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1011 Bowles Ave. Suite G-50 Fenton, MO 63026   (636) 496-4660       www.stlouiscyberknife.com
A	
  brain	
  tumor	
  diagnosis	
  can	
  be	
  scary.	
  
          	
  
          Learn	
  more	
  about	
  brain	
  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.	
  




1011 Bowles Ave. Suite G-50 Fenton, MO 63026                                  (636) 496-4660                              www.stlouiscyberknife.com
1011 Bowles Ave. Suite G-50 Fenton, MO 63026   (636) 496-4660   www.stlouiscyberknife.com
What	
  is	
  a	
  brain	
  tumor?	
  

 A	
  brain	
  tumor	
  is	
  an	
  abnormal	
  growth	
  of	
  
 cells	
  within	
  the	
  brain	
  or	
  the	
  central	
  spinal	
  
 canal	
  that	
  can	
  be	
  cancerous	
  or	
  benign.	
  
 Brain	
  tumors,	
  even	
  malignant	
  ones,	
  are	
  
 not	
  necessarily	
  fatal.	
  However,	
  any	
  brain	
  
 tumor	
  should	
  be	
  considered	
  a	
  serious	
  
 health	
  condi;on.	
  
 	
  
 Brain	
  tumors	
  can	
  be	
  primary	
  (origina;ng	
  
 in	
  the	
  brain	
  or	
  spinal	
  cord)	
  or	
  metasta<c	
  
 (origina;ng	
  in	
  another	
  part	
  of	
  the	
  body	
  
 and	
  spreading	
  to	
  the	
  brain).	
  




1011 Bowles Ave. Suite G-50 Fenton, MO 63026                             (636) 496-4660   www.stlouiscyberknife.com
What	
  are	
  symptoms	
  of	
  a	
  brain	
  tumor?	
  

     •       Headaches	
                                      •    An	
  impaired	
  sense	
  of	
  touch,	
  hearing,	
  
     •       Vomi;ng	
                                             vision	
  or	
  smell	
  
     •       Vision	
  problems	
  	
                         •    Personality	
  or	
  emo;onal	
  changes	
  
     •       Altered	
  states	
  of	
  consciousness	
       •    Weakness	
  on	
  one	
  side	
  of	
  the	
  body	
  or	
  
     •       Impaired	
  judgment	
                                facial	
  paralysis	
  
                                                              •    Speech	
  and	
  language	
  impairment	
  
     •       Memory	
  loss	
  
     •       Lack	
  of	
  recogni;on	
  	
                   •    Abnormal	
  fa;gue	
  
                                                              •    Tremors	
  or	
  epilep;c	
  seizures	
  
     •       Spa;al	
  orienta;on	
  disorders	
  
     	
  
     	
  
     	
  
     	
  
     	
  
     	
  
     	
  
1011 Bowles Ave. Suite G-50 Fenton, MO 63026                (636) 496-4660                        www.stlouiscyberknife.com
What	
  types	
  of	
  brain	
  tumors	
  exist?	
  
     •          Acous<c	
  Neuroma:	
  A	
  benign,	
  slow-­‐growing	
  tumor	
  type,	
  acous;c	
  neuromas	
  affect	
  the	
  
                seventh	
  and	
  eighth	
  cranial	
  nerves	
  in	
  a	
  part	
  of	
  the	
  brain	
  known	
  as	
  the	
  cerebellar-­‐pon;ne	
  
                angle.	
  
     	
  
     •          Brain	
  Metastases:	
  A	
  brain	
  metastasis	
  is	
  a	
  brain	
  tumor	
  that	
  develops	
  from	
  cancer	
  cells	
  
                that	
  spread	
  from	
  another	
  cancerous	
  tumor	
  in	
  the	
  body,	
  usually	
  through	
  the	
  bloodstream.	
  
