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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

.