Upright proton machines are being installed, cleared mainly for the head, neck and upper chest, without any head-to-head comparison with lying down. A proposal: every centre records set-up accuracy, comfort and side effects the same way so the comparison exists.
Upright positioning removes the proton gantry and is now cleared in the United States and Europe (P-Cure 2023, Leo Cancer Care Marie 2025, Mevion S250-FIT 2025), with the S250-FIT limited to sites above the mid-chest when fully seated. OnCo found no randomised or matched comparison of upright and supine treatment. This proposal, which no source makes in these words, is a common registry across upright sites recording daily set-up error, replanning rate, patient-reported comfort and acute toxicity, matched to supine patients at the same centres.
Shares the tags machines-wave3, proposal.
Shares the tags machines-wave3, proposal.
Shares the tags machines-wave3, proposal.
Shares Particle therapy machines: from Loma Linda to proton rooms in a linac vault, carbon gantries and FLASH, Proton therapy machines: cyclotrons, synchrotrons and single-room systems and the tag machines-wave3.
Shares Particle therapy machines: from Loma Linda to proton rooms in a linac vault, carbon gantries and FLASH, Proton therapy machines: cyclotrons, synchrotrons and single-room systems and the tag machines-wave3.
Shares Mevion Medical Systems, Upright radiotherapy positioning (Leo Cancer Care Marie, P-Cure, Mevion S250-FIT), Particle therapy machines: from Loma Linda to proton rooms in a linac vault, carbon gantries and FLASH, Surgery and radiotherapy cure most, get least.
Shares Surgery and radiotherapy cure most, get least and the tag machines-wave3.
Shares Surgery and radiotherapy cure most, get least and the tag machines-wave3.
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