The Calculation of the Dose to Lymphocytes in External Beam Radiation Therapy

Abstract
Lymphopenia occurs in patients undergoing external beam radiation therapy when the radiation fields encompass major blood vessels and lymphatic tissue. The dose received by the lymphocytes was previously undefined. A general formalism for the calculation of the lymphocyte dose for a patient undergoing fractionated radiation therapy at an irradiation site is presented. The calculation procedure is demonstrated for a typical case of pelvic irradiation.