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Conclusion

Proton therapy offers a CHANCE

for improved sparing of

normal tissue (or dose intensification)

Aim to

reduce adverse events and SMN

(less often for

intensification in the pediatric cohorts)

Increasing role in children

worldwide

Growing experiences in

CNS tumours and others

Advantage greater

for large target volumes, in high doses

and in very young

To be implemented into

multidisciplinary framework/trials

(SIOP, GPOH…)

At WPE/Essen particular focus on children

Increasing capacity

in Europe

Data

on PT (as on any other technique!) to be collected and

evaluated (toxicity/TU but also QoL & neuropsych.)

Education & training extremely important