Evaluation by Monte Carlo Simulation of Doses Distribution in Tumors with Hypoxia

Abstract

Radiotherapy is one of the most useful modalities applied for tumor treatments, which use ionization radiation to eradicate the tumor, in major cases. Cells with normal oxygenation are more sensitive to the effects of ionizing radiation than those with hypoxic conditions, because O2 molecules react rapidly with free radicals, produced by irradiation, originating highly reactive radicals. Thus, the different concentrations of hypoxia in tumors can modulate the response of the irradiation through the radioresistance they present and consequently the success of the treatment. This chapter deals with the dose distributions in cranial tumors with different concentrations of hypoxia through a code based on Monte Carlo simulation.