Proton Therapy or Proton Beam Therapy

proton therapy

Proton therapy is a relatively new treatment, and usually patients are required to travel to find a specialized center. There are centers located around the world, and you can contact the Mozocare Care Team if you wish to find the best option for you.

Before proton therapy, the case must be examined by a specialist to determine if the patient is a suitable candidate for treatment. The treatment is only recommended for cancers which have not spread to other areas of the body, as the proton therapy can only target tumors which are contained in one area. 

In order to prepare, patients may be advised to send their previous medical reports and scans so that the specialist can assess them. In some cases, the specialist will want to see the patient, and perform an up-to-date cancer staging.,

Proton therapy is performed in a specialized, purpose-built theater. Before the treatment begins, the patient will undergo an MRI scan or CT scan to check the position of the tumor. Depending on the type of cancer and the area being targeted, the specialist may apply a device to prevent the patient from moving. Once the patient is in position, the specialist will leave the room so that the proton beam therapy can begin.

The proton beams are delivered in such a way to target the tumor, layer by layer, to a minute level of detail. Depending on the size and position of the tumor, this should last around 15 minutes. In this time, the team will be able to communicate with you via a sound and video link-up.

Anesthesia No anesthesia is required, and the patient should not feel pain during the treatment. Procedure duration The Proton Therapy takes 15 to 30 minutes. 

Particle therapy facilities in clinical operation (last update: July 2020)

