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Proton Benefit

• Proton penumbra not steeper than photons

– Dose distribution in high dose region not superior

than photons

– OAR near target with max dose constraint not

spared

• Advantage manifested in intermediate and low

dose levels

• Model based advantage most likely in OAR

with considerable volume effects:

+Lung, Liver, Parotids

- Spinal Cord, Rectum, Brainstem