Tumor treatment with charged particle beams is a quickly developing fi
eld aimed to translate the potential advantages offered by the superio
r physical dose distribution and relative biological effectiveness of
heavy charged particles into a real improvement of tumor therapy. To t
his purpose the new proton and light-ion radiation therapy facilities
must be designed according to strict clinical specifications to provid
e a reliable and effective tool against cancer. This paper provides th
e performance specifications of the accelerator and of the beam transp
ort and delivery systems of the Italian Hadrontherapy Centre, which sh
ould be satisfied to meet the clinical specifications. A discussion is
given on the requirements on energy range, energy variability, beam i
ntensity, lateral penumbra, distal dose falloff, source-to-surface dis
tance, time structure of the extracted beam, raster scanning system sp
ecifications, and beam abort time. Though the physical specifications
are given for a particular accelerator, they can be used as a general
guideline for the design of future biomedical particle accelerator fac
ilities. (C) 1996 American Association of Physicists in Medicine.