Pudong, Shanghai — China’s dedicated precision radiation oncology centre offering both proton therapy and carbon heavy ion therapy. Treatment costs of approximately USD 45,000–60,000, compared to USD 150,000–250,000 in the United States.
Shanghai Proton and Heavy Ion Center (上海市质子重离子医院, SPHIC) is China’s first and most specialised facility for particle radiation therapy. Opened in 2014 in Pudong and jointly established by the Shanghai Municipal Government together with leading academic institutions, SPHIC operates as a dedicated 3A specialty hospital focused exclusively on proton beam therapy and carbon ion (heavy ion) therapy.
Carbon ion therapy is the most biologically effective form of radiation currently available for solid tumours. Carbon ions deposit energy precisely at the tumour site (the Bragg peak effect), deliver 2–3 times higher radiobiological effectiveness than conventional photon radiation, and cause significantly less damage to surrounding healthy tissue than X-ray or even proton-based treatment. SPHIC is one of only a small number of centres in the world that can offer carbon ion therapy, alongside facilities in Germany, Japan, Austria, and Italy.
Proton therapy at SPHIC is particularly valuable for tumours adjacent to critical structures — skull base, brainstem, optic nerve, spinal cord, and paediatric tumours where radiation dose to developing tissue must be minimised. SPHIC uses the pencil beam scanning technique, the most precise proton delivery method currently available, allowing three-dimensional dose shaping around irregular tumour volumes.
For international patients, SPHIC’s cost advantage is substantial. Carbon ion therapy in Germany or Japan costs USD 100,000–120,000 for a full course. At SPHIC, equivalent treatment is available at approximately USD 45,000–60,000 with no reduction in technical capability. China Care coordinates the full eligibility assessment, S2 visa process, and in-Shanghai logistics for patients travelling for treatment.
| Location | Proton Therapy | Carbon Ion Therapy |
|---|---|---|
| United States | USD 150,000–250,000 | Not widely available |
| Germany / Japan | USD 80,000–120,000 | USD 100,000–120,000 |
| SPHIC Shanghai | USD 30,000–45,000 | USD 45,000–60,000 |
Treatment costs quoted directly by the hospital. Estimates vary by tumour type, treatment fractions, and complexity. China Care provides a case-specific cost estimate before travel.
Carbon ion therapy delivers 2–3 times higher tumour-killing effectiveness than conventional X-ray radiation while sparing surrounding healthy tissue. It is the treatment of choice for radio-resistant tumours, skull base tumours, chordomas, chondrosarcomas, and selected head and neck cancers. SPHIC is one of fewer than 15 centres globally offering this modality.
Carbon ion therapy at SPHIC costs approximately USD 45,000–60,000 for a full treatment course. The same treatment in Germany or Japan costs USD 100,000–120,000. Proton therapy at SPHIC runs approximately USD 30,000–45,000, compared to USD 150,000–250,000 in the United States. The technology and clinical protocols are equivalent.
For brain tumours, skull base lesions, spinal tumours in children, and cancers near the optic pathway, minimising radiation dose to healthy developing tissue is critical. SPHIC’s pencil beam scanning proton therapy and carbon ion programme are specifically suited to these cases, offering dose precision that conventional IMRT or VMAT cannot achieve.
Nasopharyngeal carcinoma, salivary gland tumours, paranasal sinus cancer, and oral cavity tumours adjacent to critical structures. Carbon ion’s precision reduces xerostomia, trismus, and cranial nerve damage.
Chordomas and chondrosarcomas of the skull base and cervical spine — the primary global indication for carbon ion therapy, where no other modality achieves equivalent local control rates.
Gliomas, meningiomas, pituitary adenomas, and acoustic neuromas. Proton therapy reduces integral dose to the normal brain, reducing long-term cognitive effects compared to conventional radiotherapy.
Medulloblastoma, ependymoma, rhabdomyosarcoma, and paediatric brain tumours. Proton therapy is the standard of care for many paediatric CNS tumours precisely because it spares developing neural tissue from unnecessary radiation dose.
