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Reliability of radiobiological evaluation

Solution 1: different populations, different parameters

to be used in dose-response model (Lyman)

1.0

0

0.5

0

40

80

120

Dose [Gy]

NTCP [*100 %]

Sequential CRT

Concomitant CRT

TD

50

46 (42 – 50)

TD

50

36 (34 – 56)

50

2.7 (1.25 – 5)

50

0.95 (0.71 – 1.11)

a

3.4 (2.4 – 5)

a

11.1 (1.3 – 14.3)

J Zhu et al. Analysis of acute radiation-induced esophagitis in non-small-cell lung cancer

patients using the Lyman NTCP model. Radiother Oncol (2010) 449–454.