     	
  	
  
     •          Glioma:	
  A	
  glioma	
  is	
  a	
  class	
  of	
  tumor	
  that	
  develops	
  from	
  glial	
  cells	
  in	
  the	
  brain	
  that	
  
                support	
  and	
  protect	
  neurons.	
  Astrocytes,	
  ependymal,	
  and	
  oligodendroglial	
  cells	
  are	
  all	
  
                examples	
  of	
  glial	
  cells.	
  Includes:	
  Astrocytoma,	
  Glioblastoma	
  Mul;forme,	
  Glioma,	
  
                Oligodendroglioma.	
  
     	
  
     •          Meningioma:	
  A	
  benign	
  tumor	
  located	
  on	
  the	
  brain	
  surface	
  rather	
  than	
  within	
  brain	
  
                ;ssue.	
  	
  
     	
  
     •          Pituitary	
  Adenoma:	
  Located	
  at	
  the	
  base	
  of	
  the	
  skull,	
  the	
  pituitary	
  gland	
  serves	
  as	
  the	
  
                body’s	
  control	
  center	
  for	
  hormones.	
  Pituitary	
  adenomas	
  are	
  slow-­‐growing,	
  benign	
  
                tumors	
  within	
  the	
  gland.	
  


1011 Bowles Ave. Suite G-50 Fenton, MO 63026                                    (636) 496-4660                           www.stlouiscyberknife.com
1011 Bowles Ave. Suite G-50 Fenton, MO 63026   (636) 496-4660   www.stlouiscyberknife.com
How	
  does	
  CyberKnife	
  treat	
  brain	
  tumors?	
  
 CyberKnife	
  has	
  the	
  ability	
  to	
  treat	
  acous;c	
  
 neuromas,	
  brain	
  metastases,	
  gliomas,	
  
 meningiomas	
  and	
  pituitary	
  adenomas	
  
 with	
  stereotac;c	
  radiosurgery.	
  
 	
  
 The	
  treatment	
  process	
  includes:	
  
 I.  Consulta;on	
  appointment	
  
 II.  Pretreatment	
  procedures	
  
 III.  CyberKnife	
  treatment	
  
 IV.  Follow-­‐up	
  


Unlike	
  some	
  radiosurgery	
  systems,	
  the	
  CyberKnife	
  doesn’t	
  use	
  an	
  invasive	
  head	
  frame.	
  Other	
  
radiosurgery	
  systems	
  are	
  capable	
  of	
  high-­‐dose	
  radia;on	
  treatment	
  with	
  a	
  variety	
  of	
  radia;on	
  
sources.	
  However,	
  some	
  use	
  a	
  metal	
  frame	
  aTached	
  to	
  the	
  pa;ent’s	
  skull	
  with	
  screws	
  that	
  
immobilizes	
  the	
  head	
  to	
  accurately	
  target	
  the	
  tumor.	
  
	
  


1011 Bowles Ave. Suite G-50 Fenton, MO 63026                         (636) 496-4660                      www.stlouiscyberknife.com
Consulta<on	
  and	
  Pretreatment	
  Procedures	
  
  The	
  St.	
  Louis	
  CyberKnife	
  physicians,	
  therapists	
  and	
  nurses	
  are	
  focused	
  on	
  your	
  individualized	
  
  treatment	
  plan	
  to	
  determine	
  whether	
  CyberKnife	
  is	
  right	
  for	
  you:	
  
  	
  
  •  You	
  will	
  meet	
  with	
  a	
  St.	
  Louis	
  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.	
  
  	
  




1011 Bowles Ave. Suite G-50 Fenton, MO 63026                            (636) 496-4660                         www.stlouiscyberknife.com
CyberKnife	
  Treatment	
  
   Typically,	
  treatment	
  is	
  completed	
  in	
  one	
  session,	
  
   but	
  could	
  take	
  up	
  to	
  five	
  sessions	
  depending	
  on	
  the	
  
   individual	
  diagnosis.	
  On	
  the	
  day	
  of	
  your	
  treatment:	
  	
  
   	
  
   1.  A	
  therapist	
  will	
  help	
  you	
  onto	
  the	
  treatment	
  
          table	
  and	
  fit	
  the	
  mask	
  or	
  body	
  mold	
  if	
  needed.	
  
