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Treatment Technologies

There are many different ways to treat cancer and the CTRC offers a wide variety of all treatment types. Below are the different categories – from chemotherapy to surgery to radiation. If you click on the category, then the name of the different treatments you can read more about them. If you would like more information, please call the click to speak to a nurse or manager who can answer your questions.

Radiation Innovations

Transmission Imaging

CTRC is constantly making advances in cancer treatment. Two such examples in the area of radiotherapy are called intensity modulated radiation therapy (IMRT) and high dose rate (HDR) brachytherapy that is used for various types of treatment including gynecological, prostate and breast cancer.

PET/CT

PET/CT

CTRC has a state of the art PET/CT scanner. This scanner combines the sensitivity of positron emission tomography (PET) with the utility of computed tomography (CT) into one scanner, allowing physicians to get much more information while only scanning the patient one time. When diagnosing and treating cancer, it is important to know where the cancer cells are located, but it is also important to know where the healthy tissue is in relation to the cancer cells. PET images are used to locate actively growing cancer cells and are more sensitive to cancer cells than CT scans, but they do not provide information about healthy tissue. CT images are used to show all of the internal structures inside the body, including healthy tissue and cancer cells. By using one machine to take both scans at once, a computer can combine the two sets of images and show the physician exactly where the cancer cells are relative to the normal and healthy tissue.

4D CT Scanning

4D CT Scanning

CTRC has the ability to perform 4D CT scans along with the standard CT scans. Typically, CT scans show patient anatomy at a point of time. The scan will show the physician where the internal tissues and organs were at the time the scan was performed, but they do not show how the organs move inside the patient when the patient breathes. For organs that tend to move, this is very important information the physicians did not have access to until 4D scans. A 4D CT scan is a CT scan that is taken over a longer time period, and it allows the physician to see exactly how the organs and tissues move inside the patient while the patient breathes. This is critical when a radiation oncologist is deciding how to treat a patient, and it allows the radiation oncologist the ability to track the tumor while the patient breathes to make sure that the tumor is receiving the correct amount of radiation.

Respiratory Gating

Respiratory Gating

With 4D CT information, physicians can see how much a tumor moves while the patient breathes. With this information and with CTRC's new respiratory gating technology, radiation treatments can be monitored to more accurately focus the radiation on the tumor while giving less radiation to healthy tissue. The patient's breathing is monitored, allowing physicians to know exactly where the tumor is during the breathing cycle. This information is then used to control the radiation treatment by turning the radiation on only when the area for treatment is within the planned radiation field. This enables the physicians to give more radiation accurately to the treatment area which increases the probability of controlling the cancer while reducing the risk of side effects.

External Beam Therapy

External Beam Therapy

In our facilities, radiation treatments are delivered using photon and electron beams produced by seven state-of-the art linear accelerators. The beams are shaped to conformally treat the tumor while minimizing the dose to healthy tissue and organs. Intensity modulated radiotherapy (IMRT) was pioneered at CTRC along with multi-modality (CT, PET and MRI guided) planning. Those tools allow us to optimize the treatment design and to improve on treatment outcome.

IMRT

IMRT

IMRT is a sophisticated and effective radiation delivery system. It shapes the intensity of the radiation to deliver varying doses of radiation to small areas of tissue, conforming to the specific three-dimensional shape of almost any tumor. Doctors can deliver enough radiation to kill a tumor while sparing healthy surrounding tissue. Some IMRT techniques deliver a higher dose of radiation to the patient each day, potentially shortening the duration of the overall treatment and improving the potential for success. IMRT therapy may also lead to fewer side effects during treatment. CTRC has delivered over 20,000 IMRT treatments and is among the most experienced IMRT centers in the world.

TomoTherapy

TomoTherapy

Helical tomotherapy (Highly Integrated and Adaptive Radiotherapy – HiART System) is an evolutionary form of external beam radiotherapy. Tomotherapy delivers a very sophisticated form of IMRT and integrates treatment planning, patient positioning, and treatment delivery in one system. CTRC is one of the first cancer centers in the U.S. to adopt this new technology.

Brachytherapy

Brachytherapy

Brachytherapy is a method of using radiation to treat cancer by placing radioactive sources inside the tumor. It treats tumors from the inside out which results in more radiation to the tumor and less radiation to healthy tissue. Brachytherapy has been used for a variety of tumor types and sites.

