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Understanding Patient Perspectives on Radiation Tattoos.
Bonnie Hu1, Anurag Saraf2, Andrew Johnson1
1Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Advances in Radiation Oncology
|July 1, 2026
Summary
Radiation tattoos cause distress for cancer patients, especially younger ones or those unaware of their purpose. Future interventions should improve patient education and consider alternatives to permanent tattoos for radiation therapy.
Area of Science:
- Oncology
- Radiation Oncology
- Patient Experience
Background:
- Permanent skin-based tattoos are standard for radiation therapy (RT) alignment.
- Prior research indicates these tattoos can cause emotional distress in cancer patients.
Purpose of the Study:
- To survey patients who received radiation tattoos to understand their perspectives and attitudes.
- To identify factors associated with distress caused by radiation tattoos.
Main Methods:
- A cross-sectional survey was administered to 300 patients with radiation tattoos.
- The survey queried understanding of tattoo purpose and experienced distress levels.
Main Results:
- 20% of patients reported distress from radiation tattoos.
- Younger age and lack of understanding the tattoo's purpose were linked to distress.
- One-quarter of patients were unaware they would receive tattoos before radiation planning.
Conclusions:
- Radiation tattoos cause distress for a significant minority of cancer patients.
- Younger patients and those uninformed about tattoo purpose are most affected.
- Interventions should focus on patient education and exploring alternatives to permanent tattoos for RT.
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