Proton therapy for localised and locally advanced prostate cancer, reducing rectal and bladder dose compared to conventional IMRT. Fewer gastrointestinal side effects with equivalent oncological outcomes.
Spinal cord-adjacent tumours and paraspinal sarcomas where conventional radiotherapy cannot deliver adequate dose without unacceptable spinal cord toxicity. Carbon ion’s sharp dose falloff enables curative-intent treatment.
Submit your pathology, staging scans, and prior treatment history. SPHIC’s radiation oncology team reviews suitability for proton or carbon ion therapy. Not all tumour types are appropriate — we confirm fit before you travel.
China Care and SPHIC prepare S2 medical visa documentation. Treatment courses typically run 3–6 weeks; we align visa duration with the full treatment schedule and any pre-treatment simulation sessions.
Airport transfer and hotel accommodation near Pudong. The first week typically includes planning CT/MRI simulation, immobilisation mask or mould fitting, and treatment planning review before beams begin.
Daily treatment fractions (Monday–Friday). China Care remains your point of contact for any concerns, translation of clinical updates, and logistics support throughout the treatment weeks.
Full treatment summary, dosimetry records, and response assessment imaging delivered digitally. Remote follow-up scheduling with SPHIC radiation oncologists and guidance for continuing oncology management at home.
Both proton and carbon ion therapies are forms of particle radiation that exploit the Bragg peak: they deposit the majority of their energy at a precise depth within the tumour, with minimal exit dose beyond it. Carbon ions are heavier than protons and carry a higher linear energy transfer (LET), making them 2–3 times more biologically effective at killing tumour cells per unit of physical dose. Carbon ion therapy is particularly effective against radio-resistant tumour histologies (chordoma, salivary gland tumours, hypoxic tumours) and in anatomical locations where dose escalation with protons alone is insufficient for local control. Proton therapy is the preferred modality for most paediatric tumours, brain tumours, and prostate cancer, where the primary goal is reducing healthy tissue dose rather than overcoming radio-resistance.
SPHIC’s strongest indications are skull base chordomas and chondrosarcomas (where carbon ion therapy achieves local control rates of 70–85% at 5 years, surpassing any other modality), nasopharyngeal carcinoma, head and neck cancers with proximity to critical structures, paediatric brain and spinal tumours, and localised prostate cancer. SPHIC is generally not the primary treatment centre for haematological malignancies, cancers requiring surgery, or systemic therapy — for those, China Care coordinates with Fudan University Cancer Center or Ruijin Hospital.
Treatment fractions are typically delivered Monday–Friday. The total number of fractions varies by tumour type and modality: proton therapy for prostate cancer is commonly 20–28 fractions (4–6 weeks); carbon ion therapy for skull base tumours typically runs 16–24 fractions (3–5 weeks). The first week includes simulation and treatment planning, so patients should plan for a total stay of 4–7 weeks depending on the protocol. China Care provides a specific timeline estimate based on your case before travel.
Re-irradiation after prior conventional radiotherapy is one of the more technically demanding indications, but it is a recognised application of carbon ion and proton therapy at SPHIC. Carbon ion’s sharper dose distribution reduces overlap with previously irradiated tissue, making re-treatment feasible in selected cases where conventional re-irradiation would carry unacceptable toxicity. Each case is reviewed individually by SPHIC’s multidisciplinary team.
Yes. SPHIC functions as a specialist referral centre within Shanghai’s broader oncology ecosystem. Patients who need surgery before radiation, or systemic therapy concurrent with or following radiation, are coordinated across institutions. China Care manages this multi-hospital pathway, liaising with SPHIC, Fudan University Cancer Center, or Zhongshan Hospital as the clinical picture requires.
China Care charges a fixed USD 2,000 coordination fee for cancer treatment cases. This covers eligibility pre-screening, S2 visa documentation preparation, appointment scheduling, arrival logistics, in-treatment communication, and discharge documentation. Treatment costs — including all SPHIC facility and radiation therapy fees — are quoted directly by the hospital and are separate. China Care does not add to, inflate, or mark up the hospital’s quoted treatment cost.
Send us your pathology and imaging reports and we will arrange an eligibility review with SPHIC’s radiation oncology team before you make any travel commitment.