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Radiotherapy

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  • Radiation Therapy is available to hit selectively malignant tissue, using "Smart Ray" that allow identifying with precision the target tumor, saving the surronding healthy tissues, preserving the organs and their functions, reducing the treatments duration.
  • IEO Radiotherapy is equipped with the new generation machines able to perform high precision treatment by employing intensity modulation, image guidance, stereotacticapproach, intraoperative irradiation and brachitherapy.

 

Our Activities

The Division has the latest equipment available for the highprecision radiotherapy like Intensity Modulated Radiotherapy (IMRT, including dynamic arc IMRT using RapidArc technology), Image-Guided Radiotherapy (IGRT), respiratory gating, intra- and extra-cranial stereotactic radiotherapy and 3-D conformal radiotherapy. High precision radiotherapy allows for excellent tumor targeting and maximum sparing of normal tissue. In consequence, several clinical protocols with dose escalation and accelerated hypofractionated schedules (higher dose per fraction, leading to the reduction of the overall treatment time) have been activated. In particular, the FAST project (Frazionamenti Accelerati dello Schema Terapeutico, i.e. Accelerated Fractionation of the Therapeutic Schedule) has been applied to the breast, prostate cancer and other cancers.

Brachytherapy Unit is a full-profile unit equipped with both low-, pulsed- and high dose rate systems. The unit is committed to the integrated approach in the field of
radiotherapy. The Department collaborates with the National Centre for Oncological Hadrontherapy (CNAO) in Pavia for the definition of the clinical research protocols on the particle therapy in selected cancer patients.

Educational activities of the Division include in-department teaching for pre- and postgraduate medicine, physics and biotechnology students and radiology & radiotherapy technicians RTTs (University of Milan and Politecnico of Milan). In research activities of the Division the emphasis is placed on breast cancer, urological tumors and head and neck and other adult solid tumors. The main accent is focused on the combined modality approach, high precision radiotherapy, hypofractionation and ablative radiotherapy, oligometastatic disease and new prognostic and predictive factors. Last but not least, quality of life and reduction of radiotherapy toxicity is extensively studied.

The Division includes the following unit: Brachitherapy Unit

  • Our staff
     

    Radiotherapy

    Director

    Barbara Alicja Jereczek

    Staff Radiotherapy

  • offered treatments
    • Cyberknife System - This is a miniature linac dedicated to robot-assisted radiosurgery i.e. delivery of a single high dose of radiation, stereotactically directed to the target. Robotic arm enables the system to deliver radiation from many different directions, verifying instantaneously the target position. This non-invasive, frameless, high precision (submillimetric accuracy) approach allows delivery of the ablative dose to any part of the human body. In IEO, CyberKnife is employed for radiosurgery of primary and metastatic cranial and spine tumors, selected tumors of lung, pancreas, liver and other abdomino-pelvic malignancies.

    • Vero System - This is the world's first real-time dynamic tracking irradiation system that is capable of accurately tracking the position of tumors that move inside patient's body due to respiration, for example, and thereby enables highly precise, uninterrupted X-ray irradiation to the targeted tumor. In a short time irradiation can be precisely delivered to several moving targets. In IEO, Vero is employed in the management of prostate cancer, and small thoracic or abdomino-pelvic primary or metastatic tumors.

    • TomoTherapy - This is a novel system that combines CT imaging with a radiation treatment delivery system that administers the dose slice-by-slice. With this unique design, the intensity of the radiation beam delivered conforms to the patient’s tumor and helps avoid critical structures as the machine rotates 360 degrees around the patient. Large and irregularly shaped areas may be adequately treated. In IEO, TomoTherapy is employed for the postoperative breast radiotherapy as a single treatment or combined with introperative radiation boost (given during breast surgery).

    • Trilogy™ System - This advanced radiotherapy versatile technology enables several irradiation modalities, including RapidArc approach (Volumetric Modulated Arc Therapy). By using real-time diagnostic data, the sculpted radiation beam pinpoints the tumor and protects the surrounding healthy tissue, while minimizing the patient's time on the treatment table. High precision radiation is delivered two to eight times faster than any other system making the experience more comfortable for the patient. In IEO, Trilogy is employed for the head and neck cancer tumors (enabling parotid sparing approach) and for large pelvic volumes (gynecological, urological or intestinal malignancies when pelvic lymph nodes irradiation is necessary).

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  • CLINICAL TRIALS IN EVIDENCE
  • publications

PARTNERSHIP

Università degli Studi di Milano Ecancer Medical Science IFOM-IEO Campus

CREDITS

Ministero della Salute Joint Commission International Breastcertification bollinirosa

© 2013 Istituto Europeo di Oncologia - via Ripamonti 435 Milano - P.I. 08691440153

IRCCS - ISTITUTO DI RICOVERO E CURA A CARATTERE SCIENTIFICO

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