In low dose rate (LDR) brachytherapy, small amounts of radiation are given over a long period of time. Radioactive sources, like cesium-137 or iridium-192, are placed in small tubes or needles and implanted into the tumor. The patient stays in the hospital for a few days or can be immediately discharged, depending on the isotope used. This form of therapy is especially useful for tumors where very high and localized radiation is needed to eliminate the cancer cells. LDR brachytherapy is often used for gynecological cancer and prostate cancer.

In high dose rate (HDR) brachytherapy, large amounts of radiation are given over a short period of time. Small tubes or needles are implanted into the tumor and then a small radioactive iridium source in inserted into the tubes or needles for a short period of time (5 minutes – 30 minutes). The source is then removed, the tubes or needles are removed, and the patient is discharged. HDR brachytherapy is often used for gynecological cancer, breast cancer, and prostate cancer.

Breast Cancer Brachytherapy - MammoSite®

Breast Cancer Brachytherapy - MammoSite®

CTRC is a leader in delivering MammoSite, an innovative radiation treatment option for breast cancer. MammoSite is a form of partial breast irradiation that is appropriate for some early stage breast cancer patients. Radiation therapy with MammoSite can be completed in 5 days. This procedure delivers radiation from within the body, minimizing the effects of radiation on nearby healthy tissues. Relatively quick and simple to perform, MammoSite uses only a single catheter with an inflatable balloon at its tip. A radioactive source is temporarily inserted into the inflated balloon. MammoSite patients are treated twice a day for five days as opposed to conventional external beam radiation therapy which is usually given over six to seven weeks to the whole breast. As with any medical procedure, it is important for women to discuss treatment options with their physician to determine what is right for them.

Prostrate Cancer Brachytherapy

Prostrate Cancer Brachytherapy

Brachytherapy is a treatment for early stage prostate cancer, when the cancer is confined to the prostate gland. CTRC continues to lead in the planning and delivery of brachytherapy radioactive seed implants for prostate cancer. Prostate brachytherapy involves implanting tiny pellets containing radioactive iodine or palladium into the prostate tumor where the pellets give off radiation over time.

Using transrectal ultrasound (TRUS), an image of the prostate is visible on a monitor, and used for guidance when placing up to 100 seeds or more into the prostate. There is no need for a surgical incision. Instead, the radioactive seeds (which are smaller than a grain of rice) are contained in thin needles that are passed into the prostate gland through the skin between the scrotum and anus (Perineum). This is usually performed under either a spinal or general anesthetic. As the needles penetrate through the prostate they are seen on the monitor and can be accurately guided to their final position.

The radioactivity of the pellets slowly decays during the months after the operation, and there are few long-term risks associated with this treatment.

Facilities And Radiation Therapies

Facilities And Radiation Therapies

CTRC is an open-staffed shared facility where both university and private practice radiation oncologists treat patients. Multi-modality clinics in head and neck, CNS, thoracic, and breast cancer are held weekly. The CTRC is a modern, well-equipped, state-of-the-art radiation therapy center. Capabilities include:

  • High energy Varian linear accelerators with MLC
  • Low energy Varian linear accelerators
  • Hi-ART Tomotherapy unit with integrated imaging and IMRT treatment planning
  • Phillips and GE Medical Systems CT simulators with 4D imaging capabilities
  • 3D treatment planning networked workstations
  • Advanced IMRT and IGRT treatment planning
  • Remote afterloading brachytherapy unit (Nucletron Microselection High Dose Rate)
  • Peacock system for intensity modulated conformal radiation therapy
  • Imaging Center with CT, digital x-ray, mammography, and CT/PET scanner on-site
  • Low dose rate brachytherapy unit for prostate implants
  • Kodak digital radiography (filmless department)
  • An array of dosimetric and quality assurance equipment

Novalis Tx

CTRC has the latest in radiation therapy, including the Novalis TX, one of the most versatile and accurate radiation therapies available in the world today.