          Pa;ents	
  are	
  observed	
  throughout	
  the	
  
          treatment	
  on	
  closed-­‐circuit	
  television,	
  and	
  they	
  
          can	
  pause	
  treatment	
  at	
  any	
  ;me	
  by	
  waving	
  or	
  
          speaking	
  to	
  the	
  technicians.	
  

   2.  While	
  the	
  CyberKnife’s	
  advanced	
  tracking	
  
       system	
  accounts	
  for	
  movements	
  like	
  breathing,	
                     FOR	
  YOUR	
  INFORMATION	
  
                                                                                          •    Treatment	
  procedures	
  take	
  about	
  30	
  –	
  90	
  
       you’re	
  asked	
  to	
  lie	
  s;ll	
  during	
  treatments.	
  The	
                  minutes,	
  depending	
  on	
  the	
  complexity	
  of	
  your	
  
       system	
  periodically	
  takes	
  x-­‐ray	
  images	
  and	
                           tumor.	
  
       compares	
  them	
  to	
  the	
  CT	
  scan	
  data	
  to	
  check	
               •    Pa;ents	
  are	
  asked	
  to	
  wear	
  comfortable	
  clothing	
  
       that	
  the	
  radia;on	
  beam	
  is	
  locked	
  on	
  the	
  tumor.	
                during	
  CyberKnife	
  treatments.	
  Jewelry	
  is	
  
                                                                                               acceptable	
  unless	
  it	
  is	
  close	
  to	
  the	
  area	
  being	
  
                                                                                               treated.	
  
   3.  Pa;ents	
  can	
  usually	
  go	
  right	
  back	
  to	
  their	
                  •    Feel	
  free	
  to	
  bring	
  an	
  iPod®	
  or	
  your	
  favorite	
  
       normal	
  rou;nes	
  once	
  the	
  treatment	
  is	
                                   music	
  CDs	
  with	
  you	
  on	
  the	
  day	
  of	
  your	
  
       complete.	
                                                                             treatment,	
  and	
  we	
  will	
  play	
  them	
  for	
  you	
  during	
  
                                                                                               the	
  procedure.	
  



1011 Bowles Ave. Suite G-50 Fenton, MO 63026                                     (636) 496-4660                            www.stlouiscyberknife.com
Addi<onal	
  Resources	
  




1011 Bowles Ave. Suite G-50 Fenton, MO 63026   (636) 496-4660   www.stlouiscyberknife.com
Our Center
 St.	
  Louis	
  CyberKnife	
  is	
  a	
  service	
  of	
  SSM	
  Cancer	
  Care,	
  which	
  is	
  accredited	
  by	
  the	
  
 American	
  College	
  of	
  Surgeons’	
  Commission	
  on	
  Cancer	
  for	
  its	
  comprehensive	
  cancer	
  
 program.	
  Our	
  doctors	
  are	
  board-­‐cer;fied	
  in	
  radia;on	
  oncology	
  and	
  have	
  several	
  areas	
  
 of	
  specialty,	
  including	
  head	
  and	
  neck	
  cancers	
  and	
  prostate,	
  lung	
  and	
  breast	
  cancers.	
  
 Our	
  CyberKnife	
  nurse	
  navigator	
  is	
  an	
  integral	
  part	
  of	
  our	
  pa;ent	
  care	
  approach,	
  
 providing	
  clinical	
  support	
  and	
  care	
  coordina;on	
  for	
  our	
  pa;ents	
  and	
  their	
  families.	
  
