Executive summary

This study systematically compared intensity modulated proton therapy (IMPT), non-coplanar volumetric modulated arc therapy (VMAT) and intensity modulated radiotherapy (IMRT) for skull base meningiomas.

For twenty patients, target diameter >3 cm, IMPT plans significantly improved dose conformity to the target volume as compared to plans of VMAT and IMRT. And IMPT allows for a considerable dose reduction in the hippocampi, normal brain and other OARs compared to both non-coplanar VMAT and IMRT, which may lead to a clinically relevant reduction of late neurocognitive side effects.

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