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IGRT RapidArc™ Radiotherapy

Read about IGRT at the Wall Street Journal Online...
A Turning Point
in the Fight Against Cancer

Cancer patients in Upstate New York now have access to much improved cancer care at Image Guided Radiation Therapy (IGRT) in Latham, NY, which just announced that it is the first facility in Upstate New York to offer a new, faster, more precise form of radiotherapy using advanced technology from Varian Medical Systems.  The new RapidArc™ treatment, which is two to eight times faster than conventional radiotherapy, is now available to treat cancer patients.

“We’re really excited to be able to offer patients this revolutionary technology,” says Arun Puranik, MD.  “RapidArc technology will enable us to target some types of cancer more accurately while sparing more of the surrounding healthy tissue.”

Studies have shown that if the daily treatment time is long, the tumor may move during treatment and not receive the planned dose.  Image Guided Radiation Therapy’s RapidArc technology delivers image-guided IMRT (intensity modulated radiation therapy), in a single rotation of the treatment machine around the patient lasting two minutes.Varian RapidArc Radiotherapy Machine  “In 2005, we were the first center in the world to offer IGRT technology from Varian Medical Systems (excluding beta testing sites) which solved the important clinical issue of inter-fractional (day-to-day) tumor movement, now with RapidArc technology we are finally able to answer the issue of intra-fractional (during treatment) movement – we are able to localize the tumor and deliver a treatment before the tumor has a chance to move.  Our experienced staff is accurate within the width of a thumbnail (1-2mm).”

THE TECHNOLOGY
RapidArc treatments at Image Guided Radiation Therapy will be delivered using a 2100ex medical linear accelerator from Varian Medical Systems, outfitted with a CBCT (Cone Beam Computed Tomopgraphy) imaging system for generating and using 3-dimensional images to guide tumor placement and treatment delivery.  The linear accelerator rotates around the patient to deliver the radiation treatments from nearly any angle.

During a RapidArc treatment, the radiation is shaped and reshaped as it is continuously delivered from virtually every angle in a 360-degree revolution around the patient.

multi-leaf collimator (MLC)The beam shaping will be accomplished using an important accessory called a multi-leaf collimator (MLC), a device with 120 computer-controlled mechanical “leaves” or “fingers” that can move to create apertures of different shapes and sizes.  During a RapidArc treatment, specialized software algorithms will vary three parameters simultaneously: the speed of rotation around the patient, the shape of the MLC aperture, and the dose delivery rate.

“By drastically reducing the time it takes to deliver IMRT, RapidArc has the potential to make a continued  improvement in treatment outcomes.” says Dr. Puranik.

For more information on IGRT, please call our office at 518.213.0305.

 


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