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The Domain of Carbon Ion Therapy at NIRS

with large proportion of hypoxic cells

do not well re-oxygenate

with broad-shouldered dose survival curves by low LET

radiation (

small α

҈

β ratio )

slowly proliferating

Tumors ; biological view points for high LET beam

empirically radio-resistant, such as sarcomas,

melanoma, RCC, thyroid ca, and re-irradiation

located close to radiosensitive organs ; para-spinal

Not candidate to other therapies such as second surgery, limb

amputation, concurrent chemo-radiation etc.

Tumors ; clinical context (practical) mainly conformality