Modern Radiation Oncology at a Crossroads: Biology, Technology and Identity

Contemporary radiation oncology stands at a critical crossroads between technological sophistication and biological relevance. While the field has undergone a profound transformation—achieving unprecedented precision through innovations like IMRT, SABR, and AI-driven workflows—there is a growing concern that technical mastery is overshadowing clinical purpose. This paper explores the tension between a technology-driven identity and the necessity of reclaiming a biology-centered paradigm.