This document provides information about prostate cancer treatment using Novalis Tx stereotactic body radiosurgery. It describes how the Novalis Tx system uses fiducial markers and daily precision radiation treatments to target prostate tumors over the course of 5 treatments. Each 30-40 minute treatment is aimed to lock radiation beams onto the tumor location. The document outlines the treatment process, including initial consultation, pretreatment procedures, daily Novalis Tx treatments, and follow-up care.

1. 555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

2. A
prostate
cancer
diagnosis
can
be
scary.
Learn
more
about
prostate
cancer
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.
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

3. 555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

4. About
Prostate
Cancer
The
prostate
is
a
walnut-­‐shaped
organ
in
a
man’s
lower
abdomen
that
controls
the
flow
of
urine
and
semen
through
the
penis.
Prostate
cancer
is
among
the
leading
causes
of
cancer
death
among
American
men,
second
only
to
lung
cancer.
Risk
factors:
There
is
no
single
cause
of
prostate
cancer,
though
there
are
several
known
risk
factors:
• Age
–
Risks
generally
increase
for
older
men.
• Race
–
African-­‐American
men
have
a
higher
risk
for
unknown
reasons.
• NaMonality
–
Asian
men,
for
example,
have
a
lower
risk.
• Diet
–
Red
meat
and
dairy
products
tend
to
increase
risk.
Several
studies
suggest
that
some
dietary
supplements
like
vitamin
E
and
lycopene
may
reduce
risk.
• Lack
of
exercise
• Family
history
of
prostate
cancer
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

5. What
are
symptoms
of
prostate
cancer?
• Early-­‐stage
prostate
cancer
usually
has
no
symptoms.
Older
men
may
experience
frequent
urinaHon,
though
it’s
likely
due
to
an
enlarged
prostate
in
a
condiHon
known
as
benign
prostaHc
hypertrophy,
or
BPH.
Pain
or
bleeding
is
not
commonly
associated
with
early
stages.
• Prostate
cancer
is
suspected
if
men
have
an
elevated
level
of
a
substance
in
the
bloodstream
known
as
prostate
specific
anHgen
(PSA),
or
if
they
have
an
abnormality
like
a
nodule
found
during
a
digital
rectal
examinaHon.
A
prostate
cancer
diagnosis
is
confirmed,
however,
only
through
biopsy.
• Urologists
usually
perform
biopsies
as
an
outpaHent
procedure.
An
ultrasound
probe
is
used
to
guide
a
needle
that
removes
10
to
12
small
Hssue
samples
from
different
parts
of
the
prostate
gland.
SomeHmes,
addiHonal
diagnosHc
tests
like
a
bone
scan,
CT
or
MRI
are
performed,
depending
on
the
specific
diagnosis.
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

6. 555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

7. How
does
Novalis
Tx
treat
prostate
cancer?
Prior
to
stereotacHc
body
radiosurgery
treatment,
small
metal
Hssue
markers
known
as
fiducials
are
implanted
in
the
prostate
to
help
the
Novalis
Tx
pinpoint
the
tumor
locaHon
throughout
each
treatment,
so
the
radiaHon
beams
delivered
during
treatment
can
be
locked
on
the
tumor.
PaHents
are
then
scheduled
for
no
more
than
five
Novalis
Tx
treatments.
Each
treatment
takes
about
30
-­‐
40
minutes,
and
paHents
can
return
to
their
normal
rouHnes
following
each
procedure.
The
treatment
process
includes:
I. ConsultaHon
appointment
II. Pretreatment
procedures
III. Novalis
Tx
treatment
IV. Follow-­‐up
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

8. ConsultaMon
and
Pretreatment
Procedures
San
Diego
Radiosurgery
physicians,
therapists
and
nurses
are
focused
on
your
individualized
treatment:
• You
will
meet
a
San
Diego
Radiosurgery
radiaHon
oncologist
to
decide
if
Novalis
Tx
treatment
is
appropriate
for
your
diagnosis.
• Your
treatment
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
Hssue
markers.
• The
data
from
your
pretreatment
procedures
will
be
used
by
the
treatment
team
to
determine
the
exact
size,
shape
and
locaHon
of
your
tumor.
• This
informaHon
will
indicate
the
size
of
the
area
being
treated
with
radiaHon,
the
radiaHon
dose
and
criHcal
structures
where
radiaHon
exposure
should
be
minimized.
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

9. Novalis
Tx
Treatment
Typically
treatment
is
completed
within
five
sessions.
On
the
day
of
your
treatment:
1. During
Novalis
Tx
radiosurgery
sessions,
you
lie
on
a
treatment
table
while
the
machine
moves
–
without
touching
you
–
treaHng
all
areas
of
the
tumor.
2. Novalis
Tx
shapes
the
radiaHon
beams
it
delivers
to
match
the
shape
of
the
tumor.
The
cumulaHve
dose
of
radiaHon
kills
tumor
cells
while
minimizing
exposure
to
FOR
YOUR
INFORMATION
surrounding
healthy
Hssue.
• Treatment
procedures
take
about
30
–
40
minutes..
• PaHents
are
asked
to
wear
comfortable
clothing
3. PaHents
can
usually
return
to
their
normal
during
Novalis
Tx
treatments.
Jewelry
is
acceptable
unless
it
is
close
to
the
area
being
treated.
rouHnes
once
the
treatment
is
complete.
• 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.
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

10. AddiMonal
Resources
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com

11. Our
Center
Under
the
leadership
of
Medical
Director
Dr.
Brian
Volpp,
San
Diego
Radiosurgery
has
offered
advanced
cancer
treatment
from
some
of
the
region’s
most
experienced
radiaHon
oncologists
and
technicians
since
opening
in
2008.
Call
us
or
visit
our
website
to
learn
more
about
prostate
cancer
treatment
with
Novalis
Tx.
San
Diego
Radiosurgery
is
a
service
of
Palomar
Health
Downtown
Campus,
a
member
of
Palomar
Health.
Medical
Director:
Dr.
Brian
Volpp
Connect
with
us
Nurse:
Cathy
Blazek,
RN,
BSN
Medical
Physicist:
Mark
Young
555
East
Valley
Parkway,
Escondido,
CA
92025
(760)
739-­‐3835
www.sdradiosurgery.com