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Historical niche of proton therapy indications

Pediatric

Adult

Skull base, paraspinal and sacral

chordoma and (chondro)sarcoma

Glioma

Imaging 1950-1970s

Indirect target imaging

Bone, air

Contrast

Radio-opaque markers-spacers

Target edges

Calculation

Informed guess

Immobile targets

Nearby bone

Superficial

No moving organs in path