International Guideline for Paediatric Radiotherapy Services [IAEA Preprint]

Childhood cancer remains one of the most pressing global health challenges, with over 300,000 new cases diagnosed every year worldwide. While breakthroughs in cancer treatment have been remarkable, paediatric radiation oncology stands at the forefront of innovation, requiring highly specialized and tailored approaches to deliver the best possible outcomes for young patients. High-quality radiotherapy is a cornerstone of paediatric cancer management, offering both curative potential and vital symptom relief across a wide spectrum of malignancies. Elevating the standard of radiotherapy is not just a clinical goal-it is a moral imperative. By improving treatment precision, reducing long-term toxicities, and safeguarding quality of life, we can help paediatric cancer survivors thrive well beyond their diagnosis. This publication is more than a resource: it is a call to action. Designed for practitioners, policymakers, and researchers, it provides a comprehensive foundation to drive progress, foster collaboration, and inspire innovation in paediatric radiation oncology. Together, we can transform care and create a future where every child has access to the best possible treatment.