^a Center for Biotechnology and Global Health Policy, University of California, Irvine School of Law, Irvine, CA, USA 

^b Harvard Radiation Oncology Program, Boston, MA, USA 

^c Department of Radiation Oncology, Brigham and Women’s Hospital/Dana-Farber Cancer Institute, Boston, MA, USA 

^d Division of Radiation Oncology, Boston Children’s Hospital, Boston, MA, USA 

^e Department of Internal Medicine, University of California San Diego, San Diego, CA, USA 

^f Sidney Kimmel Comprehensive Cancer Center, Department of Radiation Oncology and Molecular Radiation Science, Johns Hopkins Hospital, Baltimore, MD, USA 

^g Johns Hopkins Center for Transgender Health, Johns Hopkins University School of Medicine, Baltimore, MD, USA 

^h Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA