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Proton therapy in clinical practice

Hui Liu Joe Y. Chang

癌症(英文版)2011,Vol.30Issue(5):315-326,12.
癌症(英文版)2011,Vol.30Issue(5):315-326,12.

Proton therapy in clinical practice

Proton therapy in clinical practice

Hui Liu 1Joe Y. Chang2

作者信息

  • 1. Sun Yat-sen University Cancer Center, Guangzhou,Guangdong 510060, P. R. China
  • 2. Radiation Oncology Department, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA
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摘要

Abstract

Radiation dose escalation and acceleration improves local control but also increases toxicity. Proton radiation is an emerging therapy for localized cancers that is being sought with increasing frequency by patients. Compared with photon therapy, proton therapy spares more critical structures due to its unique physics. The physical properties of a proton beam make it ideal for clinical applications. By modulating the Bragg peak of protons in energy and time, a conformal radiation dose with or without intensity modulation can be delivered to the target while sparing the surrounding normal tissues. Thus, proton therapy is ideal when organ preservation is a priority. However, protons are more sensitive to organ motion and anatomy changes compared with photons. In this article, we review practical issues of proton therapy, describe its image-guided treatment planning and delivery, discuss clinical outcome for cancer patients, and suggest challenges and the future development of proton therapy.

关键词

Proton beam/ radiotherapy/ spread out Bragg peak

Key words

Proton beam/ radiotherapy/ spread out Bragg peak

引用本文复制引用

Hui Liu,Joe Y. Chang..Proton therapy in clinical practice [J].癌症(英文版),2011,30(5):315-326,12.

癌症(英文版)

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1000-467X

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