Multidisciplinary Care
Radioligand therapy is a team sport.
Delivering RLT well requires tight coordination across oncology, nuclear medicine, radiology, pharmacy, and nursing — with clear hand-offs at every step.
Roles
Who's on the team
Medical oncology
Anchors the treatment plan, sequences therapy lines, and manages systemic disease.
Nuclear medicine
Administers the radioligand, oversees dosimetry, and manages radiation safety.
Radiology
Provides diagnostic imaging, response assessment, and biomarker imaging interpretation.
Radiopharmacy
Handles preparation, quality control, and chain-of-custody of the radioligand dose.
Oncology nursing
Patient education, infusion oversight, and adverse-event surveillance.
Endocrinology / specialty
Disease-specific co-management (e.g. carcinoid syndrome in NETs).
Operational readiness
What centers consider before launching an RLT program
Infrastructure
- ▸Radioactive materials licensure
- ▸Hot lab / radiopharmacy capacity
- ▸Designated infusion / observation space
Workflow
- ▸MDT tumor-board cadence
- ▸Referral and scheduling pathways
- ▸Standardized order sets and dosimetry
Patient experience
- ▸Pre-treatment counseling
- ▸Radiation safety education for caregivers
- ▸Long-term follow-up plan
Quality & safety
- ▸Adverse-event monitoring program
- ▸Renal and hematologic surveillance
- ▸Outcomes registry participation