Prostate Cancer: Columbus CyberKnife Treatment Overview

495 Cooper Road Suite 125, Westerville, OH 43081 (614) 898-8300 www.columbusck.com

A
prostate
cancer
diagnosis
can
be
scary.

Learn
more
about
prostate
cancer
and
how
we
can
help.

Please
note:
We
encourage
consumers
to
thoroughly
review
and
understand
all
treatment
op8ons.

The
informa8on
presented
here
is
not
all-‐inclusive.
Rather,
it
represents
a
star8ng
point
to
learn

more
about
medical
condi8ons
and
treatment
op8ons.
There
is
no
subs,tute
for
consul,ng
a

medical
professional.


About
Prostate
Cancer

The
prostate
is
a
walnut-‐shaped
organ
in
a
man’s
lower

abdomen
that
controls
the
ﬂow
of
urine
and
semen

through
the
penis.
Prostate
cancer
is
among
the
leading

causes
of
cancer
death
among
American
men,
second

only
to
lung
cancer.

Risk
factors:

There
is
no
single
cause
of
prostate
cancer,
though
there

are
several
known
risk
factors:

•  Age
–
Risks
generally
increase
for
older
men.

•  Race
–
African-‐American
men
have
a
higher
risk
for

unknown
reasons.

•  Na?onality
–
Asian
men,
for
example,
have
a
lower

risk.

•  Diet
–
Red
meat
and
dairy
products
tend
to

increase
risk.
Several
studies
suggest
that
some

dietary
supplements
like
vitamin
E
and
lycopene

may
reduce
risk.

•  Lack
of
exercise

•  Family
history
of
prostate
cancer


What
are
symptoms
of
prostate
cancer?

•  Early-‐stage
prostate
cancer
usually
has
no
symptoms.
Older
men
may
experience
frequent
urinaHon,

though
it’s
likely
due
to
an
enlarged
prostate
in
a
condiHon
known
as
benign
prostaHc
hypertrophy,
or

BPH.
Pain
or
bleeding
is
not
commonly
associated
with
early
stages.

•  Prostate
cancer
is
suspected
if
men
have
an
elevated
level
of
a
substance
in
the
bloodstream
known

as
prostate
specific
anHgen
(PSA),
or
if
they
have
an
abnormality
like
a
nodule
found
during
a
digital

rectal
examinaHon.
A
prostate
cancer
diagnosis
is
confirmed,
however,
only
through
biopsy.

•  Urologists
usually
perform
biopsies
as
an
outpaHent
procedure.
An
ultrasound
probe
is
used
to
guide

a
needle
that
removes
10
to
12
small
Hssue
samples
from
different
parts
of
the
prostate
gland.

SomeHmes,
addiHonal
diagnosHc
tests
like
a
bone
scan,
CT
or
MRI
are
performed,
depending
on
the

specific
diagnosis.


How
does
CyberKnife
treat
prostate

cancer?

Prior
to
stereotacHc
body
radiosurgery
treatment

with
CyberKnife,
small
Hssue
markers
known
as

fiducials
are
implanted
in
the
prostate
to
help
the

CyberKnife
pinpoint
the
tumor
locaHon

throughout
each
treatment,
so
the
radiaHon

beams
can
be
locked
on
the
tumor.

About
a
week
later,
paHents
are
fiWed
with
a

custom
body
mold
of
soX
material
that
they
lie
on

during
treatments.
The
fiYng
process
is
painless.

The
treatment
process
includes:

I.  ConsultaHon
appointment

II.  Pretreatment
procedures

III.  CyberKnife
treatment

IV.  Follow-‐up


Consulta?on
and
Pretreatment
Procedures

Columbus
CyberKnife
physicians,
therapists
and
nurses
are
focused
on
your
individualized

treatment
plan:

•  You
will
meet
a
Columbus
CyberKnife
radiaHon
oncologist
to
decide
if
CyberKnife
treatment
is

appropriate
for
your
diagnosis.

•  Your
CyberKnife
team
will
decide
which
pretreatment
procedures
you
may
need
to
help

develop
your
treatment
plan.
These
could
include
a
CT
scan,
an
MRI,
laboratory
studies
or

Hssue
markers.

•  The
data
from
your
pretreatment
procedures
will
be
used
by
the
CyberKnife
team
to

determine
the
exact
size,
shape
and
locaHon
of
your
tumor.

•  This
informaHon
will
indicate
the
size
of
the
area
being
treated
with
radiaHon,
the
radiaHon

dose
and
criHcal
structures
where
radiaHon
exposure
should
be
minimized.


CyberKnife
Treatment

Typically
treatment
is
completed
within
ﬁve

sessions.
On
the
day
of
your
treatment:

1.  A
therapist
will
help
you
onto
the
treatment

table
and
ﬁt
the
body
mold.
PaHents
are

observed
throughout
the
treatment
on
closed-‐
circuit
television,
and
they
can
pause
treatment

at
any
Hme
by
waving
or
speaking
to
the

technicians.

2.  While
the
CyberKnife’s
advanced
tracking

system
accounts
for
movements
like
breathing,
FOR
YOUR
INFORMATION

you’re
asked
to
lie
sHll
during
treatments.
The
•  Treatment
procedures
take
about
30
–
90

system
periodically
takes
x-‐ray
images
and
minutes,
depending
on
the
complexity
of
your

compares
them
to
the
CT
scan
data
to
make
tumor.

•  PaHents
are
asked
to
wear
comfortable
clothing

sure
the
radiaHon
beam
is
locked
on
the
tumor.
during
CyberKnife
treatments.
Jewelry
is

acceptable
unless
it
is
close
to
the
area
being

3.  PaHents
can
usually
return
to
their
normal
treated.

rouHnes
once
the
treatment
is
complete.
•  Feel
free
to
bring
an
iPod®
or
your
favorite

music
CDs
with
you
on
the
day
of
your

treatment,
and
we
will
play
them
for
you
during

the
procedure.


Addi?onal
Resources


Our Center
Opened
in
2010,
Columbus
CyberKnife
has
treated
paHents
from
around
Ohio,
as
well
as
bordering
states,
such

as
West
Virginia.
Based
on
paHent
saHsfacHon
surveys,
Columbus
CyberKnife
has
scored
over
95%
in
all

categories
of
paHent
experience
measurement,
which
examines
various
factors
such
as
communicaHons
with

doctors
and
staﬀ,
quality
of
care
and
likelihood
of
recommending
the
facility
to
others.
Columbus
CyberKnife
is
a

service
of
Mount
Carmel
St.
Ann’s
Hospital
and
oﬀers
the
only
CyberKnife®
technology
available
in
the
central

Ohio
region.

If
you
or
a
loved
one
is
diagnosed
with
prostate
cancer,
contact
Columbus
CyberKnife
to
schedule
a
consultaHon

with
our
physicians
to
determine
the
best
next
step
for
your
treatment
needs.

Medical
Director:
Dr.
Douglas
Widman

Radia?on
Oncologist:
Dr.
Abhay
Gokhale

Connect
with
us


Prostate Cancer: Columbus CyberKnife Treatment Overview

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Prostate Cancer: Columbus CyberKnife Treatment Overview