A Quantitative LQ-based Model for Lung Injury in Radiotherapy

Technol Cancer Res Treat. 2015 Oct;14(5):531-8. doi: 10.7785/tcrt.2012.500439. Epub 2014 Nov 26.

Abstract

Establishing a new bio-mathematical model, named quantitative LQ-based (qLQB) model, that can evaluate the radio-toxicity of lung. We assume that each Function Subunit (FSU) of lung is equal and representative in functional status. Based on the Linear-Quadratic model (LQ model), we had derived a model to calculate the ratio/percent (R/P) between damaged cell/FSU and entire cell/FSU of lung for radiation dose response. We can analyse radiation pneumonia probability (RPP) based on the R/P. Forty-five 3D plans from forty-five randomly selected lung cancer patients were generated using the ELEKTA precise 2.12 treatment planning system. The qLQB was tested against the widely used Lyman-Kutcher-Burman model (LKB model). There was no distinct statistical difference in analyzing RPP between using the qLQB model and the LKB model (p = 0.412). The proposed qLQB model was found to be efficient and reliable for analyzing RPP.

Keywords: Lyman-Kutcher-Burman (LKB) model; Quantitative LQ-based (qLQB) model; Radiation pneumonia probability..

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Dose-Response Relationship, Radiation
  • Humans
  • Lung / pathology
  • Lung / physiology*
  • Lung / radiation effects*
  • Lung Neoplasms / radiotherapy
  • Models, Theoretical*
  • Radiation Injuries / diagnosis
  • Radiation Injuries / prevention & control*
  • Radiation Pneumonitis / diagnosis
  • Radiation Pneumonitis / prevention & control*
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / instrumentation
  • Radiotherapy Planning, Computer-Assisted / methods*