Figure 1.

Figure 2.

Figure 3.

Figure 4.

Figure 5.

Figure 6.

Effective doses of γ-rays and protons to decrease blood cell count by 10% (ED10), 50% (ED50), and 90% (ED90)
| Cell Type | Dose Rate | Time after Irradiation | Effective dose (and 95% CI) for γ-rays | Effective dose (and 95% CI) for protons | ||||
|---|---|---|---|---|---|---|---|---|
| ED10 | ED50 | ED90 | ED10 | ED50 | ED90 | |||
| WBCs | High | 3 hours | 0.41 | 1.87 | 4.21 | 0.32 | 2.10 | 6.96 |
| Low | 0.91 | 6.05 | 20.09 | NM | NM | NM | ||
| High | 48 hours | 0.13 | 0.81 | 2.50 | 0.08 | 0.55 | 1.82 | |
| Low | 0.11 | 0.72 | 2.38 | 0.13 | 0.88 | 2.93 | ||
| Neutrophils | High | 48 hours | 0.31 | 2.04 | 6.51 | 0.18 | 1.19 | 3.95 |
| Low | 0.27 | 1.79 | 5.96 | 0.42 | 2.12 | 5.03 | ||
| Lymphocyte s | High | 3 hours | 0.05 | 0.33 | 1.11 | 0.05 | 0.32 | 1.07 |
| Low | 0.06 | 0.41 | 1.36 | 0.06 | 0.41 | 1.35 | ||
| High | 48 hours | 0.05 | 0.33 | 1.08 | 0.08 | 0.41 | 0.98 | |
| Low | 0.06 | 0.40 | 1.33 | 0.11 | 0.54 | 1.25 | ||
Relationship between RBE and proton radiation dose for white blood cells (WBCs), neutrophils, lymphocytes_
| Cell Type | Dose Rate | Time after Irradiation | 0.75 Gy | 1 Gy | 2 Gy | |||
|---|---|---|---|---|---|---|---|---|
| RBE | 95% CI | RBE | 95% CI | RBE | 95% CI | |||
| WBCs | High | 3 hours | 2.15 | 1.51 – 2.79 | 0.96 | 0.06 – 1.86 | 0.62 | 0.00a – 1.52 |
| Low | 4.02 | 2.25 – 5.79 | 1.76 | 0.39 – 3.13 | 0.59 | 0.00a – 1.56 | ||
| High | 48 hours | 1.60 | 1.42 – 1.77 | 1.59 | 1.34 – 1.84 | 1.04 | 0.79 – 1.29 | |
| Low | 1.19 | 0.92 – 1.45 | 0.80 | 0.59 – 1.00 | 0.77 | 0.62 – 0.92 | ||
| Neutrophils | High | 48 hours | 1.88 | 1.31 – 2.44 | 2.04 | 1.24 – 2.84 | 1.55 | 0.75 – 2.35 |
| Low | 2.11 | 1.32 – 2.91 | 0.62 | 0.00a – 1.23 | 0.90 | 0.46 – 1.34 | ||
| Lymphocytes | High | 3 hours | 1.10 | 0.99 – 1.21 | 1.00 | 0.84 – 1.15 | 0.67 | 0.52 – 0.83 |
| Low | 1.41 | 1.21 – 1.61 | 0.96 | 0.81 – 1.12 | 0.68 | 0.58 – 0.79 | ||
| High | 48 hours | 1.01 | 0.94 – 1.08 | 1.06 | 0.96 – 1.17 | 0.77 | 0.67 – 0.88 | |
| Low | 0.83 | 0.67 – 1.00 | 0.99 | 0.86 – 1.11 | 0.84 | 0.74 – 0.93 | ||