Evidence map›Paper›PMID 34917781›Full record

ArticleTechnical innovations & patient support in radiation oncology2021

Pathway for radiation therapists online advanced adapter training and credentialing.

Meegan Shepherd, Siobhan Graham, Amy Ward, Lissane Zwart, Bin Cai, Charlotte Shelley, Jeremy Booth

Open access · goldAbstract read
In one paragraph

Article in Technical innovations & patient support in radiation oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
9.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Article
  3. Adaptive radiotherapy incident-informed team training: a development and feasibility study.Technical innovations & patient support in radiation oncology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Value of Radiation Therapists in Online Adaptive Radiotherapy.Journal of medical radiation sciences · 2025
    Article
  9. Reirradiation practices of Radiation Therapists (RePoRT) study.Technical innovations & patient support in radiation oncology · 2025
    Article
  10. Proton beam therapy image-guided radiotherapy training for RTTs - Experience from a single institution.Technical innovations & patient support in radiation oncology · 2025
    Article
  11. Article
  12. Training for tomorrow: Establishing a worldwide curriculum in online adaptive radiation therapy.Technical innovations & patient support in radiation oncology · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 4 countries.

Meegan ShepherdNorthern Sydney Cancer Centre, Royal North Shore Hospital, Reserve Rd, St Leonard, NSW 2065, Australia.
Siobhan GrahamQueen's Hospital, BHRUT NHS Trust, Rom Valley Way, Romford RM1 0AG, UK.
Amy WardQueen's Hospital, BHRUT NHS Trust, Rom Valley Way, Romford RM1 0AG, UK.
Lissane ZwartMedisch Spectrum Twente (MST), Koningstraat 1, 7512 KZ Enschede, Netherlands.
Bin CaiUT Southwestern Medical Center, Harry Hines Blvd, Dallas, TX 75390, USA.
Charlotte ShelleyRoyal Surrey County Hospital, Edgerton Rd, Guilford GU2 7XX, UK.
Jeremy BoothNorthern Sydney Cancer Centre, Royal North Shore Hospital, Reserve Rd, St Leonard, NSW 2065, Australia.
Queen's Hospital · GBRoyal North Shore Hospital · AUMedisch Spectrum Twente · NLRoyal Surrey County Hospital · GBThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Online adaptive radiotherapy (oART) is an emerging advanced treatment option for cancer patients worldwide. Current oART practices using magnetic resonance (MR) and cone beam computed tomography (CBCT) based imaging are resource intensive and require physician presence, which is a barrier to widespread implementation. Global evidence demonstrates Radiation Therapists (RTTs) can lead the oART workflow with decision support tools and on 'on-call' caveats in a 'clinician-lite' approach without significantly compromising on treatment accuracy, speed or patient outcomes. With careful consideration of jurisdictional regulations and guidance from the multi-disciplinary team, RTTs can elevate beyond traditional scopes of practice. By implementing robust and evidence-based credentialing activities, they enable service sustainability and expand the real-world gains of adaptive radiotherapy to a greater number of cancer patients worldwide. This work summarises the evidence for RTT-led oART treatments and proposes a pathway for training and credentialing.

Indexed as

Advanced practiceCredentialingOnline adaptive radiotherapyProfessional rolesRTT-ledTrainingWorkflow

Identifiers

PMID34917781
PMCPMC8665404
OpenAlexW4200274468

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.