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What Is Cyberknife Prostate Cancer Treatment

Weather And Climate In Mexico

CyberKnife Treatment for Prostate Cancer at Swedish

Mexico as a whole does not have a uniform climate. It is a large nation and the weather differs from region to region. Mexicos topography is extremely diverse and so is its weather.

Mexico has two major seasons, the rainy and the dry seasons.

  • Rainy Season Most of Mexico experiences rain from May to September or October. The weather is hot and humid in these months, especially in Southern Mexico. The average temperature in the summer months is around 83 degrees Fahrenheit. In winter, the temperature averages between 68- and 74-degrees Fahrenheit.
  • Dry Season October to May there is hardly any rain and it happens to be the most popular time to visit Mexico. During the winter months of December to February, the non-coastal regions have cold weather. At times, it reaches freezing temperatures. June to November is the hurricane season and hence it is better to avoid traveling during this time.

What Is The Cyberknife Vsi Treatment Process

Pasadena Cyberknife® robotic treatments involve a team approach in which several specialists from our oncology center participate.Prior to the procedure, the patient is imaged using a high-resolution CT scanner, to determine the size, shape, and location of the tumor. Following the CT scan, the image data is digitally transferred to the Pasadena CyberKnife VSI Systems workstation, where the treatment planning begins.

Your Board Certified physician then uses the CyberKnife VSI software to generate your specific treatment plan. The plan is used to match the desired radiation dose to the identified tumor location while limiting radiation exposure to the surrounding healthy tissue. Once the treatment plan has been developed, you are ready to undergo treatment.

The process of prostate cancer radiation treatment with CyberKnife begins by placing the fiducial markers. These tiny golden seeds help the CyberKnife system locate your tumor and track its movements.

Next, your treatment team creates your treatment cradle. The cradle is made from soft material that conforms to your shape. Youll lie in the treatment cradle during each session. It will help you maintain your physical position from one treatment to the next and ensure your comfort during treatments.

Each treatment session will last between 20 and 45 minutes, once per day for five days or less. Patients may experience some minimal side effects, but those often go away within the first week or two after treatment.

What Is The Cyberknife

The CyberKnife System is a robot that delivers a unique form of Stereotactic Body Radiation Therapy also known as radiosurgery. It is the only radiation therapy technology that continuously tracks tumor motion and automatically corrects the aim of the treatment beam when movement is detected. The CyberKnife Radiosurgery System delivers radiation with sub-millimeter accuracy through the use of continual image guidance and robotic mobility. As a result, the radiation is directed to where it counts most, the prostate, and the radiation dose falls off steeply around the healthy tissue that surrounds the prostate.

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Is Cyberknife Sbrt Covered By Insurance Or Medicare

SBRT treatment for prostate cancer is nationally covered by Medicare and many private and health exchange insurers.

Before treatment, make sure to contact our center and our authorization team will review your insurance and the exact coverage benefits. For patients who live outside the United States, please request relevant information from us, and we will work with you to determine insurance coverage.

How Are The Gold Markers Put Into The Prostate Gland

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During the same procedure, SpaceOAR hydrogel is injected. 10cc of gel is injected in between the prostate gland and the rectum. This gel turns solid after it is injected, and it pushes the rectum away from the prostate, resulting in less radiation beams hitting the rectum. The body breaks down the gel after 3 months.

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The Prostate Moves The Cyberknife System Adapts And Synchronizes Treatment Delivery With The Motion In Real Time

The prostate gland can move unpredictably throughout the course of treatment as much as half an inch in as little as 30 seconds because of normal patient bodily functions .1 Unlike any other radiation treatment, the CyberKnife System continually tracks the target, automatically adapts and synchronizes the radiation beam with movement of the prostate in real-time throughout the entire treatment session. This helps to ensure the radiation dose is delivered to the target maximizing treatment effectiveness while protecting surrounding tissues to reduce the incidence of side effects.

Holistic & Natural Ways In Treating Prostate Cancer

Immunity Therapy Center utilizes a variety of alternative cancer treatments to strengthen your immune system while directly targeting your cancer cells. These alternative treatment for prostate cancer helps your body fight cancer without the harmful effects of chemotherapy, radiation therapy, or other harsh conventional treatments.

