Teh CRE system applied to continuous irradiation. A Physician's view. Chapter 30

The CRE system, used in radiotherapy, is an attempt at a simple, empirical model predicting the response of tissue to irradiation. The two basic formulae used in the CRE system are given followed by a consideration of a number of variable factors which may influence the CRE values. The Cathetron afterloading radiotherapy device demands a completely different schedule from those to which the CRE system is normally applied. The problem of converting a continuous intracavitary schedule to one of fractionated intracavitary treatment for the Cathetron is considered particularly in relation to the volume effect of continuous radiation and also to the wide variation of dose across the volume. It is concluded that in the present state of knowledge it would be unwise to make confident predictions of Cathetron doses on the basis of empirical descriptions such as the CRE. (U.K.)