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529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
A	
  lung	
  tumor	
  diagnosis	
  can	
  be	
  scary.	
  
	
  
Learn	
  more	
  about	
  lung	
  tumors	
  and	
  how	
  we	
  can	
  help.	
  
	
  
Please	
  note:	
  We	
  encourage	
  consumers	
  to	
  thoroughly	
  review	
  and	
  understand	
  all	
  treatment	
  op8ons.	
  
The	
  informa8on	
  presented	
  here	
  is	
  not	
  all-­‐inclusive.	
  Rather,	
  it	
  represents	
  a	
  star8ng	
  point	
  to	
  learn	
  
more	
  about	
  medical	
  condi8ons	
  and	
  treatment	
  op8ons.	
  There	
  is	
  no	
  subs,tute	
  for	
  consul,ng	
  a	
  
medical	
  professional.	
  
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
Lung	
  Tumors	
  and	
  Their	
  Symptoms	
  
The	
  vast	
  majority	
  of	
  primary	
  lung	
  cancers	
  are	
  
malignant	
  and	
  known	
  as	
  carcinomas.	
  
	
  
The	
  most	
  common	
  cancer	
  diagnosis	
  in	
  the	
  
world,	
  lung	
  cancer	
  is	
  also	
  the	
  leading	
  cause	
  of	
  
cancer	
  deaths	
  in	
  the	
  United	
  States.	
  	
  
Symptoms	
  
•  Coughing	
  
•  Wheezing	
  
•  Shortness	
  of	
  breath	
  
•  Coughing	
  up	
  blood	
  
•  Unexplained	
  weight	
  loss	
  
•  Pneumonia	
  or	
  other	
  infec?ons	
  
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
How	
  does	
  CyberKnife	
  treat	
  lung	
  tumors?	
  
Prior	
  to	
  stereotac?c	
  body	
  radia?on	
  therapy,	
  
doctors	
  may	
  have	
  to	
  implant	
  between	
  three	
  
and	
  six	
  small	
  metal	
  markers	
  known	
  as	
  
fiducials	
  in	
  or	
  near	
  the	
  tumor	
  that	
  enable	
  the	
  
CyberKnife	
  to	
  pinpoint	
  the	
  tumor	
  loca?on	
  
during	
  treatment.	
  ImplanEng	
  the	
  markers	
  is	
  
an	
  outpaEent	
  procedure	
  that	
  takes	
  about	
  an	
  
hour.	
  	
  
	
  
About	
  a	
  week	
  later,	
  pa?ents	
  are	
  fiEed	
  with	
  a	
  
custom	
  body	
  mold	
  made	
  of	
  soF	
  material	
  that	
  
they	
  lie	
  on	
  during	
  treatment.	
  The	
  fiFng	
  
process	
  is	
  painless.	
  
	
  
The	
  treatment	
  process	
  includes:	
  
I.  Consulta?on	
  appointment	
  
II.  Pretreatment	
  procedures	
  
III.  CyberKnife	
  treatment	
  
IV.  Follow-­‐up	
  
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
ConsultaEon	
  and	
  Pretreatment	
  Procedures	
  
Louisville	
  CyberKnife	
  physicians,	
  therapists	
  and	
  nurses	
  are	
  focused	
  on	
  your	
  individualized	
  plan	
  for	
  
treatment.	
  
	
  
•  You	
  will	
  meet	
  a	
  Louisville	
  CyberKnife	
  radia?on	
  oncologist	
  to	
  decide	
  if	
  CyberKnife	
  treatment	
  is	
  
appropriate	
  for	
  your	
  diagnosis.	
  	
  
	
  
•  Your	
  CyberKnife	
  team	
  will	
  decide	
  which	
  pretreatment	
  procedures	
  you	
  may	
  need	
  to	
  help	
  
develop	
  your	
  treatment	
  plan.	
  These	
  could	
  include	
  a	
  CT	
  scan,	
  an	
  MRI,	
  laboratory	
  studies	
  or	
  
?ssue	
  markers.	
  	
  
	
  
•  The	
  data	
  from	
  your	
  pretreatment	
  procedures	
  will	
  be	
  used	
  by	
  the	
  CyberKnife	
  team	
  to	
  
determine	
  the	
  exact	
  size,	
  shape	
  and	
  loca?on	
  of	
  your	
  tumor.	
  
•  This	
  informa?on	
  will	
  indicate	
  the	
  size	
  of	
  the	
  area	
  being	
  treated	
  with	
  radia?on,	
  the	
  radia?on	
  
dose	
  and	
  cri?cal	
  structures	
  where	
  radia?on	
  exposure	
  should	
  be	
  minimized.	
  
