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Basic Clinical

Radiobiology

N O I T I D E H T R U O F

Edited by

Michael Joiner

Professor of Radiobiology

Wayne State University

USA

Albert van der Kogel

Professor of Radiobiology Radboud University Nijmegen Medical Centre The Netherlands

First published in Great Britain in 1993 by Edward Arnold. Second edition published in Great Britain in 1997 by Arnold.

Third edition published in Great Britain in 2002 by Hodder Arnold.

This fourth edition published in Great Britain in 2009 by Hodder Arnold,

an imprint of Hodder Education, an Hachette UK Company, 338 Euston Road, London NW1 3BH.

http://www.hoddereducation.com

© 2009 Edward Arnold

All rights reserved. Apart from any use permitted under UK copyright law, this publication may only be reproduced, stored or transmitted, in any form, or by any means with prior permission in writing of the publishers or in the case of reprographic production in accordance with the terms of licences issued by the Copyright Licensing Agency. In the United Kingdom such licences are issued by the Copyright Licensing Agency: Saffron House, 6-10 Kirby Street, London EC1N 8TS.

Whilst the advice and information in this book are believed to be true and accurate at the date of going to press, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. In particular (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages; however it is still possible that errors have been missed. Furthermore, dosage schedules are constantly being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult the drug companies’ printed instructions before administering any of the drugs recommended in this book.

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloging-in-Publication Data

A catalog record for this book is available from the Library of Congress

ISBN 978 0 340 929 667

 

1 2 3 4 5 6 7 8 9 10

 

Commissioning Editor:

Gavin Jamieson

Project Editor:

Francesca Naish

Production Controller:

Joanna Walker

Cover Designer:

Helen Townson

Indexer:

Laurence Erington

Typeset in 10/12 pt Minion by Macmillan Publishing Solutions

Printed and bound in the UK by MPG Books

What do you think about this book? Or any other Hodder Arnold title?

Please visit our website: www.hoddereducation.com

Contents

Colour plates appear between pages 216 and 217

 

List of contributors

v

Preface

vii

1

Introduction: the significance of radiobiology and radiotherapy for cancer treatment

1

 

MC Joiner, AJ van der Kogel and GG Steel

 

2

Irradiation-induced damage and the DNA damage response

11

 

BG Wouters and AC Begg

 

3

Cell death after irradiation: how, when and why cells die

27

 

BG Wouters

 

4

Quantifying cell kill and cell survival

41

 

MC Joiner

 

5

Dose–response relationships in radiotherapy

56

 

SM Bentzen

 

6

Linear energy transfer and relative biological effectiveness

68

 

MC Joiner

 

7

Tumour growth and response to radiation

78

 

D Zips

 

8

Fractionation: the linear-quadratic approach

102

 

MC Joiner and SM Bentzen

 

9

The linear-quadratic approach in clinical practice

120

 

SM Bentzen and MC Joiner

 

10

Modified fractionation

135

 

M Baumann and V Grégoire

 

11

Time factors in normal-tissue responses to irradiation

149

 

W Dörr

 

12

The dose-rate effect

158

 

AJ van der Kogel

 

13

Pathogenesis of normal-tissue side-effects

169

 

W Dörr

 

iv

Contents

 

 

 

 

14

The volume effect in radiotherapy

191

 

W Dörr and AJ van der Kogel

 

15

The oxygen effect and fractionated radiotherapy

207

 

MR Horsman, BG Wouters, MC Joiner and J Overgaard

 

16

The tumour microenvironment and cellular hypoxia responses

217

 

BG Wouters and M Koritzinsky

 

17

Therapeutic approaches to tumour hypoxia

233

 

MR Horsman and AJ van der Kogel

 

18

Combined radiotherapy and chemotherapy

246

 

V Grégoire and M Baumann

 

19

Retreatment tolerance of normal tissues

259

 

W Dörr and FA Stewart

 

20

Molecular image-guided radiotherapy with positron emission tomography

271

 

V Grégoire, K Haustermans and J Lee

 

21 Molecular-targeted agents for enhancing tumour response

287

 

M Baumann and V Grégoire

 

22

Biological response modifiers: normal tissues

301

 

W Dörr

 

23

Molecular targeting and patient individualization

316

 

AC Begg

 

24

Protons and other ions in radiotherapy

332

 

W Dörr and MC Joiner

 

25

Second cancers after radiotherapy

339

 

KR Trott

 

Glossary of terms in radiation biology

353

Index

361

Contributors

M Baumann

Department of Radiation Oncology and OncoRay Center for Radiation Research in Oncology

Medical Faculty and University Hospital Carl Gustav Carus

Technical University Dresden Dresden

Germany

AC Begg

Division of Experimental Therapy

Netherlands Cancer Institute

Amsterdam

The Netherlands

SM Bentzen

Departments of Human Oncology, Medical Physics,

Biostatistics and Medical Informatics

University of Wisconsin School of Medicine and Public

Health

Madison, Wisconsin

USA

W Dörr

Department of Radiation Oncology

Medical Faculty and University Hospital Carl Gustav

Carus

Technical University Dresden

Dresden

Germany

V Grégoire

Department of Radiation Oncology and Centre for Molecular Imaging and Experimental Radiotherapy Université Catholique de Louvain, St. Luc University Hospital

Brussels

Belgium

K Haustermans

Department of Radiation Oncology, Leuven Cancer

Institute

University Hospital Gasthuisberg

Leuven

Belgium

MR Horsman

Department of Experimental Clinical

Oncology

Aarhus University Hospital

Aarhus

Denmark

MC Joiner

Department of Radiation Oncology and Karmanos

Cancer Institute

Wayne State University School of

Medicine

Detroit, Michigan

USA

M Koritzinsky

Department of Radiation Oncology, University of

Toronto

Princess Margaret Hospital/Ontario Cancer Institute,

University Health Network

Toronto, Ontario

Canada

J Lee

Centre for Molecular Imaging and Experimental Radiotherapy

Université Catholique de Louvain, St. Luc University Hospital

Brussels

Belgium

vi Contributors

J Overgaard

AJ van der Kogel

Department of Experimental Clinical Oncology

Department of Radiation Oncology

Aarhus University Hospital

Radboud University Nijmegen Medical

Aarhus

Centre

Denmark

Nijmegen

GG Steel

The Netherlands

 

Institute of Cancer Research

Royal Marsden Hospital

Sutton, Surrey

UK

FA Stewart

Division of Experimental Therapy

Netherlands Cancer Institute

Amsterdam

The Netherlands

KR Trott

Department of Oncology

University College

London

UK

BG Wouters

Departments of Radiation Oncology and Medical

Biophysics, University of Toronto

Princess Margaret Hospital/Ontario Cancer Institute,

University Health Network

Toronto, Ontario

Canada

D Zips

Department of Radiation Oncology

Medical Faculty and University Hospital Carl Gustav

Carus

Technical University Dresden

Dresden

Germany

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