This letter critically evaluates the conclusions drawn by Li et al. (https://doi.org/10.1002/jmrs.773) in their comparison of proton beam therapy (PBT) and photon irradiation for paediatric and young adult patients. While acknowledging the complexities of treatment selection, the authors argue that PBT's benefits, particularly in reducing radiation exposure to organs at risk, should be given greater consideration. The letter calls for a comprehensive, nuanced approach to treatment decisions, emphasising long-term outcomes and the reduction of potential late effects.
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