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Aus$n	
  CyberKnife	
  is	
  a	
  department	
  of	
  University	
  Medical	
  Center	
  Brackenridge.	
  



1400 North IH 35 Austin, TX 78701                          (512) 324-8060                        www.austincyberknife.com
What is CyberKnife?
The	
  world’s	
  only	
  robo/c	
  radiosurgery	
  system,	
  CyberKnife	
  treats	
  
pa/ents	
  with	
  a	
  procedure	
  called	
  stereotac(c	
  radiosurgery.	
  
Stereotac/c	
  radiosurgery	
  is	
  a	
  noninvasive	
  method	
  of	
  trea/ng	
  tumors	
  
with	
  high-­‐dose	
  radia/on	
  precisely	
  aimed	
  from	
  different	
  angles.	
  	
  


How	
  does	
  CyberKnife	
  work?	
  

CyberKnife	
  does	
  not	
  require	
  surgery	
  and	
  there	
  is	
  no	
  cu7ng	
  
or	
  anesthesia	
  required.	
  Comprised	
  of	
  a	
  compact	
  linear	
  
accelerator	
  -­‐	
  a	
  machine	
  that	
  generates	
  a	
  radia/on	
  beam	
  -­‐	
  
aDached	
  to	
  a	
  highly	
  maneuverable	
  robo/c	
  arm.	
  	
  
	
  
•  The	
  machine’s	
  robo/c	
  arm	
  moves	
  around	
  you,	
  aiming	
  
       and	
  firing	
  target	
  radia/on	
  beams	
  from	
  numerous	
  angles.	
  
•  The	
  imaging	
  and	
  tracking	
  system	
  con/nually	
  updates	
  the	
  
       tumor	
  loca/on	
  throughout	
  the	
  treatment	
  procedure,	
  
       compensa/ng	
  for	
  pa/ent	
  movements	
  like	
  breathing.	
  
•  Treatment	
  sessions	
  typically	
  last	
  30-­‐90	
  minutes.	
  




              1400 North IH 35 Austin, TX 78701                              (512) 324-8060      www.austincyberknife.com
1400 North IH 35 Austin, TX 78701   (512) 324-8060   www.austincyberknife.com
Why Choose CyberKnife?
                                                      CyberKnife	
                Conven(onal	
                  Linac	
                     Proton	
  Therapy	
  
                                                      Stereotac(c	
               Radia(on	
                     Stereotac(c	
  
                                                      Radiosurgery	
              Therapy	
                      Radiosurgery	
  
                            Daily	
  dose	
                   5.0-­‐2.0	
  	
              1.8-­‐3.0	
  	
               5.0-­‐20	
  	
              1.8-­‐2.0	
  	
  
                                                       Gy	
  per	
  frac/on	
       Gy	
  per	
  frac/on	
        Gy	
  per	
  frac/on	
      Gy	
  per	
  frac/on	
  
                            Number	
  of	
  
                                                            3-­‐5	
  days	
            6-­‐7	
  weeks	
                3-­‐5	
  days	
           6-­‐7	
  weeks	
  
                            treatments	
  
                            Accuracy	
  ((ssue	
                                        20-­‐30	
                                                 20-­‐30	
  
                                                       1.5	
  millimeters	
                                       1-­‐5	
  millimeters	
  
                            margin)	
                                                 millimeters	
                                             millimeters	
  
                            Number	
  of	
  
                            radia(on	
  beams	
   100-­‐200+	
  beams	
                2-­‐7	
  beams	
             5-­‐15	
  beams	
            2-­‐3	
  beams	
  


                            Con(nuous	
  
                            correc(on	
  for	
  
                            breathing	
  and	
                  YES	
                        NO	
                          NO	
                        NO	
  
                            movement	
  



•    Treats	
  pa/ents	
  in	
  as	
  few	
  as	
  one	
  to	
  five	
  visits	
                  •          Reaches	
  most	
  tumors	
  from	
  virtually	
  unlimited	
  
•    Pain	
  free	
  and	
  requires	
  no	
  anesthesia	
                                                  direc/ons	
  with	
  robo/c	
  mobility	
  
•    Minimal	
  side	
  effects	
                                                                 •          Minimizes	
  radia/on	
  exposures	
  to	
  surrounding	
  
•    Outpa/ent	
  procedure	
  	
                                                                           healthy	
  /ssue	
  
•    Constantly	
  corrects	
  for	
  tumor	
  or	
  pa/ent	
  	
  	
                            •          Lesions	
  previously	
  treated	
  with	
  maximum	
  allowed	
  
     movement	
  throughout	
  procedures	
                                                                 radia/on	
  doses	
  may	
  be	
  treated	
  



               1400 North IH 35 Austin, TX 78701                                          (512) 324-8060                                   www.austincyberknife.com
What does CyberKnife treat?
                                         •    Arteriovenous	
  malforma/on	
  
