There is probably no more compelling use of proton therapy than that for craniospinal irradiation, particularly for kids, and this Japanese look back at outcomes based on technique is here to remind us there is more to exploit here than the Bragg peak. The fancier intensity modulated proton therapy provided better and more homogenous coverage with significantly lower lens dose than the old school passive scatter proton therapy There was also significantly lower dose to anterior organs at risk when additionally employing the vertebral body sparing technique. | Fukumitsu, Pract Radiat Oncol 2023
