INGENIA

RTH-29

TCP snapshot (Poisson)

TCP = exp(−N0 S), S = e^{−αD−βD²}. Zero clonogens left.

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RadiobiologyPoisson TCP

Governing equation

TCP=exp⁡ ⁣(−N0e−αD−βD2)\mathrm{TCP}=\exp\!\left(-N_0 e^{-\alpha D-\beta D^{2}}\right)

D∈[10,90]D \in \left[10, 90\right]

where

N_0
Clonogens N0 (—)
\alpha
Linear α (1/Gy)
\beta
Quadratic β (1/Gy²)
D
Dose (Gy)
TCP
Control probability (—)

The figure, part by part

Each numbered marker wears the color of its card. Hover a card to light the marker. Tap a marker to jump to that card. The slider walks a red point along the curve; Animate drawing traces it like a pen.

RTH-29 · dose
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①

Governing law — red

TCP=exp⁡ ⁣(−N0e−αD−βD2)\mathrm{TCP}=\exp\!\left(-N_0 e^{-\alpha D-\beta D^{2}}\right)

D∈[10,90]D \in \left[10, 90\right]

D=10D = 10TCP=0TCP = 0

②

Domain of the variable — blue

Dmin⁡=10,Dmax⁡=90D_{\min} = 10,\quad D_{\max} = 90

D∈[10,90]D \in \left[10, 90\right]

D=10D = 10D=10D = 10

③

Response curve — green

TCP=exp⁡ ⁣(−N0e−αD−βD2)\mathrm{TCP}=\exp\!\left(-N_0 e^{-\alpha D-\beta D^{2}}\right)

D∈[10,90]D \in \left[10, 90\right]

D=10D = 10TCP=0TCP = 0

④

Rate of change — amber

dTCPdD\frac{\mathrm{d}TCP}{\mathrm{d}D}

D∈[10,90]D \in \left[10, 90\right]

D=10.5D = 10.5TCP′=0TCP^{\prime} = 0

Lecture brief

Historical brief

The linear-quadratic model, BED, tissue-maximum ratio and Clarkson scatter turned radiotherapy into fraction arithmetic. MU calculation on these sheets is that clinical closed form. This sheet (RTH-29 — TCP snapshot (Poisson)) is the form associated with Poisson TCP. Working symbols: N0N_0, α\alpha, β\beta, DD →\rightarrow TCPTCP. N0 is the initial clonogen number. A log-kill of 8–10 is a typical curative ambition.

Purpose

Purpose: compute TCPTCP from N0N_0, α\alpha, β\beta, DD in Radiotherapy via TCP=exp⁡ ⁣(−N0e−αD−βD2)\mathrm{TCP}=\exp\!\left(-N_0 e^{-\alpha D-\beta D^{2}}\right) TCP = exp(−N0 S), S = e^{−αD−βD²}. Zero clonogens left. Use it when a real radiotherapy question must be answered in SI before a code check.

Live realistic example

In symbols

Live case. Given N0=1.000e+7 —N_0 = 1.000e+7\,\mathrm{—}, α=0.300 1/Gy\alpha = 0.300\,\mathrm{1/Gy}, β=0.030 1/Gy2\beta = 0.030\,\mathrm{1/Gy^{2}}, D=60.000 GyD = 60.000\,\mathrm{Gy}, the governing relation TCP=exp⁡ ⁣(−N0e−αD−βD2)\mathrm{TCP}=\exp\!\left(-N_0 e^{-\alpha D-\beta D^{2}}\right) yields TCP=1.0000 —TCP = 1.0000\,\mathrm{—}. A falling SF and a rising TCP sigmoid. Move a slider: the numbers are this situation, not a canned story.

Calculator

Inputs

Outputs

  • Control probability TCP1.0000 —
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RTH-29 · dose
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Narration of this film

A falling SF and a rising TCP sigmoid.

N0 is the initial clonogen number. A log-kill of 8–10 is a typical curative ambition.

Reading speed

Watch on YouTube