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Dosimetric comparison for comprehensive treatment:
protons vs x-rays (IMN inclusion)
Photons/Electrons
Photons
Protons
MacDonald et al, RO 2013; Cuaron et al IJROBP 2015;
Ipsilateral lung V20%: 30%
Mean heart dose: 4-10 Gy
Ipsilateral lung V20%: 15%
Mean heart dose: <1 Gy
Photons
Protons
Bradley IJROBP 2016