# Cargo Cult Radiotherapy: The Illusion of Precision in Advanced Technologies

## TL;DR

The paper questions if advanced radiotherapy techniques truly offer precision benefits as claimed.

## Contribution

It challenges the assumptions behind precision radiotherapy and encourages critical evaluation of these technologies.

## Key findings

- Advanced radiotherapy techniques aim to improve outcomes through anatomical precision.
- The paper argues that the benefits of these techniques may be based on flawed assumptions.
- The goal is to stimulate debate rather than provide a comprehensive review.

## Abstract

Emerging radiotherapy technologies such as proton therapy, MR-guided radiotherapy, and real-time adaptive radiotherapy share a common goal of improving radiotherapy outcomes by increasing the anatomic precision of treatment delivery. In this piece, we provide a critical view of “precision radiotherapy” by examining the assumptions underlying the theory and practice of these techniques. Our goal was not to provide an exhaustive review of published literature; rather, we strove to write an accessible and thought-provoking article that would challenge conventional wisdom and stimulate further discussion and debate.