A single visit—including setup—usually takes 15 to 30 minutes, and the actual time the radiation beam is on lasts only a few minutes. However, the total number of sessions needed to complete treatment varies significantly depending on the treatment goal and cancer type.
Key Takeaways
- External beam radiation therapy is typically given five days a week on weekdays. Each visit takes 15 to 30 minutes including setup, with the actual beam-on time lasting only a few minutes (National Cancer Center Korea, NCCN patient guidelines).
- Curative-intent treatment is usually delivered in divided doses over several weeks. Stereotactic body radiation therapy (SBRT) requires far fewer sessions, and palliative treatment aimed at symptom relief often finishes in even fewer sessions.
- Before actual treatment begins, simulation imaging and dose planning typically take about one week.
- After treatment ends, no radiation remains in the body, so there is no issue with contact with family members or children (for external beam radiation therapy).
- The exact number of sessions and total treatment duration are confirmed in the written opinion based on the stage and treatment site.
Why Is Treatment Divided Into Multiple Sessions Instead of One?
- Radiation works by breaking the DNA of cells. Cancer cells have a lower capacity to repair this damage compared to normal cells, so even when exposed to the same amount of radiation, more cancer cells die. To widen this gap, the total dose is divided and delivered across multiple sessions.
- By delivering one session per day over several weeks, normal tissue has time to recover between sessions, while cancer cells cannot withstand the accumulated damage. Intensity-modulated radiation therapy (IMRT) varies beam intensity from multiple directions to conform even to concave tumor shapes, while stereotactic body radiation therapy (SBRT) fixes the target position to within millimeters and delivers high doses in fewer sessions.
What Is the Treatment Process?
- Step 1: Simulation — A CT scan is taken in the same position used during treatment. An immobilization device (a mask for head and neck cases) is made to reproduce the exact same position each time, and position markers are placed on the skin.
- Step 2: Dose planning and verification — The radiation oncology and medical physics teams design and verify the treatment plan, which typically takes about one week.
- Step 3: Actual treatment — Sessions are given five days a week on weekdays. Each visit takes 15 to 30 minutes including setup, with actual treatment time lasting only a few minutes.
- Step 4: Number of sessions by purpose — Curative-intent treatment often runs several weeks, SBRT requires far fewer sessions, and palliative treatment for symptom relief is often completed in even fewer sessions.
- Step 5: Follow-up — Acute reactions appear during treatment and subside over several weeks after completion. Late side effects may appear months to years later, requiring long-term follow-up.
Is There Pain or Difficulty With Daily Activities During Treatment?
- There is no sensation during the actual beam exposure, and side effects occur only in the area the radiation passed through. Common effects include fatigue and skin changes at the treatment site (redness, dryness, itching, pigmentation). Skin changes typically begin around 2 weeks into treatment, and moist desquamation with weeping skin may develop around weeks 4 to 6 (National Cancer Center Korea).
- Reactions vary by treatment site. Head and neck treatment may cause mouth sores, dry mouth, and taste changes. Chest treatment may cause swallowing discomfort and coughing (radiation esophagitis can begin around 2 to 3 weeks in). Abdominal and pelvic treatment mainly causes nausea, diarrhea, and urinary discomfort. Most patients can maintain light daily activities during treatment.
FAQ — Do I Need to Go to the Hospital Every Day?
Yes, treatment is given five days a week on weekdays. Since each visit takes only about 15 to 30 minutes including setup, choosing accommodation within walking distance of the hospital significantly reduces the burden. Because you need to come in at the same time every day during the treatment period, long-distance travel is not recommended.
FAQ — How Long Is Radiation Therapy for Prostate or Breast Cancer?
This varies by cancer type and method. For prostate cancer, SBRT takes about 10 days, while IMRT takes longer depending on the number of sessions, and carbon ion therapy typically involves around 12 sessions over 3 to 4 weeks. For breast cancer, adding radiation therapy after breast-conserving surgery generally extends the stay by an additional 3 to 5 weeks as a standard target. The exact duration is confirmed based on stage and the written opinion.
Sources and Notes
- This article was written based on information regarding radiation therapy, skin and fatigue management after radiation therapy, and notes on prostate and breast cancer, drawing on resources from National Cancer Center Korea, NCCN patient guidelines, and materials from the U.S. National Cancer Institute (NCI).
- This content is provided for general medical information purposes only. Diagnosis, treatment methods, and outcomes may vary depending on individual conditions. Please consult with medical professionals to determine accurate diagnosis and treatment.
Get a written opinion
Upload your records; tertiary-hospital physicians read them, and within 5 business days you receive an opinion, three hospitals and an estimate.
Request a review