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Modified from M. Goitein, AAPM Symposium 2009

Pagane< 2014

d

o

s

e

depth

physical

dose

biol. effec1ve

dose

center SOBP

RBE

~

1.05

entrance region

RBE

~

1.0

RBE raises across SOBP

distal edge

RBE

~

1.25

elongaAon of range

? 1 – 2 mm

……. are

very similar

to photons,

due to the increase in RBE,

refinement

might be necessary !

generic RBE = 1.1

all posiAons, all dose levels per fracAon, all Assues

Normal Assue

Radiobiological properties of high energy protons

Normal Assue

distal

dose fall-off

RBE

~

1.5