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Its the arrangement of FSU that matters !

renal

tubuli

functional subunit

[FSU]*

* FSU = largest unit of cells

that can be regenerated

from a single surviving

stem cell

(Withers 1988)

parallel organization

functional damage:

if critical number of FSU is inactivated

volume

effect:

weak !

total dose more important

than „hot spots“ !

serial organization

FSU

FSU

FSU

FSU

FSU

© Pearson Education, Inc. 2004

inactivation of one FSU can

lead to loss of organ function

risk of complication strongly

influenced by „hot spots“ !

Spinal cord

Intestine

Esophagus

Lung

Liver

Kidney

volum

effect:

high !