia |
229–31 |
|||||||||||
inhibitors 295–6, 318 |
273 |
|
|
|
unfolded protein response |
|||||||||
phosphorylation |
|
|
oesophageal cancer |
280–1 |
231 |
|
|
|
||||||
of DNA-dependent protein |
postmitotic cell death |
34–9, 42 |
protein kinase B inhibitors |
|||||||||||
kinase catalytic |
|
potential doubling time |
82–3, |
295–6, 318 |
|
|
||||||||
subunit |
23 |
|
|
323, 357 |
|
|
|
proteolysis inhibitors |
|
243 |
||||
histone H2AX see histone |
potentially lethal damage (PLD), |
proteomics 326, 358 |
|
|||||||||||
H2AX |
|
|
|
recovery from |
94, 357–8 |
protons (in high-LET) |
69, 334, |
|||||||
see also specific kinases |
|
power-law models |
103–4, 193 |
335–6 |
|
|
|
|||||||
photon treatment |
332, 333, 334, |
LQ vs |
103–4 |
|
|
pulsed brachytherapy |
166–7 |
|||||||
335, 336 |
|
|
PR-104 |
240 |
|
|
|
|
|
|
|
|
||
physical phase of radiation effects |
pre-irradiation gas breathing time |
quinones |
239 |
|
|
|
||||||||
4–5 |
|
|
|
|
(PIBT) |
234 |
|
|
|
|
|
|
||
pimonidazole |
236, 323 |
|
premature senescence |
31, 32 |
RAD50 |
15, 16, 318 |
|
|
||||||
pituitary glands (child) 181 |
premitotic (interphase) cell death |
RAD51 |
21 |
|
|
|
||||||||
planning (of treatment) |
|
33–4, 42, 356 |
|
Radiation Therapy Oncology |
||||||||||
of gaps |
144 |
|
|
|
probit dose–response model 57 |
Group (RTOG), head and |
||||||||
ion beam therapy |
334–6 |
programmed cell death |
358 |
neck cancer |
|
|
||||||||
PET images for |
276–82 |
type I see apoptosis |
|
hyperfractionation |
137 |
|||||||||
planning target volume (PTV) |
type II |
31 |
|
|
|
molecular-targeted drugs 293 |
||||||||
191, 192 |
|
|
proliferation (cell) |
|
|
Radiation Therapy Oncology |
||||||||
plant derivatives with RT |
|
accelerated |
353 |
|
Group (RTOG)/EORTC |
|||||||||
therapeutic interactions |
252 |
chemoradiotherapy inhibiting |
joint classification of side- |
|||||||||||
toxicity |
254 |
|
|
252–3 |
|
|
|
effects |
177 |
|
|
|||
platelet-derived growth factor |
dose recovered per day due to |
radiosensitivity |
13, 358 |
|||||||||||
(PDGF) |
306 |
|
(Dprolif) 125–6 |
|
cell cycle checkpoints and |
|||||||||
platinum-based chemotherapy + |
early effects of radiation on |
19–20 |
|
|
|
|||||||||
RT in head and neck |
172, 173 |
|
|
|
drugs increasing |
316–31, 321, |
||||||||
squamous cell carcinoma |
stimulation of proliferation |
358 |
|
|
|
|||||||||
246–7 |
|
|
|
309 |
|
|
|
of hypoxic cells |
234–7, 241, |
|||||
Poisson dose–response model |
at low dose-rate |
163–4 |
319, 321 |
|
|
|
||||||||
57–9, 85 |
|
|
measurement |
323–4 |
intrinsic radiosensitivity |
|||||||||
interpatient variability |
65 |
see also repopulation |
|
321 |
|
|
|
|||||||
polarigraphic oxygen electrodes |
proliferation marker (Ki67) |
of normal tissues see normal |
||||||||||||
212, 323 |
|
|
labelling |
81 |
|
tissue responses |
|
|||||||
Pol inhibition |
317 |
|
propyl hydroxylases (PHDs), HIF |
see also hyperradiosensitivity |
||||||||||
poly-(ADP-ribose) polymerase see |
227 |
|
|
|
radiotherapy |
|
|
|
||||||
PARP |
|
|
|
prostaglandin synthase inhibitors |
future development of, |
|||||||||
porfiromycin |
240 |
|
|
see non-steroidal |
importance of |
|
||||||||
positron emission tomography |
anti-inflammatory drugs |
radiobiology in |
8–10 |
|||||||||||
(PET - predominantly |
prostate cancer |
|
|
|
role in cancer management |
|||||||||
with FDG) |
271–86, |
