Review Article

In Silico Modelling of Treatment-Induced Tumour Cell Kill: Developments and Advances

Table 1

Models that simulate tumour growth and/or radiotherapy, without tumour oxygenation considerations (avascular tumours).

Model detailsObjectivesKey parametersModel outcomes

Stochastic, CELLSIM, and CELLGROW, Donaghey, 1981–1983 [1, 2]Individual cell/cell group growth modelPhase transition probabilities, proliferation-based commands on up to 90 cell groups, contact inhibition modelledMonolayer cell growth achieved and RT/drug therapy applied

Mathematical, O’Donoghue, 1997 [3]Modelling exponential proliferation at small tumour sizes and Gompertzian at larger sizes3 LQ based parameters, 2 growth related parameters and 1 radiation induced death rate parameterThe effects of RT described in terms of cure (clonogenic cell sterilization) and/or tumour regression/regrowth

Stochastic, Marcu et al., 2002–2006 [4, 5]Modelling tumour growth and response to radiotherapyCell cycle specific surviving fractions (SF2) based on LQ model. Repopulation mechanisms during RT such as cell recruitment, accelerated stem cell division, and asymmetry loss in stem divisionThe effect of conventional and altered fractionation radiotherapy on cell survival evaluated. The contribution and likeliness of repopulation mechanisms assessed