Is upright radiotherapy medically and financially better?

Upright radiotherapy is not new. It has been practiced for specialized treatments such as boron neutron capture therapy, light ion and even photon therapy before isocentric C-arm gantries became standardized more than 60 years ago. Today, treatment planning relies on CT and/or MRI systems which were typically designed only recumbent positioning, however, lately scanners that can scan patients in the upright position have developed. In recent there growing evidence are some medical benefits treating sites with patient position. The existing literature describing appropriateness reviewed. Original work examining impact to prostate direction reported effectiveness of repurposing conventional immobilization radiotherapy. financial a fixed horizontal beam external particle also examined. So, medically financially better? hypothesis reasonable but it will require regulatory approval early adopters confirm cost approach.