Novalis Overview

Novalis Tx™ Personalized Tumor Treatment


Novalis Tx™ with RapidArc™ Technology

RapidArc radiotherapy technology is a new approach to image-guided, intensity-modulated radiation therapy (IGRT/IMRT) that delivers treatments two to eight times faster than conventional treatment options and with increased precision – a winning combination that enables physicians to improve standard of care and treat more patients.

When you're diagnosed with a tumor—it's personal. Choosing Novalis Tx image-guided radiosurgery, means your treatment is personal too.


Cancer Therapy & Research Center (CTRC) now offers Novalis Tx one of the most precise, non-invasive radiosurgery treatments available for cancerous and non-cancerous conditions of the entire body. Novalis Tx represents a new standard in radiosurgery treatment, featuring advanced technologies that deliver highly precise treatment for a wide variety of conditions once considered untreatable. Novalis Tx offers one of the fastest treatment times available—minutes, not hours—so you can simply get back to life.


Tumor Treatment Tailored to Your Needs
Being diagnosed with a tumor or lesion brings about many challenges, concerns and questions. Below is information on Novalis Tx personalized image-guided radiosurgery to help you understand this revolutionary technology and how it can help you. Novalis Tx ensures that you receive the best possible treatment for your individual diagnosis.


For additional information on Novalis Tx, visit http://www.poweringhope.com.


Novalis Tx Benefits

Novalis Tx offers many treatment benefits:


Precise

  • Shapes the radiation beam to match the exact contour of the tumor or lesion, ensuring the maximum prescribed dose of high-energy radiation is delivered to the entire tumor
  • Protects surrounding healthy tissue
  • Adapts the treatment beam to breathing and other body movements to continuously maintain safe, complete and accurate dose delivery

Fast

  • Non-invasive, outpatient procedure lasts just 15 to 20 minutes, rather than hours, for a more comfortable and less restricted treatment experience than other radiosurgery devices
  • Reduces the likelihood of patient or tumor movements, ensuring the highest possible level of treatment accuracy
  • Treatment can take place in a single day, although your doctor will decide if your treatment should be administered in a single dose or in a series of doses

Versatile

  • Employs a wide range of treatment modalities, ensuring you receive the best treatment for your individual case. Other radiosurgery devices are limited to only one treatment modality.
  • Delivers the industry's highest dose rate, penetrating deeper to treat tumors previously considered untreatable
  • Offers hope to patients with clinical conditions once considered untreatable and those for whom surgery is not an option

Non-Invasive

  • Frameless radiosurgery offers a more patient-friendly alternative to other radiosurgery devices that require immobilization with a head ring that attaches to the skull

Novalis Tx™ FAQ


Frequently Asked Questions

Novalis FAQ

What types of conditions can be treated with Novalis Tx?
Novalis Tx can treat non-cancerous and cancerous conditions of the entire body, such as:

  • Arteriovenous malformations (AVM)
  • Cavernous angiomas
  • Trigeminal neuralgia
  • Intractable seizures
  • Parkinson's disease
  • Brain metastases/Gliomas
  • Acoustic neuromas
  • Pediatric brain tumors
  • Recurrent brain tumors
  • Pituitary adenomas
  • Meningiomas of the skull base
  • Craniopharyngiomas
  • Spine Tumors/Metastases
  • Prostate Cancer/Metastases
  • Liver Tumors/Metastases
  • Lung Tumors/Metastases
How does Novalis Tx work?
Novalis Tx incorporates a powerful linear accelerator, which rotates around the patient to deliver treatment beams anywhere in the body from virtually any angle. A set of sophisticated image-guidance and motion management tools provide clinicians with detailed information about the shape, size and position of the targeted lesion; guide patient setup and positioning; and monitor motion during treatment.

Why is fast treatment important?
Prolonged treatment times can affect patient comfort and treatment accuracy. Fast treatment reduces the likelihood of patient or tumor movements, which can impact overall accuracy. In addition to offering one of the industry's fastest treatment times, Novalis Tx continuously tracks patient and tumor motion and automatically adjusts the beam of radiation to maintain the highest possible level of treatment accuracy.
What is the treatment advantage of Novalis Tx over other radiosurgery devices?
Other radiosurgery devices utilize circular beams to treat. As most lesions are irregular in shape, a circular dose does not completely cover the exact shape of the tumor. Novalis Tx shapes the radiation beam to contour to the exact shape of your tumor or lesion, ensuring the optimal treatment dose is delivered and protecting healthy tissue. The targeted beam adapts to your breathing and other body movements to continuously maintain safe, complete and accurate dosage.

