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Updated: Jul 11, 2026

Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
Published on: February 6, 2019
A Practical Primer on Particle Therapy
Timothy D Malouff1, Mark Newpower2, Aaron Bush3
1Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.
Particle therapy, including proton beam therapy, offers unique physical and radiobiological properties. Protons, helium, and carbon ions are most common, with multi-ion therapy emerging.
Area of Science:
- Medical Physics
- Radiation Oncology
- Particle Therapy
Background:
- Particle therapy is an evolving cancer treatment modality.
- Proton beam therapy is the most prevalent form, but other ions are utilized.
- Each particle possesses distinct physical and radiobiological characteristics.
Purpose of the Study:
- To review and compare the properties of various particles used in therapy.
- To discuss radiobiological and physical aspects of different ions.
- To summarize existing clinical data for practicing clinicians.
Main Methods:
- PubMed database search for relevant studies.
- Inclusion of articles on radiobiology, physics, and clinical applications.
- Narrative review synthesizing findings from 113 sources.
Main Results:
- Proton beam therapy is the most studied and widely used particle therapy.
- Carbon, helium, and neutrons follow in clinical use.
- Oxygen, neon, silicon, and argon have limited clinical use as monotherapy.
Conclusions:
- This review consolidates information on clinically relevant particles.
- Protons, helium, and carbon are expected to remain the primary choices.
- Multi-ion particle therapy represents a developing treatment strategy.
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