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Independent consultancy & expert network

Independent expertise
for cancer services

Oncology infrastructure and cost-effectiveness analysis, quality assurance for clinical trials and medical physics support. Clinical understanding, transparent methods and practical deliverables.

What we do

Three areas of expertise

For institutions, clinical trial groups and healthcare teams facing decisions about quality, capacity and investment.

Plan services

Oncology infrastructure
& cost-effectiveness

Evidence-driven planning of oncology services at country and regional level, combining clinical pathways, health economics and implementation constraints.

  • Needs assessment and service mapping
  • Infrastructure and investment scenarios
  • Cost-effectiveness and sensitivity analysis
  • Phased implementation roadmaps
Scope and approach

Questions we help answer

  • Where are the access gaps and what is the likely patient impact?
  • Which investments have the highest impact under budget and workforce constraints?
  • Which delivery model fits geography and referral patterns?
  • How can implementation be phased with clear milestones and risks?

From diagnosis to palliative care

Our work considers diagnosis, systemic therapy, radiation therapy, surgery and palliative care. Scenarios include capital and operating costs, with cost-effectiveness analysis where appropriate.

Clear, traceable deliverables

We start with scope definition and data triage, then build a short list of decision-relevant scenarios. Assumptions are explicit and traceable. Outputs can include a stakeholder-ready report, slide deck and implementation roadmap.

Work can be delivered as a rapid assessment or a deeper modelling project, depending on needs, timelines and data availability.

Scenario comparison with CancerCompass

Designed to compare local provision, selective local provision and referral using population needs, expected activity, workforce, infrastructure, geography and costs.

Support trial quality

RTQA in
clinical trials

Independent Radiation Therapy Quality Assurance for clinical trials and institutional programmes involving advanced treatment techniques.

  • Protocol review and RTQA design
  • Site qualification and dosimetric audits
  • Treatment plan review
  • Delivery verification and compliance
Scope and approach

Across the RTQA lifecycle

Our work covers protocol review, site qualification, dosimetric audits, plan review, treatment delivery verification and ongoing compliance monitoring.

Advanced Radiation Therapy

We support national and international trials involving IMRT, VMAT, stereotactic RT, image-guided Radiation Therapy and adaptive strategies. Activities aim to support protocol adherence, treatment consistency and credible data while limiting administrative burden.

Working with your environment

We can work directly with your reviewing software and internal platforms or propose dedicated solutions through trusted collaborators, depending on trial scale and technical requirements.

Experienced radiation oncologists and medical physicists contribute scientific rigour, practical feasibility and clear communication with sponsors, CROs, academic groups and treatment centres.

Support clinical teams

Medical physics
expertise

Experienced support for short-term coverage and defined projects, helping Radiation Therapy services maintain continuity and complete time-bound work.

  • Temporary coverage and project support
  • Commissioning and documentation
  • QA programmes and audit preparation
  • Training and mentoring
Scope and approach

Targeted technical support

  • Treatment planning workflows and quality assurance
  • Commissioning support and documentation packages
  • IMRT, VMAT and stereotactic RT QA programme setup and optimisation
  • Audit preparation and internal quality systems
  • Training and mentoring for local teams

Defined responsibilities

Each assignment has clear deliverables, a timeframe, defined responsibilities and an escalation route. Confidentiality and documentation standards are aligned with the department.

About milliVolt

Clinical experience
Broader perspective

milliVolt operates at the interface between clinical practice, technical quality assurance and strategic decision-making in oncology.

Founded in France in 2021, milliVolt combines direct senior involvement with an international expert network, bringing together the expertise needed for each assignment.

Our experts have

20 years of experience supporting cancer management from diagnosis to palliative care, with expertise in medical physics, clinical trial quality assurance, radiation protection and health policy.

We are expanding our multidisciplinary network to bring together radiation oncologists, nuclear medicine physicians and medical physics experts, with collaborators selected to match each project's needs.

How we work

A clear route through the project.

  1. Define the question

    Agree the scope, available information, responsibilities and intended deliverables.

  2. Apply the right expertise

    Use transparent methods adapted to the clinical, regulatory and organisational context.

  3. Deliver something usable

    Provide documented findings, explicit assumptions and practical next steps.

Independent of equipment manufacturers and software vendors, with trusted collaborators involved where appropriate.

Contact

Let's discuss your project.

For a defined assignment, a scoping discussion or a potential collaboration, get in touch with your question, project scope and preferred timeline.