Modelling the dose-volume response of the spinal cord, based on the idea of damage to contiguous functional subunits

Purpose: To investigate the response of the spinal cord of experimental ani mals to homogeneous irradiation, the main purpose being to propose a new ve rsion of the Critical Volume Normal Tissue Complication Probability (NTCP) model, incorporating spatial correlation between damaged functional subunit s (FSU). Method: The standard Critical Volume NTCP model and its modified version, t he Contiguous Damage model promoted here, are described in mathematical ter ms. Also, a fiber-like structure of the spinal cord is considered, which is a more complex structure than the standard Critical Volume NTCP model assu mes. It is demonstrated that the Contiguous Damage model predicts different responses to two-segment irradiation and to single-segment irradiation to the same combined length as observed in experiments on rats, a result that cannot be described by the standard Critical Volume NTCP model. Results and conclusions : Both the Critical Volume model and the Contiguous Damage model, are fitted to two sets of canine spinal cord radiation data corresponding to two different fractionation regimes of irradiation. Whole- organ irradiation as well as partial irradiation to different lengths are c onsidered, allowing the investigation of dose-volume effects. Formal goodne ss-of-fit investigation shows that both models fit the canine spinal cord d ata equally well.