/ ratio 132–3 |
|
1–4 |
|
|
|
|||||||
323 |
|
|
|
|
heavy ion RT |
336 |
|
ways of improving |
|
3 |
372 Index
rapamycin and its derivatives |
|
replication protein A |
21 |
|
RTOG see Radiation Therapy |
|
|||||||||||||
|
295–6 |
|
|
|
|
|
repopulation |
358 |
|
|
|
Oncology Group |
|
||||||
Ras pathway inhibitors 296 |
|
in normal tissues (by stem |
|
|
|
|
|
|
|
|
|||||||||
Rb (retinoblastoma protein) |
18 |
cells) |
149, 151–5, 159, |
S-phase |
|
|
|
|
|
||||||||||
receptor tyrosine kinase inhibitors |
195, 358 |
|
|
|
checkpoint at |
18–19, 20 |
|
||||||||||||
|
see tyrosine kinase |
|
mechanisms |
151–3 |
|
fraction of cells in |
81–2 |
|
|||||||||||
|
inhibitors |
|
|
|
|
regulation |
154–5 |
|
salivary glands |
179, 183 |
|
||||||||
recovery from sublethal damage |
in tumours/by clonogenic |
|
volume effects |
203–4 |
|
||||||||||||||
|
(split-dose/Elkind |
|
|
tumours cells |
95–6, 159, |
sanazol |
236–7 |
|
|
|
|
||||||||
|
recovery) |
93–4, 355, 358 |
323–4, 358 |
|
|
saturation model of DNA repair |
|||||||||||||
normal tissues |
115 |
|
|
drugs targeting |
321 |
|
|
51–2, 358 |
|
|
|
||||||||
over extended intervals |
125–6 |
measurement |
323–4 |
|
scoring of gross tissue effects |
6 |
|||||||||||||
see also dose-recovery factor |
see also proliferation |
|
sebaceous glands |
178, 179 |
|
||||||||||||||
rectum |
180, 202–3 |
|
|
|
resistance |
|
|
|
|
|
second cancers (new primary |
|
|||||||
cancer see colorectal cancer |
to chemotherapy, hypoxia and |
|
tumours after treatment) |
||||||||||||||||
recovery from damage |
115 |
215 |
|
|
|
|
|
129–30, 259, 339–52 |
|
||||||||||
volume effects |
202–3 |
|
|
to radiotherapy, hypoxia and |
estimating risk |
241–6 |
|
||||||||||||
recurrence, loco-regional, |
|
208, 210, 211, 215, 218–19 |
ion beam therapy and risk of |
||||||||||||||||
|
re-irradiation |
|
|
|
see also increased |
|
|
336 |
|
|
|
|
|
||||||
|
see re-irradiation |
|
|
radioresistance region |
|
re-irradiation with see |
|
||||||||||||
redistribution phenomenon |
95 |
respiratory tract |
|
|
|
|
re-irradiation |
|
|
||||||||||
regression (tumour) |
5, 84, 358, |
lower see lung |
|
|
|
reducing risk |
|
349–50 |
|
||||||||||
|
901 |
|
|
|
|
|
upper |
184 |
|
|
|
|
risk factors/epidemiology |
|
|||||
assay |
87 |
|
|
|
|
|
response(s) |
|
|
|
|
|
339–41, 349 |
|
|
||||
regrowth (tumour) |
5 |
|
|
to DNA damage see DNA |
|
selection of malignant cells, |
|
||||||||||||
delay assay |
87, 91–2 |
|
|
damage |
|
|
|
|
hypoxia-driven |
225–6 |
|||||||||
re-irradiation (for recurrence and |
malignant tissue |
5–6, 83–92 |
selenium |
305 |
|
|
|
|
|||||||||||
|
second primaries) |
|
|
/ ratio |
107 |
|
|
senescence |
29, 31–2, 358 |
|
|||||||||
|
tolerance of normal tissues |
determinants and their |
|
sense organ effects 181, 188 |
|
||||||||||||||
|
129–30 |
|
|
|
|
|
assessment/measurement |
sensitizer enhancement ratio |
|
||||||||||
clinical studies |
266–8 |
|
|
322–8 |
|
|
|
|
|
(SER) |
235, 236, 358 |
|
|||||||
experimental studies |
260–6 |
normal tissue see normal |
|
sensors of DNA damage 14–16, |
|||||||||||||||
early effects |
260–2 |
|
|
tissue |
|
|
|
|
|
358 |
|
|
|
|
|
||||
late effects |
263–6 |
|
|
see also dose–response |
|
‘shared’ toxicity, |
|
|
|
||||||||||
relative biological effectiveness |
response curves |
6–7 |
|
|
chemoradiotherapy |
249 |
|||||||||||||
|
(RBE) |
70, 71–2, 358 |
|
