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ASTRO Guideline on Radiation Therapy for Bladder Cancer

Published: Web posted September 2026

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This guideline addresses four key questions focusing on radiation therapy (RT) in patients with bladder cancer, including the use of RT in the upfront, definitive setting and in the postoperative and metastatic settings. Discussions of indications for RT, integration of systemic therapies, and RT techniques in these settings are also included.

Developed in collaboration with:

  • American Society of Clinical Oncology
  • European Association of Urology
  • European Society for Radiotherapy and Oncology

Endorsed by:

  • European Association of Urology
  • European Society for Radiotherapy and Oncology

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Copyright © 2026 American Society for Radiation Oncology