There is increasing interest in the development of rapid assays of rad
iosensitivity which can be used on clinical specimens. Unfortunately,
the measurement of radiation survival using clonogenic assays, which a
re the established standard, can be difficult and time consuming. We h
ave used the MTT assay to measure the radiation survival of four lymph
oblastoid cell lines with low plating efficiencies. We measured surviv
ing fractions both when the irradiated cells had regained exponential
growth and when the non-irradiated cells had undergone four or more do
ublings. The results were compared to surviving fractions measured by
clonogenic assay. We found both methods could be used successfully to
rank the cell lines in order of radiosensitivity. However, cells expos
ed to the higher radiation doses in the MTT assay did not always regai
n exponential growth, limiting the dose range for which the assay was
useful. We also found the best correlation between the two assays was
sometimes obtained by using the MTT surviving fractions from different
days for different radiation dose levels. Thus, although the MTT assa
y can be used to measure radiation survival in relation to other cell
lines, its use can be complicated by restrictions on radiation dose ra
nges and difficulties with data interpretation.