Abstract
Over the years considerable effort has been made not only to quantify the tolerance of normal tissue to radiation, but also to provide a baseline for radiotherapy at maximum biological effective doses. Normal tissue complications induced by ionizing radiation differ depending on the target organ and cell types. Acute or early reactions are primarily characterized by rapidly occurring changes within hours, such as increased endothelial cell swelling, vascular permeability and edema as well as lymphocyte adhesion and infiltration. Apoptosis of endothelial cells is probably the most important feature in the concert of these radiation-induced acute alterations in the vascular system of irradiated organs. Thus, acute reactions are primarily reflected by the rates of radiation-induced cell death and regeneration by surviving stem cells.
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Rodemann, H.P. (2003). Role of Radiation-Induced Signaling Proteins in the Response of Vascular and Connective Tissues. In: Nieder, C., Milas, L., Ang, K.K. (eds) Modification of Radiation Response. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55613-5_2
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