System,

i.e€., one needs in principle a separate, empirically determined

“curve”, for agent carriers (particles) of every conceivable type and
energy,

So that any generality of

the RBE cuncept is

tllusory.

Thus severe

compromises must be made in order for the system to be workable at all.

Peay

Neale

Fig. 7 Schematic based on Fig. 1, indicating that,
with LLE, one can in principle f111 in completely the
“triangular area™ represented by the fanily of curves
1.

This can be done simply by appropriate

P iaStovemi OAT Ley eae

HSEF.
The

fact that

the curves can fill an trea also

indicates that an

additional varfable is involved as well as an unéxpressed continuous
That is to say,

the three-dimensional plot in, Fig. 3 is

required.

This missing variable has

been

thought to be LET, expressed as

keV um! in tissues.
{s not adequate

for

However, it has long been well appreciated that LET
the purpose.

It is clear

from the

above discussion

Fi
as
thx
OF;
ors

alt

dos
wit

Part

call
dose

thar

cs

i

st ‘

*

Teesabs
i

o
%,

aeReve atts
Face
et:
ee
nar ad

tre s

function,

Ruse wad
ile
a

shown in Fis.

choices of particle type and energy. The plot indicates
that any discrete values of RBE tnat may be derived from
the curves in Fig. 1 are arbitrary and unique to
a particular set of clrcumstances. This indicates the
need for a different approach, such as that involving the

ae eid
aoe

8 eR

ita

dot

=

Jun

Ae ee

oles re

hantah

A Ge

agi Sak dete eetee

YR CE

.

that this missing functioa is not LET,
to

tissues,

Rather,

constitute cell dose.

charactertzed as

the

in the sense of

transfer is quite specific--to

Se

the cell TCV,

to

Thus high and low-LET radiations might better be

lacge- aad small cell dose-producing radiations.
~220-

2 EOS
‘
OLEAca a

transfer of energy

Sina] ]
risk

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