Overview
- Authors:
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Hans Breuer
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Stellenbosch, Rep. of South Africa
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Berend J. Smit
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Department of Radiation Oncology, Tygerberg Hospital, Tygerberg, Rep. of South Africa
- Proton therapy is the radiotherapy modality of the future already available in many centres and soon can be expected in the clinics
- Relativeley inexpensive dedicated particle accelerators are entering the hospitals now. Proton therapy is emering as the "winner" and such a practical text is urgently needed in this fast developing field
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Table of contents (16 chapters)
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Radiation Physics
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- Hans Breuer, Berend J. Smit
Pages 3-5
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- Hans Breuer, Berend J. Smit
Pages 7-19
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- Hans Breuer, Berend J. Smit
Pages 21-53
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- Hans Breuer, Berend J. Smit
Pages 55-66
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- Hans Breuer, Berend J. Smit
Pages 67-88
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Proton Therapy and Radiosurgery
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- Hans Breuer, Berend J. Smit
Pages 95-109
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- Hans Breuer, Berend J. Smit
Pages 111-120
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- Hans Breuer, Berend J. Smit
Pages 121-146
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- Hans Breuer, Berend J. Smit
Pages 147-164
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- Hans Breuer, Berend J. Smit
Pages 165-179
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- Hans Breuer, Berend J. Smit
Pages 181-195
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- Hans Breuer, Berend J. Smit
Pages 197-245
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- Hans Breuer, Berend J. Smit
Pages 247-257
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- Hans Breuer, Berend J. Smit
Pages 259-267
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- Hans Breuer, Berend J. Smit
Pages 269-273
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- Hans Breuer, Berend J. Smit
Pages 275-284
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Back Matter
Pages 285-288
About this book
The book is divided into two parts: Part I deals with the relevant physics and planning algorithms of protons (H Breuer) and Part II with the radiobiology, radiopathology and clinical outcomes of proton therapy and a comparison of proton therapy versus photon therapy (BJ Smit). Protons can be used for radiosurgery and general radio therapy. Since proton therapy was first proposed in 1946 by Wilson, about sixteen facilities have been built globally. Only a very few of these have isocentric beam delivery systems so that proton therapy is really only now in a position to be compared directly by means of randomised clinical trials, with modern photon radiotherapy therapy sys tems, both for radiosurgery and for general fractionated radiotherapy. Three-dimensional proton planning computer systems with image fusion (image of computerised tomography (CT), magnetic resonance registration) capabilities imaging (MRI), stereotactic angiograms and perhaps positron emission tomography (PET) are essential for accurate proton therapy planning. New planning systems for spot scanning are under development. Many of the older comparisons of the advantageous dose distributions for protons were made with parallel opposing or multiple co-planar field arrangements, which are now largely obsolete. New comparative plans are necessary once more because of the very rapid progress in 3-D conformal planning with photons. New cost-benefit analy ses may be needed. Low energy (about 70 MeV) proton therapy is eminently suitable for the treatment of eye tumours and has firmly established itself as very useful in this regard.
Authors and Affiliations
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Stellenbosch, Rep. of South Africa
Hans Breuer
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Department of Radiation Oncology, Tygerberg Hospital, Tygerberg, Rep. of South Africa
Berend J. Smit