Denver Radiation Oncology is focused on providing patient-centered, high quality, collaborative cancer care using the most advanced radiation techniques available.
Our radiation oncologists work with all members of the team as well as each patient to create an individualized treatment plan, communicating every step of the treatment journey.
External Beam Radiation Therapy (EBRT)
EBRT delivers high dose of radiation to the targeted area from any angle. This delivery system shapes the radiation beam to the exact dimensions and contour of the target. Each treatment can take anywhere from a few minutes to twenty minutes and is administered daily as an outpatient procedure most often over a period of four to eight weeks. (Length of treatment will be determined by your radiation oncologist.) This common cancer treatment does not make the patient "radioactive," it doesn't hurt and it cannot be smelled, heard or seen.
Image Guided Radiation Therapy (IGRT)
Image Guided Radiation Therapy (IGRT): IGRT is the use of imaging on the radiation table for the purpose of improving the precision and accuracy of treatment while minimizing radiation to healthy surrounding tissue. This method is among the most cutting-edge innovations in cancer treatment.
Intraoperative Radiation Therapy (IORT)
Eligible* breast cancer patients have the option of receiving their entire radiation therapy treatment at the time of their lumpectomy surgery through a unique therapy called Intraoperative Radiation Treatment (IORT). IORT often eliminates the need for traditional daily outpatient treatments that could last three-to-six weeks.
IORT Balloon Eligible patients typically include those over the age of 40 with a single focus of cancer (invasive ductal carcinoma). Speak to your physician about eligibility.
During the lumpectomy surgery, the surgeon first ensures the cancer has not spread to the lymph nodes. Once that has been verified, a balloon is placed with careful precision into the lumpectomy cavity. A mini X-ray source is passed into a balloon and the machine runs for seven to 10 minutes.
When the machine completes its run, the device is removed and the operation is completed. At the end of the procedure, the patient has not only completed a lumpectomy, but also an entire course of radiation. In addition, the side effects include only mildly “pink” skin instead of the significant burn and fatigue associated with traditional treatment. Rose Medical Center has the leading IORT program in the United States.
Prone Breast Board
Prone breast radiation therapy is a unique way to administer EBRT (see above). Using a specially designed positioning device, the patient lays in the prone position (on the stomach with the breast hanging away from the body). This position allows the healthy breast to stay closer to the body, better isolating the target volume. Additionally, with the breast away from the body, the radiation to surrounding organs (heart, lungs) is minimized.
Respiratory Gating radiation therapy is a technique used in some radiation treatment plans, especially those targeting the chest and abdomen. The goal of radiation therapy is to pinpoint the tumor and spare surrounding healthy tissue; this technique takes into account the movement of the tumor due to breathing, pausing when the breath moves the tumor outside of the target field. This technique helps assure that treatment is delivered at the most optimal time throughout a respiratory cycle, allowing for smaller treatment volumes, increased radiation doses to the target and decreased radiation to healthy tissues surrounding treatment target.
Intensity Modulation Radiation Therapy (IMRT)
IMRT delivers a sculpted dose of radiation that matches the exact three-dimensional shape of the target. The goal of IMRT is to shape the radiation dose to avoid or reduce exposure to healthy tissue and limit the side effects of treatment.
Stereotactic Body Radiotherapy (SBRT)
SBRT is used to precisely treat tumors that are located anywhere in the body with pinpoint accuracy, allowing for significantly higher doses of radiation to be delivered in fewer treatments. SBRT treatments may take up to forty minutes to complete.
Stereotactic Radiosurgery (SRS)
SRS typically is a single-day, non-surgical radiation therapy that delivers a large dose of precisely placed high energy x-ray beams to shrink or control the growth of a tumor. Using advanced computer planning, radiation oncologists can maximize the effect of the radiation on the abnormal cells, sparing more normal tissue. SRS may be used as primary treatment or as a postoperative therapy.
High Dose Rate (HDR) Brachytherapy
HDR brachytherapy delivers radiation treatment from the inside as opposed to externally. This is done by inserting tubes, a catheter or other treatment devices into the target area and then inserting sealed radioactive sources to deliver the radiation treatments. Also known as internal radiation treatment.
Deep Inspiration Breath Holding Technique (DIBH)
DIBH is a simple and effective method of delivering radiotherapy to the left breast. A concern of left breast radiation treatment is incidental radiation to the heart. This technique has a patient hold air in their lungs for approximately 20 seconds at a time. During this time, radiotherapy treatment is delivered. By holding in a deep breath of air, the lungs expand and push the heart away from the treatment area. Additionally, the patient is more stable in position. Patients are always in control of their breathing and the delivery of the radiotherapy as the monitoring of breathing determines when the beam is activated. It is only activated when the correct position to held and maintained.
A radiopharmaceutical is a cancer drug that targets cancer cells and gives off radiation to kill these cells and spare healthy cells. Our team is highly trained and experienced at handling and delivering these life-saving but highly specialized drugs. We work closely with our multidisciplinary team to deliver the most effective dose of radiation while sparing as much healthy tissue as possible.