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Recent Publications
Siau E, Silva GS, Lu J, et al. Extreme Urban Heat and Emergency Department Visits in Older Adults. 10.1001/jamanetworkopen.2026.2645
Silva S, Walsh C, Lichter KE, et al. Mammogram Energy Use – Metering to Map Optimization Strategies. 10.1200/JCO.2026.44.16_suppl.e12714
Millwater M, Shelby E, Lichter KE, et al. Plastic and Single-Use Materials in Breast Cancer Screening and Diagnosis: A Multi-Center Audit of Modifiable Resource Use in Oncology Care. 10.1200/JCO.2026.44.16_suppl.e23159
Thomas K, Malik K, Lichter KE, et al. When Disaster Strikes: A Scoping Review of Climate-Resilience Toolkits Relevant to Cancer Care Delivery. 10.1200/JCO.2026.44.16_suppl.e23198
Pan W, Parker G, Lichter KE, et al. Environmental Co-Benefits of WISDOM Risk-Based Breast Cancer Screening: A Multi-Institutional Pathway-Based Life Cycle Assessment. 10.1200/JCO.2026.44.16_suppl.e23224
Lichter KE, Asaro A, Qureshi M, et al. The climate and health impact of U.S. radiation therapy: estimating greenhouse gas emissions, DALYs, and potential of hypofractionation. 10.1016/j.radonc.2025.111161
Northrup B, Hanneman K, Lichter K, et al. Embedding Sustainability into the Imaging and Care of Patients with Cancer. 10.1148/rycan.250054
Silverwood S, Asaro A, Shahi P, et al. Less Is More: Hypofractionation for Equitable and Sustainable Cancer Care. 10.1200/GO-25-00153
Sabol RA, Walsh CJ, Densley S, et al. Wildfire disruptions and cancer care: A multi-institutional study of radiotherapy treatment adherence in Northern California. 10.1016/j.joclim.2025.100530
Silverwood SM, Lichter KE, Kleiner HS, et al. A unified strategy for addressing climate change, improving public health, and mitigating environmental degradation. 10.1016/j.agrcom.2025.100090
Flynn CR, Guzman RD, Olubukola A, et al. Climate change and cancer care: impacts and implications for patients and healthcare professionals. 10.3332/ecancer.2025.1973
Lichter KE, Silva GS, Braunstein S, et al. Patient transit and radiotherapy: Cost-effectiveness approach to environmental health savings. 10.1200/JCO.2025.43.16_suppl.e23146
Lichter KE, Silva GS, Avelino S, et al. Advancing Global Equity in Cancer Care: Comparative Environmental Impacts of Radiotherapy in Brazil and the U.S. 10.1200/JCO.2025.43.16_suppl.1627
Woolen S, Lichter KE, Schoen JH. Shaping a Greener Future: The Role of Education in Sustainability (Ep 6). AJR Podcast Series on Sustainability [Full series here 10.2214/AJR.25.33169
Lichter KE, Larson B, Pagadala M, et al. Impact of declared wildfire disasters on survival of lung cancer patients undergoing radiation. 10.1007/s10552-024-01949-2
Baniel CC, Lichter KE, Frick MA, et al. The NorCal brachytherapy waste audit: A simple, validated, toolkit for clinician led waste reduction. 10.1016/j.brachy.2025.01.002
Smolen KA, Streeter SS, Silva GS, et al. Rideshare Intervention to Promote Access to Care and Environmental Sustainability Within Oncology. 10.1200/OA-25-00104
Drew T, Conway A, Do I, et al. Impact of Extreme Climate Events on Puerto Rican Radiation Oncology Practices. 10.1177/10732748251394061
Munger DP, Lichter KE. Response to the Hidden Impact of Radiography and Fluoroscopy An Environmental Life Cycle Assessment. 10.1016/j.jacr.2025.12.007
Silverwood SM, Waeldner K, Demeulenaere SK, et al. The Relationship between Travel Distance for Treatment and Outcomes in Patients Undergoing Radiotherapy: A Systematic Review. Advances in Radiation Oncology. 2024. doi: 10.1016/j.adro.2024.101652
Baniel CC, Sabol RA, Nieto R, et al. Green Horizons in Oncology: A Blueprint for Environmentally Sustainable Radiation Therapy Facilities. 10.1016/j.semradonc.2024.07.004
Bhatia RK, Lichter KE, Zaorsky NG, et al. Using hypofractionation to decarbonise radiation oncology. 10.1136/bmj-2023-079072
