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OUR
SERVICES
We provide comprehensive cancer services, especially
as they relate to cancer treatment using radiotherapy
as a component of treatment. All services are available
to all patients from both of our practice locations.
We are proud to offer the finest technology available
in the region.
Our
services include:
INTENSITY MODULATED RADIATION THERAPY
(IMRT)
B-MODE ACQUISITION AND TARGETING (BAT)
EXTERNAL BEAM RADIATION
3-DIMENSIONAL CONFORMAL BEAM RADIATION
THERAPY
ELECTRON BEAM RADIATION
SUPERFICIAL X-RAY THERAPY
CHEMORADIOTHERAPY
CT PLANNING
HIGH-DOSE RATE BRACHYTHERAPY
LOW-DOSE RATE BRACHYTHERAPY
PROSTATE SEEDS
GYN INTRACAVITY IMPLANTS
INTENSITY
MODULATED RADIATION THERAPY (IMRT) is the
most significant breakthrough in cancer treatment
in the last 30 years. IMRT technology is able to conform
radiation beams to the size, shape and location of
the tumor, matching radiation dose to the contour
of the tumor while minimizing the impact on surrounding
healthy tissue. It can be used to treat any type of
cancer, whether it is in the brain, esophagus, neck,
breast, lung, kidney, liver, abdomen, extremity, spine,
cervix or prostate. Doctors at The Center for Cancer
Care expect IMRT to virtually eliminate side effects,
improve patient outcomes significantly, and reduce
the need for surgery and lengthy hospital stays.
B-MODE
ACQUISITION AND TARGETING (BAT) is
an ultrasound based targeting system used with external
beam radiation to localize targets that may move from
one treatment day to the next. This new technology
ensures radiation beams are hitting the desired target.
BAT is a simple, noninvasive way to deliver a more
precise treatment. At The Center for Cancer Care,
BAT is used in conjunction with IMRT. BAT supported
IMRT is used extensively in the treatment of prostate
cancer, and other good targets for the system include
tumors in the breast, kidney, pancreas, liver, bladder
and uterus. This technology offers the potential for
improved cancer cure rates by allowing the safe delivery
of higher radiation doses while simultaneously minimizing
the risk of treatment related complications.
EXTERNAL BEAM RADIATION
involves using x-rays to target the cancer. The x-rays
are given externally, penetrating the skin to reach
deeper structures such as the lungs, prostate and
breast without damaging the skin or other superficial
structures. To do this, a machine called a Linear
Accelerator is used. It is a very powerful machine
that uses man-made energy x-rays to treat cancer.
Our facilities use the latest, state-of-the-art Siemens
M6 and Mevatron M6D machines which allow multiple
energies and electron beam capabilities.
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3-DIMENSIONAL COMFORMAL BEAM RADIATION
THERAPY uses the latest
in targeting of the tumor and combines very sophisticated
treatment using multiple beams to shape radiation.
This is a very precise way to treat the cancer while
minimizing damage normally seen with older techniques
of radiation therapy. This procedure is accomplished
using a CAT Scan to view the targeted area more precisely
and to see the normal structures in the vicinity of
the cancer that must be avoided. Being highly-precise,
3-Dimensional Conformal Radiation is useful for prostate
cancer, lung cancer, all pelvic and abdominal cancers
and brain tumors. Although not widely available at
all cancer centers, it is available at both of our
facilities.
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ELECTRON
BEAM RADIATION is used for targeting superficial
structures such as skin cancers or when treating other
structures where it is desirable to avoid dosage to
deeper areas. An example of the usefulness of this
procedure is the treatment of the lumpectomy cavity
in women with breast cancer. Using electrons enables
us to precisely target the cavity without damaging
the breast resulting in a more desirable cosmetic
outcome. Electrons are a special type of radiation
that are produced only by sophisticated linear accelerators
like the ones available at our facilities. They are
a valuable asset in the arsenal of cancer treatment.