 	
  	
  
 View a list of our radiation oncologists.                                             Connect	
  with	
  us	
  
 	
                                                                                    	
  
 Our	
  Staff:	
  
 CyberKnife	
  Nurse	
  Navigator:	
  Vicki	
  HartneT,	
  RN	
  OCN	
  
 Site	
  Administrator:	
  Jennifer	
  Moore,	
  RN	
  BSN	
  OCN	
  
 Physicist:	
  Dr.	
  Mark	
  Pohlman,	
  PhD	
  DABR	
  
 Dosimetrist:	
  Insoo	
  Moon	
  
 CyberKnife	
  Therapist:	
  Susan	
  Barnhart,	
  RTT	
  
 CyberKnife	
  Therapist:	
  Ryan	
  Menke,	
  RTT	
  
 Opera<ons	
  Coordinator:	
  Andy	
  Law	
  



1011 Bowles Ave. Suite G-50 Fenton, MO 63026                     (636) 496-4660                   www.stlouiscyberknife.com

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Brain Tumors: St. Louis CyberKnife Treatment Overview

  • 1. ! 1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 2. A  brain  tumor  diagnosis  can  be  scary.     Learn  more  about  brain  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.   1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 3. 1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 4. What  is  a  brain  tumor?   A  brain  tumor  is  an  abnormal  growth  of   cells  within  the  brain  or  the  central  spinal   canal  that  can  be  cancerous  or  benign.   Brain  tumors,  even  malignant  ones,  are   not  necessarily  fatal.  However,  any  brain   tumor  should  be  considered  a  serious   health  condi;on.     Brain  tumors  can  be  primary  (origina;ng   in  the  brain  or  spinal  cord)  or  metasta<c   (origina;ng  in  another  part  of  the  body   and  spreading  to  the  brain).   1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 5. What  are  symptoms  of  a  brain  tumor?   •  Headaches   •  An  impaired  sense  of  touch,  hearing,   •  Vomi;ng   vision  or  smell   •  Vision  problems     •  Personality  or  emo;onal  changes   •  Altered  states  of  consciousness   •  Weakness  on  one  side  of  the  body  or   •  Impaired  judgment   facial  paralysis   •  Speech  and  language  impairment   •  Memory  loss   •  Lack  of  recogni;on     •  Abnormal  fa;gue   •  Tremors  or  epilep;c  seizures   •  Spa;al  orienta;on  disorders                 1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 6. What  types  of  brain  tumors  exist?   •  Acous<c  Neuroma:  A  benign,  slow-­‐growing  tumor  type,  acous;c  neuromas  affect  the   seventh  and  eighth  cranial  nerves  in  a  part  of  the  brain  known  as  the  cerebellar-­‐pon;ne   angle.     •  Brain  Metastases:  A  brain  metastasis  is  a  brain  tumor  that  develops  from  cancer  cells   that  spread  from  another  cancerous  tumor  in  the  body,  usually  through  the  bloodstream.       •  Glioma:  A  glioma  is  a  class  of  tumor  that  develops  from  glial  cells  in  the  brain  that   support  and  protect  neurons.  Astrocytes,  ependymal,  and  oligodendroglial  cells  are  all   examples  of  glial  cells.  Includes:  Astrocytoma,  Glioblastoma  Mul;forme,  Glioma,   Oligodendroglioma.     •  Meningioma:  A  benign  tumor  located  on  the  brain  surface  rather  than  within  brain   ;ssue.       •  Pituitary  Adenoma:  Located  at  the  base  of  the  skull,  the  pituitary  gland  serves  as  the   body’s  control  center  for  hormones.  Pituitary  adenomas  are  slow-­‐growing,  benign   tumors  within  the  gland.   1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 7. 1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 8. How  does  CyberKnife  treat  brain  tumors?   CyberKnife  has  the  ability  to  treat  acous;c   neuromas,  brain  metastases,  gliomas,   meningiomas  and  pituitary  adenomas   with  stereotac;c  radiosurgery.     