TY - JOUR AB - Charged particle therapy with proton beam therapy (PBT) and carbon ion radiotherapy (CIRT) has emerged as a promising radiation modality to minimize radiation hepatotoxicity while maintaining high rates of tumor local control. Both PBT and CIRT deposit the majority of their dose at the Bragg peak with little to no exit dose, resulting in superior sparing of normal liver tissue. CIRT has an additional biological advantage of increased relative biological effectiveness, which may allow for increased hypofractionation regimens. Retrospective and prospective studies have demonstrated encouragingly high rates of local control and overall survival and low rates of hepatotoxicity with PBT and CIRT. Ongoing randomized trials will evaluate the value of PBT over photons and other standard liver-directed therapies and future randomized trials are needed to assess the value of CIRT over PBT. AU - Apisarnthanarax, S.* AU - Bowen, S.R.* AU - Combs, S.E. C1 - 54748 C2 - 45793 CY - 1600 John F Kennedy Boulevard, Ste 1800, Philadelphia, Pa 19103-2899 Usa SP - 309-320 TI - Proton beam therapy and carbon ion radiotherapy for hepatocellular carcinoma. JO - Semin. Radiat. Oncol. VL - 28 IS - 4 PB - W B Saunders Co-elsevier Inc PY - 2018 SN - 1053-4296 ER - TY - JOUR AU - Trott, K.-R. AU - Kummermehr, J. C1 - 20410 C2 - 13608 SP - 115-125 TI - The Time Factor and Repopulation in Tumours and Normal Tissues. JO - Semin. Radiat. Oncol. VL - 3 IS - 2 PY - 1993 SN - 1053-4296 ER - TY - JOUR AU - Maciejewski, B. AU - Zajusz, A. AU - Pilecki, B. AU - Skladowski, K. AU - Dörr, W. AU - Kummermehr, J. AU - Trott, K.-R. C1 - 19825 C2 - 12974 SP - 54-57 TI - Escalated Hyperfractionation and Stimulation of Acute Mucosal Reaction in Radiotherapy for Cancer of the Oral Cavity and Oropharynx. JO - Semin. Radiat. Oncol. VL - 2 PY - 1992 SN - 1053-4296 ER -