Physical basis for biological effect

Absorbed dose, or particle fluence, alone, are poor predictors of the biological effectiveness of ionizing radiations. Various radiation 'quality' parameters have been proposed to account quantitatively for the differences due to type of radiation. These include LET, quality factor (Q), lineal energy, specific energy and Z2/β2. However, all of these have major shortcomings, largely because they fail to describe adequately the microscopic stochastic properties of radiation which are primarily responsible for their relative effectiveness. Most biophysical models of radiation action now agree that the biological effectiveness of radiations are to a large extent determined by their very localized spatial properties of energy deposition (perhaps DNA and associated structures) and that the probability of residual permanent cellular damage (after cellular repair) depends on the nature of this initial macromolecular damage. Common features of these models make it clear that major future advances in identifying critical physical parameters of radiations for general practical application, or to describe their fundamental mechanisms of action, require accurate knowledge of the spatial patterns of energy deposition down to distances of the order of nanometres. Therefore, adequate descriptions are required of the nature and spatial distribution of the initial charged particles and of the interaction-by-interaction structure of the ensuing charged particle tracks. Recent development and application of Monte Carlo track structure simulations have already made it possible to commence such analyses of radiobiological data. (author). 56 refs, 7 figs