Clinical radiation therapists are integral to the transformation of cancer healthcare in India, playing a pivotal role in delivering quality care, advancing technology and techniques, expanding access to treatment, and supporting patients throughout their cancer journey. Their expertise and dedication are essential in the fight against cancer and improving outcomes for patients across the country. Delivery of Radiation Therapy: Radiation therapy is a cornerstone of cancer treatment, used either alone or in conjunction with surgery and/or chemotherapy. Clinical radiation therapists are responsible for delivering precise doses of radiation to cancerous tumors while minimizing damage to surrounding healthy tissues. Their expertise ensures that patients receive effective treatment with minimal side effects. Patient Care and Support: Radiation therapy can be a daunting experience for patients, both physically and emotionally. Clinical radiation therapists provide essential support and care throughout the treatment process, addressing patients' concerns, educating them about the treatment regimen, and helping them cope with any side effects or challenges they may encounter. Ensuring Treatment Accuracy and Safety: The accuracy of radiation therapy delivery is paramount to its effectiveness. Clinical radiation therapists are trained to operate highly sophisticated equipment such as linear accelerators and brachytherapy devices, ensuring that radiation is precisely targeted to the tumor site. They also monitor patients closely during treatment to ensure safety and efficacy.

1. Importance of Clinical Radiation Therapi
in Transformation of Cancer Healthcare
India
Subrata Roy
Senior Radiation Therapist
Hcg-Ics Khubchandani Cancer Centre, Mumbai

2. Outlines
Introduction
Clinical Radiation Therapists Overview
Transformation Impact of Radiation Therapists
Career Progress & Advanced Practice Roles
RTT Risk Management Strategies
Artificial Intelligence Competency in workflow
Advancements & Future Prospectives
Conclusions & References
Role Definition of Clinical Radiation Therapists (CRT) in Transformation of Cancer Healthcare in India

3. Introduction
Cancer remains a significant health challenge in India, with increasing
incidence rates necessitating a transformative approach to healthcare delivery.
The pivotal role of Clinical Radiation Therapists (CRTs) in shaping and
enhancing cancer care in the Indian context.
CRTs play a crucial role in the radiation therapy component of cancer
treatment, contributing to the comprehensive care of patients. Responsibilities
and qualifications of CRTs, emphasizing their role in patient-centered care.
The impact of CRTs on cancer healthcare in India is illustrated through improved treatment outcomes, reduced side effects, and
heightened patient satisfaction. Recent advances in Cancer care include Immunotherapy,CAR-T Cell Therapy, Liquid Biopsies,
Advanced Imaging Technologies, Particle Therapy, Minimally Invasive Surgical Techniques, Telemedicine and Remote Monitoring.

4. Cancer Statistics In India
2023
2021
26700000
2019
1200000
1324413
2020
1413316
2022
Data Source:
Key challenges:
 Late-stage detection,
 limited access to treatment
 Importance of addressing the cancer burden
Yet to upload on Website

5. Gender Factor
48.8% All Ages 51.2% All Ages
No of Cancer effected in India:1324413
Data Source : GLOBOCON-2020
2020

6. Radiation Oncologist Medical Physicist Radiation Therapist
Radiotherapy Multidisciplinary Team
RT Nursing & AHP Team
RADIATION
THERAPY

7. Revolutionizing how cancer is Treated.
The Importance of Continuous Training and professional development for CRTs is highlighted, ensuring their ability to adapt to
emerging trends and Innovations..
Clinical Radiation Therapist Overview
 Clinical Radiation Therapists, also known as Therapeutic Radiographers, work with oncology
teams in order to determine the best course of radiation treatment for patients.
 They work under the guidance of a Radiation oncologist and plays a pivotal role in the
Treatment planning and execution of Radiation treatments.
 They use advanced technology and imaging to ensure minimal damage to healthy tissue
surrounding the tumour.
 They are the one who Provides individualized Radiation therapy treatments to patients, in
consultation with the oncology team.

8. Basic Role of Radiation Therapist
Immobilization
CT Simulation
Pre Treatment Counselling
Verifying Treatment dose parameters
Precise Treatment Delivery
Treatment Monitoring
Patients side Effects Monitoring
Research & Development
Radiation Therapist / RTT

9. Transformation Impact of Radiation Therapists
Through the decades the primary challenges in
radiotherapy treatment aimed at how to ensure the
beam reaching the tumour as planned and how to
minimize the dose to the normal structures.
As the professional in daily contact with the
patient it also includes monitoring of side
effects and appropriate referral.
Path of Improvising into Advanced
practice Role
.
Skills & Knowledge required to become an
Outstanding Radiation Therapist
The Technological advancement for the cancer patients
and Radiation therapy services demands changes and
evolution of the roles of Radiation Therapist.
Radiation therapists should be well-oriented.
Depending on local policy this may include
radiotherapy planning, treatment delivery,
clinical and psychosocial care of the patient on
daily basis during treatment and immediate
post treatment review.