                                         •    Bone	
  metastases	
  
                                         •    Brain	
  tumors	
  
                                                 •  Acous/c	
  neuroma	
  
                                                 •  Brain	
  metastases	
  
                                                 •  Gliomas	
  
                                                          •  Astrocytoma	
  
                                                          •  Glioblastoma	
  mul/forme	
  
                                                          •  Glioma	
  
                                                          •  oligodendroglioma	
  
                                                 •  Meningioma	
  
                                                 •  Pituitary	
  adenoma	
  
                                         •    Kidney	
  tumors	
  
                                         •    Liver	
  tumors	
  
                                         •    Lung	
  tumors	
  
                                         •    Ocular/orbital	
  tumors	
  
                                         •    Prostate	
  cancer	
  
                                         •    Pancrea/c	
  cancer	
  
                                         •    Spinal	
  tumors	
  
                                         •    Trigeminal	
  neuralgia	
  



1400 North IH 35 Austin, TX 78701   (512) 324-8060            www.austincyberknife.com
What is the treatment process?
          Consulta/on	
                                   Meet	
  with	
  the	
  
                                                                                                   Create	
  an	
  
                                                                                                 individualized	
  
          Appointment	
                                  CyberKnife	
  team	
  
                                                                                                treatment	
  plan 	
  	
  




           Poten/al	
                                                                                                                                                       Tissue	
  Markers	
  
         Pretreatment	
                                       	
  CT	
  Scan	
                         	
  MRI	
                        Lab	
  Studies	
                 (extracranial	
  tumors	
  
                                                                                                                                                                               or	
  lesions)	
  
         Procedures*	
  
                                                                                                                                   The	
  advanced	
  tracking	
  
                                                                                                 CyberKnife’s	
                      system	
  takes	
  x-­‐ray	
  
            CyberKnife	
                                 Technicians	
  help	
  
                                                           you	
  onto	
  the	
  
                                                                                              robo/c	
  arm	
  moves	
  
                                                                                               around	
  you	
  firing	
  
                                                                                                                                    images	
  to	
  ensure	
  the	
  
                                                                                                                                                                                If	
  needed,	
  the	
  
                                                                                                                                                                              pa/ent	
  returns	
  for	
  

            Treatment	
                                  treatment	
  table	
                 targeted	
  radia/on	
  
                                                                                                    beams	
  
                                                                                                                                       radia/on	
  beam	
  
                                                                                                                                   remains	
  locked	
  on	
  the	
  
                                                                                                                                                                                 up	
  to	
  4	
  more	
  
                                                                                                                                                                                  treatments.	
  
                                                                                                                                             tumor	
  



                                                        Follow-­‐up	
  imaging	
  
                                                           and	
  physical	
  
             Follow-­‐up	
                               consulta/on	
  to	
  
                                                         monitor	
  tumor’s	
  
                                                             progress	
  




*The	
  procedures	
  required	
  as	
  part	
  of	
  your	
  individualized	
  treatment	
  plan,	
  and	
  the	
  order	
  in	
  which	
  they	
  will	
  occur,	
  will	
  be	
  explained	
  during	
  
your	
  consulta/on	
  visit.	
  



                     1400 North IH 35 Austin, TX 78701                                         (512) 324-8060                            www.austincyberknife.com
Our Center
Opened	
  in	
  2011,	
  Aus/n	
  CyberKnife	
  was	
  the	
  first	
  in	
  the	
  greater	
  Aus/n	
  area,	
  as	
  well	
  as	
  the	
  central	
  Texas	
  region,	
  to	
  
offer	
  CyberKnife	
  treatment	
  giving	
  our	
  physicians	
  the	
  most	
  experience	
  trea/ng	
  pa/ents	
  with	
  stereotac/c	
  
radiosurgery	
  treatment.	
  We	
  are	
  one	
  of	
  the	
  first	
  centers	
  in	
  the	
  world	
  to	
  install	
  the	
  Lung	
  Op/miza/on	
  Treatment	
  
(LOT)	
  system,	
  which	
  expands	
  our	
  ability	
  to	
  treat	
  lung	
  tumors	
  in	
  certain	
  types	
  of	
  pa/ents.	
  Although	
  CyberKnife	
  
treatment	
  does	
  not	
  require	
  anesthesia,	
  our	
  center	
  is	
  one	
  of	
  the	
  only	
  facili/es	
  in	
  the	
  country	
  that	
  provides	
  
general	
  anesthesia	
  for	
  pa/ents	
  who	
  may	
  need	
  to	
  be	
  sedated	
  during	
  treatment.	
  