At ITC, we use customized alternative ways in treating prostate cancer to ensure the best results. The type and combination of therapies for the alternative treatment for prostate cancer vary depending on the type and location of Cancer, stage of Cancer, and the overall health of the individual. Reach out today to set up a consultation for prostate cancer treatment options and learn more about ITCs alternative therapy and treatment plans.

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External Beam Radiation Therapy

In EBRT, beams of radiation are focused on the prostate gland from a machine outside the body. This type of radiation can be used to try to cure earlier stage cancers, or to help relieve symptoms such as bone pain if the cancer has spread to a specific area of bone.

You will usually go for treatment 5 days a week in an outpatient center for at least several weeks, depending on why the radiation is being given. Each treatment is much like getting an x-ray. The radiation is stronger than that used for an x-ray, but the procedure typically is painless. Each treatment lasts only a few minutes, although the setup time getting you into place for treatment takes longer.

Newer EBRT techniques focus the radiation more precisely on the tumor. This lets doctors give higher doses of radiation to the tumor while reducing the radiation exposure to nearby healthy tissues.

What Is Proton Therapy

What is CyberKnife® Radiation Therapy?

Both CyberKnife and Proton are forms of radiation , however, CyberKnife has many advantages over proton beam radiation as a prostate cancer treatment. CyberKnife is the most advanced treatment available, using image-guided robotics to destroy prostate cancer while preserving the surrounding tissue.

Proton Therapy is a type of particle therapy in which high-energy proton beams are delivered to tumors by a cyclotron. With Proton Therapy, doctors determine the precise point in a patients body where the proton releases the majority of its energy, maximizing exposure to cancer cells while minimizing exposure to normal tissue. Proton Therapy is usually delivered in 20-25 treatments with typical out-patient sessions lasting less than 5 minutes. Side effects such as fatigue are usually minor and temporary.

Proton beam therapy utilizes lower doses of radiation, so more treatments are required. These treatments use conventional fractionation with small doses given daily over a four to six week period.

The chart shows the differences between CyberKnife and Proton Therapy treatments. As you can see, CyberKnife Therapy is completed in fewer sessions with better accuracy and the CyberKnife is the only technology where there is continuous correction during treatment while the prostate moves and the patient breathes normally.

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Heres The Breakdown Of Types Of Ebrt:

Stereotactic Body Radiation Therapy : This therapy uses advanced image-guided techniques to deliver larger doses of radiation to a very precise area. Since there are larger doses of radiation, treatment lasts only a few days as opposed to longer treatment courses with other forms of radiation. This therapy is less likely to damage surrounding healthy tissue.

The experts at the CyberKnife Center of Miami use a form of SBRT called CyberKnife to kill prostate cancer. Its not a knife at all, but a powerful state-of-the-art form of external radiation.

Three-Dimensional Conformal Radiation Therapy :Computers map the prostate then aim radiation at the cancer. The treatment is give in lower doses of a longer course of treatment. Up to 45 days 5 days a week. This therapy is less likely to damage surrounding tissues as well.

Intensity Modulated Radiation Therapy : This is an advanced form of 3D-CRT. It also is given in up to 45 days of treatment. The difference is that it uses special mechanical blocking systems to help spare normal tissue.

Proton Beam Radiation Therapy:This therapy focuses beams of protons instead of x-rays on the cancer. This therapy allows for more radiation to hit the prostate while doing less damage to surrounding tissues.

With each of these treatments, there are side effects, which can include short-term complications including urinary and bowel irritation.

What Can Be Treated

The CyberKnife® System is a non-invasive alternative to surgery for the treatment of both cancerous and non-cancerous tumors anywhere in the body, including the head, spine, lung, prostate, liver and pancreas. The treatment which delivers high doses of radiation to tumors with extreme accuracy offers new hope to patients who have inoperable or surgically complex tumors, or who may be looking for a non-surgical option. More than 150,000 patients have been treated and more than 220 CyberKnife® systems are installed worldwide.

