Selection of the Most Appropriate Radiation Treatment Modality for Children's Cancers: A Paediatric Radiation Oncology Society (PROS) Position Paper on the Ethical Utilization of Proton Therapy
PROS advocates for an ethical, equitable, and evidence-informed approach to radiotherapy modality selection in children, reflecting holistic considerations beyond dosimetry. Proton therapy should be pursued when clinically indicated and accessible without compromising timely care. Investment in a comprehensive radiation therapy infrastructure, including professional education, collaborative research, and responsible public messaging, is essential to optimize pediatric cancer outcomes globally.
Authors
- Arnold C. Paulino (ORCID: https://orcid.org/0000-0002-0269-3045)
- Benjamín Huerta Robles
- Klaus Seiersen
- Jeannette Parkes (ORCID: https://orcid.org/0000-0002-7735-1111)
- Yasmin Lassen
- Bilal Mazhar Qureshi (ORCID: https://orcid.org/0000-0002-0138-7628)
- Anita Mahajan (ORCID: https://orcid.org/0000-0003-4260-7022)
- Beate Timmermann (ORCID: https://orcid.org/0000-0003-2274-2008)
- Daniel J. Indelicato (ORCID: https://orcid.org/0000-0001-5765-1873)
- Mark N. Gaze (ORCID: https://orcid.org/0000-0002-8344-7902)
- Anne Laprie (ORCID: https://orcid.org/0000-0002-0103-7935)
- Natia Esiashvili (ORCID: https://orcid.org/0000-0002-7321-2034)
- Pauline Njoki Njiraini (ORCID: https://orcid.org/0000-0002-5450-9406)
- Ingrid Kristensen
- Guillaume Beljoudi
Institutions
- Aga Khan University (PK)
- University of North Florida (US)
- Mayo Clinic (US)
- University College London Hospitals NHS Foundation Trust (GB)
- The University of Texas MD Anderson Cancer Center (US)
- Emory University (US)
- University of Cape Town (ZA)
- Lund University (SE)
- Aarhus University Hospital (DK)
- Kenyatta National Hospital (KE)
- Rigshospitalet (DK)
- University of Florida (US)
- Jacksonville University (US)
- Proton Therapy Centre (CZ)
- Centre de Recherche en Cancérologie de Lyon (FR)
- Institut Claudius Regaud (FR)
- Skåne University Hospital (SE)
- Vietnam National Children's Hospital (VN)
- University College London (GB)
- Florida College (US)
Publication Details
- Journal
- Pediatric Blood & Cancer
- Published
- 2025-11-20
- DOI
- https://doi.org/10.1002/pbc.32155
- Citations
- 1
- Primary Topic
- Advances in Oncology and Radiotherapy
- Type
- article
- Field-Weighted Citation Impact
- 1.36