Abstract
Advances in treatment planning and delivery of proton therapy, namely, active (spot) scanning intensity-modulated proton therapy, have allowed safer and more effective treatment for even the most complex head and neck cancer (HNC) cases. This chapter reviews the dosimetric advantages of proton therapy in terms of critical organ protection and normal tissue sparing, the encouraging clinical outcomes for various head and neck tumor subsites in terms of both disease control and toxicity reduction, the favorable results compared with photon-based approaches, and ongoing prospective studies of proton therapy for HNC, with illustrative case studies provided.
Original language | English (US) |
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Title of host publication | Proton Therapy |
Subtitle of host publication | Indications, Techniques and Outcomes |
Publisher | Elsevier |
Pages | 161-179 |
Number of pages | 19 |
ISBN (Electronic) | 9780323733496 |
ISBN (Print) | 9780323733502 |
DOIs | |
State | Published - Jan 1 2020 |
Keywords
- base of skull
- eye sparing
- intensity-modulated proton therapy
- nasal cavity
- nasopharynx
- oropharynx
- paranasal sinus
- periorbital
- quality of life
- reirradiation
- salivary gland
- toxicity reduction
ASJC Scopus subject areas
- General Medicine