“…reference radiation isoeffect RBE allows quantifying how much more lethal certain radiation is compared to the reference radiation, usually x-rays, and is used in Treatment Planning Systems (TPS) to calculate the biological dose, namely the physical dose multiplied by the RBE. For this reason, over the last decades a plethora of mathematical mechanistic models, (Kellerer and Rossi 1974, 1978, Tobias 1980, 1985, Hawkins 1994, Kase et al 2006, Elsässer et al 2010, Vassiliev 2012, Friedrich et al 2013a, 2013b, Manganaro et al 2017, Vassiliev et al 2017, Inaniwa and Kanematsu 2018, Bellinzona et al 2021, McMahon and Prise 2021, Cordoni et al 2022a, as well as data-driven phenomenological models, (Wilkens and Oelfke 2004, Tilly et al 2005, Carabe et al 2012, Chen and Ahmad 2012, McNamara et al 2015, Mairani et al 2017 have been developed to estimate RBE based on biological as well as physical quantities. At the base of most models is the linear-quadratic (LQ) behavior of the cell survival logarithm with respect to the imparted dose:…”