Why is fast treatment important?
Prolonged treatment times can affect patient comfort and treatment accuracy. Fast treatment reduces the likelihood of patient or tumor movements, which can impact overall accuracy. In addition to offering one of the industry's fastest treatment times, Novalis Tx continuously tracks patient and tumor motion and automatically adjusts the beam of radiation to maintain the highest possible level of treatment accuracy.

What is the treatment advantage of Novalis Tx over other radiosurgery devices?
Other radiosurgery devices utilize circular beams to treat. As most lesions are irregular in shape, a circular dose does not completely cover the exact shape of the tumor. Novalis Tx shapes the radiation beam to contour to the exact shape of your tumor or lesion, ensuring the optimal treatment dose is delivered and protecting healthy tissue. The targeted beam adapts to your breathing and other body movements to continuously maintain safe, complete and accurate dosage.

Will there be any side effects?
Your doctor will discuss potential side effects with you depending on your overall treatment plan. Novalis Tx treatment is not painful in most cases and does not require anesthesia. There is no scarring or disfigurement and little risk of infection, compared to conventional surgery.

You may experience a headache, dizziness and fatigue immediately following treatment, so driving is not recommended. Make sure to arrange for transportation home.

What effect can radiation have on my tumor or lesion?
Radiosurgery and radiotherapy use high-energy radiation beams to deliver the prescribed radiation dose directly to tumor cells, causing them to die. Treatment results, visible on follow-up scans, may include shrinkage of the tumor or no further tumor growth. Because cell destruction and absorption of the cells within your system can be a lengthy process, it can take up to six months before the effect of treatment can be determined by your doctor.

What is the difference between stereotactic radiosurgery and fractionated stereotactic radiotherapy?
Stereotactic radiosurgery and fractionated stereotactic radiotherapy refer to two radiation treatment delivery methods. Stereotactic radiosurgery delivers a high dose of radiation treatment to the tumor in a single session. Fractionated stereotactic radiotherapy delivers a series of radiation treatments to the tumor over a period of time.

While both methods typically involve a similar total dose of radiation, fractionated stereotactic radiotherapy delivers radiation in smaller amounts. Novalis Tx offers both stereotactic radiosurgery and fractionated stereotactic radiotherapy treatments. Your doctor will recommend the best treatment method for you based on your individual case.

Novalis Terms

Novalis Tx terms to know


Radiotherapy – The use of high-energy radiation from x-rays, gamma rays, neutrons and other sources to treat tumors and destroy cancer cells.


Radiosurgery – A radiation therapy procedure that delivers a large dose of radiation to a tumor over one to five treatment sessions.


Stereotactic Radiosurgery – Radiation treatment of a tumor that is applied in a single session with a high dose of radiation.


Fractionated Stereotactic Radiotherapy – A series of radiation treatments over a period of time.


Image-Guided Radiosurgery (IGRS) – Radiation treatment that uses real-time x-ray imaging to deliver precisely focused, high-energy radiation to a tumor.

Novalis Test

Novalis Tx™ Personalized Tumor Treatment


Novalis Tx™ with RapidArc™ Technology

RapidArc radiotherapy technology is a new approach to image-guided, intensity-modulated radiation therapy (IGRT/IMRT) that delivers treatments two to eight times faster than conventional treatment options and with increased precision – a winning combination that enables physicians to improve standard of care and treat more patients.

When you're diagnosed with a tumor—it's personal. Choosing Novalis Tx image-guided radiosurgery, means your treatment is personal too.


Cancer Therapy & Research Center (CTRC) now offers Novalis Tx one of the most precise, non-invasive radiosurgery treatments available for cancerous and non-cancerous conditions of the entire body. Novalis Tx represents a new standard in radiosurgery treatment, featuring advanced technologies that deliver highly precise treatment for a wide variety of conditions once considered untreatable. Novalis Tx offers one of the fastest treatment times available—minutes, not hours—so you can simply get back to life.