see also dose–response curves |
short-term in vitro assays |
|
|||||||||||||
Bragg peak and |
76 |
|
|
response rates, converting from |
|
45–6 |
|
|
|
|
|||||||||
dose dependency |
71–2 |
|
change in dose to 130 |
side-effects/complications/adverse |
|||||||||||||||
high-LET 70, 333 |
|
|
|
retinoblastoma protein (Rb) |
18 |
|
events/toxic effects of |
|
|||||||||||
renal effects see kidney |
|
|
mRNA (messenger RNA) |
|
|
chemoradiotherapy |
|
||||||||||||
reoxygenation |
159, 212–15, 358 |
in expression microarrays |
|
|
253–5 |
|
|
|
|
||||||||||
chemotherapy effects |
252 |
325–6 |
|
|
|
|
early |
253–4 |
|
|
|
|
|||||||
influencing local control |
95 |
in hypoxia |
|
|
|
|
late |
254–5 |
|
|
|
|
|||||||
mechanisms and time scales |
synthesis ( transcription) |
side-effects/complications/adverse |
|||||||||||||||||
|
214 |
|
|
|
|
|
227–9 |
|
|
|
|
|
events/toxic effects of RT, |
||||||
repair |
|
|
|
|
|
|
translation |
230–1 |
|
|
normal tissue |
149–57, |
|||||||
cellular/tissue |
93 |
|
|
|
miRNA (microRNA) |
326, 357 |
|
169–90 |
|
|
|
|
|||||||
DNA see DNA repair |
|
|
RPA (replication protein A) |
21 |
documentation and assessment |
||||||||||||||
incomplete see incomplete repair |
RSU-1069 |
240 |
|
|
|
|
176–8 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Index |
373 |
||
|
|
|
|
|
|
|
||||||||||||||
in modified fractionation, late |
small intestine/bowel |
179 |
|
repopulation by see |
|
|
||||||||||||||
145 |
|
|
|
|
|
|
volume effects |
202 |
|
|
repopulation |
|
|
|
||||||
pathogenesis |
169–90 |
|
|
smoking |
340 |
|
|
|
|
therapeutic use |
310–12 |
|
||||||||
probability (NTCP) |
193, 357 |
during radiotherapy course |
steroids (glucocorticoids) |
|
308 |
|||||||||||||||
models |
65–6 |
|
|
|
|
237–8 |
|
|
|
|
stomach 179, 183 |
|
|
|
||||||
in retreated patient |
|
|
|
SN23862 |
240 |
|
|
|
|
subcutaneous fibrosis |
178 |
|
||||||||
see re-irradiation |
|
|
spatial cooperation in |
|
|
isoeffective dose in 2-Gy |
|
|||||||||||||
in specific tissues and organs |
chemoradiotherapy |
|
fractions |
124, 131 |
|
|||||||||||||||
107, 178–88 |
|
|
|
|
248–9, 358 |
|
|
|
sublethal damage |
359 |
|
|
||||||||
volume effect and |
195–204 |
spatial oxygen heterogeneity |
|
incomplete repair see |
|
|
||||||||||||||
time factors |
149–57 |
|
|
221–2 |
|
|
|
|
incomplete repair |
|
|
|||||||||
early/acute effects |
169, |
specific growth delay (SGD) |
91 |
recovery from see recovery |
||||||||||||||||
169–70, 170, 170–4 |
|
SPECT, volume effect in lung |
superoxide dismutase |
304–5 |
||||||||||||||||
late/chronic effects |
155, |
195–6 |
|
|
|
|
supra-additivity see synergism |
|||||||||||||
169, 170, 174–6 |
|
|
spinal cord |
|
181, 186–7, 198–200, |
survival (cell) |
|
|
|
|
||||||||||
signal transduction pathway |
|
264–6 |
|
|
|
|
clonogenic cell see clonogenic |
|||||||||||||
inhibitors |
295–6, 318, |
/ ratio |
107, 181 |
|
|
cells |
|
|
|
|
||||||||||
321 |
|
|
|
|
|
|
isoeffective dose in 2-Gy |
|
curves |
43–4 |
|
|
|
|
||||||
signalling to effectors in DNA |
fractions |
123 |
|
|
dose and, relationships between |
|||||||||||||||
damage |
16–17 |
|
|
recovery from damage |
115 |
47, 59 |
|
|
|
|
||||||||||
single-dose irradiation in |
|
re-irradiation tolerance |
|
264–6 |
dose-rate effect on |
159–60 |
||||||||||||||
palliative radiotherapy |
volume effects |
198–200 |
|
linear–quadratic model and |
