The Significance of Blockchain Adoption in Radiotherapy Management in Low-Resource Setting

Abstract: Radiotherapy (especially teleradiology, or remote radiology service) is becoming indispensable. Enabling adaptive radiotherapy (AR) is transformative, and effective implementations face a complex, multi-faceted set of challenges interconnected across clinical, technical, regulatory, and ethical dimensions that threaten to slow adoption and limit efficacy. Addressing these barriers in radiotherapy lifecycle management is of utmost importance as they are vital for establishing sustainable, inclusive, and effective radiotherapy ecological systems. This study explored how blockchain technology, a decentralized and immutable ledger, enhance radiotherapy management. This study explores integrating blockchain technology into the radiotherapy ecosystems to address data access, security and privacy challenges. Blockchain’s transparency, confidentiality, and decentralization offer significant potential benefits in the radiotherapy domain. In the present paper, adopting a grounded theory method, we propose a meta-methodology for blockchain adoption and adaptation that guide the transition from initial awareness to post-adoption maturity. The contribution provides evidence-based guidance for policymakers and administrators. Keywords: blockchain technology; adaptive radiotherapy; grounded theory.