Techniques are described herein for delivering a particle beam from a continuously rotating gantry towards a target according to a determined patient state. The determined patient state and an identified gantry angle of a gantry may be used to deliver a set of beamlets (e.g., a pattern of radiation dose) to the target. The particle beam may rotate through a range of gantry angles. The set of beamlets may be delivered continuously while the gantry rotates.