Lung and Esophageal Cancer Thoracic Radiation Therapy Services
Radiation oncologists at UPMC CancerCenter are among the nation's most experienced clinicians in the use of:
- 3D radiotherapy
- Conventional radiotherapy
- Intensity-modulated radiation therapy (IMRT)
- Iimage-guided radiation therapy (IGRT)
- Radiosurgery, including CyberKnife® M6 and Trilogy™ radiation delivery systems
Currently, they are leading efforts to explore an expanded role for these approaches in the treatment of lung cancer.
UPMC CancerCenter also employs 4D CT and 4D positron emission tomography (4D PET-CT) technologies, when appropriate, to trace your tumor through every point of your breathing cycle to more precisely target radiation during your treatment.
- This allows the technician to gate the beam when the tumor has moved out of range or guide the beam to follow the movement of the tumor, optimizing the dose of radiation to the tumor, while minimizing damage to healthy surrounding tissue from the effects of the radiation.
Stereotactic radiosurgery and stereotactic body radiotherapy (SBRT), using the CyberKnife M6 and Trilogy radiation delivery systems, are used to treat lung tumors without having to make an incision. This procedure is generally reserved for people who cannot have surgery because of age, lung disease, or heart disease.
- CyberKnife M6 uses a computer-controlled robotic arm to direct multiple beams of high-dose radiation directly to the affected area of the lung. Fiducial markers are placed into the lung by a thoracic surgeon using CT guidance technology. These markers act as tracking devices for the CyberKnife M6 to follow, ensuring greater accuracy and minimizing damage to healthy tissue.
- Trilogy radiosurgery has the capability of acquiring a CT scan of the tumor immediately before, during, and after each treatment to further ensure the accurate targeting of tumors in a process sometimes called a bloodless surgery.
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