Frick MA, Baniel CC, Lichter KE, et al. Travel-Related Environmental Impact of Telemedicine in a Radiation Oncology Clinic. 10.37549/ARO-D-23-00026
Silverwood SM, Lichter KE, Stavropoulos K, et al. Assessing the Readiness for Climate Change Education in Radiation Oncology in the US and Canada. 10.37549/ARO-D-24-00007
Lichter KE, Charbonneau K, Lewy JR, et al. Quantification of the environmental impact of radiotherapy and associated secondary human health effects: a multi-institutional retrospective analysis and simulation. 10.1016/S1470-2045(24)00148-7
Shenker, Rachel B Julie, Lichter KE. Green-ifying Clinical Trials. 10.37549/ARO-D-24-00002
Lichter KE, Sabbagh A, Demeulenaere S, et al. Reducing the Environmental Impact of Health Care Conferences: A Study of Emissions and Practical Solutions. JCO Global Oncology. 10.1200/GO.23.00209
Lichter K, Sabbagh A, Demeulenaere S, et al. Quantifying emissions and enhancing inclusivity: Insights from ASCO attendance data. 10.1200/OP.2023.19.11_suppl.442
Smolen KA, Luu J, Braunstein SE, et al. Shifting Gears to Green: A Pilot Study on Decarbonizing Patient Transport. 10.1016/j.joclim.2023.100297
Silverwood S, Lichter K, Conway A, et al. Distance Traveled by Patients Globally to Access Radiation Therapy: A Systematic Review. 10.1016/j.ijrobp.2023.10.030
Lichter KE, Baniel CC, Do I, et al. Impacts of Wildfire Events on California Radiation Oncology Clinics and Patients. 10.1016/j.adro.2023.101395
Lichter KE, Bloom JR, Sheu RD, et al. Tracking and Reducing SF6 Usage in Radiation Oncology: A Step Toward Net-Zero Health Care Emissions. [Erratum] Practical Radiation Oncology. 2023. doi: 10.1016/j.prro.2023.06.003
Chuter R, Stanford-Edwards C, Cummings J, et al. Towards estimating the carbon footprint of external beam radiotherapy. 10.1016/j.ejmp.2023.102652
Lichter KE, Weinstein HNW, Husain M, Kishan R, Hantel A, Maniar A. National Cancer Institute Centers With Environmental Sustainability Plans for Climate Change. 10.1001/jamanetworkopen.2023.17206
Lichter KE, Charbonneau K, Sabbagh A, et al. Evaluating the Environmental Impact of Radiation Therapy Using Life Cycle Assessments: A Critical Review. 10.1016/j.ijrobp.2023.04.03
Lichter KE, Demeulenaere S, Drew T, et al. The Environmental Impact of a Hybrid Medical Conference: Reduced Carbon Emissions of ASTRO's Digital XP 2021 Conference Model.
Maniar A, Lichter KE, Husain M, et al. National cancer centers addressing climate change: An overview and analysis of organizations' sustainability plans. 10.1200/JCO.2022.40.16_suppl.e13623
Bloom JR, Anderson JD, McComas KN, et al. Environmentally Sustainable Radiation Oncology: Can We Turn the Tides? doi: 10.37549/ARO1320
Lichter KE, Anderson J, Sim AJ, et al. Transitioning to Environmentally Sustainable, Climate-Smart Radiation Oncology Care. International Journal Radiation Oncology Biology Physics. 2022. doi: 10.1016/j.ijrobp.2022.04.039
Lichter KE, Baniel CC, Anderson J, et al. Environmentally sustainable brachytherapy care. Brachytherapy. 2022. doi: 10.1016/j.brachy.2022.06.002
Lichter KE, Drew T, Demeulenaere S, et al. Environmental Outcomes Associated With Transition From In-Person to a Virtual Oncology Conference During the COVID-19 Pandemic. 10.1001/jamaoncol.2022.1925
Patel L, Lichter KE. How Should We Better Manage Human and Planetary Health in a Next Pandemic? 10.1001/amajethics.2022.980
Lichter KE, Baniel CC, Sood N, et al. Development of Climate Health and Oncology-Based Curricula: Understanding Climate Change’s Impact on Cancer Care and a Physicians’ Role. 10.1016/j.ijrobp.2022.06.04
Recent Presentations
Kasireddy NM, Jain P, Lichter KE, et al. Interprofessional Climate and Health Education: Addressing Knowledge Gaps in Healthcare Sustainability Through Collaborative Learning.
