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Clinical Trials In Particle Therapy - AMOS Online PDF

55 Pages·2015·6.48 MB·English
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Clinical Trials In Particle Therapy "Proton Therapy is to Superior the Conventional Radiation Therapy (Photon)." "Proton Therapy is to Superior the Conventional Radiation Therapy (Photon)." "Proton/Carbon (Hadron) Radiotherapy is Superior to Intensity Modulated Radiotherapy (IMRT)." Superior ? "Proton/Carbon (Hadron) Radiotherapy is Superior to Intensity Modulated Radiotherapy (IMRT)." Superior ? Conclusions In Comparing Proton Beam Therapy with Other Modalities “Is PBT better than IMRT?” 1.“It has not, as of yet, sufficiently answered the question on the minds of patients, care providers, and policy makers across the country.” 2.“Given the clear limitations in the available data and the lack of consensus regarding the comparative effectiveness of PBT and photon-based radiotherapy, a more rigorous and definitive study in needed.” 2D vs. 3D vs. IMRT vs. Proton Superior ? "Proton/Carbon (Hadron) Radiotherapy is Superior to Intensity Modulated Radiotherapy (IMRT)." Superior ? How many phase III Trials Completed Comparing IMRT Vs Proton Therapy ? “0” Dose Distribution Advantage The Proton plan delivers less scatter radiation dose to the pelvis compared to IMRT plan (axial view) Protons IMRT RED is high dose, GREEN is intermediate dose, BLUE is lower dose Protons IMRT RED : PTV related to TUMOR Control LC and OS GREEN; Surrounding critical Normal Tissue  Toxicity, QOL BLUE : V5  possible 2nd malignancy

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In Comparing Proton Beam Therapy with Other Modalities “Is PBT better than IMRT?” 1.“It has not, as of yet, sufficiently answered the question on the
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