Brain Tumours

Proton therapy

Attractive for…

• Dose escalation • Potentially reducing adverse effect of treatment • Focal treatment and large volumes (i.e. CSI)

Caution for…. -Deviations (organ motion, set-up errors, density changes..) -Metal implants

-High weighted spots -Beam arrangements

Barney CL et al., Neuro-oncology, 2014