Pathway for radiation therapists online advanced adapter training and credentialing

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

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)54-60
Number of pages7
JournalTechnical Innovations and Patient Support in Radiation Oncology
StatePublished - Dec 2021


  • Advanced practice
  • Credentialing
  • Online adaptive radiotherapy
  • Professional roles
  • RTT-led
  • Training
  • Workflow

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Care Planning
  • Oncology(nursing)
  • Health Policy


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