Making adaptive radiotherapy routine in emerging markets
In August 2026, radiation oncologists, medical physicists and healthcare leaders came together in Bengaluru to discuss what it takes to implement adaptive radiotherapy in routine clinical practice. Drawing on experience from centres using MR-guided and CT-guided adaptive approaches, the discussion explored the clinical and operational realities of implementation – from patient selection and treatment planning to workflow, resources and the evidence still needed to support wider adoption. The central question: what needs to change for adaptive radiotherapy to become routine in high-volume healthcare environments?

Meet the speakers

Dr. John Christodouleas
Radiation Oncologist; Head of Medical Affairs & Partner Research, Elekta

Dr. Vadhiraja B.M.
Head of Department and Consultant Radiation Oncologist, Manipal Hospitals, Old Airport Road, Bengaluru

Dr. Kausik Bhattacharya
Director and Head of Department, Radiation Oncology, AIG Hospitals, Hyderabad

Dr. Vikram Maiya M
Senior Oncologist, Manipal Hospital, Yelahanka

Dr. T. Surendra Reddy
Senior Consultant, Radiation Oncology at HCG Cancer Hospital, Bengaluru

Dr. Ramesh S. Bilimagga
Medical Director and Senior Consultant, Radiation Oncology, HCG Cancer Centre, Bengaluru
About the event
Elekta Connect is a clinician-led program that brings radiation oncologists, medical physicists and healthcare leaders together for sustained discussion about the future of radiation oncology. Over the past year in India, it has run as symposia, masterclasses, workshops, technology showcases and KOL-led discussions. The Bengaluru Adaptive Edition, held on 5 August 2026 at the Hyatt Centric Hebbal, is the most recent, and the program is now scaling across the wider region with Kenya next.
The program covered the first clinical experience with MR-guided treatment in Karnataka, the first Indian experience with a CT-based adaptive linac, the present and future of MR-guided radiotherapy, and closed with an expert panel on making adaptive radiotherapy routine in emerging markets.
One oncologist shared the example of a rectal cancer patient where anatomical change led the team to adapt the treatment plan. The discussion highlighted an important practical question: when does a change in anatomy justify replanning, and when is the original plan still clinically appropriate?
They were just as clear about what isn’t settled. The evidence base is still being built, and there's a long way between what a department can manage for one patient on a good day and what it can deliver routinely at scale.
The Bengaluru discussion reflected a challenge shared by radiotherapy departments around the world: demonstrating what adaptive radiotherapy can achieve is only part of the journey. Making it routine means understanding where it adds value – and creating the workflows, evidence and expertise needed to deliver it consistently.
Event hosted by
Elekta Connect is Elekta’s clinician-led engagement program, created to move the conversation beyond product launches and into sustained scientific dialogue about the future of radiation oncology. It runs across Turkey, India, the Middle East and Africa, bringing global and regional expertise to the centers doing the work.
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