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As radiation therapy technology continues to advance, we must fund the technology to ensure the safe delivery to the patients. The packaging of imaging in the hospital under OPPS reduces any incentive for hospitals to purchase the image guidance equipment. In other countries, image guided radiation therapy (IGRT) is mandated when intensity modulated radiation therapy (IMRT) is prescribed. In the US, over 50% of hospitals, including many academic centers, are treating with IMRT without the benefit of IGRT. Best doctor practices should be the goal of our healthcare system. Congress should revisit this issue and reinstate the funding for imaging in radiation therapy (hospital OPPS).
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