	
  
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
CyberKnife	
  Treatment	
  
Typically	
  treatment	
  is	
  completed	
  within	
  three	
  to	
  
five	
  sessions.	
  On	
  the	
  day	
  of	
  your	
  treatment:	
  	
  
	
  
1.  A	
  therapist	
  will	
  help	
  you	
  onto	
  the	
  treatment	
  
table	
  and	
  fit	
  the	
  body	
  mold.	
  Pa?ents	
  are	
  
observed	
  throughout	
  the	
  treatment	
  on	
  a	
  
closed-­‐circuit	
  television,	
  and	
  they	
  can	
  pause	
  
treatment	
  at	
  any	
  ?me	
  by	
  waving	
  or	
  speaking	
  to	
  
the	
  therapists.	
  
2.  While	
  the	
  CyberKnife’s	
  advanced	
  tracking	
  
system	
  accounts	
  for	
  movements	
  like	
  breathing,	
  
you’re	
  asked	
  to	
  lie	
  s?ll	
  during	
  treatments.	
  The	
  
system	
  periodically	
  takes	
  x-­‐ray	
  images	
  and	
  
compares	
  them	
  to	
  the	
  CT	
  scan	
  data	
  to	
  make	
  
sure	
  the	
  radia?on	
  beam	
  is	
  locked	
  on	
  the	
  tumor.	
  
3.  Pa?ents	
  can	
  usually	
  return	
  to	
  their	
  normal	
  
rou?nes	
  once	
  the	
  treatment	
  is	
  complete.	
  
FOR	
  YOUR	
  INFORMATION	
  
•  Treatment	
  procedures	
  take	
  about	
  30	
  –	
  90	
  
minutes,	
  depending	
  on	
  the	
  complexity	
  of	
  your	
  
tumor.	
  
•  Pa?ents	
  are	
  asked	
  to	
  wear	
  comfortable	
  clothing	
  
during	
  CyberKnife	
  treatments.	
  Jewelry	
  is	
  
acceptable	
  unless	
  it	
  is	
  close	
  to	
  the	
  area	
  being	
  
treated.	
  
•  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.	
  
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
AddiEonal	
  Resources	
  
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
Our	
  Center	
  
Louisville	
  CyberKnife	
  is	
  part	
  of	
  the	
  renowned	
  James	
  Graham	
  Brown	
  Cancer	
  Center,	
  home	
  of	
  the	
  first	
  na?onally	
  
accredited	
  radia?on	
  oncology	
  program	
  in	
  Louisville.	
  The	
  Brown	
  Cancer	
  Center	
  is	
  a	
  partner	
  of	
  KentuckyOne	
  
Health,	
  an	
  integrated	
  comprehensive	
  health	
  system	
  offering	
  nearly	
  200	
  loca?ons	
  across	
  the	
  state	
  of	
  Kentucky	
  
and	
  southern	
  Indiana.	
  
	
  
Our	
  center	
  u?lizes	
  the	
  CyberKnife	
  9.6	
  system,	
  which	
  features	
  a	
  device	
  that	
  controls	
  the	
  width	
  of	
  the	
  machine’s	
  
radia?on	
  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.	
  
RadiaEon	
  Oncologist:	
  Moataz	
  El-­‐Ghamry,	
  M.D.	
  
RadiaEon	
  Oncologist:	
  Anthony	
  E.	
  Dragun,	
  M.D.	
  
RadiaEon	
  Oncologist:	
  Neal	
  E.	
  Dunlap,	
  M.D.	
  
CyberKnife	
  Nurse	
  Manager:	
  Anna	
  Murphy,	
  RN	
  
529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
Connect	
  With	
  Us	
  

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Lung Tumors: Louisville CyberKnife Treatment Overview