COUNTRY
WHO, WHERE
PARTICLE
S/C/SC*
MAX. ENERGY (MeV)
BEAM DIRECTIONS
START
OF TREATMENT
Austria
MedAustron, Wiener Neustadt
p
S 253
2 horiz., 1 vertical fixed beam**,
1 gantry** (under construction)
2016
Austria
MedAustron, Wiener Neustadt
C-ion
S 403/u
2 horiz. and 1 verticalfixed beam**
2019
China
WPTC, Wanjie, Zi-Bo
p
C 230
2 gantries, 1 fixed beam
2004
China
SPHIC, Shanghai
p
S 250
3 fixed beams**
2014
China
SPHIC, Shanghai
C-ion
S 430/u
3 fixed beams**
2014
China
Heavy Ion Cancer Treatment Center, Wuwei, Gansu
C-ion
S 400/u
4 fixed beams**
2019
Czech  Republic
PTC Czech r.s.o., Prague
p
C 230
3 gantries**, 1 fixed beam
2012
Denmark
Dansk Center for Partikelterapi, Aarhus
p
C 250
3 gantries**, 1 horiz. fixed beam**
2019
England
Clatterbridge
p
C 62
1 fixed beam
1989
England
Proton Partner’s Rutherford CC, Newport
p
C 230
1 gantry**
2018
England
The Christie Proton Therapy Center, Manchester
p
C 250
3 gantries**
2018
England
Rutherford Health Proton Beam Therapy, Reading, Birkshire
p
C 230
1 gantry**
2019
England
Rutherford Health Proton Beam Therapy, Northumberland
p
C 230
1 gantry**
2019
France
CAL/IMPT, Nice
p
C65, SC 235
1 fixed beam, 1 gantry**
1991, 2016
France
CPO, Orsay
p
SC 230
1 gantry**, 2 fixed beams
1991, 2014
France
CYCLHAD, Caen
p
SC 230
1 gantry**
2018
Germany
HZB, Berlin
p
C 250
1 fixed beam
1998
Germany
RPTC, Munich
p
C 250
4 gantries**, 1 fixed beam
2009
Germany
HIT, Heidelberg
p
S 250
2 fixed beams, 1 gantry**
2009, 2012
Germany
HIT, Heidelberg
C-ion
S 430/u
2 fixed beams, 1 gantry**
2009, 2012
Germany
WPE, Essen
p
C 230
4 gantries***, 1 fixed beam
2013
GermanyUPTD, Dresdenp C 2301 gantry***2014
Germany
MIT, Marburg
p
S 250
3 horiz., 1 45deg. fixed beams**
2015
Germany
MIT, Marburg
C-ion
S 430/u
3 horiz., 1 45deg. fixed beams**
2015
India
Apollo Hospitals PTC, Chennai
p
C 230
2 gantries, 1 fixed beam**
2019
Italy
INFN-LNS, Catania
p
C 60
1 fixe beam
2002
Italy
CNAO, Pavia
p
S 250
3 horiz., 1 vertical, fixed beams
2011
Italy
CNAO, Pavia
C-ion
S 480/u
3 horiz., 1 vertical, fixed beams
2012
Italy
APSS, Trento
p
C 230
2 gantries**, 1 fixed beams
2014
Japan
HIMAC, Chiba
C-ion
S 800/u
horiz.***, vertical***, fixed beams, 1 gantry
1994, 2017
Japan
NCC, Kashiwa
p
C 235
2 gantries***
1998
Japan
HIBMC, Hyogo
p
S 230
1 gantry
2001
JapanHIBMC, Hyogo
C-ion
S 320/u
horiz.,vertical,  fixed beams
2002
JapanPMRC 2, Tsukuba
p
S 250
2 gantries***
2001
JapanShizuoka Cancer Center
p
S 235
3 gantries, 1 fixed beam
2003
JapanSTPTC, Koriyama-City
p
S 235
2 gantries**, 1 fixed beam
2008
Japan
GHMC, Gunma
C-ion
S 400/u
3 horiz., 1 vertical, fixed beams
2010
JapanMPTRC, Ibusuki
p
S 250
3 gantries***
2011
JapanFukui Prefectural Hospital PTC, Fukui City
p
S 235
2 gantries***, 1  fixed beam
2011
JapanNagoya PTC, Nagoya City, Aichi
p
S 250
2 gantries***, 1 fixed beam
2013
JapanSAGA-HIMAT, Tosu
C-ion
S 400/u
3 horiz., vertical, 45 deg., fixed beams
2013
JapanHokkaido Univ. Hospital PBTC, Hokkaido
p
S 220
1 gantry
2014
JapanAizawa Hospital PTC, Nagano
p
C 235
1 gantry
2014
Japani-Rock Kanagawa Cancer Center, Yokohama
C-ion
S 430/u
4 horiz., 2 vertical, fixed beams
2015
JapanTsuyama Chuo Hospital, Okayama
p
S 235
1 gantry
2016
JapanHakuhokai Group Osaka PT Clinic, Osaka
p
S 235
1 gantry
2017
JapanKobe Proton Center, Kobe
p
S 235
1 gantry
2017
JapanNarita Memorial Proton Center, Toyohgashi
p
C 230
1 gantry**
2018
JapanOsaka Heavy Ion Therapy Center, Osaka
C-ion
S 430/u
3  fixed beams, 6 ports**
2018
JapanHokkaido Ohno Memorial Hospital, Sapporo
p
C 235
1 gantry**
2018
JapanNagamori Memorial Center of Innovative Cancer Therapy and Research, Kyoto
p
S 220
2  gantries**
2019
PolandIFJ PAN, Krakow
p
C 230
1 fixed beam, 2 gantries
2011, 2016
Russia
ITEP, Moscow
p
S 250
1 fixed beam
1969
Russia
JINR 2, Dubna
p
C 200****
1 fixed beam
1999
Russia
MIBS, Saint-Petersburg
p
C 250
2  gantries**
2018
Russia
MRRC, Obninsk
p
S 250
1 fixed beam
2016
Russia
Federal HighTech Center of FMBA, Dimitrovgrad