The  treatment  process  includes:   I.  Consulta;on  appointment   II.  Pretreatment  procedures   III.  CyberKnife  treatment   IV.  Follow-­‐up   Unlike  some  radiosurgery  systems,  the  CyberKnife  doesn’t  use  an  invasive  head  frame.  Other   radiosurgery  systems  are  capable  of  high-­‐dose  radia;on  treatment  with  a  variety  of  radia;on   sources.  However,  some  use  a  metal  frame  aTached  to  the  pa;ent’s  skull  with  screws  that   immobilizes  the  head  to  accurately  target  the  tumor.     1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 9. Consulta<on  and  Pretreatment  Procedures   The  St.  Louis  CyberKnife  physicians,  therapists  and  nurses  are  focused  on  your  individualized   treatment  plan  to  determine  whether  CyberKnife  is  right  for  you:     •  You  will  meet  with  a  St.  Louis  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.     1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 10. CyberKnife  Treatment   Typically,  treatment  is  completed  in  one  session,   but  could  take  up  to  five  sessions  depending  on  the   individual  diagnosis.  On  the  day  of  your  treatment:       1.  A  therapist  will  help  you  onto  the  treatment   table  and  fit  the  mask  or  body  mold  if  needed.   Pa;ents  are  observed  throughout  the   treatment  on  closed-­‐circuit  television,  and  they   can  pause  treatment  at  any  ;me  by  waving  or   speaking  to  the  technicians.   2.  While  the  CyberKnife’s  advanced  tracking   system  accounts  for  movements  like  breathing,   FOR  YOUR  INFORMATION   •  Treatment  procedures  take  about  30  –  90   you’re  asked  to  lie  s;ll  during  treatments.  The   minutes,  depending  on  the  complexity  of  your   system  periodically  takes  x-­‐ray  images  and   tumor.   compares  them  to  the  CT  scan  data  to  check   •  Pa;ents  are  asked  to  wear  comfortable  clothing   that  the  radia;on  beam  is  locked  on  the  tumor.   during  CyberKnife  treatments.  Jewelry  is   acceptable  unless  it  is  close  to  the  area  being   treated.   3.  Pa;ents  can  usually  go  right  back  to  their   •  Feel  free  to  bring  an  iPod®  or  your  favorite   normal  rou;nes  once  the  treatment  is   music  CDs  with  you  on  the  day  of  your   complete.   treatment,  and  we  will  play  them  for  you  during   the  procedure.   1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 11. Addi<onal  Resources   1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com
  • 12. Our Center St.  Louis  CyberKnife  is  a  service  of  SSM  Cancer  Care,  which  is  accredited  by  the   American  College  of  Surgeons’  Commission  on  Cancer  for  its  comprehensive  cancer   program.  Our  doctors  are  board-­‐cer;fied  in  radia;on  oncology  and  have  several  areas   of  specialty,  including  head  and  neck  cancers  and  prostate,  lung  and  breast  cancers.   Our  CyberKnife  nurse  navigator  is  an  integral  part  of  our  pa;ent  care  approach,   providing  clinical  support  and  care  coordina;on  for  our  pa;ents  and  their  families.       View a list of our radiation oncologists. Connect  with  us       Our  Staff:   CyberKnife  Nurse  Navigator:  Vicki  HartneT,  RN  OCN   Site  Administrator:  Jennifer  Moore,  RN  BSN  OCN   Physicist:  Dr.  Mark  Pohlman,  PhD  DABR   Dosimetrist:  Insoo  Moon   CyberKnife  Therapist:  Susan  Barnhart,  RTT   CyberKnife  Therapist:  Ryan  Menke,  RTT   Opera<ons  Coordinator:  Andy  Law   1011 Bowles Ave. Suite G-50 Fenton, MO 63026 (636) 496-4660 www.stlouiscyberknife.com