Today, about half of patients onkologichskimi diseases are cancer treatment by radiation therapy. This treatment, which was developed at the turn of the 20th century, uses the power of radiation to kill cancer cells, while trying to avoid harm to nearby healthy tissue.

Radiation therapy of cancer in Israel has come a long way since the beginning of its application. Recent advances have allowed doctors to develop a more secure and fast method called hypofractionated radiation therapy, and it helps physicians reduce the radiation courses almost doubled, significantly reducing the total number of radiation therapy, the patient required. With fewer sessions of radiotherapy, can improve patients' quality of life - a smaller number of treatments can mean fewer nasty side effects such as skin irritation, loss of appetite, nausea, and fatigue, which are often associated with cancer treatment. It also means fewer trips to the Cancer Center.

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In some cases, a higher dose received with fewer sessions may be more effective cancer treatment.

While conventional radiotherapy delivers a small amount of radiation to the patient for nine weeks, hypofractionated radiation therapy delivers high doses of radiation or fractions often about five weeks, and sometimes just a few days. Stereotactic radiation therapy (SBRT), accurate form by high-hypofractionated radiation therapy, allowing physicians to treat cancer just one to five treatments.

Partially, fast ray procedures are effective, because the advanced technology is helping physicists to calculate the correct dose, and precise positioning of the patient to receive it, so that light rays are focused only on the tumor. The goal is to leave as much healthy surrounding cells intact radiation.

The ability to maintain the patient's quality of life improves with every achievement in the field of radiation technology.

Achievements include the high-tech computer software technology that helps to protect neighboring parts of the body from radiation and 4-D scan for treatment planning. This ability is better than it was five years ago, and a major breakthrough beyond what was available 10 years ago

However, the rapid radiation therapy is not an option for all patients or even all types of cancer. Radiation oncologists gipofraktsionirovanie prescribed for patients undergoing treatment for prostate cancer, the treatment of cancer of the gastrointestinal tract, lung and breast cancer.

Treatment for prostate cancer in Israel

Treatment time: the standard treatment for prostate cancer in Israel - a course of 44 procedures carried out for nine weeks. When hypofractionated radiotherapy patients prescribed five treatments over two weeks.

New developments: Radiation therapy is a common treatment for prostate cancer. However, radiation can damage the rectum, which is close to the prostate gland. Important is the protection of the rectum; if it is damaged, a person may experience incontinence.

New technologies "opened the door" for a safe and rapid treatment of prostate cancer. One of them, SpaceOAR, which is essentially a gel-spacer, which helps to keep the rectum from the prostate during radiation therapy. This creates another layer of security - it is possible to place the liquid between the prostate and rectum, effectively protecting the rectum from very high doses of radiation.

Israeli doctors also use advanced technology to track the natural motion of the prostate during radiation therapy. This 4-D tracking system, which uses micro-sized transponders, which are implanted into the prostate urologist during fast outpatient procedure. If the prostate moves during treatment, transponders, "sounding the alarm", which warns team of Radiation Oncology. Treatment stops automatically as long as the technicians do not make the necessary adjustments in order to protect the area around the prostate, especially the rectum and bladder.

The combination of advanced technology and a radio frequency SpaceOAR tracking allows a high degree of protection to conduct SBRT prostate.

Suitable for: fast radiotherapy (hypofractionated radiotherapy) is suitable for most patients undergoing prostate cancer treatment in Israel. Exceptions are male with severe symptoms urine (faster treatment has somewhat higher short-term adverse effects on micturition orgaby, e.g., inflammation and obstruction of the bladder). In addition, this method is not used for men who need androgen deprivation therapy (hormone therapy, which suppresses testosterone), or who need radiation to the regional lymph nodes.

Treatment of gastrointestinal cancer in Israel

Processing Time: Cancer of the gastrointestinal tract occurs in the esophagus, stomach, biliary system, pancreas, small intestine, colon, rectum and anus. Going through the treatment of gastric cancer in Israel or treatment of colon cancer in Israel by standard radiotherapy patients receive treatment five days a week for about six weeks. However SBRT reduces the number of treatments to five, high dose. This more rapid approach to cancer treatment of the gastrointestinal tract in Israel also eliminates the need for concurrent chemotherapy.

New developments: the use of four-kompyuternozh imaging for treatment planning - essentially a video showing the movement of the tumor as the patient breathes, the 4-dimensional planning CT scans make it possible to focus the radiation field on the exact area that is occupied by the tumor at the time of the respiratory cycle. technologies are also used to limit the movement of the tumor and to monitor the respiration of tumor motion during treatment.

Suitable for: for patients who did not receive chemotherapy, SBRT is a treatment option for cancer gastrointestinal tract in Israel where no pancreatic cancer or it can be partially removed during surgery or for patients who can not perform the surgery for other medical reasons . It is also an option for patients with re tumor in the same region after the surgery. SBRT also used in patients with primary liver tumors (such as hepatocellular carcinoma and cholangiocarcinoma), and patients with a limited number of liver metastases.

lung cancer treatment in Israel

Time of treatment: the early stages of treatment of lung cancer in Israel by standard radiation therapy is about seven weeks of radiation. This time can be reduced to three to five treatments over two weeks, and patients with advanced cancer who do not metastasize, can be treated for about four weeks.

New developments: the use of high-precision imaging technology allows you to more accurately target the radiation to the tumor, which enables you to deliver higher doses of radiation in a shorter number of courses.

Suitable for: patients with cancer, limited nursing department, who are not going to take chemotherapy, may be candidates for radiation therapy gipofraktsionnuyu.

Treatment of breast cancer

Treatment time standard for early stage breast cancer treatment in Israel consists either of a mastectomy, or for preserving chest (also known as breast conservation surgery or lumpektomiya), followed by five to seven weeks breast irradiation. For some patients, it is now recommended gipofraktsionnaya radiotherapy. Side effects of treatment with a short course also equivalent if not better than the standard treatment.

treatment hypofractionated radiation therapy for breast cancer is to deliver several large daily dose of radiation five days a week, with about 15 fractions over four weeks instead of 33 fractions over seven weeks. "Ultimately, the total dose received at hypofractionated therapy, and gives equivalent results and similar side effects.

New developments: technology called Deep Inspiration Breath-Hold (DIBH) makes thoracic radiotherapy safer for patients with left-sided breast cancer, reducing the effects of radiation on the heart. When the radiation is aimed at the entire breast or chest wall radiation beam destroys the whole fabric with which it is in contact. In patients with left-sided breast cancer of the heart and lungs are located under the rib cage, sometimes exposed to the radiation beam. When using the method DIBH radiation is applied only when the patient takes a deep breath, and in the exact position that expands the chest and safely moves the heart out of the impact zone of the radiation beam.

Suitable for: hypofractionated breast irradiation is the preferred method of treatment for a select group of patients with early breast cancer.

Due hypofractionated radiotherapy cancer treatment becomes faster and easier for patients with prostate cancer, gastrointestinal tract, lung and breast cancer. And is currently undergoing clinical trials to determine whether a faster treatment time to effectively treat other types of cancer.

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