Evidence map›Paper›PMID 41884628›Full record

ArticleTechnical innovations & patient support in radiation oncology2026

Practice development perspective of RTT contouring in online adaptive radiotherapy for prostate cancer: A single-centre cost-consequence analysis.

Bethany Williams, Emma Oi Ching Xue, Alison Tree, Helen McNair, Kyriaki Giorgakoudi

Abstract read
In one paragraph

Article in Technical innovations & patient support in radiation oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Bethany WilliamsThe Royal Marsden NHS Foundation Trust, UK.
Emma Oi Ching XueDepartment of Population Health and Policy, School of Health and Medical Sciences, City St George's, University of London, UK.
Alison TreeThe Royal Marsden NHS Foundation Trust, UK.
Helen McNairThe Royal Marsden NHS Foundation Trust, UK.
Kyriaki GiorgakoudiDepartment of Population Health and Policy, School of Health and Medical Sciences, City St George's, University of London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Technological advances in online adaptive radiotherapy (oART) are set to revolutionise the treatment of prostate cancer (PCa). Yet, the need for a multi-disciplinary team oversight at every fraction remains a significant resource barrier to wider implementation. This practice-development paper explores the cost-consequence analysis and the operational implications of delegating online contouring responsibilities to therapeutic radiographers (RTTs) within an established MRI-guided online adaptive radiotherapy (oART) PCa service. Using a discrete-event simulation model informed by single-centre workflow data, the implications of RTT- and radiation oncologist (RO)-contoured workflows are discussed in terms of personnel costs, RO time, and patient throughput. With RTT online contouring generating substantial cost savings, demonstrating how reallocation of tasks can improve service efficiency and support sustainable oART. Highlighting the importance of workforce development and economic evidence to help to inform policy decisions, with the aim to broaden access to adaptive radiotherapy worldwide.

Indexed as

Cost savingOnline adaptive radiotherapyResourcesRTT contouringRTT-led practiceRTT role expansion

Identifiers

PMID41884628
PMCPMC13010981

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.