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Conclusion

Use the best advanced Photon technique (3D conformal RT,

Tomo, IMRT, VMAT) for individual case, to reduce dose at OAR.

Proton therapy may provide high dose conformity and

reduced integral dose.

Studies are needed to evaluate the advantage of protons in

Extended Hodgkin`s Disease in the mediastinum.

Radiotherapy is still a very important treatment option in

selected Hodgkin`s patients.

Further steps to go:

Based on adequate imaging, continue to reduce the

Target volume as the most efficient way to reduce

dose at the OAR.