A novel analytical population tumor control probability model includes cell density and volume variations: application to canine brain tumor

Autor: Uwe Schneider, Stephan Radonic, Valeria Meier, Jürgen Besserer, Carla Rohrer Bley
Přispěvatelé: University of Zurich, Radonic, Stephan
Rok vydání: 2021
Předmět:
Cancer Research
Exponential distribution
10253 Department of Small Animals
Cell Survival
Population
Cell Count
Poisson distribution
Logistic regression
030218 nuclear medicine & medical imaging
03 medical and health sciences
symbols.namesake
Dogs
0302 clinical medicine
Cell density
Animals
Medicine
Applied mathematics
2741 Radiology
Nuclear Medicine and Imaging

Radiology
Nuclear Medicine and imaging

1306 Cancer Research
Dog Diseases
Poisson Distribution
education
education.field_of_study
Models
Statistical

Radiation
630 Agriculture
Brain Neoplasms
business.industry
Radiobiology
Tumor control
Tumor Burden
3108 Radiation
Distribution (mathematics)
Volume (thermodynamics)
Oncology
Radiology Nuclear Medicine and imaging
030220 oncology & carcinogenesis
Linear Models
symbols
570 Life sciences
biology
Radiation Dose Hypofractionation
2730 Oncology
business
DOI: 10.5167/uzh-209922
Popis: Purpose Tumor control probability (TCP) models based on Poisson statistics characterize the distribution of surviving clonogens. Thus enabling the calculation of TCP for individuals. To mathematically describe clinically observed survival data of patient cohorts it is necessary to extend the Poisson TCP model. This is typically done by either incorporating variations of model parameters or by using an empirical logistic model. The purpose of this work is the development of an analytical population TCP model by mechanistic extension of the Possion model. Methods and Materials The frequency distribution of gross tumor volumes was used to incorporate tumor volume variations into the TCP model. Additionally the tumor cell density variation was incorporated. Both versions of the population TCP model were fitted to clinical data and compared to existing literature. Results It was shown that clinically observed brain tumor volumes of dogs undergoing radiotherapy are distributed according to an exponential distribution. The average gross tumor volume size was 3.37 cm3. Fitting the population TCP model including the volume variation using linear-quadratic and track-event model yielded α = 0.36 G y − 1 a , β = 0.045 G y − 2 , a = 0.9 y r − 1 , T D = 5.0 d , and p = . 36 G y − 1 , q = 0.48 G y − 1 , a = 0.80 y r − 1 , T D = 3.0 d , respectively. Fitting the population TCP model including both the volume and cell density variation yielded α = 0.43 G y − 1 , β = 0.0537 G y − 2 , a = 2.0 y r − 1 , T D = 3.0 d , σ = 2.5 , and p = . 43 G y − 1 , q = 0.55 G y − 1 , a = 2.0 y r − 1 , T D = 2.0 d , σ = 3.0 , respectively. Conclusions Two sets of radiobiological parameters were obtained which can be used for quantifying the TCP for radiation therapy of brain tumors in dogs. We established a mechanistic link between the poisson statistics based individual TCP model and the logistic TCP model. This link can be used to determine the radiobiological parameters of patient specific TCP models from published fits of logistic models to cohorts of patients.
Databáze: OpenAIRE