CyberKnife can treat the following Intracranial Tumors And Lesions:

  • Acoustic neuroma

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Implications Of Implementing Mrgrt

There are challenges associated with fundamentally changing the workflow and the treatment we deliver. With constant MR imaging and the ability to change the plan daily, there is a risk of over-intervention. For example, if the small bowel sits close to the target on the daily image we may reduce coverage to the PTV in order to keep within our usual reference plan constraints. However, by the time the treatment is delivered the bladder will have filled and the bowel may have lifted, resulting in unnecessary under-dose to the target. We must remember that we have been safely delivering a single plan across a whole treatment course since the inception of fractionated radiotherapy and toxicity rates from prostate external beam radiotherapy are already low.

Replanning daily has significant implications for the workforce. Our current workflow requires two physicists, two radiographers and a clinician to be present for each fraction. Current research is focussed on streamlining this process and stratifying patients into those who do versus those who do not require daily adaptive replanning. We are also investigating the dosimetric impact of radiographer-led contouring. Our early work in an offline environment indicates a high concordance between radiographer and clinician contours .

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How Do You Prepare For Cyberknife

What to Expect

Youll need to go through a few steps before treatment can begin.

With ultrasound as a guide, a urologist will use long needles to place gold markers in your prostate. This will be similar to when you had your biopsy. CyberKnife will use the markers to track the tumor during treatment.

Then youll need some imaging tests to assess the location, size, and shape of the tumor. This data is sent to the CyberKnife software, so the proper dose, exact location, and number of treatments can be determined.

Your doctor will fill you in on details before you begin so you can plan accordingly.

Youll likely need one to five treatments on consecutive days. This can all be accomplished on an outpatient basis.

Theres no need for anesthesia or other medications, so you can eat and take medications as usual. Avoid lotions and powders on the area to be treated, and wear comfortable clothing. No further preparation is needed.

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Get Your Free Prostate Cancer Guidebook

Make an informed prostate cancer treatment decision. Our 40-page, comprehensive guidebook provides answers to our most frequently asked questions from men diagnosed with prostate cancer, and compares various treatment methods, cure rates and side effects. Our team can also connect you with one of our oncologists at no cost.

Side Effects Of Cyberknife Cancer Treatment For Prostate Cancer

Theres no cutting, incision, blood, anesthesia, pain, or catheters. There are few, if any, side effects and no recovery time.

CyberKnifes robotic missile-guided image technology allows us to achieve a high level of accuracy by pinpointing a tumors exact location throughout the treatment, resulting in successful outcomes.

The CyberKnife treatment is completely pain free. Patients dress comfortably in their own clothes and can bring music to listen to during the treatment.

Nothing will be required of the patient during the treatment, except to relax. In fact, patients often sleep through the treatment.

There are generally only minimal side effects from CyberKnife treatments, which may include fatigue, urinary irritation, and sometimes rectal irritation. These side effects can be controlled with medication and usually last only a few weeks.

After completing the CyberKnife treatment, patients will schedule follow-up appointments. The urologist will follow your PSA results, which will decrease over time.

Response to treatment varies from patient to patient. Clinical experience has shown that most patients respond very well to CyberKnife treatments with cure rates of over 97% for more than a decade.

I had absolutely no side effects from CyberKnife therapy and it didnt slow me down at all

Don Real Patient

If you have prostate cancer and would like to find out if you are a candidate for CyberKnife, today at .

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Side Effects Of Cyberknife For Prostate Cancer Patients

Cyberknife is considered a minimally invasive procedure. While there are some side effects, most patients only experience them for a short time, and they are minimal. However, some patients experience severe side effects in the rectum or bladder wall. Some of the side effects include:

  • Erectile Dysfunction

You may return to normal activities, but your doctor may minimize some physical activity on a case-by-case basis.

Types Of Prostate Cancer

Which is Better – Surgery vs. Radiation for Prostate Cancer?

