长期以来，全球范围内获得放射治疗的机会存在巨大差异。随着高收入国家 (HIC) 与低收入和中等收入国家 (LMIC) 之间癌症发病率差距的不断扩大，以及中低收入国家 (LMIC) 癌症病例的显着增加，这一问题只会变得更加严重。即使在高收入国家内，当地社区内的不平等也可能导致缺乏获得护理的机会。由于这些趋势，必须找到缩小全球差距的解决方案。这需要不同利益相关者群体的参与，包括专业人士、非政府组织、非营利组织、专业协会、学术和培训机构以及行业。本次审查汇集了不同的专家组，重点关注有助于缩小当前放射肿瘤学全球差距的关键领域。人工智能、近距离放射治疗、大分割和数字网络等技术和治疗的进步，与实施科学和新颖的融资机制相结合，为增加全球护理和教育的机会提供了手段。各部分的共同主题揭示了如何利用这些新创新和加强利益相关者之间的协作努力，帮助改善全球医疗服务的可及性，同时为下一代创新设定框架。版权所有 © 2024 Elsevier Inc. 保留所有权利。

There has long existed a substantial disparity in access to radiotherapy globally. This issue has only been exacerbated as the growing disparity of cancer incidence between high-income countries (HIC) and low and middle-income countries (LMICs) widens, with a pronounced increase in cancer cases in LMICs. Even within HICs, iniquities within local communities may lead to a lack of access to care. Due to these trends, it is imperative to find solutions to narrow global disparities. This requires the engagement of a diverse cohort of stakeholders, including working professionals, non-governmental organizations, nonprofits, professional societies, academic and training institutions, and industry. This review brings together a diverse group of experts to highlight critical areas that could help reduce the current global disparities in radiation oncology. Advancements in technology and treatment, such as artificial intelligence, brachytherapy, hypofractionation, and digital networks, in combination with implementation science and novel funding mechanisms, offer means for increasing access to care and education globally. Common themes across sections reveal how utilizing these new innovations and strengthening collaborative efforts among stakeholders can help improve access to care globally while setting the framework for the next generation of innovations.Copyright © 2024 Elsevier Inc. All rights reserved.