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. 2020 Apr 10;10:6212. doi: 10.1038/s41598-020-63164-8

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© The Author(s) 2020

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Dose distributions obtained with RBE_1.1 (a,d) and the variable RBE model ROR ((α/β)_x of 3.0 Gy) (b,e), and the corresponding LET_d distribution (c,f). Dose and LET_d values in voxels receiving less than 0.5 Gy(RBE) are set transparent. The spinal planning target volume, lungs, heart and thyroid are outlined in red, blue, yellow and blue, respectively.