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A VBHC approach is becoming increasingly significant as healthcare systems worldwide grapple with rising costs, staff shortages, and the ongoing need for improved patient care. Online adaptive radiotherapy (oART) is a promising innovation in radiation oncology, allowing for the adaptation of radiation treatment plans to account for daily anatomical changes. This innovation has the potential to improve patient outcomes; however, it requires investment in the technology, manpower, and training to deliver an adaptive radiotherapy service. This commentary aims to explore the role of radiation therapists (RTs) in oART, using RT\u2010led workflows within the context of the broader models of care that involve radiation oncologists and multidisciplinary teams. This commentary also aims to highlight the potential benefits and challenges of adopting an RT\u2010led approach within VBHC principles, focusing on key themes such as treatment accuracy, patient satisfaction, training, and cost implications.<\/jats:p>","DOI":"10.1002\/jmrs.70020","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:38:29Z","timestamp":1756381109000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Value of Radiation Therapists in Online Adaptive Radiotherapy"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8041-8017","authenticated-orcid":false,"given":"Meegan","family":"Shepherd","sequence":"first","affiliation":[{"name":"Northern Sydney Cancer Centre Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"Monash University  Clayton Victoria 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