"A big reason is the problems around travel - it's very inconvenient."
Dr Johnson said there also remained a reluctance by some patients to get radiation treatment due to the side effects they fear they'd be stricken with.
But she stressed that the technology had come a long way, and it's far less invasive than it used to be.
As it stands, people could potentially miss out on life-saving treatment.
"We've calculated that in one year up to about 2000 patients are missing out on radiation therapy. Some of that is life-saving, some of it just effects quality of life.
"But that's a large number of New Zealanders who are not receiving really effective treatment."
Researcher and radiation oncologist Dr Roya Merie said these figures, concerningly, showed that use of radiation therapy was well below the optimal figure in treating cancer effectively.
"This deficit has significant negative impacts on patient outcomes, and it is important that strategies to overcome such shortfalls are developed to improve radiation therapy use and ensure patients receive the most appropriate treatment for them."
- RNZ