Tumor Treatment Tailored to Your Needs
Being diagnosed with a tumor or lesion brings about many challenges, concerns and questions. Below is information on Novalis Tx personalized image-guided radiosurgery to help you understand this revolutionary technology and how it can help you. Novalis Tx ensures that you receive the best possible treatment for your individual diagnosis.


For additional information on Novalis Tx, visit http://www.poweringhope.com.


Novalis Tx Benefits

Novalis Tx offers many treatment benefits:


Precise

  • Shapes the radiation beam to match the exact contour of the tumor or lesion, ensuring the maximum prescribed dose of high-energy radiation is delivered to the entire tumor
  • Protects surrounding healthy tissue
  • Adapts the treatment beam to breathing and other body movements to continuously maintain safe, complete and accurate dose delivery

Fast

  • Non-invasive, outpatient procedure lasts just 15 to 20 minutes, rather than hours, for a more comfortable and less restricted treatment experience than other radiosurgery devices
  • Reduces the likelihood of patient or tumor movements, ensuring the highest possible level of treatment accuracy
  • Treatment can take place in a single day, although your doctor will decide if your treatment should be administered in a single dose or in a series of doses

Versatile

  • Employs a wide range of treatment modalities, ensuring you receive the best treatment for your individual case. Other radiosurgery devices are limited to only one treatment modality.
  • Delivers the industry's highest dose rate, penetrating deeper to treat tumors previously considered untreatable
  • Offers hope to patients with clinical conditions once considered untreatable and those for whom surgery is not an option

Non-Invasive

  • Frameless radiosurgery offers a more patient-friendly alternative to other radiosurgery devices that require immobilization with a head ring that attaches to the skull

Novalis Works

How does Novalis Tx work?


Cancer Therapy & Research Center

Novalis Tx incorporates a powerful linear accelerator, which rotates around the patient to deliver treatment beams anywhere in the body from virtually any angle. A set of sophisticated image-guidance and motion management tools provide clinicians with detailed information about the shape, size and position of the targeted lesion; guide patient setup and positioning; and monitor motion during treatment.


Why is fast treatment important?
Prolonged treatment times can affect patient comfort and treatment accuracy. Fast treatment reduces the likelihood of patient or tumor movements, which can impact overall accuracy. In addition to offering one of the industry's fastest treatment times, Novalis Tx continuously tracks patient and tumor motion and automatically adjusts the beam of radiation to maintain the highest possible level of treatment accuracy.


What is the treatment advantage of Novalis Tx over other radiosurgery devices?
Other radiosurgery devices utilize circular beams to treat. As most lesions are irregular in shape, a circular dose does not completely cover the exact shape of the tumor. Novalis Tx shapes the radiation beam to contour to the exact shape of your tumor or lesion, ensuring the optimal treatment dose is delivered and protecting healthy tissue. The targeted beam adapts to your breathing and other body movements to continuously maintain safe, complete and accurate dosage.


Will there be any side effects?
Your doctor will discuss potential side effects with you depending on your overall treatment plan. Novalis Tx treatment is not painful in most cases and does not require anesthesia. There is no scarring or disfigurement and little risk of infection, compared to conventional surgery.


You may experience a headache, dizziness and fatigue immediately following treatment, so driving is not recommended. Make sure to arrange for transportation home.


What effect can radiation have on my tumor or lesion?
Radiosurgery and radiotherapy use high-energy radiation beams to deliver the prescribed radiation dose directly to tumor cells, causing them to die. Treatment results, visible on follow-up scans, may include shrinkage of the tumor or no further tumor growth. Because cell destruction and absorption of the cells within your system can be a lengthy process, it can take up to six months before the effect of treatment can be determined by your doctor.


What is the difference between stereotactic radiosurgery and fractionated stereotactic radiotherapy?
Stereotactic radiosurgery and fractionated stereotactic radiotherapy refer to two radiation treatment delivery methods. Stereotactic radiosurgery delivers a high dose of radiation treatment to the tumor in a single session. Fractionated stereotactic radiotherapy delivers a series of radiation treatments to the tumor over a period of time.


While both methods typically involve a similar total dose of radiation, fractionated stereotactic radiotherapy delivers radiation in smaller amounts. Novalis Tx offers both stereotactic radiosurgery and fractionated stereotactic radiotherapy treatments. Your doctor will recommend the best treatment method for you based on your individual case.