The Northern Sydney Cancer Centre has a history of innovation in radiation oncology. We have always driven to improve patient outcomes through technology. One of the ways that this can be achieved is by daily customisation of radiotherapy to each patient, each day, using our Ethos treatment unit. Collaborating with Varian medical systems, the NSCC pioneered adaptive radiotherapy with the world's only AI-driven radiotherapy machine that brings artificial intelligence and automation to the point of care for the very first time.