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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">tumors</journal-id><journal-title-group><journal-title xml:lang="ru">Malignant tumours</journal-title><trans-title-group xml:lang="en"><trans-title>Malignant tumours</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2224-5057</issn><issn pub-type="epub">2587-6813</issn><publisher><publisher-name>Rosoncoweb</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18027/2224-5057-2019-9-4-5-17</article-id><article-id custom-type="elpub" pub-id-type="custom">tumors-688</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ДИСКУССИОННЫЕ ВОПРОСЫ В ОНКОЛОГИИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>DISCUSSION QUESTIONS IN ONCOLOGY</subject></subj-group></article-categories><title-group><article-title>По следам XXIII Российского онкологического конгресса: дискуссия «Станет ли вся лучевая терапия протонной?»</article-title><trans-title-group xml:lang="en"><trans-title>Back to the XXIII Russian oncology congress: will radiotherapy soon become entirely the proton one?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Деньгина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Dengina</surname><given-names>N.  V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Наталья В. Деньгина, к. м. н., заведующая радиологическим отделением, директор по лечебным вопросам Центра Томотерапии «R-Spei»</p><p>Ульяновск</p></bio><bio xml:lang="en"><p>Natalia V. Dengina, MD, PhD, Head of Radiotherapy Department</p><p>Ulyanovsk</p></bio><email xlink:type="simple">indigo.radonc@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Митин</surname><given-names>Т. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mitin</surname><given-names>T.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тимур В. Митин, д. м. н., отделение радиационной медицины</p><p>Портленд, США</p></bio><bio xml:lang="en"><p>Timur V. Mitin, MD, PhD, Radiation Medicine</p><p>Portland, USA</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Воробьёв</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Vorobjov</surname><given-names>N.  A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Николай А. Воробьев, к. м. н., Заведующий отделением конформной лучевой терапии</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Nikolay A. Vorobjov, MD, PhD, Head of Proton Therapy Department</p><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГУЗ «Областной клинический онкологический диспансер»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ulyanovsk Regional Clinical Cancer Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Университет Здоровья и Науки Орегона</institution><country>Соединённые Штаты Америки</country></aff><aff xml:lang="en"><institution>Oregon Health and Science University</institution><country>United States</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Медицинский институт им. Березина Сергея</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Medical Institute named after Sergey Berezin</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>04</day><month>03</month><year>2020</year></pub-date><volume>9</volume><issue>4</issue><fpage>5</fpage><lpage>17</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Деньгина Н.В., Митин Т.В., Воробьёв Н.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Деньгина Н.В., Митин Т.В., Воробьёв Н.А.</copyright-holder><copyright-holder xml:lang="en">Dengina N.V., Mitin T., Vorobjov N.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.malignanttumors.org/jour/article/view/688">https://www.malignanttumors.org/jour/article/view/688</self-uri><abstract><p>В статье представлены два мнения в отношении протонной лучевой терапии, ее физических основ, дозиметрических особенностей и клинической эффективности в сравнении с более традиционным фотонным облучением, а также мнение авторов в отношении целесообразности расширения показаний к протонной терапии и открытия новых центров по лечению протонами в мире. Данный обзор стал продолжением дискуссионной сессии по протонной терапии, состоявшейся на XXIII Российском онкологическом конгрессе в ноябре 2019 года.</p></abstract><trans-abstract xml:lang="en"><p>The article presents two opinions regarding proton radiation therapy, its physical basis, dosimetric specifics and clinical efficacy in comparison with more traditional photon irradiation, as well as the authors» opinions concerning the expanding indications for proton therapy and the rationale for opening new centers for proton treatment in the world. This review has become a continuation of the discussion session on proton therapy held at the XXIII Russian Oncology Congress in November 2019.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>протонная терапия</kwd><kwd>фотонная лучевая терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>proton therapy</kwd><kwd>photon radiation therapy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Климанов В. А. Радиобиологическое и дозиметрическое планирование лучевой и радионуклидной терапии. Часть 2. Лучевая терапия пучками протонов, ионов, нейтронов и пучками с модулированной интенсивностью, стереотаксис, брахитерапия, радионуклидная терапия, оптимизация, гарантия качества. Учебное пособие. М.: НИЯУ МИФИ. — 2011.</mixed-citation><mixed-citation xml:lang="en">Климанов В. А. Радиобиологическое и дозиметрическое планирование лучевой и радионуклидной терапии. Часть 2. 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