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(in-vivo studies,

Center of SOBP)

RBE for protons

Effect is diluted by contributions of higher energies

Clinically, a value of 1.1 is adopted 

Increased RBE potentially relevant at distal edge

RBE may lead to effective over‐range of 1‐2mm

(Paganetti 2002)

(in-vitro studies,

Center of SOBP)

LET optimization and range effects are discussed

No clinical proton RBE has ever been determined!