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Protons have led the way in early clinical trials, largely because existing proton therapy centers can be adapted to deliver FLASH doses. In 2020, the University of Cincinnati Health launched the first human FLASH trial to use proton beams, to treat cancer that had metastasized to bones. “If I want to be pragmatic, the proton beam is ready to go, so let’s move with what we have,” says Geneva University Hospitals’ Marie-Catherine Vozenin.