[Probabilities of controlling tumors and complications (TCP/NTCP) after radiotherapy: methodologic, physical, and biological aspects]

Cancer Radiother. 2002 Nov:6 Suppl 1:155s-165s. doi: 10.1016/s1278-3218(02)00221-4.
[Article in French]

Abstract

Radiotherapy is aimed at getting the best possible therapeutic ratio (tumor local control versus morbidity). Physicists and radiation oncologists have to evaluate explicitly or implicitly the probability of induced complications to normal surrounding tissues. This is based on published data and clinician's experience. Quantitative methods have been introduced with different models in order to predict the impact of partial or global irradiation on a normal organ. These models correspond to the Tumor Control Probability (TCP) and Normal Tissue Complication Probability (NTCP). These biological models may be useful to evaluate the quality of a treatment planning or for the optimization process. The methodologies used and the clinical data are developed and discussed.

Publication types

  • Comparative Study
  • English Abstract
  • Review

MeSH terms

  • Dose-Response Relationship, Radiation
  • Humans
  • Models, Biological
  • Neoplasm Recurrence, Local / epidemiology
  • Neoplasm Recurrence, Local / prevention & control
  • Neoplasms / mortality
  • Neoplasms / radiotherapy*
  • Organ Specificity
  • Patient Care Planning
  • Probability
  • Prognosis
  • Radiation Injuries / epidemiology
  • Radiation Injuries / etiology
  • Radiation Injuries / prevention & control*
  • Radiation Tolerance
  • Radiotherapy / adverse effects
  • Radiotherapy / methods
  • Radiotherapy / statistics & numerical data*
  • Risk Factors
  • Treatment Outcome