Why do doctors still use radiation therapy if it has risks?

Doctors continue to use radiation therapy despite its risks because it remains one of the most effective and versatile treatments for cancer, offering significant benefits that often outweigh the potential harms. Radiation therapy can precisely target and destroy cancer cells, shrink tumors, and improve patients’ quality of life by alleviating symptoms. It can cure certain cancers on its own, enhance the effectiveness of surgery and chemotherapy, prevent cancer recurrence, and preserve vital organs. Advances in technology have also made radiation therapy much safer and more precise, minimizing damage to healthy tissues.

Radiation therapy works by using high-energy beams, such as X-rays or proton beams, to damage the DNA inside cancer cells. This damage prevents the cancer cells from growing and multiplying, ultimately causing them to die. Because it is a localized treatment, radiation focuses on the tumor area rather than affecting the entire body, which helps reduce side effects compared to systemic treatments like chemotherapy.

Doctors choose radiation therapy for various reasons depending on the type, size, and location of the tumor, as well as the patient’s overall health and treatment goals. It can be used before surgery to shrink tumors, making them easier to remove, or after surgery to kill any remaining cancer cells. In cases where curing the cancer is not possible, radiation can relieve symptoms such as pain, bleeding, or pressure caused by tumors, improving the patient’s comfort and quality of life.

Modern radiation therapy techniques have evolved significantly. Technologies like image-guided radiation therapy and advanced linear accelerators allow doctors to deliver radiation with high precision, targeting tumors while sparing surrounding healthy tissue. Internal radiation methods, such as brachytherapy, place radioactive sources directly inside or near the tumor, which can reduce side effects by limiting radiation exposure to a small area. Systemic radiopharmaceuticals can target cancer cells throughout the body, especially in metastatic cases.

While radiation therapy does carry risks, including potential damage to healthy cells and side effects like fatigue, skin irritation, or long-term tissue changes, these risks are carefully managed. Treatment plans are personalized to maximize benefits and minimize harm. Doctors weigh the potential risks against the expected benefits, considering that untreated or inadequately treated cancer can be far more dangerous.

In summary, radiation therapy remains a cornerstone of cancer treatment because it can effectively control or cure cancer, improve survival rates, and enhance quality of life. Its continued use reflects a balance of its powerful therapeutic effects against manageable risks, supported by ongoing advances that improve safety and precision.