patient guide to cyberknife® treatment

Knowledge Is Power.Know Your Options.Patient Guide to CyberKnife® TreatmentCreated by Louisville CyberKnife at the James Graham Brown Cancer Center

(502) 217-8200 | www.louisvilleck.com529 S. Jackson St. Louisville, KY 40202

http://www.louisvilleck.com


The CyberKnife treats patients with a procedure called stereotactic radiosurgery, a nonsurgical method of treating tumors with high-dose radiation precisely aimed from different angles. It is the world’s only robotic radiosurgery system, comprised of a compact linear accelerator – a machine that generates a radiation beam – attached to a highly maneuverable robotic arm. While the name may conjure images of knives and scalpels, CyberKnife treatment does not require surgery. Treatment is painless and noninvasive, so there’s no cutting or anesthesia required.


CyberKnife Treatment:

Overview



CyberKnife destroys cancerous and benign tumors with high-dose, highly accurate radiation beams while minimizing damage to healthy tissue. This pinpoint accuracy allows our physicians to treat difficult-to-reach tumors that may have been impossible to treat in the past. By delivering high-dose radiation from precise angles, CyberKnife also significantly reduces treatment time for the patient. With CyberKnife, the duration of treatment is reduced to one to five treatments over a course of one to two weeks, depending on the size, location and type of tumor. In contrast, traditional radiation therapy is typically delivered for five days a week over a period of six to eight weeks.



Overview



Most patients go home right after CyberKnife treatment and immediately resume normal activities. There may be side effects, such as fatigue, but these are usually minor and temporary.



Overview



Why Choose CyberKnife?

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How Does CyberKnife Work?

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Treatment Comparisons

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Quick Links



http://www.louisvilleck.com/cyberknife/why-choose-cyberknife/

http://www.louisvilleck.com/cyberknife/how-does-cyberknife-work/

http://www.louisvilleck.com/cyberknife/treatment-comparison/


Before TreatmentCall Louisville CyberKnife to begin the process of determining whether you’re a candidate for CyberKnife treatment. Based on the initial conversation, we’ll schedule a personal consultation within the following two to four days. You’ll meet with a member of our physician team, and a decision will be made whether CyberKnife treatment is right for you.

Listed below are some procedures that may be performed prior to your CyberKnife treatment. Every treatment plan is different, and not all of these initial steps are necessary for every patient. The procedures required as part of your individualized treatment plan, and the order in which they will occur, will be explained during your consultation visit.




Before TreatmentCT SimulationA CT scan is needed prior to beginning CyberKnife treatment. Even if you recently had a CT scan as part of your diagnosis, a new one will be needed in order for the radiation oncologist and physicist to develop your customized treatment plan. Some patients may need a soft mesh mask or body cradle molded from a lightweight material that helps in the CyberKnife treatment process. The fitting is painless and is completed as part of the CT scan process.

MR ImagingSometimes special imaging procedures, such as an MRI, are needed in addition to the CT Scan. Your radiation oncologist will write specific directions on areas of your body that need to be imaged. The radiation oncologist also determines whether this procedure requires contrast material, a special dye put in your body that helps the radiologist locate the treatment area on your radiology films. Contrast material is available in IV and oral forms.




Before TreatmentLaboratory StudiesThe MRI procedure may require contrast material. If you need an MRI with contrast, we need to determine whether your kidneys can flush the dye out of your body. Your physician will order what’s known as a “BUN” and a creatinine blood test. The test results determine whether your kidneys can handle the dye on their own or if you need IV fluids to help flush out the dye.

Tissue MarkersDepending on your individual case, you may need small tissue markers known as fiducials implanted in or near the tumor site. Fiducials help the CyberKnife system precisely target the treatment area. A physician implants the fiducials in or near the tumor site in a brief outpatient procedure. We will schedule this procedure and provide instructions for preparation. If needed, fiducial placement takes place prior to the CT scan.




During Treatment

Patients are asked to wear comfortable clothing during CyberKnife treatments. Jewelry is acceptable unless it is close to the area being treated. For example, we ask that earrings and necklaces be removed prior to treatment of tumors within the head and neck.

A technician will help you onto the treatment table and fit the mask or body mold if needed. Patients are observed throughout the treatment on closed-circuit television, and they can pause treatment at any time by waving or speaking to the technicians.

There’s no sedation or anesthesia required. Sometimes patients take naps during their procedures. Feel free to bring an iPod® or your favorite music CDs with you on the day of your treatment, and we will play them for you during the procedure.

While the CyberKnife’s advanced tracking system accounts for movements like breathing, you’re asked to lie still during treatment. The system periodically takes X-ray images and compares them to the CT scan data to make sure the radiation beam is locked on the tumor. Treatment procedures take 30 to 90 minutes, depending on the complexity of your tumor.




After TreatmentRecovery from a CyberKnife procedure is often immediate, given both the low risk of complications and the lack of damage to healthy tissue. In most cases, you will be able to return to your normal activities immediately following the procedure.

After completing your CyberKnife treatment, we’ll need to see you for follow-up imaging and physician consultation to monitor your tumor’s progress. You will have an individualized plan for follow up that will be coordinated by the CyberKnife nurse in collaboration with the physicians involved in your care.



Patient Testimonial

“I was told I could choose between surgery, radiation or both. I was a little scared of traditional radiation therapy, knowing I had to go through so many treatments. When I heard that I could have only five treatments with CyberKnife versus 40, it was a no-brainer for me. I’m just glad I caught it on TV when I did because I might still be in the middle of my radiation treatments if I hadn’t.”

Willis R.




Our CenterLouisville CyberKnife is part of the renowned James Graham Brown Cancer Center, home of the first nationally accredited radiation oncology program in Louisville. The Brown Cancer Center is a partner of KentuckyOne Health, an integrated comprehensive health system offering nearly 200 locations across the state of Kentucky and southern Indiana.

Our center utilizes the CyberKnife 9.6 system, which features a device that controls the width of the machine’s radiation beam, allowing clinicians to vary the beam size and treat a larger variety of tumors throughout the body.

Medical Director: Shiao Woo, M.D., M.B.B.S. F.A.C.R.Radia/on Oncologist: Moataz El-‐Ghamry, M.D.Radia/on Oncologist: Anthony E. Dragun, M.D.Radia/on Oncologist: Neal E. Dunlap, M.D.CyberKnife Nurse Manager: Anna Murphy, RN

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