{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T09:31:53Z","timestamp":1793179913783,"version":"4.5.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100021397","name":"Canadian Association of Medical Radiation Technologists","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021397","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jmirs.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Medical Imaging and Radiation Sciences"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.jmir.2025.102138","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T22:59:30Z","timestamp":1762383570000},"page":"102138","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["A step towards global understanding of advanced practice radiation therapist clinical activities: International Delphi consensus"],"prefix":"10.1016","volume":"57","author":[{"given":"Kitty","family":"Chan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1883-3663","authenticated-orcid":false,"given":"Nicole","family":"Harnett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5369-3299","authenticated-orcid":false,"given":"Yat","family":"Tsang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.jmir.2025.102138_bib0001","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1002\/1878-0261.12712","article-title":"Role of radiation oncology in modern multidisciplinary cancer treatment","volume":"14","author":"Valentini","year":"2020","journal-title":"Mol Oncol [Internet]"},{"issue":"11","key":"10.1016\/j.jmir.2025.102138_bib0002","doi-asserted-by":"crossref","first-page":"1392","DOI":"10.1016\/S1470-2045(24)00482-0","article-title":"Spillover benefits of workforce capacity building in radiotherapy","volume":"25","author":"Ngwa","year":"2024","journal-title":"Lancet Oncol [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0003","doi-asserted-by":"crossref","DOI":"10.1016\/j.prro.2025.04.008","article-title":"The current and future state of radiation therapy practice \u2013 an analysis of the professional workforce survey","author":"Skubish","year":"2025","journal-title":"Pract Radiat Oncol [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0004","doi-asserted-by":"crossref","first-page":"S128","DOI":"10.1016\/j.radi.2023.02.022","article-title":"Patient engagement with radiation therapists: patient perspectives, challenges, and opportunities. A systematic review","volume":"29","author":"O\u2019Neill","year":"2023","journal-title":"Radiogr [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0005","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.tipsro.2020.05.003","article-title":"Meeting the challenges imposed by COVID-19: guidance document by the ESTRO Radiation TherapisT Committee (RTTC)","volume":"15","author":"Tsang","year":"2020","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0006","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.tipsro.2019.06.001","article-title":"Advanced practice: an ESTRO RTTC position paper","volume":"10","author":"Duffton","year":"2019","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0007","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/j.tipsro.2021.02.004","article-title":"Advanced practice in radiotherapy: how to move to the next level?","volume":"17","author":"Tsang","year":"2021","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0008","article-title":"The impact of an advanced practice radiation therapist contouring for a CBCT-based adaptive radiotherapy program. Technical innovations & patient support in radiation oncology","volume":"1","author":"Beckert","year":"2024","journal-title":"Publ Online March"},{"issue":"3","key":"10.1016\/j.jmir.2025.102138_bib0009","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.radi.2019.02.007","article-title":"Defining advanced practice in radiation therapy: a feasibility assessment of a new healthcare provider role in Ontario, Canada","volume":"25","author":"Harnett","year":"2019","journal-title":"Radiogr [Internet]"},{"issue":"2","key":"10.1016\/j.jmir.2025.102138_bib0010","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1002\/jmrs.318","article-title":"An evaluation of an advanced practice role in palliative radiation therapy","volume":"66","author":"Job","year":"2019","journal-title":"J Med Radiat Sci [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0011","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.tipsro.2021.02.002","article-title":"The implementation of an advanced practice radiation therapy (APRT) program in Singapore","volume":"17","author":"Wong","year":"2021","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"},{"issue":"5","key":"10.1016\/j.jmir.2025.102138_bib0012","doi-asserted-by":"crossref","first-page":"e239","DOI":"10.1016\/j.clon.2021.02.001","article-title":"Embracing skill mix in the clinical oncology workforce \u2013 capturing impacts of consultant therapeutic radiographers in the UK","volume":"33","author":"Tsang","year":"2021","journal-title":"Clin Oncol [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0013","doi-asserted-by":"crossref","DOI":"10.1016\/j.tipsro.2024.100279","article-title":"From novice to Expert: reducing Breast Imaging rejection rates through physician mentorship in Advanced Practice Radiation therapy","author":"Starrs","year":"2024","journal-title":"Tech Innov Patient Support Radiat Oncol"},{"key":"10.1016\/j.jmir.2025.102138_bib0014","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.tipsro.2021.02.002","article-title":"The implementation of an advanced practice radiation therapy (APRT) program in Singapore","volume":"17","author":"Wong","year":"2021","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0015","article-title":"RTT advanced practice and how it can change the future of radiotherapy","volume":"30","author":"Duffton","year":"2024","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"},{"issue":"3","key":"10.1016\/j.jmir.2025.102138_bib0016","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.radi.2022.04.009","article-title":"Advanced practice roles of therapeutic radiographers\/radiation therapists: a systematic literature review","volume":"28","author":"Oliveira","year":"2022","journal-title":"Radiogr [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0017","article-title":"Framework development: standardizing definition of advanced practice radiation therapy activities for clinical workload quantification","volume":"29","author":"Chan","year":"2024","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"},{"issue":"4","key":"10.1016\/j.jmir.2025.102138_bib0018","doi-asserted-by":"crossref","first-page":"116","DOI":"10.5662\/wjm.v11.i4.116","article-title":"Delphi methodology in healthcare research: how to decide its appropriateness","volume":"11","author":"Nasa","year":"2021","journal-title":"World J Methodol [Internet]"},{"issue":"1","key":"10.1016\/j.jmir.2025.102138_bib0019","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.radonc.2015.10.021","article-title":"A Delphi consensus study on salvage brachytherapy for prostate cancer relapse after radiotherapy, a Uro-GEC study","volume":"118","author":"Kaljouw","year":"2015","journal-title":"Radiother Oncol [Internet]"},{"issue":"5","key":"10.1016\/j.jmir.2025.102138_bib0020","doi-asserted-by":"crossref","first-page":"e193","DOI":"10.1016\/S1470-2045(24)00023-8","article-title":"Delphi consensus on stereotactic ablative radiotherapy for oligometastatic and oligoprogressive renal cell carcinoma\u2014a European society for radiotherapy and oncology study endorsed by the European association of urology","volume":"25","author":"Marvaso","year":"2024","journal-title":"Lancet Oncol [Internet]"},{"issue":"7","key":"10.1016\/j.jmir.2025.102138_bib0021","article-title":"Use of Delphi in health sciences research: a narrative review","volume":"102","author":"Shang","year":"2023","journal-title":"Med [Internet]"},{"key":"10.1016\/j.jmir.2025.102138_bib0022","article-title":"The radiation therapist profession through the lens of new technology: a practice development paper based on the ESTRO radiation therapist workshops","volume":"30","author":"Leech","year":"2024","journal-title":"Tech Innov Patient Support Radiat Oncol [Internet]"}],"container-title":["Journal of Medical Imaging and Radiation Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1939865425002863?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1939865425002863?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:40:08Z","timestamp":1773315608000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1939865425002863"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S1939865425002863"],"URL":"https:\/\/doi.org\/10.1016\/j.jmir.2025.102138","relation":{},"ISSN":["1939-8654"],"issn-type":[{"value":"1939-8654","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A step towards global understanding of advanced practice radiation therapist clinical activities: International Delphi consensus","name":"articletitle","label":"Article Title"},{"value":"Journal of Medical Imaging and Radiation Sciences","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jmir.2025.102138","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Published by Elsevier Inc. on behalf of Canadian Association of Medical Radiation Technologists.","name":"copyright","label":"Copyright"}],"article-number":"102138"}}