Artificial intelligence could soon be used to perform radiotherapy to treat certain cancers for the first time. Draft guidance from the National Institute for Health and Care Excellence (Nice) has given approval to nine AI technologies for performing external beam radiotherapy in lung, prostate and colorectal cancers, which could save radiographers hundreds of thousands of hours and help relieve pressure on radiotherapy departments. Currently therapeutic radiographers outline healthy organs on digital images of a CT or MRI scan by hand so that the radiotherapy does not damage healthy cells by minimising the dose to normal tissue. Nice found that using AI to create the contours could free up between three and 80 minutes of radiographers’ time for each treatment plan, and that AI-generated contours were of a similar quality to manually drawn ones. Nice said that the contours would still be reviewed by a trained healthcare professional. It comes after a study found AI was safe to use in breast cancer screenings with evidence growing that it can be more effective in detecting cancers. Sign up to our free Indy100 weekly newsletter Meanwhile, Nice said it was also examining the evidence for using AI in stroke and chest scans. Dr Sarah Byron, the programme director for health technologies at Nice, said using AI could help reduce waiting lists. She added: “NHS colleagues working on the frontline in radiotherapy departments are under severe pressure with thousands of people waiting for scans. “The role imaging plays in radiotherapy treatment planning is quite pivotal, so recommending the use of AI technologies to help support treatment planning alongside clinical oversight by a trained healthcare professional could save both time and money. “We will continue to focus on what matters most and the recommendations made by our independent committee can help to bring waiting lists down for those needing radiotherapy treatment.” The health secretary, Steve Barclay, welcomed the announcement. He said: “It’s hugely encouraging to see the first positive recommendation for AI technologies from a Nice committee, as I’ve been clear the NHS must embrace innovation to keep fit for the future. “These tools have the potential to improve efficiency and save clinicians thousands of hours of time that can be spent on patient care. Smart use of tech is a key part of our NHS long-term workforce plan, and we’re establishing an expert group to work through what skills and training NHS staff may need to make best use of AI.” Charlotte Beardmore, the executive director of professional policy at the Society of Radiographers, welcomed the draft guidance but said it was not a replacement for staff and caution was needed. “It is critical there is evidence to underpin the safe application of AI in this clinical setting,” she said. Using AI would still require input by a therapeutic radiographer or another member of the oncology multi-professional team, she added. “Investment in the growth of the radiography workforce remains critical.” Science is pretty amazing. Have your say in our news democracy. Click the upvote icon at the top of the page to help raise this article through the indy100 rankings.

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England boss Sarina Wiegman felt the Lionesses exhausted every effort to win their first Women’s World Cup final despite coming up just short with a 1-0 loss to Spain in Sydney. The Dutch boss, who led England to their first major trophy at last summer’s European Championship, finds herself with a silver medal in two consecutive attempts after steering 2019 runners-up the Netherlands to the title-decider four years ago in France. Second place is still a best-ever finish for the Lionesses in a global showpiece, beating their bronze medal from 2015, but the three-time FIFA Best winning coach knows from experience it may take some time before the sting subsides. Wiegman, who reiterated her commitment to remaining in England on multiple occasions this week, said: “That’s hard to take now, and of course we did everything, we gave everything, we’ve overcome lots of challenges and today we did everything we could to win. “It feels really bad, of course, and very disappointed, but still very proud of the team. “I’m just hurt about this moment. Losing a game and in a final, when you’re in a final you want to win it. I guess you mean because it’s a second final, I don’t see it (like that), this was a different game, a different team. “I was totally convinced before the game that it would be a very tight game but we were confident that we were able to win it. I hope in the future I get a new moment with the team I work with, that would be amazing, because it’s very special to play finals.” Lauren Hemp came inches away from scoring an opener with a first-half attempt that clipped the crossbar, and it remained England’s best chance of the contest. Spain took a 1-0 lead when Mariona Caldentey slipped the ball to the onrushing Olga Carmona, who finished past Mary Earps with a left-footed effort into the bottom right corner after 29 minutes. Wiegman initially employed the 3-5-2 shape that had been so successful in England’s 6-1 victory over China, but reverted to a 4-3-3 in the second half, when she brought in Lauren James – available for the first time following her two-match ban – and Chloe Kelly after the break. Spain could have doubled their advantage in the second half when Keira Walsh was punished for a handball inside the penalty area following a lengthy VAR check, but the competition’s Golden Glove winner Earps read Jennifer Hermoso’s spot-kick perfectly and produced a fine save to keep England in the contest. Wiegman said: “I think we played better in the second half. We changed shape, we got momentum, we got more in their half. Then they got the penalty and when Mary saved it I thought, ‘OK, now we’re going to score a goal and get the 1-1’, but we didn’t.” The 2027 Women’s World Cup hosts will be announced at the 74th FIFA Congress in May, while England will defend their European title in Switzerland in 2025. First comes UEFA’s newly launched Nations League, which also serves as a qualifier for next summer’s Olympic Games in Paris. England, Scotland or Wales would need to reach the final to qualify as Team GB, or finish third if automatically qualified hosts France are one of the last two. Wiegman managed the Netherlands during the postponed 2020 Tokyo Games, but was disappointed by the Covid-19-impacted experience, remarking earlier in the week that “it felt like a jail. We were stuck in a hotel.” So rather than thinking about the next World Cup in an as-yet-undecided location, Wiegman was looking ahead to just over a month’s time when England will kick off their Nations League campaign against Scotland at Sunderland’s Stadium of Light on September 22. She added: “Four years is a little bit of a long time. We will start in September in the Nations League to try to qualify for the Olympics. “You want to improve all the time. This team and this group of players are so eager to be successful. We want to grab every moment to be better. We hope we come back and play good games again to win.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live World Cup final in pictures: England fall to agonising defeat against Spain Katarina Johnson-Thompson on course for world championship gold Jac Morgan in line to captain Wales at Rugby World Cup

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