For most patients, the radiation therapy journey begins with CT simulation, a critical step that lays the foundation for precise treatment planning. But while simulation is routine for clinicians, it can be intimidating and confusing for those experiencing it for the first time. In the whirlwind of appointments, paperwork, and unfamiliar terminology, many patients feel unprepared for what happens during simulation. The result? Unnecessary anxiety, misaligned expectations, and at times, long-term discomfort from decisions they didn’t realize they had a voice in.
The Gap Between Clinical Routine and Patient Experience
For radiation therapy professionals, CT simulation may feel like second nature. They know the workflow, the equipment, and the steps required for effective planning. But patients often arrive at treatment with little to no context. They're often nervous, and some have never even heard of the term “simulation” before arriving for their appointment.
This gap between clinical routine and patient perspective can lead to missed opportunities for reassurance and education. The more informed a patient is, the more likely they are to feel confident and comfortable throughout the process.
"I Didn't Know What to Expect"
One of the most common sentiments among patients after their simulation appointment is, "I wish someone had told me that."
From the experience of lying on a hard table to the beeping sounds of the scanner, there are many unfamiliar aspects that can spark anxiety. Some patients are surprised by how exposed they may feel or by the use of immobilization devices to ensure consistent positioning. Others are caught off guard when told that they’ll be getting tattoos as part of the process - permanent marks that will remain on their bodies long after treatment ends.
These may seem like minor details, but to a first-time patient, they matter. And when left unexplained, they can become a source of unnecessary emotional stress.
Permanent Skin Marking: A Frequently Overlooked Concern
Permanent skin tattoos used for radiation alignment are standard practice in many clinics. They provide consistent reference points for accurate treatment, but patients aren't always informed about them in advance.
For some, especially younger individuals or those who are early in their cancer journey, the idea of being tattooed as part of medical care can feel invasive or upsetting. Others may not understand that the marks are permanent until it's too late to discuss alternatives.
The use of skin marking for treatment planning is essential for precise therapy, but how we introduce and explain it can make a world of difference in how it's received.
Setting Expectations: What Patients Want to Know
Patients consistently say they want to feel prepared and not blindsided. Some of the most helpful things you can share before a simulation appointment include:
- What the simulation process involves, step by step
- Why immobilization and positioning are so important
- The purpose of skin marks or tattoos
- Whether the marks are permanent, temporary, or removable
- What clothing or modesty considerations may arise during setup
Using visual aids, printed materials, or pre-appointment calls can go a long way toward reducing patient anxiety and encouraging questions.
Supporting Choice and Comfort
Supporting patient autonomy doesn’t mean compromising precision. It means giving patients context and, when possible, a choice.
One ways clinics are evolving in this area is by offering alternatives to permanent tattoos. InkRight™ semi-permanent tattoos are one such innovation. Designed specifically for radiation therapy, these tattoos provide the accurate reference points required for treatment, but naturally fade over time, giving patients the alignment they need without a lasting physical reminder.
This is especially meaningful for patients concerned about body image, with cultural beliefs that discourage body alterations, or with emotional associations tied to permanent markings. By discussing these options openly and early, clinicians can show compassion while maintaining the high standard of care their patients expect.
Simulation Is Technical, But It Should Also Be Compassionate
CT simulation is an essential part of delivering safe and effective radiation therapy. But it doesn’t have to be cold or impersonal. The small act of preparing patients for what to expect and giving them a voice in that experience can transform how they feel about their entire treatment journey.
When we listen to patients and meet them where they are, we build trust. And when that trust is paired with precision tools and thoughtful communication, everyone benefits.
To learn more about InkRight™ semi-permanent tattoos, call your Radiation Oncology Account Manager at 1.800.233.5539 or email info@beekley.com to request samples for a trial evaluation at your facility.
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Megan Sargalski
Marketing Communications Specialist
