{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:29:23Z","timestamp":1747182563407,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T00:00:00Z","timestamp":1730851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The techniques employed in palliative radiation therapy are highly variable, ranging from basic (2D\/3D\u2010conformal) to more advanced (beam modulation and stereotactic techniques), and their relative use has not previously been formally investigated at a national level. The purpose of this work was to assess the current utilisation of palliative techniques and technologies in Australia and New Zealand (ANZ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A voluntary, anonymous, internet\u2010based, RANZCR approved survey was offered to all practising radiation oncology (RO) Fellows in ANZ. Participants selected their preferred methods of managing patients in five case studies involving bone, brain, lung metastases and locally advanced lung cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From October 2022 to February 2023, 146 of 485 eligible participants (30%) responded. In all, 61% and 81% would treat an uncomplicated breast cancer solitary spinal metastasis with stereotactic body radiation therapy routinely and ideally, respectively; 11% and 32% would treat a solitary lung cancer brain metastasis with dedicated stereotactic radiosurgery routinely and ideally; 36% and 56% would treat multiple low\u2010volume brain metastases with a stereotactic technique routinely and ideally. There was negligible difference in the routine and preferred use of advanced technologies for a solitary bowel cancer lung metastasis; 69% and 77% would treat a locally advanced primary lung cancer with an advanced technique routinely and ideally. Relative to Australia, NZ ROs routinely treat uncomplicated solitary spinal metastases (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), solitary brain metastases (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), multiple low\u2010volume brain metastases (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.02), and locally advanced primary lung cancer (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) more commonly with basic technologies, mainly due to limited local availability of advanced technology and departmental waiting lists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Participants generally favoured treating with advanced techniques and technologies in palliative settings, if available, but there were notable disparities between the two countries. Enhanced local access and clinical training may facilitate optimal utilisation of advanced technologies and improve clinical outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13805","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T11:25:29Z","timestamp":1730892329000},"page":"274-286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Current utilisation of advanced techniques and technologies in palliative radiation therapy in Australia and New Zealand"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7770-2286","authenticated-orcid":false,"given":"Pavthrun","family":"Pathmanathan","sequence":"first","affiliation":[{"name":"ICON Cancer Centre Gold Coast University Hospital  Gold Coast Queensland Australia"},{"name":"School of Medicine Griffith University  Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8772-6266","authenticated-orcid":false,"given":"Daniel","family":"Roos","sequence":"additional","affiliation":[{"name":"Radiation Oncology Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"School of Medicine University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathy","family":"Pope","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6123-1951","authenticated-orcid":false,"given":"Melissa L","family":"James","sequence":"additional","affiliation":[{"name":"Te Whatu Ora (Health NZ) Waitaha Canterbury  Christchurch New Zealand"},{"name":"School of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minjae","family":"Lah","sequence":"additional","affiliation":[{"name":"ICON Cancer Centre  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris M","family":"Frampton","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Otago  Christchurch New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,6]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Australian Institute of Health and Welfare.Radiotherapy in Australia 2018\u201319. Canberra; 2020."},{"key":"e_1_2_7_3_1","unstructured":"The Royal Australian and New Zealand College of Radiologists.Facilities survey report: Insights and trends from 2010\u20132020 Australia. The Faculty of Radiation Oncology [Internet]. [Cited 1 Mar 2024.] Available from URL:https:\/\/www.ranzcr.com\/college\/document\u2010library\/facilities\u2010survey\u2010report\u2010insights\u2010and\u2010trends\u2010from\u20102010\u20102020\u2010australia?searchword=facilities%20survey%20report."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000007685"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32409-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijrobp.2008.12.084"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.12475"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30896-9"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20170737"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.69.1378"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.13402"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2022.995376"},{"key":"e_1_2_7_13_1","unstructured":"CaoJ.RANZCR Forecasts Significant Radiation Oncology Workforce Shortage in New Zealand [Internet] 2022 [Cited 1 Mar 2024.] Available from URL:https:\/\/www.ranzcr.com\/search\/ranzcr\u2010forecasts\u2010significant\u2010ro\u2010workforce\u2010shortage\u2010in\u2010nz\u2010media\u2010release."},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.21.02314"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.13381"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2020.6146"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1754-9485.13545"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.13805","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T08:32:05Z","timestamp":1744619525000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.13805"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,6]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/1754-9485.13805"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.13805","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"type":"print","value":"1754-9477"},{"type":"electronic","value":"1754-9485"}],"subject":[],"published":{"date-parts":[[2024,11,6]]},"assertion":[{"value":"2024-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}