Radiation Oncology Services
Alta Bates Summit Comprehensive Cancer Services offers your patients an exceptional array of advanced radiation oncology treatment options in the East Bay. Our expert staff partner with you and your patients to ensures they receive personal care and attention they deserve and you have regular updates and status reports on their progress.
- Dynamic Adaptive Radiotherapy (DART)
- HDR Brachytherapy
- Partial Breast Brachytherapy
- Permanent Seed Implants
- Radiolabeled Antibody Therapy
- Respiratory Gating
- Sir Spheres®
- Stereotactic Radiation Surgery (SRS)
- Stereotactic Body Radiotherapy (SBRT)
- Total Body Irradiation
- TrueBeam Linear Accelerator
Brachytherapy treats cancer from the inside out by using a sealed radioactive source inserted into hollow treatment catheters or specially designed applicators placed into or a short distance from the tumor. Brachytherapy treatments include:
- permanent prostate seed implantation,
- high-dose rate (HDR) Brachytherapy, and
- partial breast brachytherapy.
The Brainlab ExacTrac 6D System can make fine modifications in patient positioning with standard right-left, up-down, front-back adjustments as well as rotational changes. The addition of rotational adjustments allows us to achieve submillimeter precision safely and comfortably without a head frame. Doctors use the Brainlab ExacTrac® patient positioning system to treat brain metastases as well as many other malignant and benign brain lesions using frameless radiosurgery (also known as stereotactic radiation therapy).
Functioning as a GPS system for the body, Calypso® locates and internally tracks prostate tumors during the delivery of radiation therapy, allowing for more precise and accurate radiation targeting.
Before each treatment, Calypso® finds the tiny electromagnetic sensors implanted in the prostate and prostate bed (called beacon transponders) and helps the technologist realign the treatment plan.
Dynamic Adaptive Radiotherapy (DART)
We offer the most sophisticated, individualized and targeted radiation therapy available: Dynamic Adaptive RadioTherapy (DART).
DART allows your radiation oncologist to customize your radiation treatment in real time by making adjustments "on-the-fly.” As our DART unit acquires computed tomography (CT) positioning images of the tumor, your doctor reviews these CT images each day and alters your treatment plan in response to any changes in tumor size or location.
Because DART requires no extra CT scans or simulations, your doctor can make any necessary changes within hours to ensure the most effective treatment for you.
High dose rate techniques can deliver a therapeutic dose in minutes rather than days. HDR (High dose rate) Brachytherapy delivers radiation directly into tumors through fine needles that are deployed from computer controlled "afterloaders" that move the radiation source on a wire within the needle accordingly to a carefully customized treatment plan developed by your doctor, a physicist, and a radiation therapist.
Intensity-Modulated Radiation Therapy (IMRT) and Image-Guided Radiation Therapy (IGRT)
Intensity-modulated radiation therapy (IMRT) delivers pencil-thin beams of radiation to target tumors while it spares healthy tissue. To maximize the effectiveness of IMRT treatments, image-guided radiation therapy (IGRT) is being used to verify the location of the tumor before the treatment session begins.
Through a flexible treatment platform radiation therapy unit called INTRABEAM® IORT, women are now able to have the cancer area in their breast treated immediately in the operating room, thus eliminating the wait of several weeks before starting radiation treatments. IORT is primarily used to replace the boost portion of the treatment, eliminating up to two weeks from the six to seven weeks of radiation needed after lumpectomy.
Partial Breast Brachytherapy
SAVI is a 5-day radiation treatment for breast cancer. Partial breast radiation with SAVI addresses two key issues in breast cancer radiation treatment exposure to healthy tissue and length of treatment. SAVI's multiple catheters and open-architecture design allow for the precise delivery of radiation. This enables physicians to optimally spare normal tissues, which can improve outcomes and increase the number of women who may be eligible for breast conservation therapy (BCT).
For women who face hurdles completing an extended treatment schedule, SAVI reduces radiation treatment time from several weeks to just 5 days. Many women consider this accelerated schedule to be a significant benefit.
Permanent Seed Prostate Implants
Implanting "seeds" of radioactive iodine or palladium directly into the cancerous area of the prostate gland is a treatment that offers a cost-effective alternative to surgery. This technique allows a much shorter treatment time than external beam radiation.
The seeds are inserted into the prostate through hollow needles, which are removed after the procedure is complete. The patient is typically discharged after several hours, or the next day at the latest. The seeds release their energy for a period of time after the procedure and before their radioactive properties decay. After a carefully planned interval, the radioactivity contained within the seeds is delivered to the site and they become inactive. The treatment is then complete. Talk to your doctor to see if you are a candidate for permanent prostate seed implants.
Radiolabeled Antibody Therapy
Radiolabeled antibody therapy combines an antibody with a radioactive medication attached to it, directed against certain lymphomas. The treatment process allows the radiation to be delivered in the body directly to the cancer cells through the bloodstream.
RapidArc® delivers an image-guided IMRT (intensitymodulated radiation therapy) treatment two to eight times faster than is possible using other treatment techniques.
Respiratory gating is useful in treating tumors that may move with respiration during the radiation treatment, such as cancers in the liver and tumors in the outer regions of the lung.. With respiratory gating, the radiation beam is only on at certain times to ensure that the beam is delivered to the proper target. This allows your doctor to treat a smaller area, with improved accuracy. The ability to localize dosage and protect healthy tissues in this manner allows treatment of lesions in the liver that could not previously be treated with radiation.
A targeted treatment for liver tumors, SIR-Spheres® selective internal radiation therapy delivers millions of tiny radioactive beads directly to the liver tumors. SIRT is used to treat inoperable tumors from primary colorectal cancer that has spread to the liver.
Stereotactic Radiation Surgery (SRS)
Stereotactic radiation surgery delivers high doses of radiation to points deep in the body allowing a higher degree of precision and an increase in dose. SRS single dose treatments may be the recommended form of treatment for certain tumors of the brain, spine, lung, liver and pancreas.
Stereotactic Body Radiotherapy (SBRT)
For certain disease sites, such as small lesions in the liver, lung or along the spine, treatment plans can be designed that will treat the tumor in three-to-five periods over the course of a week on an outpatient basis.
The Tomotherapy system combines the following in one machine: an advanced form of IMRT and IGRT; the accuracy of CT scanning technology; and advanced tools for planning and delivering pencil-thin radiation therapy.
Total Body Irradiation Program
As part of adult/pediatric stem cell transplant programs, the Radiation Department has been performing total body irradiation for over 15 years.
TrueBeam delivers quick and precise radiotherapy doses to tumors while compensating for patients' breathing and movement. Treatments are completed in a fraction of the time of previous technologies.
Zevalin is a form of radioimmunotherapy available for the treatment of some lymphomas.
Please call our Radiation Services departments directly for more information:
- Radiation Oncology Department in Berkeley at 510-204-1591
- HDR Brachytherapy Center at 510-869-8875
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