Simply defined, brachytherapy is the technique of implanting radiation sources (Palladium-103 "theraseeds") directly into the tumor - either alone or in combination with a revolutionary form of radiation called 4D Image-Guided Intensity Modulated Radiation Therapy (4D IG-IMRT) when appropriate. This advanced process enables specialists to deliver the maximum-targeted dose of radiation to treat the disease effectively while sparing the surrounding tissue. Patients value the Dattoli Team's combination therapy program for significantly reducing the chance of long-term side effects that other treatment options pose, such as incontinence (loss of bladder control), and impotence (loss of erectile function). Additionally, other more invasive surgical procedures have a higher risk of potential complications not to mention a considerably longer period of recovery.
In addition to achieving an outstanding rate of success in prostate cancer patients, the Center also uses brachytherapy and IMRT in other forms of cancer which pose unique treatment challenges, including those of the head and neck, breast, gastrointestinal and gynecological areas, soft tissue sarcomas and lung malignancies.
Mapping the positioning of brachytherapy "seeds".
To answer this, we must start by exploring the disease itself. As you may know, prostate cancer may first be suspected following a digital rectal exam or a PSA blood test which can detect an abnormality. If a doctor suspects prostate cancer, a transrectal ultrasound and biopsy is often used to verify and grade the cancer. If the biopsy is positive, doctors will perform further scans and tests to detect if the cancer has spread to any other areas of the body. In cancers confined to the prostate and surrounding region, the Dattoli Cancer Center utilizes 3-Dimensional Color Doppler Ultrasound to most precisely image the cancer.
This technology enables the Dattoli Team to view the tumor and organs from all sides, both for the purpose of cancer staging and to customize the best treatment programs when planning the positioning of "seeds." Seed placement can be intensified in the areas of highest tumor burden creating the technique of Intensity Modulated Brachytherapy (IMBT). Also seeds can be placed in extracapsular locations to extend the reach of the dose cloud. This method was pioneered by Dr. Dattoli, and has been utilized and refined for over a decade. The most advanced of these treatments uses IMBT in combination with "Smart Beam" (IG-IMRT) radiation therapy, to achieve the ultimate in tailored dose delivery.
