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Updated: Jun 11, 2025

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
ACR-ARS Practice Parameter for the Performance of Proton Beam Therapy
Steven J Frank1, Indra J Das2, Charles B Simone3
1The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
This practice parameter provides guidelines for proton beam radiation therapy, detailing personnel qualifications, quality assurance, and clinical indications for cancer patients. It ensures safe and effective implementation of proton therapy for optimal patient care.
Area of Science:
- Radiation Oncology
- Medical Physics
Background:
- Proton beam radiation therapy is an advanced cancer treatment modality.
- Standardized guidelines are essential for its appropriate clinical application.
Purpose of the Study:
- To provide a revised practice parameter for proton beam radiation therapy.
- To guide the appropriate use of proton therapy in patient care.
- To address clinical implementation, including personnel, QA, indications, and documentation.
Main Methods:
- Developed collaboratively by the American College of Radiology (ACR) and the American Radium Society (ARS).
- Followed the ACR's established process for developing practice parameters and technical standards.
Main Results:
- Outlines qualifications and responsibilities for key personnel (e.g., Radiation Oncologist, Physicist).
- Details standard clinical indications and treatment methodologies by disease site.
- Updates policies for quality assurance, patient education, infection control, and safety.
Conclusions:
- Proton therapy accessibility is increasing for cancer patients.
- This parameter ensures quality and safety programs are effectively implemented.
- Optimizes clinical care through standardized proton therapy protocols.
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