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CIBT wrt PT: Some important differences for TP

Peculiarities of carbon ion RBE and implications

– RBE-dependence on dose

– Plan MUs not scalable any longer!

– RBE not constant: How to come up with a robust multi-

beam plan?

– SFU(B)D only applicable for single beam per fraction (NIRS)!

– D

RBE,LEM-I

≠ D

RBE,NIRS

, conversion of treatment

protocols needed! Is always approximate!

– Approximations and shortcomings in clinical RBE-

models

Fossati et al. (2012), PMB