Oxygen radiosensitisation has been studied at dose rates of 600, 3.37 and 0.89 Gy/h at pO2 levels of 0.001, 0.03, 0.1, 0.3, 1, 3, 10 and 21% in the gas phase. The oxygen enhancement ratio (OER), evaluated at 2% cellular survival, exhibited a decrease with dose rate from a value of 3.2 at the acute dose rate, to 2.4 at the lowest dose rate. This observation results from a decreased dose-rate effect on hypoxic cells, which is attributed to the partial suppression of sublethal damage (SLD) repair under hypoxic conditions. Oxygen radiosensitisation at the acute dose rate agrees with the calculated values based on the oxygen fixation hypothesis. Direct application of the Howard-Flanders and Moore equation to results obtained at low dose rate is not appropriate due to the influence of pO2 on SLD repair which affects radiosensitivity at low dose rate. When cells are irradiated at 3.37 Gy/h under nutrient-deprived condition (i.e. in Hanks balanced salt solution without glucose), low levels of oxygen appear to be more radioprotective than extreme hypoxia. Specifically, cells irradiated with 0.03% and 0.1% O2 are more radioresistant than cells under N2, with enhancement factors of 0.7 and 0.8, respectively. This phenomenon can be understood in terms of the ability of moderately hypoxic cells (0.03%-0.1% O2), and inability of anoxic cells, to repair SLD under nutrient deprived conditions. Radiosensitisation by these low levels of oxygen is insufficient to offset the difference caused by the disparate SLD repair capabilities.

A lO-bit or 12-bit grey scale is provided in commercial laser film digitizers. The true contrast resolution on the digitized image within a laser spot area of 200 #m in diameter is limited by both the quantum mottle and instrumentation noise. In this report, we investigated the mean value, standard deviation, and adjacent pixel correlation coefficient on a calibrated step wedge film with two laser digitizers. The results were disappointing, because we found that the evaluated contrast information is inferior to the manufacturers' specifications. On the output sido, the brightnesses of different grey levels from a clinical monitor were measured with a narrow angle luminance probo and evaluated by a brief human perr study. In addition, the implications for teleradiology applications oro discussed.9 1990 by W.B. Saunders Company.

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