A three-dimensional proton treatment planning system called PROXELPLAN has
been used at the National Accelerator Centre (NAC) since October 1994. This
system is entirely based on the VOXELPLAN planning system, developed at th
e Deutches Krebsforschungszentrum (DKFZ), Heidelberg, Germany. The VOXELPLA
N system provides the treatment planning infrastructure while the proton do
se distributions are calculated using a software module that was initially
developed at the Royal Marsden Hospital, UK. The proton module has been ext
ensively modified and refined. It uses a rayline-tracing algorithm which is
suitable for planning current treatments but is not sufficiently dynamic t
o accommodate the use of compensators. A sophisticated pencil, beam algorit
hm is currently under development.