{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:00:19Z","timestamp":1790172019717,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:00:00Z","timestamp":1788307200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp;amp; Cancer"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We present an update on the status, needs and challenges faced by paediatric imaging and radiotherapy (RT) programmes globally after a previous survey conducted by the International Atomic Energy Agency (IAEA) 10 years prior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed and distributed a 121\u2010question survey to radiation oncologists, medical physicists and radiologists from participating Member States (MSs). It included questions on radiation oncology, imaging, nutrition, human capacity to support these services, quality assurance practices and other aspects of childhood cancer management. Questions evaluated practices, access, standards and other topics specific to childhood cancer care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Forty\u2010seven IAEA MSs completed the survey. Regardless of country income level, most institutions had departments providing essential services of paediatric oncology, anaesthesia and radiology. Disparities in access exist regarding nuclear medicine, advanced diagnostic and interventional radiology, linear accelerators, quality assurance and services for patients and families favouring higher\u2010income countries. Medical physics presence for radiation oncology was consistent across income level, whereas access to it was scarce. Regarding diagnostic imaging, most respondents reported access to computed tomography but access to other advanced imaging technologies was limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While there have been improvements in access to certain aspects of paediatric cancer care compared to the previous survey, disparities persist, particularly in low\u2010 and middle\u2010income countries. There is a need for more specialized training, better access to imaging and RT technology, and improved ancillary services. These findings can inform policy and decision\u2010making authorities towards the WHO's 2030 goal for childhood cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70644","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T13:05:55Z","timestamp":1788354355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Global Efforts to Reduce Paediatric Cancer Care Disparities in Radiotherapy: A Decade Change"],"prefix":"10.1002","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0616-034X","authenticated-orcid":false,"given":"Raymond B.","family":"Mailhot Vega","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology University of Miami \u2013 Miller School of Medicine  Miami Florida USA"},{"name":"The Porter Department of Radiation Oncology University of Florida College of Medicine  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5765-1873","authenticated-orcid":false,"given":"Daniel J.","family":"Indelicato","sequence":"additional","affiliation":[{"name":"The Porter Department of Radiation Oncology University of Florida College of Medicine  Jacksonville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7735-1111","authenticated-orcid":false,"given":"Jeanette","family":"Parkes","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology University of Cape Town and Groote Schuur Hospital  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7321-2034","authenticated-orcid":false,"given":"Natia","family":"Esiashvili","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Winship Cancer Institute of Emory University  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9281-3890","authenticated-orcid":false,"given":"Josu\u00e9","family":"Hern\u00e1ndez Ben\u00edtez","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Hospital Universitario Dr. Jos\u00e9 Eleuterio Gonz\u00e1lez Universidad Aut\u00f3noma de Neuvo Le\u00f3n  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7402-6014","authenticated-orcid":false,"given":"Miriam","family":"Mikhail\u2010Lette","sequence":"additional","affiliation":[{"name":"Division of Human Health Department of Nuclear Sciences and Applications International Atomic Energy Agency  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivera Cirajc","family":"Bjelac","sequence":"additional","affiliation":[{"name":"Division of Human Health Department of Nuclear Sciences and Applications International Atomic Energy Agency  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5811-4244","authenticated-orcid":false,"given":"Daniel","family":"Berger","sequence":"additional","affiliation":[{"name":"Division of Human Health Department of Nuclear Sciences and Applications International Atomic Energy Agency  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Ciurana","sequence":"additional","affiliation":[{"name":"Division of Human Health Department of Nuclear Sciences and Applications International Atomic Energy Agency  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yavuz","family":"Anacak","sequence":"additional","affiliation":[{"name":"Division of Human Health Department of Nuclear Sciences and Applications International Atomic Energy Agency  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisbeth","family":"Cordero\u2010Mendez","sequence":"additional","affiliation":[{"name":"Division of Human Health Department of Nuclear Sciences and Applications International Atomic Energy Agency  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(17)30186\u20109"},{"key":"e_1_2_10_3_1","volume-title":"CureAll framework: WHO Global Initiative for Childhood Cancer. 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