Session

Overview: The growing availability of high-quality international guidelines (e.g., European Society for Radiotherapy and Oncology, American Society of Clinical Oncology) • The persistent gap between evidence-based recommendations and real-world clinical practice • Key barriers to implementation: Resource limitations, Health system constraints, Human and organizational factors • Global disparities in radiotherapy access and infrastructure • The importance of resource-adapted guidelines for different healthcare settings • The emerging role of implementation science, digital tools, and AI in improving adherence • A proposed multi-level implementation model (global → national → institutional) • The need for stronger involvement of international societies in supporting implementation • Key message: Guidelines should be evaluated based on patient benefit, not publication impact