title: The relative biological effectiveness of fractionated doses of fast neutrons (42 MeVd----Be) for normal tissues in the pig. I. Effects on the epidermis and dermal vascular/connective tissues.
abstract: The effects of fractionated doses of fast neutrons (42 MeVd----Be) on the early epithelial and later dermal response of pig skin have been assessed and compared with those after X irradiation. For the early epithelial reaction, i.e. moist desquamation, the relative biological effectiveness (RBE) of the neutron beam increased with the decreasing size of the X-ray dose/fraction. There was an experimentally observed upper RBE value of approximately 2.75 for X-ray doses/fraction of between 2 and 5 Gy. For the late reaction of ischaemic dermal necrosis the RBE was greater than 3.0 for X-ray doses/fraction of less than 3 Gy and, based on the assumptions made in the linearquadratic model of cell survival, an upper limiting RBE of 4.32 +/- 0.39 was calculated for infinitely small doses/fraction. These findings were compared with other radiobiological data and the conclusions drawn from the results of clinical trials. It was concluded that for the sparing of late effects in skin and subcutaneous tissues, relative to acute reactions, a relatively small number of fractions in a short overall treatment time may be optimal for fast neutron therapy.
authors.affiliation: CRC Normal Tissue Radiobiology Research Group, University of Oxford, Churchill Hospital.
authors.forename: J W
authors.initials: JW
authors.lastname: Hopewell
authors.forename: D W
authors.initials: DW
authors.lastname: Barnes
authors.forename: M E
authors.initials: ME
authors.lastname: Robbins
authors.forename: J M
authors.initials: JM
authors.lastname: Sansom
authors.forename: J F
authors.initials: JF
authors.lastname: Knowles
authors.forename: G J
authors.initials: GJ
authors.lastname: van den Aardweg
mesh_terms: D000818:Animals; D004307:Dose-Response Relationship, Radiation; D005214:Fast Neutrons; D005260:Female; D009336:Necrosis / Q000209:etiology; D009502:Neutrons; D012062:Relative Biological Effectiveness; D012867:Skin / Q000473:pathology / Q000528:radiation effects*; D013552:Swine; D013997:Time Factors; D014965:X-Rays