S1456
Interdisciplinary - Other
ESTRO 2026
questionnaire was then opened to healthcare professional and academics and distributed through relevant networks and social media.The questionnaire focused on: (1) the role of digital-technology before, during and after cancer treatments; (2) technical barriers; (3) human barriers (patients and healthcare workers). Quantitative responses were analysed descriptively and free text fields analysed thematically. Results: Eighty-four individuals responded, including 28.3% allied healthcare scientists, 26% nurses and 9% clinicians. 48% had used digital-technology within research studies and 27% for direct clinical care.Considering the ‘role of digital-technology’: The majority (95%) believe digital-technology has the potential to benefit cancer patients. The highest ranked features included; direct communication with clinical teams (94%), monitoring mood (91%), and monitoring vital signs (87%), Figure 1. Different features were thought more beneficial at different treatment phases. Before: providing insights for patients into their own health (91%). During: monitoring vital signs and glucose (96%/93% respectively). After: empowering rehabilitation (94%).Considering 'technical barriers': The majority (66%)of responders felt digital-technology was not well integrated into clinical care, interoperability of devices (83%), data accuracy (82%), and poor user design (80%) were identified as key barriers.Considering 'human barriers': Monitoring within clinical studies should be conducted by specialist cancer teams (77%), with long- term monitoring by primary care (53%), with the patient playing a leading role in both scenarios (47%/55% respectively), Figure 2. Lack of long-term support (94%) and digital literacy (92%) were considered the primary human factors for successfully adoption of digital-technology.
Conclusion: Results highlight that while digital-technologies are seen as a powerful tool throughout the cancer pathway for monitoring and empowering patients, there is a lack of technical integration into clinical care, comprehensive user and adoption guidelines and engagement with manufacturers. Human factors and digital literacy also need careful consideration to ensure every individual can obtain optimal benefit from these technologies. References: 1. Webster A, Fog LS, Hall E, van Rossum PSN, Nevens D, Montay-Gruel P, et al. ESTRO guidelines for developing questionnaires in survey-based radiation oncology research. Clin Transl Radiat Oncol. 2024 Nov 24;51:100895. doi: 10.1016/j.ctro.2024.100895 Keywords: digital-technology, monitoring, questionaire
Digital Poster Highlight 3861 A cyberattack fallback scenario for a radiotherapy
department Eric Messens Radiotherapy, ZAS, Antwerp, Belgium
Purpose/Objective: Prolonged interruption of radiotherapy treatments due to cyberattacks can adversely affect clinical outcomes. Radiotherapy departments rely heavily on IT infrastructure, making them vulnerable. This work presents a fallback scenario using cloud storage of patient data combined with an emergency Oncology Information System (OIS) and inter-hospital collaboration to ensure treatment continuity. The goal is to minimize downtime, triage patients by urgency, and enable regional networks for patient transfers if local capacity is insufficient. Material/Methods: A multi-department task force developed and tested two strategies. All active patient treatment and
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