Theranostics integration is the inflection. Introducing PSMA or SSTR therapy changes everything: patient prep, MDT cadence, hot-lab discipline, dosimetry options, post-therapy counselling, and reimbursement pipelines. TPPL treats therapy not as a bolt-on but as a service line with pathway ownership—from referral criteria to longitudinal follow-up—so therapy days are calm, not chaotic.
Compliance is a capability, not a checklist. Shielding, signage, wipe tests, storage, transport, waste, and emergency responses are engineered into daily work so audits become non-events. Equally, reporting is treated as clinical UX: consistent lexicons, measurement anchors, decision-support notes, and turn-around-times that respect surgical and medical oncology clocks.
The result is a quiet form of scale. One centre at a time, built on trust metrics: uptime, on-time starts, QC conformance, adverse-event rates, reader agreement, referrer satisfaction. The model is portable across geographies and regulations; the playbook adapts locally without diluting standards. Precision care only looks bespoke from the outside; inside, it runs on well-designed routines.