Radiotherapy

Radiotherapy involves the treatment of cancer with radiation. The radiation used is similar to that used to take an X-ray picture but is more penetrating. Radiation is directed to the specific area of the body where the cancer is, with the aim of destroying cancer cells whilst avoiding the healthy cells. As with all treatments, radiotherapy can cause side effects and these are discussed with the patient before a course of treatment begins.

In our cancer unit, the majority of consultants use a daily treatment regime. This requires the patient to attend for radiotherapy daily Monday to Friday for several weeks. Each treatment is relatively short, lasting on average fifteen minutes.

Treatment is completely painless. Radiotherapy does not make you radioactive and you will be able to mix freely with family and friends. Your treatment team of therapy radiographers will be able to discuss any areas of concern.

The Harley Street Clinic has recently upgraded its radiotherapy services with two new state-of-the art linear accelerators to allow Image Guided Radiotherapy, including Respiratory Gating, Cone beam CT, and Kv Imaging.  RapidArc™ is also now fully operational on both machines and treatment times can be reduced to as little as 3 minutes.  One linear accelerator also has stereotactic capability which complements our other radiosurgical equipment, Gamma Knife® and CyberKnife®.

RapidArc delivers the radiation in a 360-degree arc around the patient enabling the beam to follow the contours of the tumour and reducing the amount of normal tissue being irradiated.

RapidArc is basically a different way of providing what is known as intensity-modulated radiation therapy, or IMRT.  This form of radiotherapy uses 3D scans of the patient and computer technology to determine the dose needed and then precisely deliver that dose to the tumour itself.

Such precision is important as it helps prevent the damage of healthy tissue. Another advantage is that patients undergoing the more accurate RapidArc treatment only have to remain still for three or four minutes, making radiotherapy a far more comfortable experience.
    
A dedicated CT Scanner is available for the planning preparation for radiotherapy treatments giving patients a speedy and uninterrupted pathway to beginning therapy.  The radiotherapy service is supported by a team of expert medical physicists and dosimetrists.

Other cancer treatments involving radiation provided at The Harley Street Clinic include Gamma Knife treatment for lesions within the skull and CyberKnife which can treat tumours that were previously very difficult and sometimes dangerous to treat.

** STOP PRESS  ** STOP PRESS **  STOP PRESS  **

GPS for the Body® - another first for The Harley Street Clinic radiotherapy service
Sufferers of prostate cancer get access to new guidance technology
 
The Harley Street Clinic has become the first private hospital in the UK to install the new Calypso® System. The system, combined with the latest radiotherapy technology, can deliver more accurate doses of radiation to a tumour than was previously possible - even with the most advanced linear accelerators.
 
With previous systems, physicists could position a beam accurately before treatment but during treatment with a patient and their organ moving, they had no idea just how precise the beam actually was. Now a tumour can be tracked in real time and faster than any other tracking system in the world.
 
The Calypso ‘GPS for the Body’ System uses miniature implanted Beacon® transponders to provide precise continuous real time tracking of a tumour during radiotherapy.  With conventional machines, as a patient or his prostate moves, the beam of radiation can miss its target, failing to administer the correct dose of radiation and sometimes adversely affecting surrounding tissue. In prostate cases this can lead to bladder, rectum and bowel damage but the new guidance system with its sub-millimetre accuracy, minimises accidental damage.
 
Linear accelerators, equipped with RapidArc®, deliver radiation doses much faster than any other linear accelerators and with the addition of the Calypso System, its delivery becomes more precise and effective.