Brain Tumors: CyberKnife Center of Chicago Treatment Overview

200 Berteau Avenue, Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com

A
brain
tumor
diagnosis
can
be
scary.

Learn
more
about
brain
tumors
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.


What
is
a
brain
tumor?

A
brain
tumor
is
an
abnormal
growth
of

cells
within
the
brain
or
the
central
spinal

canal
that
can
be
cancerous
or
benign.

Brain
tumors,
even
malignant
ones,
are

not
necessarily
fatal.
However,
any
brain

tumor
should
be
considered
a
serious

health
condi;on.

Brain
tumors
can
be
primary
(origina;ng

in
the
brain
or
spinal
cord)
or
metasta<c

(origina;ng
in
another
part
of
the
body

and
spreading
to
the
brain).


•  Headaches

•  Vomi;ng

•  Vision
problems

•  Altered
states
of
consciousness

•  Impaired
judgment

•  Memory
loss

•  Lack
of
recogni;on

•  Spa;al
orienta;on
disorders

•  An
impaired
sense
of
touch,
hearing,

vision
or
smell

•  Personality
or
emo;onal
changes

•  Weakness
on
one
side
of
the
body
or

facial
paralysis

•  Speech
and
language
impairment

•  Abnormal
fa;gue

•  Tremors
or
epilep;c
seizures

What
are
symptoms
of
a
brain
tumor?


•  Acous<c
Neuroma:
A
benign,
slow-‐growing
tumor
type,
acous;c
neuromas
aﬀect
the

seventh
and
eighth
cranial
nerves
in
a
part
of
the
brain
known
as
the
cerebellar-‐pon;ne

angle.

•  Brain
Metastases:
A
brain
metastasis
is
a
brain
tumor
that
develops
from
cancer
cells

that
spread
from
another
cancerous
tumor
in
the
body,
usually
through
the
bloodstream.

•  Glioma:
A
glioma
is
a
class
of
tumor
that
develops
from
glial
cells
in
the
brain
that

support
and
protect
neurons.
Astrocytes,
ependymal
and
oligodendroglial
cells
are
all

examples
of
glial
cells.
Includes:
Astrocytoma,
Glioblastoma
Mul;forme,
Glioma,

Oligodendroglioma.

•  Meningioma:
A
benign
tumor
located
on
the
brain
surface
rather
than
within
brain

;ssue.

•  Pituitary
Adenoma:
Located
at
the
base
of
the
skull,
the
pituitary
gland
serves
as
the

body’s
control
center
for
hormones.
Pituitary
adenomas
are
slow-‐growing,
benign

tumors
within
the
gland.

What
types
of
brain
tumors
exist?


How
does
CyberKnife
treat
brain
tumors?

CyberKnife
has
the
ability
to
treat
acous;c

neuromas,
brain
metastases,
gliomas,

meningiomas
and
pituitary
adenomas

with
stereotac;c
radiosurgery.

The
treatment
process
includes:

I.  Consulta;on
appointment

II.  Pretreatment
procedures

III.  CyberKnife
treatment

IV.  Follow-‐up

Unlike
some
radiosurgery
systems,
the
CyberKnife
doesn’t
use
an
invasive
head
frame.
Other

radiosurgery
systems
are
capable
of
high-‐dose
radia;on
treatment
with
a
variety
of
radia;on

sources.
However,
some
use
a
metal
frame
aTached
to
the
pa;ent’s
skull
with
screws
that

immobilizes
the
head
to
accurately
target
the
tumor.


Consulta<on
and
Pretreatment
Procedures

CyberKnife
Center
of
Chicago
physicians,
therapists
and
nurses
are
focused
on
your
individualized

treatment
plan
to
determine
whether
CyberKnife
is
right
for
you:

•  You
will
meet
with
a
radia;on
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

;ssue
markers.

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

determine
the
exact
size,
shape
and
loca;on
of
your
tumor.

•  This
informa;on
will
indicate
the
size
of
the
area
being
treated
with
radia;on,
the
radia;on

dose
and
cri;cal
structures
where
radia;on
exposure
should
be
minimized.


CyberKnife
Treatment

Typically,
treatment
is
completed
in
one
session,

but
could
take
up
to
ﬁve
sessions
depending
on
the

individual
diagnosis.
On
the
day
of
your
treatment:

1.  A
therapist
will
help
you
onto
the
treatment

table
and
ﬁt
the
mask.
Pa;ents
are
observed

throughout
the
treatment
on
closed-‐circuit

television,
and
they
can
pause
treatment
at
any

;me
by
waving
or
speaking
to
the
therapists.

2.  While
the
CyberKnife’s
advanced
tracking

system
accounts
for
movements
like
breathing,

you’re
asked
to
lie
s;ll
during
treatments.
The

system
periodically
takes
x-‐ray
images
and

compares
them
to
the
CT
scan
data
to
check

that
the
radia;on
beam
is
locked
on
the
tumor.

3.  Pa;ents
can
usually
return
to
their
normal

rou;nes
once
the
treatment
is
complete.

FOR
YOUR
INFORMATION

•  Treatment
procedures
take
about
30
–
90

minutes,
depending
on
the
complexity
of
your

tumor.

•  Pa;ents
are
asked
to
wear
comfortable
clothing

during
CyberKnife
treatments.
Jewelry
is

acceptable
unless
it
is
close
to
the
area
being

treated.

•  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
CyberKnife
Center
of
Chicago
opened
in
August
2009
and
brings
together
experienced

physicians
and
the
latest
medical
advances.

Our
state-‐of-‐the-‐art
technology
oﬀers

hope
to
pa;ents
in
the
Chicago
suburbs
and
beyond.
Two-‐thirds
of
our
pa;ents
have

come
from
outside
Elmhurst
Memorial
Hospital’s
service
area,
and
we’ve
treated

pa;ents
from
as
far
away
as
Montana
and
South
Carolina.

CyberKnife
Center
of
Chicago’s
hospital
partner,
Elmhurst
Memorial
Healthcare
broke

ground
on
the
Elmhurst
Memorial
Center
for
Cancer
Care,
which
will
be
home
to
the

center’s
new
loca;on
in
2013.
In
addi;on
to
the
CyberKnife
center,
the
30,000-‐foot

facility
will
also
house
the
medical
oncologist
oﬃces,
infusion
center
and
radia;on

oncology
services.

Medical
Director:
Dr.
Andy
Su

CyberKnife
Nurse:
Griselle
Romero

Medical
Physicist:
Christopher
Peck

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