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Updated: Jun 18, 2026

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Radiation Planning Assistant - A Web-based Tool to Support High-quality Radiotherapy in Clinics with Limited Resources
Published on: October 6, 2023
Development of a remote proton radiation therapy solution over internet2.
Arnaud Belard1, Brent Tinnel, Steve Wilson
1Henry M. Jackson Foundation for the Advancement of Military Medicine, Walter Reed Army Medical Center , Washington, DC 20307, USA. arnaud.belard@amedd.army.mil
Summary
A new telemedicine solution enables remote proton therapy planning, improving collaboration and access to this advanced cancer treatment. This affordable system enhances physician participation and referrals to proton therapy centers.
Area of Science:
- Oncology
- Medical Physics
- Health Informatics
Background:
- Proton therapy is a precise radiation treatment for cancer.
- Access to proton therapy expertise and facilities is limited.
- Remote collaboration in treatment planning can improve patient outcomes.
Purpose of the Study:
- To develop and evaluate a telemedicine solution for remote proton therapy planning.
- To assess the cost-effectiveness and functionality of the system.
- To determine the impact on physician collaboration and referrals.
Main Methods:
- Developed a videoconferencing platform with application-sharing for treatment planning.
- Utilized a secure Internet2 VPN tunnel for remote access to planning software.
- Evaluated the system over a 2-year period with participating physicians.
Main Results:
- The telemedicine system facilitated remote participation in proton therapy plan generation.
- It enabled ad-hoc and scheduled communication between cancer care providers.
- The solution proved cost-effective and improved collaboration for treatment planning.
Conclusions:
- Affordable telemedicine enhances remote proton therapy planning, increasing access.
- The system fosters wider participation and referrals to proton treatment centers.
- This approach promotes national and international scientific collaboration in oncology.