There are several different types of prostate cancer. The most common types found in prostate cancer patients include:

  • Acinar adenocarcinoma Cancerous cells or tumors that originate in the gland cells lining the prostate gland. This accounts for the vast majority of cases of prostate cancer.
  • Ductal adenocarcinoma Begins in the cells that line the prostate glands ducts. This is a more aggressive and more invasive form of adenocarcinoma.
  • Transitional cell cancer Also known as urothelial cancer, this starts in the cells that line the urethra. While it can begin in the prostate, it most commonly starts in the bladder and then spreads to the prostate.
  • Squamous cell cancer Occurs when quickly developing and spreading cancer cells grow on the flat cells covering the prostate.
  • Small cell prostate cancer A form of neuroendocrine cancer that is composed of small round cells.

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Preparing For Cyberknife Treatment

Your team of trained specialists at Saint Francis will help you understand every step of CyberKnife treatment.

Before you have CyberKnife treatment, you may need:

  • Fiducials Fiducials are tiny gold seeds that guide the CyberKnife tools to the exact location of your tumor. In preparation for the CyberKnife treatments, a Urologist will implant four rice-sized fiducials through a needle into your prostate during an outpatient procedure, similar to the prostate biopsy procedure.
  • Patients will need to do an enema immediately before the fiducial placement procedure.
  • Patients will need to take antibiotics for three days after the fiducial procedure.

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Radiopharmaceuticals That Target Psma

Prostate-specific membrane antigen is a protein that is often found in large amounts on prostate cancer cells.

Lutetium Lu 177 vipivotide tetraxetan is a radiopharmaceutical that attaches to PSMA, bringing radiation directly to the prostate cancer cells.

This drug can be used to treat prostate cancer that has spread and that has already been treated with hormone therapy and chemotherapy. The cancer cells must also have the PSMA protein. Your doctor will order a PSMA PET scan before you get this drug to make sure the cancer cells have PSMA.

This drug is given as an injection or infusion into a vein , typically once every 6 weeks for up to 6 doses.

Possible side effects

Some of the more common side effects of this drug include:

This drug can lower blood cell counts:

  • A low red blood cell count can cause tiredness, weakness, pale skin, or shortness of breath.
  • A low blood platelet count can lead to bleeding or bruising more easily than normal, or bleeding that is hard to stop.
  • A low white blood cell count can lead to an increased risk of infections, which might show as a fever, chills, sore throat, or mouth sores.

This drug might damage the kidneys. Your doctor or nurse will likely advise you to drink plenty of fluids and to urinate often before and after getting this drug, to help protect the kidneys. Tell your doctor or nurse if you start to pass less urine than is normal for you.

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American College Of Surgeons Commission On Cancer Accreditation

NYU Langone Health has received three-year accreditation with commendation from the American College of Surgeons Commission on Cancer. This honor recognizes our commitment to providing you with access to the latest advances in cancer care, including clinical trials, delivered by a team focused on coordinating the best treatment option for you.

U.S. News & World Reports Best Hospitals ranks NYU Langone one of the top hospitals in the country for cancer care.

It also is a reflection of our commitment to cancer prevention, early detection, education, and support services.

Who Is A Candidate For Cyberknife

Prostate Cancer

CyberKnife can be used as a first-line treatment for early-stage prostate cancer. It can be combined with hormone therapy for cancer that has spread into nearby tissues. It can also be used to slow progression in advanced cancer or cancer that has recurred after previous treatment.

Prostate cancer treatment is not the same for everyone. Surgery, radiation therapy, chemotherapy, and hormone therapy are designed to do different things.

There are a few benefits of CyberKnife when compared to other treatments:

  • Theres no incision or pain, as you might have from surgery.
  • Theres no need for anesthesia or a hospital stay.
  • As soon as its over, you can get up and return to your normal activities.
  • Its a lot less time-consuming than conventional radiation or chemotherapy.
  • Theres no extended recovery period.

Another type of radiation used for prostate surgery is brachytherapy. It involves implanting radioactive pellets in your prostate. The pellets release radiation over a period of days or weeks. Its a good option for early-stage or low-grade prostate cancer. CyberKnife may be a better choice if you cant have anesthesia or if your anatomy makes brachytherapy difficult.

If you have treatment with CyberKnife, you may need other therapies as well. Your doctor will make a recommendation based on variables such as the stage and grade of the cancer, as well as your age and any other health conditions you may have.

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