Macau Builds Highly Intelligent Hospital with AI-Powered Radiotherapy System

Macau's new intelligent hospital exterior
The newly built Macau Union Hospital, also known as “Cotai Hospital,” features advanced AI-powered medical technology.

Global medical technology and infrastructure are rapidly advancing toward intelligence. Macau, just across the sea from Hong Kong and often referred to as the “other side of the water,” has been upgrading its medical infrastructure in recent years. It has now established its first highly intelligent large-scale hospital.
Beyond adopting smart technologies in construction and operations, the hospital integrates AI into its radiotherapy system for cancer patients. It features a state-of-the-art linear accelerator with advanced irradiation technology, enabling more precise surgical treatments and improved therapeutic outcomes. Locals now claim that “serious illnesses no longer require leaving Macau,” and there are plans to promote medical tourism to diversify the economy.

The “Cotai Hospital” in Macau is equipped with a CyberKnife system—an image-guided linear accelerator that uses a robotic arm to deliver radiation beams to tumors in real time. Its sub-millimeter accuracy significantly reduces the risk of side effects.

Following a visit to a newly built intelligent hospital in Guangzhou, the author recently toured Macau Union Hospital (commonly known as “Cotai Hospital”) with Hong Kong engineering professionals. Located in Cotai, the hospital’s full name is “Cotai Medical Complex Peking Union Medical College Hospital Macau Medical Center.” Supported by the Macau government and China’s National Health Commission, it is a collaborative project between Peking Union Medical College Hospital and Macau, aiming to provide advanced healthcare options for residents and tourists. The center also offers training opportunities for local medical staff, fostering expertise in specialized fields.
Hospital's integrated energy center
The hospital’s integrated energy center houses large-scale machinery that centralizes electricity, air-conditioning chilled water, and heating energy, distributing them to various buildings via underground pipelines.
Covering 430,000 square meters, this is Macau’s largest medical complex, comprising multiple buildings with over 1,000 beds and operational since September last year. It includes 52 positive/negative pressure isolation wards and 26 operating rooms, one of which is a 174-square-meter hybrid operating room capable of performing catheter procedures, endoscopic surgeries, and abdominal operations for complex conditions like vascular and gastrointestinal tumors. The hospital also houses Macau’s first nuclear medicine center and AI-enhanced radiotherapy equipment, elevating local capabilities in treating critical illnesses.
High-spec isolation wards
52 high-spec isolation wards (positive/negative pressure) are available.
Beyond cutting-edge medical technology, the hospital’s design utilizes Building Information Modeling (BIM), improving construction efficiency and safety. Following international standards (e.g., UK hospital guidelines), the spacious layout enhances patient comfort and operational flexibility, with room for future expansions.

“This intelligent medical facility not only benefits Macau residents but also positions the region as a medical tourism hub, driving economic diversification.”

Macau Union Hospital overview
The hospital features a fully automated waste and linen collection system, processing 25 tons of waste and 2 tons of linen daily—equivalent to the output of 6,500 households. Its integrated energy center optimizes energy management to reduce operational costs. Centralized utilities are distributed through underground tunnels, freeing space for future expansions and embodying sustainable development principles.
Hospital interior and technology
In summary, this intelligent medical facility not only benefits Macau residents but also positions the region as a medical tourism hub, driving economic diversification.

“01 Medical Column” collaborates with senior engineer Yuen Pak-leung to publish the weekly column “Journey with Pak-leung”, exploring engineering and healthcare topics.

Yuen Pak-leung, former president of the Hong Kong Institution of Engineers, has dedicated decades to advancing the engineering profession. His insights offer valuable lessons for future generations.

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