I completed 25 Proton Therapy treatments, 50Gy, in January. Compared to IMRT, it was easier, entry point may he higher than IMRT, and beams stay in the tumor, so there is no exit wounds like loss if hair in the nape of the neck, but it takes takes longer to set up, position. For the two locations in the cervical neck it took 30-45 minutes vs 17 zaps with IMRT in 17 minutes, but you don't hear anything with PT like IMRT, and the proton beams itself takes a minute. I went to ProCure in NJ that has 4 machines, 2 flat beam, incline beam, and the large Gantry, but only one machine can be use the proton beams at a time from the cycletron. I believe MDAnderson has IMPT, Intenisty Modulated Proton Therapy, aka Pencil Beam, which is even more direct than other PT, with no need to change positions, brass snubs. Mine had to be changed twice, as well as the table position, although it's robotic.

I made a post with Proton Therapy in the currently treatment section that has some information, links.

I hope this helps.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs