Treatment FAQ

what to expect first radiation treatment

by Mr. Sid Koepp DDS Published 3 years ago Updated 2 years ago
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What happens on the first day of radiation?

Your oncologist will review your medical records, perform a physical exam, and review past medical tests and X-rays. As you discuss your treatment options with your oncology team, you will have the chance to ask questions and learn about the risks and benefits of radiation therapy.Dec 2, 2019

What can I expect after my first radiation treatment?

The most common early side effects are fatigue (feeling tired) and skin changes. Other early side effects usually are related to the area being treated, such as hair loss and mouth problems when radiation treatment is given to this area. Late side effects can take months or even years to develop.Dec 10, 2020

Do you feel sick after first radiation treatment?

Nausea and vomiting can occur after radiation therapy to the stomach, small intestine, colon or parts of the brain. Your risk for nausea and vomiting depends on how much radiation you are getting, how much of your body is in the treatment area, and whether you are also having chemotherapy.

What can you not do during radiation treatment?

Avoid raw vegetables and fruits, and other hard, dry foods such as chips or pretzels. It's also best to avoid salty, spicy or acidic foods if you are experiencing these symptoms. Your care team can recommend nutrient-based oral care solutions if you are experiencing mucositis or mouth sores caused by cancer treatment.Nov 8, 2021

How long does first radiation treatment take?

How long does radiation therapy take? Each radiation therapy treatment takes about 10 minutes. Radiation therapy to try and cure cancer is usually delivered daily, Monday through Friday, for about five to eight weeks. Weekend breaks allow normal cells to recover.

Is radiation worse than chemo?

Since radiation therapy is focused on one area of your body, you may experience fewer side effects than with chemotherapy. However, it may still affect healthy cells in your body.Mar 27, 2020

How soon do radiation side effects start?

Reactions to the radiation therapy often start during the second or third week of treatment. Or, they may last for several weeks after the final treatment. Some side effects may be long term.

Is radiation therapy painful?

Does radiation therapy hurt? No, radiation therapy does not hurt while it is being given. But the side effects that people may get from radiation therapy can cause pain and discomfort. This booklet has a lot of information about ways that you and your doctor and nurse can help manage side effects.

What is the success rate of radiation therapy?

When it comes to early stages of disease, patients very frequently do well with either brachytherapy or external beam radiation. Success rates of around 90% or higher can be achieved with either approach.

What time of day is best for radiation therapy?

New research from Roswell Park Comprehensive Cancer Center, to be presented at the American Association for Cancer Research (AACR) Annual Meeting 2019 in Atlanta, reports that administering radiation treatments in the morning as opposed to later in the day can significantly reduce severity of mucositis and its related ...Mar 30, 2019

Can you drive yourself home after radiation treatment?

Will I be able to drive after my radiotherapy treatment? Almost all patients are able to drive while receiving radiotherapy treatment. However, with some types of cancer, driving may NOT be recommended due to fatigue or strong pain medication.

What are the do's and don'ts after radiotherapy?

Don't wear tight clothing over the treatment area. It's important not to rub, scrub or scratch any sensitive spots. Also avoid putting anything that is very hot or very cold—such as heating pads or ice packs—on your treated skin.Oct 5, 2017

How long does it take to get a radiation treatment?

This process can take up to two weeks before you return for your first actual radiation therapy treatment. When your treatment plan is developed, it will outline whether you will be receiving radiation therapy before, during, or after other treatments.

How long does radiation therapy last?

Type of radiation therapy used. Most external beam radiation, when used to shrink a tumor before surgery, is administered five days a week for five to eight weeks. Fewer treatments may be used if the goal is easing cancer-related symptoms.

What is CT scan for radiation?

Instead, you’ll come in for a CT scan, which is used to help plan your radiation therapy. You will be positioned as you would during treatment — usually lying flat on your back — and scans will be taken of the area of the body that will be treated.

What is the name of the doctor who treats cancer?

A doctor who specializes in using radiation to treat cancer — called a radiation oncologist — will oversee your radiation therapy. If you are having more than one type of treatment, your radiation oncologist will work closely with the rest of your cancer team to coordinate your care.

Can you have side effects from radiation?

In many cases, you will not experience any side effects initially, but may experience some after multiple treatments as the therapy has a cumulative effect. If you had internal radiation, you may experience soreness or tenderness where the catheter was inserted, and you likely will experience some degree of fatigue.

What is the only treatment for cancer?

In some cases, radiation therapy will be the only treatment needed to treat a cancer, but often it is used in conjunction with other treatments, such as surgery, chemotherapy, immunotherapy, or some combination.

What is radiation therapy?

Radiation therapy used as preoperative therapy to shrink a tumor that will then be removed surgically is referred to as neoadjuvant therapy. When radiation is administered at the same time as chemotherapy or immunotherapy, it’s called concurrent treatment.

Before your first radiation treatment

Before your radiation treatment, you’ll meet with your oncologist and oncology team. Your oncologist will review your medical records, perform a physical exam, and review past medical tests and X-rays.

During radiation treatment

Your radiation treatment experience will vary based on the delivery method of the radiation.

How you may feel after radiation treatment

Typically, your oncologist will meet with you once or twice a week for check-ins. During these meetings, your oncologist will evaluate how your body has been reacting to treatment. These visits would be the time to voice any concerns, symptoms, or questions that you may have.

How long does radiation therapy last?

Each session is quick and painless, usually lasting no more than 15 minutes. Treatments usually occur five times a week (Monday through Friday) and continue for three to nine weeks.

What is the first radiation session?

Your first radiation therapy session is actually a simulation that will prepare you for a true therapy session. Imaging scans such as computed tomography (CT) scan, a magnetic resonance image (MRI), or an x-ray will be used to help identify the specific location of the tumor, or where the tumor used to be.

What are the side effects of radiation?

Late side effects, also known as chronic side effects, may or may not appear after treatment is over. The type of late side effects you could experience depend on where radiation therapy was given on the body. Some patients experience: 1 Memory loss 2 Infertility 3 Fibrosis (restricted movement in the area where treatment was given) 4 Bowel damage 5 Salivary gland damage

What is radiation therapy?

Radiation therapy is a common treatment for cancer. In this section, we’ll address what to expect before, during, and after radiation treatment.

What does an oncologist do?

The oncologist will review your records, speak with your medical oncologist if one has been involved in your treatment, and may even speak with the surgeon if you’ve had surgery. The radiation oncologist will also perform a medical exam as well as other tests that will help plan your treatment.

Can radiation therapy cause cancer?

Rarely is another type of cancer caused by radiation therapy. For many patients, the benefits of radiation therapy outweigh the risks. Learn more about radiation side effects and how to manage them. If needed, continued special care will be given until you are fully healed.

What is a mesh mask used for?

A special mesh mask, known as a thermoplastic mask, may be used if you are receiving radiation therapy to your head or neck. The purpose is to be sure you are in the exact same spot on the table for every single treatment you receive.

Skin Reactions

Side effects are different for everyone. A common side effect are skin reactions which have been likened to sunburn. If you experience reactions you can ask your medical team for suggestions; as always be sure to consult your doctor before trying anything.

Ways to Take Care of Yourself During Radiation

It is important to take care of yourself during radiation. Ask your doctor or nurses for specific tips on what to do. The American Cancer Society offers these tips:

How long does radiation treatment last?

Each session lasts about 10-20 minutes.

What is radiation therapy for breast cancer?

Radiation therapy is planned specifically for your breast cancer, the shape of your body and your internal anatomy. This is why sessions can’t be split between different treatment centers. Your treatment plan is based on: The tumor size, type and location. The number of lymph nodes with cancer. The type of breast surgery (and lymph node surgery) ...

How to contact Komen for breast cancer?

