Session

Overview: This session explores how modern technology is enabling faster, simulation-free radiotherapy while maintaining safety, precision, and clinical value. It will open with an overview of the direct-to-treatment paradigm, illustrating how same-day radiotherapy without prior CT simulation is becoming feasible, supported by clinical examples and data. The following talks will highlight both clinical and physics considerations, including workflow adaptation, patient selection, implementation strategies, and dosimetric implications. The session aims to provide a comprehensive view of this emerging approach, stimulate discussion on challenges and opportunities, and reflect on how it may shape the future of routine radiotherapy practice.