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because RBE is variable:

physical doses

must be corrected by the appropriate RBE’s

Requirements for treatment planning programs

Local Effect

Model (LEM)

Scholz et al. 1997

Microdosimetric

Kine5c Model (MKM)

Kase et al. 2006

Radiobiological models in TPS

HIMAC, Japan

HIT, (D), CNAO (I)

each of the many voxels

in a paIent CT must be

assigned an

“individual” RBE

for acIve beam shaping