Transportation, lodging, child care and elder care assistance 1 If you or a loved one needs more information about breast health or breast cancer, call the Komen Breast Care Helpline at 1-877 GO KOMEN (1-877-465-6636). All calls are answered by a trained specialist or oncology social worker in English and Spanish, Monday through Friday from 9:00 a.m. to 10:00 p.m. ET. You can also email the helpline at [email protected]. 2 We offer an online support community through our closed Facebook Group – Komen Breast Cancer group. The Facebook group provides a place where those with a connection to breast cancer can discuss each other’s experiences and build strong relationships to provide support to each other. Visit Facebook and search for “Komen Breast Cancer group” to request to join the closed group. 3 Our fact sheets, booklets and other education materials offer additional information.

What is hypofractionated breast irradiation?

This is called hypofractionated whole-breast irradiation. It’s like standard whole-breast radiation therapy except it uses a slightly higher dose of radiation per session (hypofractionation). This reduces the number of treatment sessions, making the overall course shorter. For most women with early breast cancer, ...

Can you be radioactive after radiation?

With any standard radiation therapy (whole-breast radiation therapy, accelerated, hypofractionated whole-breast irradiation, partial breast irradiation or a boost) you will not be radioactive when you leave the radiation treatment center. You will not pose any radiation risk to your family or your pets.

What is a boost breast?

After radiation therapy to the whole breast, you may have more radiation (called a boost) to the part of the breast that had the tumor. This boost increases the amount of radiation given to the area at highest risk for breast cancer recurrence. Your boost radiation session is similar to a regular session.

What is brachytherapy in cancer?

Brachytherapy uses targeted radiation placed inside the tumor bed. Implanted radiation “seeds” (interstitial radiation therapy) or a single small balloon device (intracavitary radiation therapy) can be used to deliver the radiation. External beam radiation therapy uses standard external beam radiation therapy, but only targets the tumor bed.

How long does radiation treatment last?

Treatments are usually scheduled five days a week, Monday through Friday, and continue for one to 10 weeks. The number of radiation treatments you will need depends on the size, location and type of cancer you have, the intent of the treatment, your general health, and other medical treatments you may be receiving.

How does radiation therapy work?

During simulation, your radiation oncologist and radiation therapist place you on the simulation machine in the exact position you will be in during the actual treatment. Your radiation therapist, under your doctor’s supervision, then marks the area to be treated directly on your skin or on immobilization devices. Immobilization devices are molds, casts, headrests or other devices that help you remain in the same position during the entire treatment. The radiation therapist marks the immobilization devices and/or your skin with either a bright, temporary paint or a set of small, permanent tattoos. Often, a special treatment planning CT scan is done to help with the simulation and treatment planning. This CT scan is in addition to your diagnostic CT scan. Your radiation oncologist may request that special blocks or shields be made for you. These blocks or shields are put in the external beam therapy machine before each of your treatments and are used to shape the radiation to your tumor and keep the rays from normal tissue. Multi-leaf collimators, shaping devices located in the head of the linear accelerator itself, may also be used to shape the beam and achieve safe delivery of your radiation treatment.

What is the role of radiation oncologists?

Radiation oncologists help identify and treat any side effects that may occur due to radiation therapy. They work closely with other cancer doctors, including medical oncologists and surgeons, and all members of the radiation oncology team. Radiation oncologists are the only physicians with the expertise and training to deliver radiation therapy ...

What is the training required for radiation oncology?

In addition to college and medical school, five years of additional training are required for radiation oncologists.

Does radiation therapy shrink tumors?

A portion of your external radiation therapy may be directed at the tumor and surrounding tissues at risk for harboring microscopic cancer cells. This might be followed by shrinkage of the volume of tissue treated to the tumor area itself, since this area may require a higher dose to eliminate the cancer cells.

What is a radiation therapist?

Radiation therapists work with radiation oncologists to give the daily radiation treatment under the doctor’s prescription and supervision. They maintain daily records and regularly check the treatment machines to make sure they are working properly.

How does chemotherapy work?

