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Durability depends on tumor type, stage, intent and dose; recurrence or new disease can still occur.","revision_rate_pct":{"min":5,"max":20,"unit":"percent","qualifier":"Share needing further or salvage radiotherapy for persistent or recurrent disease; tumour type and stage drive it."},"scars":"Radiotherapy leaves no surgical scar, though the treated skin may stay darker, dry or thickened (fibrosis), and stereotactic head-frame fixation can leave small pin-site marks.","sessions_or_stages":{"sessions":{"min":5,"max":35,"unit":"visits","qualifier":"Daily weekday fractions; hypofractionated courses are shorter, conventional courses longer, by site and intent."},"stages":[{"code":"planning","label":"Consultation and planning CT","after":{"min":0,"max":7,"unit":"days","qualifier":"Before the first fraction, from arrival."}},{"code":"treatment","label":"Daily radiotherapy fractions","after":{"min":2,"max":7,"unit":"days","qualifier":"Weekday delivery starts after planning is completed."}},{"code":"review","label":"End-of-treatment review","after":{"min":9,"max":56,"unit":"days","qualifier":"At the final fraction, depending on course length."}}],"qualifier":"One external beam course; sessions are daily outpatient fractions, number set by tumour type and intent."},"success":{"metric":"5-year local control after curative external beam radiotherapy","value":85,"unit":"percent","horizon":"5 years","population":"Adults with localized solid cancers treated with curative intent","evidence_status":"limited"},"techniques":[{"name":"External beam radiotherapy (3D conformal, IMRT/VMAT)","suits_whom":"Most solid tumours treated with linear accelerators","recovery":"Daily outpatient visits; side effects usually peak toward the end of treatment and settle over weeks."},{"name":"Stereotactic radiotherapy (SBRT/SRS)","suits_whom":"Small, well-defined tumours or metastases in selected patients","recovery":"Few high-dose sessions; usually brief recovery."},{"name":"Proton therapy","suits_whom":"Selected tumours near critical structures and paediatric cases","recovery":"Similar to external beam; availability limited."},{"name":"Brachytherapy","suits_whom":"Selected cervical, prostate, breast and skin cancers","recovery":"Depends on applicator or implant method; may need short stay or anesthesia."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.5,"unit":"hours","qualifier":"Per external beam session including positioning; beam-on takes a few minutes. A course has many sessions."},"initial_assessment_documents":["Biopsy and pathology report","Recent CT, MRI or PET-CT reports","Imaging scans on disc or link","Oncologist's treatment summary","Surgery operative report (if available)","Previous radiotherapy records (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Daily weekday sessions; stay of about 1-7 weeks after planning. Stereotactic courses take 1-5 sessions."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the facilities and standards at the clinic or hospital where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the possible 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is not available to talk with you","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"The health professional carrying procedures abroad should be available to talk to the traveller","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A warning sign is when the clinic or hospital offers no written contract","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"A written contract from the clinic or hospital should be provided.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden breathlessness","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/radiotherapy/side-effects/","host":"nhs.uk","quote":"Contact your care team if you suddenly feel very tired and out of breath.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Broken or blistered skin","urgency":"contact_clinic","general":false,"source":{"url":"https://www.southtees.nhs.uk/services/cancer-institute/radiotherapy/side-effects-wellbeing-and-recovery-during-radiotherapy/","host":"southtees.nhs.uk","quote":"Your skin becomes broken or blistered.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Severe pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.southtees.nhs.uk/services/cancer-institute/radiotherapy/side-effects-wellbeing-and-recovery-during-radiotherapy/","host":"southtees.nhs.uk","quote":"You experience severe 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your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer is small and not causing any symptoms","name":"Active surveillance","source":{"url":"https://www.nhs.uk/conditions/prostate-cancer/treatment/","host":"nhs.uk","quote":"If your cancer is small and not causing any symptoms, it may just be monitored at first.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"external-beam-radiotherapy","name":"External beam radiotherapy (3D conformal, IMRT/VMAT)","how_it_works":{"text":"A machine sends precisely controlled radiation beams to the 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