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Summary

• Continuous low dose rate irradiation

– Irradiation times (hours - days) are long as compared to

the half time of repair ( 0.5 - 1.5 hour ). Effect dominated

by repair capacity (α/β ratio)

• High dose rate irradiation

– Irradiation time is too short for repair during the

irradiation, unless repair is very fast (in the order of

minutes).

• IMRT

– For complex treatments lasting ≥20-30 min, loss of

effective dose may be 5-10%, but depends on α/β and

T

1/2.

– Possibly compensated by reoxygenation in vivo

– High instantaneous dose rate (flattening filter-free): no

change in effect