u/Flat_Kangaroo5740

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Is Radiation Therapy a future-proof career for a beginner? (AI, shrinking indications, etc.)

Hey everyone,
I’m a newcomer to the radiation therapy field, and while I’m really excited about the work, I can’t help but think about the long-term outlook of the profession.
I’m based in Europe, so I’m looking at this strictly from a technological and clinical perspective, leaving out the regional politics (demographics here mean the demand is definitely high right now). My worries are more about the next 10 to 20 years.
Specifically, I have two big questions:
1 Will we be replaced or heavily automated? AI is advancing rapidly in contouring, treatment planning, and even automated machine QA. How much of the actual therapist's/dosimetrist's role do you think will be absorbed by technology? Will it just make our jobs easier, or will it eventually downsize the workforce?
2 What if radiation therapy becomes obsolete? With the massive rise of immunotherapies, targeted biological treatments, and personalized medicine, is there a realistic chance that the clinical indications for radiotherapy will significantly shrink? If systemic therapies or less invasive techniques take over major cancer types, what happens to our field?
For the veterans and experts here: If you were starting your career today, would you still choose radiation therapy? How do you see the role evolving over the next two decades?
Would love to hear your honest thoughts!

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u/Flat_Kangaroo5740 — 6 hours ago