Physics Bucharest 2017

Guidelines for proton therapy: ESTRO/ASTRO

• Proven benefit: large ocular melanoma, chordoma/ chondrosarcoma, adenoid cystic carcinoma

• Approved applications: brain tumors (and other tumors in) children, tumors in proximity to the spinal cord, some re-irradiations, tumors in which a clear advantage is expected after plan comparison (Dutch model-based approach)

• Moreover: Patients with tumors of unclear indication may be treated in the context of prospective clinical trials

De Ruyssscher et al. Radiother Oncol 103 : 5, 2012; Allan et al. Radiother Oncol 103 : 8, 2012; DEGRO website