  • 1. 529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 2. A  lung  tumor  diagnosis  can  be  scary.     Learn  more  about  lung  tumors  and  how  we  can  help.     Please  note:  We  encourage  consumers  to  thoroughly  review  and  understand  all  treatment  op8ons.   The  informa8on  presented  here  is  not  all-­‐inclusive.  Rather,  it  represents  a  star8ng  point  to  learn   more  about  medical  condi8ons  and  treatment  op8ons.  There  is  no  subs,tute  for  consul,ng  a   medical  professional.   529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 3. 529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 4. Lung  Tumors  and  Their  Symptoms   The  vast  majority  of  primary  lung  cancers  are   malignant  and  known  as  carcinomas.     The  most  common  cancer  diagnosis  in  the   world,  lung  cancer  is  also  the  leading  cause  of   cancer  deaths  in  the  United  States.     Symptoms   •  Coughing   •  Wheezing   •  Shortness  of  breath   •  Coughing  up  blood   •  Unexplained  weight  loss   •  Pneumonia  or  other  infec?ons   529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 5. 529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 6. How  does  CyberKnife  treat  lung  tumors?   Prior  to  stereotac?c  body  radia?on  therapy,   doctors  may  have  to  implant  between  three   and  six  small  metal  markers  known  as   fiducials  in  or  near  the  tumor  that  enable  the   CyberKnife  to  pinpoint  the  tumor  loca?on   during  treatment.  ImplanEng  the  markers  is   an  outpaEent  procedure  that  takes  about  an   hour.       About  a  week  later,  pa?ents  are  fiEed  with  a   custom  body  mold  made  of  soF  material  that   they  lie  on  during  treatment.  The  fiFng   process  is  painless.     The  treatment  process  includes:   I.  Consulta?on  appointment   II.  Pretreatment  procedures   III.  CyberKnife  treatment   IV.  Follow-­‐up   529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 7. ConsultaEon  and  Pretreatment  Procedures   Louisville  CyberKnife  physicians,  therapists  and  nurses  are  focused  on  your  individualized  plan  for   treatment.     •  You  will  meet  a  Louisville  CyberKnife  radia?on  oncologist  to  decide  if  CyberKnife  treatment  is   appropriate  for  your  diagnosis.       •  Your  CyberKnife  team  will  decide  which  pretreatment  procedures  you  may  need  to  help   develop  your  treatment  plan.  These  could  include  a  CT  scan,  an  MRI,  laboratory  studies  or   ?ssue  markers.       •  The  data  from  your  pretreatment  procedures  will  be  used  by  the  CyberKnife  team  to   determine  the  exact  size,  shape  and  loca?on  of  your  tumor.   •  This  informa?on  will  indicate  the  size  of  the  area  being  treated  with  radia?on,  the  radia?on   dose  and  cri?cal  structures  where  radia?on  exposure  should  be  minimized.     529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 8. CyberKnife  Treatment   Typically  treatment  is  completed  within  three  to   five  sessions.  On  the  day  of  your  treatment:       1.  A  therapist  will  help  you  onto  the  treatment   table  and  fit  the  body  mold.  Pa?ents  are   observed  throughout  the  treatment  on  a   closed-­‐circuit  television,  and  they  can  pause   treatment  at  any  ?me  by  waving  or  speaking  to   the  therapists.   2.  While  the  CyberKnife’s  advanced  tracking   system  accounts  for  movements  like  breathing,   you’re  asked  to  lie  s?ll  during  treatments.  The   system  periodically  takes  x-­‐ray  images  and   compares  them  to  the  CT  scan  data  to  make   sure  the  radia?on  beam  is  locked  on  the  tumor.   3.  Pa?ents  can  usually  return  to  their  normal   rou?nes  once  the  treatment  is  complete.   FOR  YOUR  INFORMATION   •  Treatment  procedures  take  about  30  –  90   minutes,  depending  on  the  complexity  of  your   tumor.   •  Pa?ents  are  asked  to  wear  comfortable  clothing   during  CyberKnife  treatments.  Jewelry  is   acceptable  unless  it  is  close  to  the  area  being   treated.   •  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.   529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 9. AddiEonal  Resources   529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com
  • 10. Our  Center   Louisville  CyberKnife  is  part  of  the  renowned  James  Graham  Brown  Cancer  Center,  home  of  the  first  na?onally   accredited  radia?on  oncology  program  in  Louisville.  The  Brown  Cancer  Center  is  a  partner  of  KentuckyOne   Health,  an  integrated  comprehensive  health  system  offering  nearly  200  loca?ons  across  the  state  of  Kentucky   and  southern  Indiana.     Our  center  u?lizes  the  CyberKnife  9.6  system,  which  features  a  device  that  controls  the  width  of  the  machine’s   radia?on  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.   RadiaEon  Oncologist:  Moataz  El-­‐Ghamry,  M.D.   RadiaEon  Oncologist:  Anthony  E.  Dragun,  M.D.   RadiaEon  Oncologist:  Neal  E.  Dunlap,  M.D.   CyberKnife  Nurse  Manager:  Anna  Murphy,  RN   529 S. Jackson St. Louisville, KY 40202 (502) 217-8200 www.louisvilleck.com Connect  With  Us