Evidence map›Paper›PMID 41947967›Full record

ArticleTechnical innovations & patient support in radiation oncology2026

The impact of emerging technologies on education, roles and career progression of radiation therapists: a delphi consensus based on the ESTRO RTT workshop.

Monica Buijs, Filipa Sousa, JGuilherme Couto, Paolo Bossa, Melanie Clarkson, Thomas Devereux, Diana Raquel Domingues, Leslie Harrison, Taeyoon Kim, Vincent Ws Leung and 10 more

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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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

20 authors.

Monica BuijsInholland, University of Applied Sciences, Haarlem, the Netherlands.
Filipa SousaHaute Ecole Léonard de Vinci, Avenue Emmanuel Mounier 84, Woluwe-Saint-Lambert, Belgium.
JGuilherme CoutoFaculty of Health Sciences, University of Malta, Triq Dun Karm, Msida, Malta.
Paolo BossaI.F.O. S.C. RADIOTERAPIA U, Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino (TO), Turin, Italy.
Melanie ClarksonSchool of Health and Social Care, Sheffield Hallam University, the United Kingdom of Great Britain and Northern Ireland.
Thomas DevereuxRadiation Therapy Services, Peter MacCallum Cancer Centre, Melbourne, Australia.
Diana Raquel DominguesRadiotherapy, Cambridge University Hospitals NHS Foundation Trust, the United Kingdom of Great Britain and Northern Ireland.
Leslie HarrisonZealand University Hospital, Naestved, Denmark.
Taeyoon KimProton Therapy Center, National Cancer Center, Goyang, South Korea.
Vincent Ws LeungDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong.
Karina OchandorenaFacultad de Medicina, Universidad de la República, Montevideo, Uruguay.
Ligia RoloIPO Lisboa: Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisboa, Portugal.
Meegan ShepherdNorthern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, Australia.
Fahim SiddiqiSouth Western Sydney Cancer Centre, Liverpool Hospital, Liverpool, NSW, Australia.
Dimitra StrikouOncology Clinic Radiotherapy Unit, University and General Attikon Hospital, Athens, Greece.
Edwin TongPamela Youde Nethersole Eastern Hospital, Hong Kong.
Eva Van WeerdHolland Proton Therapy Center, Delft, the Netherlands.
Aoife WilliamsonBeatson West of Scotland Cancer Centre, Glasgow, the United Kingdom of Great Britain and Northern Ireland.
Sebastian WojcikowskiWiener Gesundheitsverbund, Klinik Favoriten, Vienna, Austria.
Rita SimõesAcademic Radiography, The Royal Marsden Hospital, London, the United Kingdom of Great Britain and Northern Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rapid technological advances in radiation oncology, including artificial intelligence (AI), online adaptive radiotherapy, and advanced imaging, are transforming radiotherapy practice and professional roles. Radiation Therapists (RTTs) must adapt their education, scope of practice, and career pathways to safely implement these technologies, yet international consensus on how this should be supported remains limited. A modified Delphi study was conducted following two online international workshops organised by the ESTRO Radiation Therapist (RTT) Committee. Expert RTTs participated in facilitated discussions exploring the impact of emerging technologies on RTT education, role extension, and career progression. Workshop data were thematically analysed to generate consensus statements, which were refined and validated through two survey rounds. Consensus was defined as ≥ 80% agreement. High levels of agreement were achieved across all themes. Participants agreed that emerging technologies expand rather than replace RTT roles, shifting responsibilities towards validation, quality assurance, and clinical decision-making. Structured education, critical thinking, and clear competency frameworks were identified as essential, alongside defined career pathways and access to continuing professional development. This position paper presents international expert consensus to inform education, workforce planning, and professional development in technologically evolving radiotherapy practice.

Indexed as

Advance practiceCareer progressionEducationRadiotherapy technologyRole extension

Identifiers

PMID41947967
PMCPMC13051920

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.