The chemotherapy may work to help sensitize the cancer cells in the target area to the radiation therapy and may also travel elsewhere in the body to help destroy or reduce microscopic cancer cells. Your treatment team will help coordinate these therapies and care for potential side effects.

How long does it take to get a radiation treatment?

The radiation therapist will administer your external beam treatment following your radiation oncologist’s instructions. It will take about five to 15 minutes for you to be positioned for treatment and for the equipment to be set up.

How to determine if radiation therapy is right for you?

If you are considering radiation therapy, you must first schedule a visit with a radiation oncologist to see if radiation therapy is right for you. During your initial visit, the doctor will evaluate your need for radiation therapy and its likely results. This includes reviewing your current medical problems, past medical history, past surgical history, family history, medications, allergies and lifestyle. The doctor will also perform a physical examination to assess the extent of your disease and judge your general physical condition. Depending on where your radiation oncologist practices, you may also be seen by a nurse practitioner or a physician assistant.

What tests are done to determine the benefits of radiation therapy?

After reviewing your medical tests, including CT scans, MRI scans and positron emission tomography scans (PET scans), and completing a thorough examination, your radiation oncologist will fully discuss with you the potential benefits and risks of radiation therapy and answer your questions.

What is the process of measuring your anatomy and marking your skin to help your team direct the beams of radiation safely and

To be most effective, radiation therapy must be aimed precisely at the same target or targets each and every time treatment is given. The process of measuring your anatomy and marking your skin to help your team direct the beams of radiation safely and exactly to their intended locations is called simulation .

Does radiation therapy affect cancer?

Still, radiation will affect some healthy cells. The time in between daily treatments allows your healthy cells to repair much of the radiation damage.

What is a multileaf collimator?

Some treatment machines have built-in blocks or shutters called multileaf collimators, which also help shape the radiation. Although simulation is typically only one session, your physician may schedule additional sessions depending on the type of cancer you have and the type of radiation therapy that is being used.

Can a radiation oncologist monitor your health?

After treatment is completed, follow-up appointments will be scheduled so that your radiation oncologist can make sure your recovery is proceeding normally and can continue to monitor your health status. Your radiation oncologist may also order additional diagnostic tests. Reports on your treatment can be sent to your other doctors.

How long does it take for side effects to show up after radiation?

Some side effects might show up quickly, but others might not show up until 1 to 2 years after treatment. Talk with your radiation oncologist about what to watch for and when to call your doctor. If the cancer is in many areas, sometimes the whole brain is treated with radiation.

What happens if you get radiation treatment?

After a few weeks, your skin might become dry, flaky, or itchy, or it may peel. This is sometimes called radiation dermatitis.

What is the best treatment for radiation?

One way to reduce side effects is by using radioprotective drugs, but these are only used for certain types of radiation given to certain parts of the body. These drugs are given before radiation treatment to protect certain normal tissues in the treatment area. The one most commonly used today is amifostine. This drug may be used in people with head and neck cancer to reduce the mouth problems caused by radiation therapy.

How long does radiation side effects last?

Remember that the type of radiation side effects you might have depends on the prescribed dose and schedule. Most side effects go away within a few months of ending treatment. Some side effects may continue after treatment ends because it takes time for the healthy cells to recover from radiation. Side effects might limit your ability ...

What are the side effects of brachytherapy?

If your treatment includes brachytherapy (internal radiation implants), you might notice breast tenderness, tightness, redness, and bruising. You may also have some of the same side effects that happen with external radiation treatment.

How long does it take for radiation to cause side effects?

Late side effects can take months or even years to develop. They can occur in any normal tissue in the body that has received radiation. The risk of late side effects depends on the area treated as well as the radiation dose that was used. Careful treatment planning can help avoid serious long-term side effects.

Can radiation therapy cause low blood count?

Rarely, radiation therapy can cause changes in your blood count levels. These blood cells help your body fight infection and prevent bleeding. If your blood tests show low blood counts, your treatment might be stopped for a week or so to allow your blood counts to return to normal. This side effect is more likely if you’re also getting chemotherapy.

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