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1/03/2016

13

Relevant factors

Radiobiological

-related factors influencing normal

tissue reactions

Intrinsic radiosensitivity (L2.3)

Total radiation dose (L3.5)

Technique and irradiated volume (L3.6)

Fractionation schedule (late reactions) (L2.3)

Overall treatment time (early reactions) (L2.4)

Concomitant treatment (L4.4, L5.2)

25

Relevant radiobiological factors

Intrinsic radiosensitivity

26

Alsner J Radiother Oncol 2007 26 pts

Sensitive profile

Resistant profile

Differential gene expression in irradiated fibroblasts between pts

with variable risk of radiation-induced fibrosis

26 patients derived fibroblasts

Hierarchical clustering

3 x 3.5 Gy