1937
DOI: 10.1148/29.2.186
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Should the Method of Coutard be Applied in All Cases of Cancer Treated by Roentgen Rays?

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Cited by 7 publications
(4 citation statements)
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“…However, systematic work by Henri Coutard in Paris in the 1920s showed that healthy tissue could survive around a treated volume if the radiation was delivered in a number of small doses, which is today termed fractionation [11,12]; the radiobiological justification for fractionation is now often described using the five R's: Repair, Repopulation, Redistribution, Re-oxygenation, and Radioresistance [13][14][15]. Consideration of clinical benefit with respect to x-ray source usage by Ralston Paterson and others led to the rational justification of particular fractionation regimens such as the Manchester hypofractionation system, which remain today as the primary models of treatment [16,17].…”
Section: X-ray Radiotherapymentioning
confidence: 99%
“…However, systematic work by Henri Coutard in Paris in the 1920s showed that healthy tissue could survive around a treated volume if the radiation was delivered in a number of small doses, which is today termed fractionation [11,12]; the radiobiological justification for fractionation is now often described using the five R's: Repair, Repopulation, Redistribution, Re-oxygenation, and Radioresistance [13][14][15]. Consideration of clinical benefit with respect to x-ray source usage by Ralston Paterson and others led to the rational justification of particular fractionation regimens such as the Manchester hypofractionation system, which remain today as the primary models of treatment [16,17].…”
Section: X-ray Radiotherapymentioning
confidence: 99%
“…(1) can be solved for the u i using Eqs. (2) and (3). Using the Lagrange multiplier formalism it can be shown that in order to maximize the effect E T for any given number of fractions N all the u i 's must be equal (=u * ), hence equal doses per fraction u * D to the tumor are optimal.…”
Section: A Derivation Of the Bifurcation Numbermentioning
confidence: 99%
“…Hence, it was recognized that under certain circumstances, the usual biological advantage of a normal tissue being more sensitive to fractionation could be reversed. 2 Image-guided radiation therapy (IGRT) has revived hypofractionation for small targets. Advances in LINAC technology and image guidance procedures, i.e., on-board kilovolt (kV) imaging, patient setup and immobilization, and fast online corrections, have enabled precision high dose per fraction radiotherapy treatments.…”
Section: Introductionmentioning
confidence: 99%
“…fracciones, permitiendo aplicar mayor dosis total de radiación al tumor con unos efectos secundarios menores [37]. La forma más común de realizar el tratamiento es administrar una dosis diaria, cinco días a la semana (de lunes a viernes), durante 4 a 6 semanas.…”
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