Radiation Oncology: What You Need to Know About Radiation Therapy and Specialists

Hearing the word “cancer” can stop you in your tracks, but understanding the treatments available can help you move forward with confidence. Among the most widely used and effective treatment options is radiation therapy, a targeted approach that uses high-energy rays to destroy cancer cells. 

Whether you're newly diagnosed or supporting a loved one through care, learning more about radiation oncology—and the role specialists play—can offer clarity, comfort, and a deeper sense of control throughout the journey. By demystifying how radiation therapy works, who it’s for, and what to expect, you can make more informed decisions and feel empowered at every step of the cancer treatment process.

What Is Radiation Oncology?

Radiation oncology is a medical specialty that uses high-energy radiation to destroy or shrink cancer cells. It's often part of a multidisciplinary approach to cancer treatment, which may include surgery, chemotherapy, and immunotherapy.

A radiation oncologist is a physician who designs and oversees the delivery of radiation therapy. This specialist works closely with radiation therapists, nurses, and other cancer care providers to create customized treatment plans based on each patient’s cancer type, stage, and location.

Types of Radiation Therapy

There are several types of radiation therapy, each designed to deliver the right amount of radiation to the tumor while protecting healthy tissues:

  • External Beam Radiation Therapy (EBRT) is the most common method. It delivers precise beams of radiation from outside the body.
  • Internal Radiation Therapy (Brachytherapy) involves placing a radioactive source inside or near the tumor.
  • Intensity-Modulated Radiation Therapy (IMRT) and Conformal Radiation Therapy use advanced imaging and planning to shape the radiation dose around the tumor.
  • Particle Therapy: Such as proton therapy, delivers radiation with minimal impact on surrounding healthy tissues.

These approaches are used for many cancer types, including prostate cancer, breast cancer, head and neck cancers, and more.

How Radiation Therapy Works

Radiation therapy works by damaging the DNA inside cancer cells, preventing them from growing and dividing. Because cancer cells are more vulnerable to this damage than normal cells, the treatment targets them more effectively.

Treatment plans are developed using imaging tools like CT, MRI, or PET scans. Key elements of radiation therapy include:

  • Treatment Planning: A simulation session to map out the radiation area.
  • Precision Delivery: Machines like linear accelerators deliver pinpoint doses.
  • Daily Sessions: Most patients receive treatment 5 days a week for several weeks.

The Radiation Oncology Team

Effective radiation therapy depends on a skilled and collaborative team within a cancer center. The care team may include:

  • Radiation Oncologist: Oversees treatment and adjusts plans as needed.
  • Radiation Therapist: Operates the machines and delivers daily treatments.
  • Medical Physicist & Dosimetrist: Ensure the correct dose is calculated and administered safely.
  • Oncology Nurses: Provide care and help manage side effects.

Together, this team ensures patients receive compassionate, coordinated cancer care throughout treatment.

When Is Radiation Therapy Used?

Radiation therapy may be recommended at different stages of cancer treatment, depending on the type and severity of the disease:

  • Before surgery to shrink tumors
  • After surgery to kill remaining cancer cells
  • In combination with chemotherapy
  • As a standalone treatment when surgery isn't an option

It is also used for palliative care, to relieve symptoms in advanced-stage cancers.

What to Expect from Radiation Treatment

The idea of undergoing radiation can be intimidating, but the process is generally quick and painless. Here's what patients can expect:

  • Non-invasive sessions that take just a few minutes
  • Fatigue, skin irritation, and other mild side effects, depending on the area treated
  • Ongoing monitoring from your oncology team

Most patients are able to continue daily routines throughout their course of radiation treatment.

Benefits and Limitations of Radiation Oncology

Radiation therapy has many benefits:

  • Non-invasive and painless
  • Highly targeted with minimal damage to healthy tissue
  • Effective for many types of cancer, including early and advanced stages

However, it may not be suitable for all patients or cancer types. A personalized consultation is essential to determine if radiation is the right option.

Partnering with the Right Cancer Center in PA

At PCSRI, we believe expert care should also feel personal. Our radiation oncology specialists across Pennsylvania are dedicated to delivering advanced radiation therapies with the highest level of compassion. We work hand-in-hand with each patient to create a customized treatment plan designed for their unique diagnosis, goals, and lifestyle.

If you or a loved one is exploring cancer treatment options, we invite you to connect with our team today. Schedule a consultation with one of our experienced radiation oncologists.

Frequently Asked Questions

What exactly does a radiation oncologist do?
A radiation oncologist is a doctor who specializes in using radiation therapy to treat cancer. They design and oversee your treatment plan.

In which stage of cancer is radiotherapy used?
Radiotherapy can be used at almost any stage, from early to advanced, either alone or combined with other treatments.

What is a radiation oncology procedure?
It involves planning and delivering precise doses of radiation to shrink or destroy cancer cells, typically over several sessions.

Is radiation oncology the same as chemotherapy?
No. Radiation uses targeted energy, while chemotherapy involves medication that circulates throughout the body.

Is radiation oncology painful?
The treatment itself is painless, though some patients may experience side effects like fatigue or skin irritation.



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