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SUPERFICIAL X-RAY THERAPY
is a form of x-ray used to target skin cancers. The
Center for Cancer Care specializes in skin cancer,
offering this modality as an alternative to surgery.
This form of radiation is delivered daily for several
weeks and results in equally successful cure rates
as with surgery with better cosmetic results. Additionally,
Superficial X-Ray Therapy can be used in cases where
surgery would be deforming, such as the nose, eyelids
or lips, or in situations where the risks of surgery
are too great.
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CHEMORADIOTHERAPY
is the joint use of chemotherapy with radiation therapy.
In the modern era of cancer research and treatment,
we are discovering that these two procedures, when
used together, often result in better curability.
To do this we coordinate the chemotherapy with your
medical oncologist while the radiation therapy is
done in our offices. Often the chemotherapy is given
simultaneously with daily radiation targeting tumors
such as lung cancer and cervical cancer. Esophageal
and other GI cancers are often treated in this way
as well. We are very capable of providing this service
to our patients.
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CT PLANNING
uses the latest in imaging technology to see where
your tumor is located. Spiral (helical), 3rd generation
CAT scanners are used to visualize the cancer and
the anatomy. These images are captured to better plan
all of the necessary therapy in indicated situations.
By doing this, we are able to precisely determine
the location, shape and extent of the cancer in a
very exact way and also determine the location of
any surrounding organs that should be avoided. This
new targeting technology will soon be the standard
of care in cancer patients. Our facilities have used
this technology for over two years in cases of 2-D
Planning and the planning of 3-D Conformal Radiation.
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HIGH-DOSE
RATE BRACHYTHERAPY implements a form of
internal radiation to treat cancer. The Nucletron
Remote Afterloader machine houses a high-activity,
precisely-delivered form of radiation to treat internal
cancers such as lung cancer, esophageal cancer and
gynecological cancers. It is performed as an outpatient
service at our Princeton location. It is also the
latest, state-of-the-art treatment of cancer and is
often done in conjunction with traditional external
beam radiation in order to give higher doses of radiation
in a targeted, internal way.
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LOW-DOSE
RATE BRACHYTHERAPY uses internal radiation
in much the same way as High-Dose Rate Brachytherapy.
However, instead of treating cancer as an outpatient,
this procedure commonly requires admitting a patient
to a hospital. This is sometimes necessary in situations
where High-Dose Rate Brachytherapy cannot be performed
or at facilities where HDR is not available. It is
essentially another way to achieve the same results.
Both high and low dose technologies are closely-monitored
by the Nuclear Regulatory Commission and The Center
for Cancer Care has consistently received the highest
approval in their regular inspections.
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PROSTATE
SEEDS are a new, emerging technological
advance in the battle against prostate cancer. The
Center for Cancer Care is one of only a few clinics
in the state that offer this innovative treatment.
To perform this procedure, small radioactive pellets,
commonly referred to as seeds, are placed
into the prostate by the radiation oncologist. Most
commonly iodine or palladium are used. Preloaded needles
or a Mick applicator can be used depending on the
preference of the radiation oncologist. This form
of cancer therapy works by radiation internally, is
performed as an outpatient procedure with your urologist
and involves no incisions. It allows for a more precise
treatment of the prostate with less long-term effects
and is a safer way to treat cancer. We have the most
sophisticated equipment available for this curative
strategy and commonly offer it to most of our prostate
cancer patients. Recent studies comparing surgery
to seed implants shows no decrease in survival rates
between the two procedures at a 12-year follow-up.
This signifies that the success rate of seed implants
is equally curative as surgery in the treatment and
abolishment of prostate cancer. The Center for Cancer
Care is proud to be among the first and the best to
offer this treatement.
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GYN INTRACAVITY IMPLANTS
are another way to use internal radiation for treatment
of gynecological cancers. Using either Low-Dose Rate
or High-Dose Rate Brachytherapy, we add internal radiation
in a more precise and targeted fashion to the cervix,
uterus or vagina. This is often performed as a supplement
to External Beam Radiation. We are the only center
in our region to offer this form of treatment.
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