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Updated: Nov 1, 2025

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
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Technological Advances in Charged-Particle Therapy.

Jong Min Park1,2,3,4, Jung-In Kim1,2,3, Hong-Gyun Wu1,2,3,4

  • 1Department of Radiation Oncology, Seoul National University Hospital, Seoul, Korea.

Cancer Research and Treatment
|June 27, 2021
PubMed
Summary
This summary is machine-generated.

Charted-particle therapy (CPT) offers precise cancer treatment by targeting tumors and sparing healthy tissue. Advances in proton beam therapy (PBT) and carbon-ion radiotherapy (CIRT) enhance effectiveness and patient outcomes globally.

Keywords:
Carbon-ion radiotherapyCharged-particle therapyProton beam therapy

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Area of Science:

  • Oncology
  • Medical Physics
  • Radiation Oncology

Background:

  • Charted-particle therapy (CPT) utilizes unique physical and biological properties to precisely deliver radiation doses to tumors while minimizing damage to surrounding healthy tissues.
  • Proton beam therapy (PBT) pioneered human CPT in the 1950s, followed by carbon-ion radiotherapy (CIRT) in 1977, which leverages the favorable biological characteristics of carbon ions for cancer treatment.
  • Carbon ions exhibit a Bragg peak coinciding with maximum relative biological effectiveness and low oxygen enhancement ratios, making CIRT a mainstream heavy-ion cancer therapy.

Purpose of the Study:

  • To review recent technological advancements in charted-particle therapy (CPT) that enhance its clinical application.
  • To highlight the evolution and current status of proton beam therapy (PBT) and carbon-ion radiotherapy (CIRT).
  • To underscore the ongoing global research efforts aimed at improving CPT efficacy and efficiency.

Main Methods:

  • Review of technological advancements in CPT, including rotating gantry systems, fast pencil-beam scanning, image-guided particle therapy, and intensity-modulated particle therapy.
  • Analysis of global treatment data for PBT and CIRT up to 2019.
  • Synthesis of current research trends in CPT development.

Main Results:

  • Significant technological progress has been made in CPT, enabling more sophisticated treatment delivery.
  • As of 2019, over 222,000 patients received PBT and over 34,000 patients received CIRT worldwide.
  • Ongoing research worldwide focuses on further optimizing CPT for improved cancer treatment outcomes.

Conclusions:

  • CPT, particularly CIRT, has become an established and effective modality in cancer treatment.
  • Technological innovations continue to expand the capabilities and clinical utility of CPT.
  • Further research and development are crucial for advancing CPT and maximizing its benefits for cancer patients.