Radiation Oncology

我们与参与患者治疗的其他医生密切合作，以确保综合护理. We provide regular reports indicating the proposed treatment, progress updates during therapy, and the results achieved after the course of treatment. We are always available to discuss a patient’s care. 除了, the 查尔斯W. Christie Cancer Center has regularly scheduled multidisciplinary tumor board meetings, 我们的全球网络赌博平台和其他参与病人护理的医生在哪里会面并审查他们的诊断信息并提出治疗建议.

我们的医生审阅了所有患者的相关诊断信息(病理报告), CT, 核磁共振成像, 和宠物扫描)，并经常与其他专家协商，以帮助确定问题的严重程度以及是否适合特定类型的放射治疗. 我们的医生会与患者及其家属讨论治疗的利弊. 我们的物理学家, 放射剂量测试员, radiation therapists, 医生密切合作，为每个人制定最合适的放射治疗计划.

Making choices for cancer treatment can be overwhelming. 在查尔斯W酒店. Christie Cancer Center, 我们的医生相信，花时间教育病人了解他们的疾病和他们的治疗选择，有助于他们做出最好的决定，减少他们的恐惧和焦虑. All treatment options are presented so that patients can weigh the merits of each. 我们的团队欢迎患者和家属在初次会诊期间和之后提出问题, either by phone or often during additional meetings. 向患者提供书面教育材料，旨在教授他们具体的诊断和治疗，并经常参考外部阅读资源和网站. 除了, 患者接受我们的服务提供者和治疗师的个性化教育课程，让他们知道会发生什么, directions to follow to minimize side effects, and referral for ancillary services for dietary and other support. 一旦治疗开始，教育过程将在每周与我们的提供者进行的访问中继续进行.

的 first step in planning, 患者在接受实际治疗时，会对目标部位进行有计划的CT扫描(有时是核磁共振成像扫描). It is at this time that custom body immobilization devices are created. 的 planning CT images are sent to a planning computer station, where Dr. Damore utilizes the patient’s diagnostic CT, 宠物, and 核磁共振成像 scans to define the 形状 and location of the tumor for targeting. 经常, the planning CT images are fused with the diagnostic CT, 核磁共振成像, 和宠物CT图像在椭圆规划系统或使用特殊软件的MIM系统. 然后，医生和剂量测量师使用CT图像设置针对肿瘤的辐射束，并根据目标调整辐射剂量.

的 linear accelerator is equipped with an Electronic Portal Imaging Device (EPID) 当病人在治疗机上时，它可以向放射治疗师和医生提供治疗场的实时数字x射线. 团队可以将传送门图像与实时治疗计划生成的图像进行比较，以验证患者的定位和块形状，以提高治疗设置的准确性.

的 TrueBeam (tm) 有能力 Respiratory Gating, 在病人呼吸周期的各个阶段，是什么开关治疗光束. This reduces the amount of normal tissue included in the treatment volume, which reduces the risk of side effects. Respiratory Gating is useful in the treatment of cancers in sites affected by respiratory motion, such as the breast, 肺, 肝, 和腹部, particularly with stereotactic treatments.

这是一种专业技术，结合了先进的成像技术和复杂的计算机引导，提供高度靶向的辐射束，符合肿瘤的三维形状和大小. 在短期治疗中(通常是一次或最多五次治疗)，与日常治疗相比，放射治疗的剂量要高得多，以摧毁某些类型的小肿瘤. 的 higher level of precision may allow better sparing of normal tissue, and the higher radiation doses may be more effective. 因为这需要很高的精确度，所以需要使用特殊的成像和身体固定. Initially used to de肝 a single treatment in the brain (called SRS), stereotactic treatments are now de肝ed to the spine, 肺, 肝, and other sites (called SBRT) in a small number of treatments.

放射性药物是含有放射性物质的药物，通过静脉注射或口服给药. 人体通过正常的代谢过程吸收放射性物质，并将放射性物质集中在特定的器官中. 的 most common radiopharmaceuticals are I – 131 (Radioiodine) and RA – 223 (XOFIGO). Radioiodine is used to treat thyroid cancer in some patients, usually after surgical removal of the thyroid gland. Ra-223是一种新的, innovative method of treating prostate cancer that has metastasized, 根据最近的研究表明，它可以让病人更舒适，活得更久.