indirect
effects
direct
effects
+ O2 to „stabilize“
damage
R
º
+ O2 RO2
º
normoxic
hypoxic
Effect of oxygen in sensitizing cells to radiation
Gray et al.
1953
S
u
r
vi
vi
n
g
fr
a
c
ti
o
n
Dose
OER
=
the
ratio
of
dose
in the
absence of oxygen
to
dose
in the
presence
of oxygen needed to
produce the same biological effect.
mammalian cells, ratio is usually
2.5 – 3.0
.