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Radiotherapy machines that adapt to the tumour each day cost far more than standard ones and their benefit is unproven. Payers would fund them only within registries and trials that measure whether they help.
Payers reimburse MR-linac and daily adaptive radiotherapy at a premium only for patients enrolled in an international registry with standard outcome and toxicity capture (building on the MR-Linac Consortium's MOMENTUM study) or in randomised comparisons for indications where a benefit is plausible (pancreatic, prostate, oligometastatic, bladder). The registry has pre-specified analysis plans and triggers for randomised trials. Adaptive radiotherapy has strong dosimetric rationale but the clinical benefit over conventional image-guided radiotherapy is unquantified, and the technology is diffusing on the strength of physics rather than outcomes.
Shares An independent evaluation unit for surgical robots and AI, paid on evidence, Global cancer surgery: delivering safe, affordable, and timely cancer surgery, Weak real-world evidence and registries, Surgery and radiotherapy cure most, get least.
Shares Global cancer surgery: delivering safe, affordable, and timely cancer surgery, Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least.
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy).
Shares A regulatory pathway for new radiotherapy techniques modelled on drug development, Pooled coverage-with-evidence for proton therapy across all centres, 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 Global cancer surgery: delivering safe, affordable, and timely cancer surgery, Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy), IMRT / IGRT (modern external beam).
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, IMRT / IGRT (modern external beam).
Shares RefleXion Medical, MR-guided adaptive radiotherapy, SBRT / SABR (stereotactic radiotherapy), IMRT / IGRT (modern external beam).