As I understand it IMPT isn't even availible in this country, Japan & Germany maybe. This is all cutting edge stuff & I can't seem to get straight answers anywhere. My 1st reaction was to run when the socalled cutting edge proton facility said they didn't have IMRT & wished they did. I think my second reaction is going to be the same. My hometown ENT, whom I've known for a number of years, happens to be my friend/customer. I've discussed the pro's & con's w/him, he did the original biopsy, & reffered me out, & he definetely believes in the folks at Virginia Mason MC I think I'm going to go w/his original refferal to Virginia Mason MC in Seattle. OOH! That sounds so good, the chisel to the jaw!