10. Career Progress & Advanced Practice Roles
Advanced Practice
Normal Practice
Clinical
Therapy Area
Site Specific
Specialization
Head & Neck
Lung / Motion
Management
Prostate Or
Urology
Intra Cranial
Brachy Therapy
Pediatric
Treatment
Palliative Care
SRS & SABR
Treatment
On Treatment
Review Image Review
Advise For
Physiological
Counselling
Pre
Treatment
Counselling
Support &
Information
Monitoring the
Side Effects
Clinical
Education
Clinical
Research
Practice
Development

11. Advanced Practice
Core Values of Radiation Therapists Advanced Practice
Understanding the right area to Improvisation
Normal Practice

12. RTT Risk Management Strategies
The process of Radiotherapy is complex and
involves understanding of the principles of
medical physics, radiobiology, radiation
safety, dosimetry, radiotherapy planning,
simulation and interaction of radiation
therapy with other treatment modalities.
Radiotherapy Treatment is purely a
multidisciplinary action.
Each of these disciplines work through an
integrated process to plan and deliver
radiotherapy to patients.
Health professionals involved in the delivery
of Radiation treatment are the Radiation
Oncologists (RO), Radiation Therapists (RTT)
and Medical Physicists (MP
Accidental exposures in radiotherapy may
result from an accident, an event or a
sequence of events, including equipment
failures and operating errors.

13. Precise Treatment Delivery
A r e a s w h e r e
C l i n i c a l
R a d i a t i o n
Therapists can
t a k e a s t a n d
Immobilization or Mould Preparation
Acquiring the CT scan with Pre seted Protocol
Modern Radiation Therapists involves in all the vital Steps of
Radiotherapy Treatment preparation
Hence Therapist can cross check and plays a major role to
rectify, identify and formulate the Safety protocols in better
way to reduce the Risk Profiles for the Patients and as well as
for the radiation workers.
These are the Following Steps Where radiation Therapists can
take a stand and give useful inputs which can leads into better
Risk free Radiation delivery:-

14. Challenges Faced by Radiation
Therapists
Major Challenges
Importance of Interdisciplinary Collaboration
Need for Continuous Education and Training Programs
Limited Resources and infrastructure

15. Limited resources and infrastructure
in radiotherapy can pose significant
challenges in delivering effective
cancer treatment.
Continuous education and training
for radiation therapists are essential
for several reasons, ensuring that
they stay current with the latest
advancements, maintain high
standards of patient care, and adapt
to evolving technologies.
Interdisciplinary collaboration
in radiotherapy is crucial for
providing comprehensive
and effective cancer care.
communication among
healthcare professionals
from different disciplines
involved in the care of
cancer patients.

16. AI has the potential to reduce time
and inter-observer variability and
increase accuracy in the delivery of
radiation therapy. It is important to
consider what skill requirements
may change for Radiation
Therapists, dosimetrists, Medical
physicists and Radiation
oncologists.
Artificial Intelligence working
Mechanism
Need Cross Verification and Level of Authentic care and
confirmation required from RTT side to Proceed for high dose
Delivery .
Artificial Intelligence Competency in workflow

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18. Advancements & Future Prospectives
Image-guided radiation therapy (IGRT)
Stereotactic body Radiation therapy
(SBRT)
Proton therapy: A breakthrough in precision
Artificial Intelligence
Technological Advancements
Future Prospectives
Increasing awareness about cancer and its treatment by the Educational
campaigns, Community Outreach ,Screening Programs, More Collaborations
with the Health care providers
The expansion of radiation therapy facilities is critical for
enhancing access to cancer treatment, improving patient
outcomes, and addressing the growing demand for radiation
therapy services
Research and development (R&D) in radiation oncology play a crucial role in
advancing cancer treatment, improving outcomes, and minimizing side
effects.
Research and Development in Radiation Oncology

19. We came a long way from Conventional box field treatments to advanced high dose Stereotactic Radiosurgery treatment
delivery with the help of various technical approaches.
Ccontinuous learning and adherence to ethical standards further solidify Radiation Therapists role in shaping the future of
cancer healthcare in the country.
Conclusions
 The role of Radiation Therapist is increasing with increasing precision metamorphosis of RTT
 Constant updating of knowledge and New technology is very much essential.
 The role of AI (Artificial Intelligence) in field of Radiation is evolving but presence RTT is always needed.

20. Thank you for your Kind Attention
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Subrata Roy R.T.(T)