p
C 230
4 gantries**
2019
South KoreaKNCC, IIsan
p
C 230
2 gantrie, 1 horiz. fixed beam
2007
South KoreaSamsung PTC, Seoul
p
C 230
2 gantries
2015
Spain
Quironsalud PTC, Madrid
p
SC 230
1 gantry**
2019
Spain
CUN, Madrid
p
S 220
1 gantry**
2020
Sweden
The Skandion Clinic,Uppsala
p
C 230
2 gantries**
2015
Switzerland
CPT, PSI, Villigen
p
C 250
3 gantries**, 1 horiz. fixed beam
1984, 1996, 2013, 2018
Taiwan
Chang Gung Memorial Hospital, Taipei
p
C 230
4 gantries**, 1 fixed beam exp.
2015
The Netherlands
p
C 230
2 gantries***
2018
The Netherlands
Holland PTC, Delft
p
C 250
2 gantries**, 1 horiz. fixed beam**
2018
The Netherlands
ZON PTC, Maastricht
p
SC 250
1 gantry**
2019
USA, CA.
J. Slater PTC, Loma Linda
p
S 250
3 gantries, 1 horiz. fixed beam
1990
USA, CA.
UCSF-CNL, San Francisco
p
C 60
1 horiz. fixed beam
1994
USA, MA.
MGH Francis H. Burr PTC, Boston
p
C 235
2 gantries***, 1 horiz. fixed beam
2001
USA, TX.MD Anderson Cancer Center, Houston
p
S 250
3 gantries***, 1 horiz. fixed beam
2006
USA, FL.UFHPTI, Jacksonville
p
C 230
3 gantries***, 1 fixed beam
2006
USA, OK.Oklahoma Proton Center, Oklahoma City
p
C 230
1 gantry, 3 fixed beams
2009
USA, PA.Roberts PTC, UPenn, Philadelphia
p
C 230
4 gantries***, 1 horiz. fixed beam
2010
USA, IL.Chicago Proton Center, Warrenville
p
C 230
1 gantry**, 3 fixed beams
2010
USA, VA.HUPTI, Hampton
p
C 230
4 gantries, 1horiz. fixed beam
2010
USA, NJ.ProCure Proton Therapy Center, Somerset
p
C 230
4 gantries***
2012
USA, WA.SCCA ProCure Proton Therapy Center, Seattle
p
C 230
4 gantries***
2013
USA, MO.S. Lee Kling PTC, Barnes Jewish Hospital, St. Louis
p
SC 250
1 gantry
2013
USA, TN.ProVision Cancer Cares Proton Therapy Center, Knoxville
p
C 230
3 gantries**
2014
USA, CA.California Protons Cancer Therapy Center, San Diego
p
C 250
3 gantries**, 2 horiz. fixed beams**
2014
USA, LA.Willis Knighton Proton Therapy Cancer Center, Shreveport
p
C 230
1 gantry**
2014
USA, FL.Ackerman Cancer Center, Jacksonville
p
SC 250
1 gantry
2015
USA, MN.Mayo Clinic Proton Beam Therapy Center, Rochester
p
S 220
4 gantries**
2015
USA, NJ.Laurie Proton Center of Robert Wood Johnson Univ. Hospital, New Brunswick
p
SC 250
1 gantry
2015
USA, TX.Texas Center for Proton Therapy, Irving
p
C 230
2 gantries**, 1 horiz. fixed beam
2015
USA, TN.St. Jude Red Frog Events Proton Therapy Center, Memphis
p
S 220
2 gantries**, 1 horiz. fixed beam
2015
USA, AZ.Mayo Clinic Proton Therapy Center, Phoenix
p
S 220
4 gantries**
2016
USA, MD.Maryland Proton Treatment Center, Baltimore
p
C 250
4 gantries**, 1 horiz. fixed beam**
2016
USA, FL.Orlando Health PTC, Orlando
p
SC 250
1 gantry
2016
USA, OH.UH Sideman CC, Cleveland
p
SC 250
1 gantry
2016
USA, OH.Cincinnati Children’s Proton Therapy Center, Cincinnati
p
C 250
3 gantries**
2016
USA, MI.Beaumont Health Proton Therapy Center, Detroit
p
C 230
1 gantry**
2017
USA, FL.Baptist Hospital’s Cancer Institute PTC, Miami
p
C 230
3 gantries**
2017
USA, DC.MedStar Georgetown University Hospital PTC, Washington DC
p
SC 250
1 gantry**
2018
USA, TN.Provision CARES Proton Therrapy Center, Nashville
p
C 230
2 gantries**
2018
USA, GA.Emory Proton Therapy Center, Atlanta
p
C 250
3 gantries**, 2 horiz. fixed beams**
2018
USA, OK.Stephensen Cancer Center, Oklahoma
p
SC 250
1 gantry**
2019
USA, MI.McLaren PTC, Flint
p
S 250/330
3 gantries**
2019
USA, NY.The New York Proton Center, East Harlem, New York
p
C 250
3 gantries**, 1 horiz. fixed beam**
2019
USA, DC.Johns Hopkins National Proton Center, Washington
p
S 250
3 gantries**,1 horiz. fixed beam*
2019
USA, FL.South Florida Proton Institute, SFPTI, Delray Beach
p
C 250
1 gantry**
2019
USA, FL.UFHPTI, Jacksonville
p
C 230
1 gantry**
2019
USA, VA.Inova Mather PT Cancer Center, Fairfax
p
C 230
2 gantries**
2020
* S/C/SC = Synchrotron (S) or Cyclotron (C) or SynchroCyclotron (SC)
** with pencil beam scanning
*** with spread beam and pencil beam scanning
**** degraded beam

Source: https://www.ptcog.ch/