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5%/mm), the median value of dose deviation reached 3% and 3.49% for photon and proton plans, respectively for sequence A, and 2.93% and 4.55% for photon and proton plans, respectively, for sequence B. We demonstrate that the dose deviation is specific to MRI hardware parameters. Compared to the photon plan, the proton plan is more sensitive to the changes in geometric distortion. For typical clinical MRI geometric distortion (d ≤2 mm), the median dose deviation is expected to be within 3% and 5% for photon and proton plans, respectively.