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A Practical Primer on Particle Therapy.

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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.

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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.