Advanced Skills in Modern Radiotherapy 2018

Protontherapy is and will remain a scarce resource: how to select patients?

In Italy(LEA): histology/disease location-based approach

1. Chordomas/condrosarcomas (selected localizations) 2. Spinal cord and (most) brainstem tumors

3. Sarcomas (selected localizations 4. Meningiomas (critical localizations) 5. Orbital and periorbital

6. Ocular melanoma 7. Salivary gland ACC 8. Solid pediatric tumors

9. Highly radiosensitive patients (e.g. genetic syndroms) 10. Recurrencies in the same area previously treated

(not a single patient treated in this setting yet)