Radiotherapy machines record exactly how much dose every organ received, but the data are thrown away. Collect them and link to toxicities and cures to learn the safest, most effective doses.
Every treated patient has a DICOM-RT plan with voxel-level dose to tumour and organs at risk. Pooled with outcomes, this supports data-driven dose constraints, toxicity models and quality benchmarking. The Netherlands and the English Radiotherapy Dataset have partial national data; the proposal makes automated plan deposition (DICOM-RT structures and dose) plus registry linkage universal, with governed access for research and quality improvement.
Shares Elekta, Varian (Siemens Healthineers), Data silos.
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, IMRT / IGRT (modern external beam).
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least.
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, IMRT / IGRT (modern external beam).
Shares Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, Proton therapy, Toxicity and quality of life are undervalued.
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, IMRT / IGRT (modern external beam).
Shares Elekta, Varian (Siemens Healthineers).
Shares Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, Proton therapy, Toxicity and quality of life are undervalued.