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op#c nerves

spinal cord

paro#s

12Carbon

Ions

normal (ssue proximal to PTV

Correla#on of LET and RBE

not

linear across complete range

; RBE

of normal #ssues o9en not known

a non-negligible volume of

normal

(ssue

surrounding the tumor might

be included

in the (high-LET)

volume

max. LET o=en close to PTV

PTV

= planning target volume

GTV

normal (ssue in the GTV

(a) tumors can be

intertwined

in a

substrate of normal #ssue

(b) tumors

contain

normal #ssue

structures

(stroma, vasculature etc.)

Why studying normal tissue response ?