Meredith C, Walsh C, Lichter KE, et al. Beyond Distance: Travel Burden in Cancer Care- A Scoping Review.
Malik K, Thomas K, Lichter KE, et al. When Disaster Strikes: A Scoping Review of Climate Resilience Toolkits Relevant to Cancer Care Delivery.
Pan W, Thiel C, Lichter KE, et al. Lifecycle Assessment of Risk-Stratified Breast Cancer Screening: A Pathway-Based Systems Analysis.
Binder A, Drew T, Lichter KE, et al. Climate, Cancer, and Care in NH and VT: Preliminary Results from the 2026 Dartmouth Cancer Center (DCC) Survey. Malik K, Thomas K, Lichter KE, et al. When Disaster Strikes: A Scoping Review of Climate-Resilience Toolkits Relevant to Cancer Care Delivery.
Pardini A, Conway A, Lichter KE, et al. CARE-Path: Centering Patient Priorities in Climate-Resilient and Environmentally Sustainable Cancer Care.
Ejiogu J, Perkins T, Lichter KE, et al. WEATHER-Care: Preventing Weather-Related Disruptions in Rural Radiation Oncology.
Wu Y, Walsh C, Lichter KE. Patient Perceptions of Sustainability in Healthcare: A Scoping Review.
Lichter KE. Environmental Sustainability and Climate Resilience in Proton Therapy.
Silverwood SS, Densely S, Lichter KE, et al. Mapping Climate Health Training Programs for Healthcare Professionals: A Scoping Review.
Jain P, Kasireddy N, Lichter KE, et al. Addressing a Systems-Based Practice Gap in Radiation Oncology: A Competency-Aligned Pilot Curriculum on Resource-Aware Cancer Care.
Kasireddy N, Jain P, Lichter KE, et al. Building Rural Health Workforce Capacity and Equity Through Interprofessional Climate-Health Education: A Six-Week Hybrid Enrichment for Future Practitioners. Ejiogu J, Perkins T, Lichter KE, et al. Rural Radiation Oncology: Weather Enhanced Alert for Treatment & Healthcare Engagement and Rescheduling (WEATHER-Care).
Thomas K, Malik K, Lichter KE, et al. When Disaster Strikes: A Scoping Review of Climate-Resilience Toolkits Relevant to Rural Healthcare Delivery.
Malik K, Thomas K, Walsh C, et al. When Disaster Strikes: A Scoping Review of Climate-Resilience Toolkits Relevant to Cancer Care Delivery.
Silva GS, Walsh G, Lichter KE, et al. Leveraging Artificial Intelligence to Reduce Waste in Oncology: A Sustainable Approach to Procedural Was te.
Silva GS, Anand C, Lichter KE, et al. Energy-saving radiotherapy paths: Cost-effectiveness analysis of environmental health co-benefits. here
Silva GS, Tompkins J, Lichter KE, et al. Quantifying Energy Consumption in Radiation Oncology: A Multi-Modality Assessment for Sustainability and Efficiency here
Silva GS, Phuong C, Lichter KE, et al. Harnessing AI for Sustainable Radiation Oncology: Transforming Brachytherapy Waste Management here
Silva GS, Anand C, Lichter KE, et al. Energy-Saving Interventions for MRI: Reducing Costs and Environmental Health Impacts. ACR Annual Meeting. Washington, DC, May 2025.
Silva GS, McSween Z, Lichter KE, et al. Toward Improved Value in Cancer Care: Reducing Healthcare Costs and Environmental Impacts.
Drew T, Conway A, Lichter KE, et al. Impact of Extreme Climate Events on Puerto Rican Radiation Oncology Practices. UCSF La Comunidad Conference. San Francisco, CA, April 2025.
McSween Z, Silva GS, Lichter KE, et al. Reducing Environmental Impact and Healthcare Costs in Radiation Oncology: A Cost-Effectiveness Analysis of Hypofractionated Breast & Prostate Treatments.
Silva GS, Avelino S, Lichter KE, et al. Environmental Impacts of External Beam Radiation Therapy in Brazil: A Comparative Life Cycle Assessment. ACRO Annual Conference. Las Vegas, NV, March 2025. Published abstract here
Silva GS, Lichter KE, Badal K, et al. Breast Cancer Screening: Achieving Cost and Environmental Savings (BrACE).
Silva GS, Charbonneau K, Lichter KE, et al. The Environmental and Associated Human Health Impacts of Radiotherapy Delivery in the United States: Multi-Institutional Life Cycle Assessment & Simulation.
