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Changing the global radiation therapy paradigm

      Filling the gap in cancer care in underserved regions worldwide requires global collaboration and concerted effort to share creative ideas, pool talents and develop sustainable support from governments, industry, academia and non-governmental organizations. Comprehensive cancer care, which fits within and strengthens the broader healthcare system, ranges from prevention to screening, to curative treatment, to palliative care and to long-term follow-up. Radiation therapy is an essential component for curative and palliative cancer care and can serve as a stable focal point physically and for personnel around which regional cancer and health care programs can be established. To build capacity with high quality capability and with the credibility to conduct research to understand specific diseases and treatment outcomes requires a complex systems approach toward both expertise and technology.

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      References

      1. United Nations Sustainable Development Goals. Available at: http://www.un.org/sustainabledevelopment/sustainable-development-goals/. Accessed April 7, 2018.

      2. International Cancer Expert Corps (ICEC). Available at: http://www.iceccancer.org/about-icec/. Accessed April 7, 2018.

      3. A new approach for global access to radiotherapy. https://home.cern/scientists/updates/2016/11/new-approach-global-access-radiation-therapy. Accessed April 7, 2018.

      4. http://www.who.int/mediacentre/factsheets/fs297/en/. Accessed April 7, 2018.

      5. Directory of Radiotherapy Centres (DIRAC). Available at http://www-naweb.iaea.org/nahu/dirac. Accessed April 7, 2018.

        • Yap M.L.
        • Hanna T.P.
        • Shafiq J.
        • Ferlay J.
        • Bray F.
        • Delaney G.P.
        • et al.
        The benefits of providing external beam radiotherapy in low- and middle-income countries.
        Clin Oncol (R Coll Radiol). 2017; 29 (Epub 2016 Dec 1 PMID: 27916340): 72-83https://doi.org/10.1016/j.clon.2016.11.003
        • Atun R.
        • Jaffray D.A.
        • Barton M.B.
        • Bray F.
        • Baumann M.
        • Vikram B.
        • et al.
        Expanding global access to radiotherapy.
        Lancet Oncol. 2015; 16: 1153-1186https://doi.org/10.1016/S1470-2045(15)00222-3. Review
      6. Global Impact of Radiation in Oncology (GIRO). Available at: GIRO: http://giro-rt.org/. Accessed April 7, 2018.

        • Lievens Y.
        • Gospodarowicz M.
        • Grover S.
        • Jaffray D.
        • Rodin D.
        • Torode J.
        • et al.
        GIRO steering and advisory committees global impact of radiotherapy in oncology: saving one million lives by 2035.
        Radiother Oncol. 2017; 125 (PMID: 29173397): 175-177https://doi.org/10.1016/j.radonc.2017.10.027. No abstract available
        • Zubizarreta E.
        • Van Dyk J.
        • Lievens Y.
        Analysis of global radiotherapy needs and costs by geographic region and income level.
        Clin Oncol (R Coll Radiol). 2017; 29 (PMID: 27939337): 84-92https://doi.org/10.1016/j.clon.2016.11.011
      7. CERN hosted meeting. Available at: http://indico.cern.ch/event/560969. Accessed April 7, 2018.

      8. ICARO2 meeting> Available at: http://www-pub.iaea.org/iaeameetings/50815/International-Conference-on-Advances-in-Radiation-Oncology-ICARO2 Accessed April 7, 2018.

      9. Radiating Hope. Available at: http://www.radiatinghope.org/. Accessed April 7, 2018.

      10. Chartrounds. Improving cancer care. Available at: https://chartrounds.com/. Accessed April 7, 2018.

      11. TELESYNERGY. Available at: https://telesynergy.nih.gov/. Accessed April 7, 2018.

      12. International Atomic Energy Agency, Division of Human Health. Available at: http://www-naweb.iaea.org/NAHU/index.html. Accessed April 7, 2018.

      13. International Atomic Energy Agency. Human Health Campus. Available at: https://humanhealth.iaea.org/hhw/. Accessed April 7, 2018.

      14. IAEA- PACT. Available at: http://cancer.iaea.org/. Accessed April 7, 2018.

        • Saluja S.
        • Silverstein A.
        • Mukhopadhyay S.
        • Lin Y.
        • Raykar N.
        • Keshavjee S.
        • Samad L.
        • Meara
        Using the Consolidated Framework for Implementation Research to implement and evaluate national surgical planning.
        BMJ Glob Health. 2017; 2 (eCollection 2017): e000269https://doi.org/10.1136/bmjgh-2016-000269
      15. NCCN Harmonized Guidelines™ for Sub-Saharan Africa. Available at: https://www.nccn.org/harmonized/default.aspx. Accessed May 19, 2018.

