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New ways of giving radiotherapy are adopted without the staged testing that drugs go through, and are then hard to evaluate. A defined pathway with fee waivers and clear evidence steps would bring rigour without blocking progress.
Regulators and professional bodies define a staged pathway for radiotherapy techniques and fractionation innovations (not just machines): technical feasibility and dosimetry standards, early-phase toxicity studies with defined endpoints, randomised or registry-based comparative evaluation, and a clear route to guideline and reimbursement recognition, with regulatory fee waivers and scientific advice for academic sponsors. The machine is regulated as a device but the technique (dose, fractionation, target, adaptation strategy) is what determines outcomes, and it currently has no evidence pathway at all. Radiotherapy groups have called for this for years; making it official aligns academic sponsors, payers and regulators on what evidence is needed.
Shares Jürgen Debus, A coordinated FLASH radiotherapy evidence programme with shared dose-rate standards, Coverage-with-evidence registries for MR-guided and adaptive radiotherapy, Carbon-ion therapy.
Shares Coverage-with-evidence registries for MR-guided and adaptive radiotherapy, MR-guided adaptive radiotherapy, Surgery and radiotherapy cure most, get least.
Shares Core-funded radiotherapy trials infrastructure with central quality assurance, Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy).
Shares Jürgen Debus, Carbon-ion therapy, MR-guided adaptive radiotherapy, Surgery and radiotherapy cure most, get least.
Shares FLASH radiotherapy, Carbon-ion therapy.
Shares FLASH radiotherapy, MR-guided adaptive radiotherapy, Surgery and radiotherapy cure most, get least.
Shares Core-funded radiotherapy trials infrastructure with central quality assurance, Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy).
Shares FLASH radiotherapy, Surgery and radiotherapy cure most, get least, SBRT / SABR (stereotactic radiotherapy).