||||||||||||||||
138 |
|
|
|
|
|
|
spleen colony assay |
44–5 |
|
|
104, 105 |
|
|
|
|
|||||
single-nucleotide polymorphisms |
split-course RT |
144 |
|
|
|
sweat (perspiratory) glands |
178, |
|||||||||||||
(SNPs) |
327–8, 358 |
|
split-dose recovery see recovery |
179 |
|
|
|
|
|
|||||||||||
single-photon emission CT |
|
from sublethal damage |
symmetrical cell division |
152, |
||||||||||||||||
(SPECT), volume effect in |
squamous cell carcinoma |
|
|
153, 154, 359 |
|
|
|
|||||||||||||
lung |
195–6 |
|
|
|
cervical, chemoradiotherapy, |
switch from asymmetrical to |
||||||||||||||
single-strand breaks |
|
|
|
therapeutic ratio |
255 |
152–3, 154, 173–4, 353 |
||||||||||||||
link between double-strand |
haemoglobin concentration |
synergism/supra-additivity |
359 |
|||||||||||||||||
breaks and |
24 |
|
|
as prognostic factor |
237 |
apoptosis induction |
319 |
|||||||||||||
repair (SSBR) |
24–5, 359 |
|
head and neck |
|
|
|
chemoradiotherapy |
248 |
||||||||||||
drugs targeting |
317, 320 |
chemoradiotherapy |
246–7, |
systemic induction of hypoxia in |
||||||||||||||||
single-target single-hit |
|
|
|
247, 250 |
|
|
|
|
normal tissues |
303 |
||||||||||
inactivations |
47–8 |
|
molecular-targeted drugs |
|
|
|
|
|
|
|||||||||||
size, tumour, measuring |
78–9 |
293 |
|
|
|
|
|
target cells |
116–17, 359 |
|
|
|||||||||
skin 178, 204 |
|
|
|
|
|
PET-aided treatment |
|
|
surviving fraction, LQ model |
|||||||||||
/ ratio |
107, 180 |
|
|
|
planning |
277–8 |
|
|
and |
105 |
|
|
|
|
||||||
‘area’ effect |
204 |
|
|
|
|
statistical aspects of |
|
|
|
target theory of cell killing |
|
47–9, |
||||||||
fractionation sensitivity |
122 |
methodological problems |
359 |
|
|
|
|
|
||||||||||||
recovery from damage |
115 |
in estimation of |
|
|
target volume 191, 192 |
|
|
|||||||||||||
re-irradiation responses |
|
dose–response |
|
|
in PET-aided treatment |
|
|
|||||||||||||
early |
260 |
|
|
|
|
|
relationships from clinical |
planning |
271, 272, 273, |
|||||||||||
late |
263 |
|
|
|
|
|
data |
64 |
|
|
|
|
277–83 |
|
|
|
|
|||
skull base tumours |
|
|
|
|
stem cells |
41 |
|
|
|
|
targeted agents, molecular see |
|||||||||
heavy ion RT |
336 |
|
|
|
neoplastic |
41, 354 |
|
|
molecular targeted agents |
|||||||||||
proton therapy |
335 |
|
|
normal tissue |
171–4, 195–6 |
taste impairment |
181, 188 |
|
||||||||||||
small cell lung cancer, |
|
|
|
outside treatment |
|
|
taxol and reoxygenation |
252 |
||||||||||||
chemoradiotherapy |
247 |
zone |
195 |
|
|
|
teeth 183 |
|
|
|
|
|
374 Index
telangiectasia 175, 359 temozolomide, glioblastoma 246
testis |
180 |
|
|
|
/ ratio |
107, 180 |
|
||
cancer, second cancer risk after |
||||
|
treatment of |
347 |
||
tetrachlorodecaoxide |
|
309 |
||
tetrazolium-based cell growth |
||||
|
assays |
46 |
|
|
TGF- see transforming growth |
||||
|
factor- |
|
|
|
theragnostic imaging |
|
282–3, 359 |
||
therapeutic index or ratio 7–8, |
||||
|
359 |
|
|
|
chemoradiotherapy |
|
255 |
||
therapeutic window |
63 |
|||
threshold-based PET image |
||||
|
segmentation |
|
274–5 |
|
thymidine kinase (TK) |
82 |
|||
time |
359 |
|
|
|
cell cycle |
80–2, 354 |
|
||
doubling see doubling time |
||||
fractionated RT and see |
||||
|
fractionation |
|
|
|
of hypoxia exposure |
222–3 |
in linear–quadratic model 112–14
normal tissue responses and see normal tissue responses
overall treatment, changing 125–6
