Coverage-with-evidence registries for MR-guided and adaptive radiotherapy
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.
- Surgery and radiotherapy cure most, get least · Surgery and radiotherapy cure more people than drugs do, but attract a fraction of the research investment.
- Weak real-world evidence and registries · We do not reliably know what happens to patients after approval, so we cannot tell which drugs deliver in practice.
Pages like this
not linked directly; found by shared links- IdeaRadiotherapy for everyone who needs it by 2040
Shares Elekta, Varian (Siemens Healthineers), SBRT / SABR (stereotactic radiotherapy), Surgery and radiotherapy cure most, get least.
- InstitutionUMC Utrecht Cancer Center
Shares Elekta, MR-guided adaptive radiotherapy, SBRT / SABR (stereotactic radiotherapy), IMRT / IGRT (modern external beam).
- IdeaA national repository of radiotherapy dose plans linked to outcomes
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, IMRT / IGRT (modern external beam).
- IdeaA coordinated FLASH radiotherapy evidence programme with shared dose-rate standards
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.
- IdeaAn open-hardware radiotherapy machine built for unreliable power and dust
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least, IMRT / IGRT (modern external beam).
- IdeaPay for radiotherapy machine uptime, not for the machine
Shares Elekta, Varian (Siemens Healthineers), Surgery and radiotherapy cure most, get least.
- TechnologyRadiotherapy treatment planning and QA software
Shares Elekta, Varian (Siemens Healthineers), MR-guided adaptive radiotherapy, SBRT / SABR (stereotactic radiotherapy).
- InstitutionAarhus University Hospital
Shares Varian (Siemens Healthineers), SBRT / SABR (stereotactic radiotherapy), Surgery and radiotherapy cure most, get least, IMRT / IGRT (modern external beam).