Silva GS, Morales LM, Lichter KE, et al. ‘Natural’ Disasters and Cancer Care Disruptions: Perspectives from Providers in Puerto Rico Following Hurricane Maria here
Sabol RA, Walsh CJ, Densley S, et al. Radiotherapy Adherence and Wildfire Disruptions: A Multi-Institutional Study of Treatment Compliance in Northern California.
Silva GS, Lichter KE, Badal K, et al. Optimizing Cost and Environmental Impact in Breast Cancer Screening: A Dual-Benefit Approach. UCSF RISE UP for Breast Cancer Conference. San Francisco, CA, November 2024.
Do I, Lichter KE, Battles J. Protecting Access to Cancer Treatment in Fire-Prone Areas: Evaluating Community Wildfire Protection Plans.
Sabol RA, Walsh CJ, Densley S, et al. Evaluating the Impact of Wildfires on Radiotherapy Compliance and Financial Costs: Insights from a Multi-Clinic Analysis. ASTRO Annual Meeting. Washington, DC, September 2024.
Asaro A, Charbonneau K, Anand C, et al. Climate-Smart Oncology: Can Hypofractionation Lighten Radiotherapy's Environmental Load?
Lichter KE, Sabol R, Yom SS, et al. Impact of wildfires on radiotherapy adherence in patients with cancer: A multi-clinic study. ASCO Annual Meeting. Chicago, IL, May 2024. Published abstract here
Smith A, Lichter KE, Phuong C, et al. Streamlining Brachytherapy OR Waste Management in 60 Seconds: The AI Solution
Lichter KE. Decarbonizing Oncology: Navigating Emissions Reduction and Equitable Care . UCSF Graduate Medical Education Grand Rounds. San Francisco, CA, November 2023.
Lichter KE. The Ecologic Footprint of Brachy & Radiotherapy . The Groupe Européen de Curiethérapie (GEC) and the European SocieTy for Radiotherapy & Oncology (ESTRO) Workshop. Prague, November 2023.
Lichter K, Larson B, Mohamad O, et al. Impact of declared wildfire disasters on survival of lung cancer patients undergoing radiation treatment here
Charbonneau K, Lichter KE, Anand C, et al. The Environmental Impact of Radiation Oncology: the “footprint” of external beam radiation therapy
Lichter KE, Charbonneau K, Sabbagh A, et al. Simulating the Environmental and Public Health Consequences of Radiotherapy Delivery in the United States using Multi-Institutional Life Cycle Assessments. ASTRO Annual Conference. San Diego, CA, October 2023.
Lichter KE. Environmentally Sustainable Brachytherapy Care European Society Radiation Oncology (ESTRO) Climate Change Course , June 2023.
Lichter KE, Phuong C, Liu J, et al. Streamlining Brachytherapy OR Waste Management in 60 Seconds: The AI Solution
Sabbagh A, Lichter KE, Demeulenaere S, et al. Network Greener: Sustainability for Conferences Made Easy!
Conway A, Lichter KE, Sabbagh A, et al. Reducing the Environmental Impact of Healthcare Conferences: A Study of Emissions
Lichter KE, Bloom J, Sheu R, et al. Addressing SF6 in Healthcare: An Essential Step Towards Achieving Net-Zero Healthcare Emissions . CleanMed. May 2023.
Smolen K, Lu J, Wiliams L, et al. The Reduction of Patient Transportation Emissions with the Utilization of Reduced-Carbon Rideshare Services . UCSF Health Improvement Symposium. May 2023.
Lichter, KE. Delivering Equitable Cancer Care in a Changing Climate. UCSF Radiation Oncology Annual Course. April 2023.
Lichter KE, Sabbagh A. Medical Trainee Engagement in Sustainability, Environmental Health, and Decarbonization
Lichter KE. Decarbonizing the Healthcare Sector
Lichter KE, Maniar A, Husain M. A re National Cancer Centers Prepared to Address Climate Change? An Overview & Analysis of Organizations' Sustainability Plans
Lichter KE, Demeulenaere S, Drew T, et al. The Environmental Impact of ASTRO's Digital XP 2021 Hybrid Conference Model. ASTRO 64th Annual Meeting. San Antonio, TX, October 2022.
Baniel C, KE Lichter. A Six Minute Waste Audit: A resident-led QI initiative to reduce medical waste. Norcal Symposium. September 2022.
KE Lichter, Baniel CC, Sood N, et al. Development of Climate Health and Oncology-Based Curricula: Understanding Climate Change’s Impact on Cancer Care and a Physician’s Role.
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