reoxygenation and 214 tumour growth (TGT) 91 see also theragnostic imaging
time–dose–fractionation (TDF) 103
time interval between dose fractions, changing 123
time-scale effects 4–5 tirapazamine 240–1 tissue
normal see normal tissue response see response
TNF see tumour necrosis factor tocopherol 304, 309
tolerance (to radiation) 179–81, 326–8
prediction 326–8 re-treatment see re-irradiation
specific organs and tissues 179–81
time course of changes in
clinical observations |
150 |
|
experimental observations |
||
151 |
|
|
tissue architecture and |
192–3 |
|
tolerance dose |
359 |
|
TopIIIa 21 |
|
|
total dose, extrapolated |
|
|
(biologically effective |
||
dose) |
114–16, 120, 353, |
|
355 |
|
|
total effect (TE) |
114, 116 |
||
toxic effects of treatment see |
|||
side-effects |
|
|
|
TRAIL 28, 319 |
|
|
|
transcription factor, |
|
|
|
hypoxia-inducible |
227–9 |
||
transforming growth factor- |
|||
176 |
|
|
|
inhibitors of signalling |
308 |
||
transfusion, blood |
|
238, 241 |
|
transit cells, early effects of |
|||
radiation on |
172, 173 |
||
translation and hypoxia |
230–1 |
||
transplantation |
|
|
|
bone marrow |
310 |
|
|
bone marrow stem/progenitor |
|||
cell 311, 311–12 |
|
||
mesenchymal stem cell |
310 |
||
treated volume (TV) |
191, 192 |
3,3,3-trifluoropropylamine (EF3)
282
tubulin-binding agents 243 tumour(s) (malignant tumours;
cancer)
cell cycle checkpoints and 19–20
cure see local tumour control growth see growth; regrowth hypoxia see hypoxia metastases see metastases microenvironment 209–10,
217–32
new primary see second cancer phenotype, hypoxia and
224–5
regression see regression
responses see responses |
|
|||
role of RT |
1–4 |
|
|
|
size, measuring |
78 |
|
||
volume see volume |
|
|||
tumour bed effect |
89, 91, 359 |
|||
tumour control dose (TCD50) |
||||
|
assay |
86–90, 359 |
|
|
tumour necrosis factor- |
|
|||
|
signalling, inhibition |
307 |
||
tumour necrosis factor-related |
||||
|
apoptosis-inducing ligand |
|||
|
(TRAIL) |
28, 319 |
|
|
2-Gy fractions |
|
|
|
|
equivalent dose in see |
|
|||
|
equivalent dose in 2-Gy |
|||
|
fractions |
|
|
|
isoeffective dose in see |
|
|||
|
isoeffective dose in 2-Gy |
|||
|
fractions |
|
|
|
tyrosine kinase inhibitors |
|
|||
|
(TKIs) |
243, 291, 297, |
||
|
307 |
|
|
|
head and neck cancer 294 |
||||
other cancers 294 |
|
|||
UCN-01 319 |
|
|
|
|
unfolded protein response |
231 |
|||
ureter |
180 |
|
|
|
urethra |
180 |
|
|
|
urinary bladder see bladder |
|
|||
uterus |
|
|
|
|
cancer of neck of see cervical |
||||
|
cancer |
|
|
|
radiation effects |
180 |
|
||
vagina |
180 |
|
|
|
vascular endothelial growth factor (VEGF) 10
drugs targeting signalling 294–5
vasculature/blood vessels 9–10, 179
assessment of tumour |
|
vascularization |
211, |
323 |
|
late effects on 175 |
|
new see angiogenesis |
|
therapeutic targeting |
242–4, |
359 |
|
|
|
|
|
|
|
Index 375 |
|
|
|
|
|||
VEGF see vascular endothelial |
doubling time 78–9, 359 |
WF10 |
309 |
|||
growth factor |
gross 191, 192 |
WR2721 |
304 |
|||
VHL protein and gene 227, |
volume effects |
191–206, 359 |
|
|
|
|
229 |
|
organ-specific, experimental |
X-rays |
68 |
||
vitamin E |
304, 309 |
and clinical studies |
xerostomia |
179, 183, 203 |
||
volume(s) |
|
195–204 |
|
XPF |
25 |
|
definitions 191, 192 |
von Hippel–Lindau (VHL) protein |
|
|
|
||
tumour |
96–7 |
and gene |
227, 229 |
zalutumumab 294 |