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The oxygen enhancement ratio (OER) or oxygen enhancement effect in radiobiology refers to the enhancement of therapeutic or detrimental effect of ionizing radiation due to the presence of oxygen. This so-called oxygen effect [ 1 ] is most notable when cells are exposed to an ionizing radiation dose .
This figure illustrates the typical change in the relative radiosensitivity for a biological effect such as cell death when exposed to radiations of low ionizing density (e.g. x-rays). The hyperbolic relationship shown has a maximum OER of 2.70 for 100% oxygen (at 760 mmHg), with a half-range OER value at 4.2 mmHg or 0.55% of oxygen.
The relative biological effectiveness for radiation of type R on a tissue is defined as the ratio R B E = D X D R {\displaystyle RBE={\frac {D_{X}}{D_{R}}}} where D X is a reference absorbed dose of radiation of a standard type X , and D R is the absorbed dose of radiation of type R that causes the same amount of biological damage.
Oxygen enhancement ratio, effect magnitude of ionizing radiation due to the presence of oxygen Oxygen Evolution Reaction , the formation of oxygen by electrochemical reduction of water Owner’s Equivalent Rent, an economic metric for housing prices often used in the calculation of market baskets
Multiple studies have investigated this possibility, one being Jin. et al., 2020, where it was observed that circulating blood cells experienced a significantly lower impact during FLASH-RT, resulting in the killing of only 5-10% of cells, in contrast, CONV-RT exhibited a much more substantial effect, leading to the death of 90-100% of cells. [14]
Tumor stroma and extracellular matrix in hypoxia. Tumor hypoxia is the situation where tumor cells have been deprived of oxygen.As a tumor grows, it rapidly outgrows its blood supply, leaving portions of the tumor with regions where the oxygen concentration is significantly lower than in healthy tissues.
The rationale is that tumours containing hypoxic cells (cells with enough oxygen concentration to be viable, yet not enough to be X-ray-radiosensitive) and cells deficient in oxygen are resistant to killing by X-rays. Thus, the lower Oxygen Enhancement Ratio (OER) of neutrons confers an advantage.
With a normal P a O 2 of 60–100 mmHg and an oxygen content of F I O 2 of 0.21 of room air, a normal P a O 2 /F I O 2 ratio ranges between 300 and 500 mmHg. A P a O 2 /F I O 2 ratio less than or equal to 200 mmHg is necessary for the diagnosis of acute respiratory distress syndrome by the AECC criteria. [7]