	
  
Aus/n	
  CyberKnife	
  is	
  a	
  department	
  of	
  University	
  Medical	
  Center	
  Brackenridge.	
  The	
  hospital	
  is	
  a	
  member	
  of	
  the	
  
Seton	
  Healthcare	
  Family,	
  which	
  is	
  a	
  Na/onal	
  Cancer	
  Ins/tute	
  Community	
  Cancer	
  Centers	
  Program	
  site.	
  	
  


                                                                                                  Medical	
  Director:	
  Dr.	
  Doug	
  Rivera	
  
                                                                                                  	
  
                                                                                                  CyberKnife	
  Nurse:	
  Lori	
  Eitelbach,	
  RN	
  
                                                                                                  	
  
                                                                                                  Medical	
  Physicist:	
  Jim	
  Hevezi,	
  PhD	
  
                                                                                                  	
  
                                                                                                  Connect	
  with	
  us	
  
                                                                                                  	
  




              1400 North IH 35 Austin, TX 78701                                 (512) 324-8060                       www.austincyberknife.com
The US Radiosurgery Network



In	
  partnership	
  with	
  University	
  Medical	
  Center	
  Brackenridge,	
  Aus/n	
  CyberKnife	
  is	
  a	
  US	
  Radiosurgery	
  facility.	
  
	
  
Based	
  in	
  Nashville,	
  Tennessee,	
  US	
  Radiosurgery	
  is	
  a	
  division	
  of	
  Alliance	
  Oncology	
  and	
  partners	
  with	
  hospitals	
  
and	
  physician	
  groups	
  around	
  the	
  U.S.	
  to	
  develop	
  and	
  operate	
  full-­‐body	
  radiosurgical	
  centers.	
  	
  
	
  
Collec(vely,	
  the	
  US	
  Radiosurgery	
  network	
  of	
  centers	
  has	
  treated	
  thousands	
  of	
  pa(ents	
  since	
  the	
  opening	
  of	
  
the	
  company’s	
  first	
  center	
  in	
  2003.	
  The	
  group	
  of	
  facili/es	
  is	
  ac/vely	
  engaged	
  in	
  research,	
  with	
  physicians	
  
regularly	
  presen/ng	
  papers	
  and	
  authoring	
  ar/cles	
  related	
  to	
  the	
  efficacy	
  of	
  CyberKnife	
  treatment	
  for	
  various	
  
types	
  of	
  tumors	
  and	
  lesions.	
  Tumors	
  of	
  the	
  lung,	
  brain	
  and	
  prostate,	
  as	
  well	
  as	
  certain	
  func/onal	
  disorders	
  such	
  
as	
  trigeminal	
  neuralgia,	
  have	
  become	
  key	
  treatment	
  areas	
  throughout	
  the	
  network	
  of	
  centers.	
  
	
  




            1400 North IH 35 Austin, TX 78701                              (512) 324-8060                       www.austincyberknife.com