      16. Jaffray DA. Innovating to Meet the Demand for RT. Available at: https://humanhealth.iaea.org/HHW/RadiationOncology/ICARO2/Presentations/03_Jaffray.pdf. Accessed May 19, 2018.

        • Healy B.J.
        • van der Merwe D.
        • Christaki K.E.
        • Meghzifene A.
        Cobalt-60 machines and medical linear accelerators: competing technologies for external beam radiotherapy.
        Clin Oncol (R Coll Radiol). 2017; 29 (Epub 2016 Nov 28 PMID: 27908503): 110-115https://doi.org/10.1016/j.clon.2016.11.002
      17. Radiological Security, National Nuclear Security Agency: Available at: https://nnsa.energy.gov/aboutus/ourprograms/dnn/gms/rs. Accessed April 7, 2018.

      18. James Martin Center for Nonproliferation Studies. Available at: http://www.nonproliferation.org/. Accessed March 4, 2018.

      19. Pomper M, Dalnoki-Veress F, Moore G. Treatment, Not Terror: Strategies to enhance external beam therapy in developing countries while permanently reducing the risk of radiological terrorism. 2016; Available at: http://www.stanleyfoundation.org/publications/report/TreatmentNotTerror212.pdf. Accessed April 7, 2016.

        • Coleman C.N.
        • Pomper M.A.
        • Chao N.L.
        • Dalnoki-Veress F.
        • Pistenmaa D.A.
        Treatment not Terror: Time for unique problem-solving partnerships for cancer care in resource-challenged environments.
        J. Global Oncol Epub. 2017; https://doi.org/10.1200/JGO.2016.007591
        • Jaffray D.A.
        Image-guided radiotherapy, from current concept to future perspectives.
        Nat Rev Clin Oncol. 2012; 9 (Review PMID: 23165124): 688-699https://doi.org/10.1038/nrclinonc.2012.194
        • Santanam L.
        • Brame R.S.
        • Lindsey A.
        • DeWeese T.
        • Danieley J.
        • Labrash J.
        • et al.
        Eliminating inconsistencies in simulation and treatment planning orders in radiation therapy.
        Int J Radiat Oncol Biol Phys. 2013; 85 (0.1016/j.ijrobp.2012.03.023 Epub 2012 May 8 PMID: 22572077): 484-491
      20. Global health disparities. Seminars in Radiation Oncology. Special Issue. Vol 27, #2, April 2017.

      21. Radiotherapy in low and middle income countries. Clinical Oncology, Special issue. Vol 29, #2, Feb 2017.

        • Global Health
        Int J Radiat Oncol Biol Phys Special Sect. 2014; 89: 440-495
        • Christensen C.M.
        • Baumann H.
        • Ruggles R.
        • Sadtler T.M.
        Disruptive innovation for social change.
        Harv Bus Rev. 2006; 84 (163): 94-101
        • Coleman C.N.
        • Formenti S.C.
        • Williams T.R.
        • Petereit D.G.
        • Soo K.C.
        • Wong J.
        • et al.
        The international cancer expert corps: a unique approach for sustainable cancer care in low and lower-middle income countries.
        Front Oncol. 2014; 19 (Review): 333https://doi.org/10.3389/fonc.2014.00333
        • Rodin D.
        • Longo J.
        • Sherertz T.
        • Shah M.M.
        • Balogun O.
        • Wendling N.
        • et al.
        Mobilising expertise and resources to close the radiotherapy gap in cancer care.
        Clin Oncol (R Coll Radiol). 2017; 29 (PMID: 27955997): 135-140https://doi.org/10.1016/j.clon.2016.11.008
        • Grover S.
        • Balogun O.D.
        • Yamoah K.
        • Groen R.
        • Shah M.
        • Rodin D.
        • et al.
        Training global oncologists: addressing the global cancer control problem.
        Front Oncol. 2015; 8 (eCollection 2015. Review. No abstract available): 80https://doi.org/10.3389/fonc.2015.00080
        • Coleman C.N.
        • Love R.R.
        Transforming science, service, and society.
        Sci Transl Med. 2014; 6: 259fs42https://doi.org/10.1126/scitranslmed.3009640
        • Crisp N.
        Mutual learning and reverse innovation-where next?.
        Global Health. 2014; 28: 14https://doi.org/10.1186/1744-8603-10-14
        • Crisp N.
        Co-development, innovation and mutual learning--or how we need to turn the world upside down.
        Healthc (Amst). 2015; 3 (Epub 2015 Aug): 221-224https://doi.org/10.1016/j.hjdsi.2015.06.002
      22. National Coalition for Cancer Survivorship. Available at: https://www.canceradvocacy.org. Accessed April 7, 2018.