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Austin CyberKnife

  • 1. Aus$n  CyberKnife  is  a  department  of  University  Medical  Center  Brackenridge.   1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com
  • 2. What is CyberKnife? The  world’s  only  robo/c  radiosurgery  system,  CyberKnife  treats   pa/ents  with  a  procedure  called  stereotac(c  radiosurgery.   Stereotac/c  radiosurgery  is  a  noninvasive  method  of  trea/ng  tumors   with  high-­‐dose  radia/on  precisely  aimed  from  different  angles.     How  does  CyberKnife  work?   CyberKnife  does  not  require  surgery  and  there  is  no  cu7ng   or  anesthesia  required.  Comprised  of  a  compact  linear   accelerator  -­‐  a  machine  that  generates  a  radia/on  beam  -­‐   aDached  to  a  highly  maneuverable  robo/c  arm.       •  The  machine’s  robo/c  arm  moves  around  you,  aiming   and  firing  target  radia/on  beams  from  numerous  angles.   •  The  imaging  and  tracking  system  con/nually  updates  the   tumor  loca/on  throughout  the  treatment  procedure,   compensa/ng  for  pa/ent  movements  like  breathing.   •  Treatment  sessions  typically  last  30-­‐90  minutes.   1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com
  • 3. 1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com
  • 4. Why Choose CyberKnife? CyberKnife   Conven(onal   Linac   Proton  Therapy   Stereotac(c   Radia(on   Stereotac(c   Radiosurgery   Therapy   Radiosurgery   Daily  dose   5.0-­‐2.0     1.8-­‐3.0     5.0-­‐20     1.8-­‐2.0     Gy  per  frac/on   Gy  per  frac/on   Gy  per  frac/on   Gy  per  frac/on   Number  of   3-­‐5  days   6-­‐7  weeks   3-­‐5  days   6-­‐7  weeks   treatments   Accuracy  ((ssue   20-­‐30   20-­‐30   1.5  millimeters   1-­‐5  millimeters   margin)   millimeters   millimeters   Number  of   radia(on  beams   100-­‐200+  beams   2-­‐7  beams   5-­‐15  beams   2-­‐3  beams   Con(nuous   correc(on  for   breathing  and   YES   NO   NO   NO   movement   •  Treats  pa/ents  in  as  few  as  one  to  five  visits   •  Reaches  most  tumors  from  virtually  unlimited   •  Pain  free  and  requires  no  anesthesia   direc/ons  with  robo/c  mobility   •  Minimal  side  effects   •  Minimizes  radia/on  exposures  to  surrounding   •  Outpa/ent  procedure     healthy  /ssue   •  Constantly  corrects  for  tumor  or  pa/ent       •  Lesions  previously  treated  with  maximum  allowed   movement  throughout  procedures   radia/on  doses  may  be  treated   1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com
  • 5. What does CyberKnife treat? •  Arteriovenous  malforma/on   •  Bone  metastases   •  Brain  tumors   •  Acous/c  neuroma   •  Brain  metastases   •  Gliomas   •  Astrocytoma   •  Glioblastoma  mul/forme   •  Glioma   •  oligodendroglioma   •  Meningioma   •  Pituitary  adenoma   •  Kidney  tumors   •  Liver  tumors   •  Lung  tumors   •  Ocular/orbital  tumors   •  Prostate  cancer   •  Pancrea/c  cancer   •  Spinal  tumors   •  Trigeminal  neuralgia   1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com
  • 6. What is the treatment process? Consulta/on   Meet  with  the   Create  an   individualized   Appointment   CyberKnife  team   treatment  plan     Poten/al   Tissue  Markers   Pretreatment    CT  Scan    MRI   Lab  Studies   (extracranial  tumors   or  lesions)   Procedures*   The  advanced  tracking   CyberKnife’s   system  takes  x-­‐ray   CyberKnife   Technicians  help   you  onto  the   robo/c  arm  moves   around  you  firing   images  to  ensure  the   If  needed,  the   pa/ent  returns  for   Treatment   treatment  table   targeted  radia/on   beams   radia/on  beam   remains  locked  on  the   up  to  4  more   treatments.   tumor   Follow-­‐up  imaging   and  physical   Follow-­‐up   consulta/on  to   monitor  tumor’s   progress   *The  procedures  required  as  part  of  your  individualized  treatment  plan,  and  the  order  in  which  they  will  occur,  will  be  explained  during   your  consulta/on  visit.   1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com
  • 7. Our Center Opened  in  2011,  Aus/n  CyberKnife  was  the  first  in  the  greater  Aus/n  area,  as  well  as  the  central  Texas  region,  to   offer  CyberKnife  treatment  giving  our  physicians  the  most  experience  trea/ng  pa/ents  with  stereotac/c   radiosurgery  treatment.  We  are  one  of  the  first  centers  in  the  world  to  install  the  Lung  Op/miza/on  Treatment   (LOT)  system,  which  expands  our  ability  to  treat  lung  tumors  in  certain  types  of  pa/ents.  Although  CyberKnife   treatment  does  not  require  anesthesia,  our  center  is  one  of  the  only  facili/es  in  the  country  that  provides   general  anesthesia  for  pa/ents  who  may  need  to  be  sedated  during  treatment.     Aus/n  CyberKnife  is  a  department  of  University  Medical  Center  Brackenridge.  The  hospital  is  a  member  of  the   Seton  Healthcare  Family,  which  is  a  Na/onal  Cancer  Ins/tute  Community  Cancer  Centers  Program  site.     Medical  Director:  Dr.  Doug  Rivera     CyberKnife  Nurse:  Lori  Eitelbach,  RN     Medical  Physicist:  Jim  Hevezi,  PhD     Connect  with  us     1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com
  • 8. The US Radiosurgery Network In  partnership  with  University  Medical  Center  Brackenridge,  Aus/n  CyberKnife  is  a  US  Radiosurgery  facility.     Based  in  Nashville,  Tennessee,  US  Radiosurgery  is  a  division  of  Alliance  Oncology  and  partners  with  hospitals   and  physician  groups  around  the  U.S.  to  develop  and  operate  full-­‐body  radiosurgical  centers.       Collec(vely,  the  US  Radiosurgery  network  of  centers  has  treated  thousands  of  pa(ents  since  the  opening  of   the  company’s  first  center  in  2003.  The  group  of  facili/es  is  ac/vely  engaged  in  research,  with  physicians   regularly  presen/ng  papers  and  authoring  ar/cles  related  to  the  efficacy  of  CyberKnife  treatment  for  various   types  of  tumors  and  lesions.  Tumors  of  the  lung,  brain  and  prostate,  as  well  as  certain  func/onal  disorders  such   as  trigeminal  neuralgia,  have  become  key  treatment  areas  throughout  the  network  of  centers.     1400 North IH 35 Austin, TX 78701 (512) 324-8060 www.austincyberknife.com