1.Overstay more than package days, 2. Any other Specialty Consultations, 3. Special Equipment, 4. Additional Procedure/Surgery. 5. Blood Components.
What is Tomotherapy?
TomoTherapy is a new way to deliver radiation treatment in the fight against cancer. The process combines treatment planning, CT image-guided patient positioning and treatment delivery into one integrated system. The equipment used for TomoTherapy looks much like a computed tomography (CT) system. During treatment, the patient lies on a couch that moves continuously through a rotating ring. Radiation is delivered from all angles as the ring turns and the couch moves through the gantry.
Advantages of Tomotherapy
This offers several advantages, including:
Verifying the location of each tumor before treatment
Targeting tumors with optimal levels of radiation
Minimizing the damage to surrounding, healthy areas
Reducing the side effects of radiation therapy
Before beginning TomoTherapy treatment, your physician uses 3D images and special software to define the precise contours for each tumor. Your physician also decides how much radiation the tumor should receive, as well as acceptable radiation levels for surrounding tissue and organs. From there, the technology calculates the appropriate pattern, position and intensity of the radiation to be delivered.
CT Image-Guided Patient Positioning
Precise patient positioning is crucial for effective radiation treatment. With the TomoTherapy Hi·Art System, your physician can take a special CT scan just before each treatment to verify your tumor's location and adjust the positioning, if necessary. This is extremely useful since your position may change slightly from session to session and certain types of tumors, such as prostate cancers, can change shape or shift from day-to-day. With this technology, physicians can make sure that the radiation is directed precisely from one sessio n to the next.
TomoTherapy combines intensity modulated radiation therapy (IMRT) with a spiral delivery pattern. This means that radiation can be delivered from all around you, which helps ensures the treatment is confined to your tumor.
In helical tomotherapy, the linac rotates on its gantry at a constant speed while the beam is delivered; so that from the patient’s perspective, the shape traced out by the linac is helical. While helical tomotherapy can treat very long volumes without a need to abut fields in the longitudinal direction, it does display a distinct artifact due to "thread effect when treating non-central tumors. Thread effect can be suppressed during planning through good pitch selection.
Fixed-angle tomotherapy uses multiple tomotherapy beams, each delivered from a separate fixed gantry angle, in which only the couch moves during beam delivery. This is branded as TomoDirect, but has also been called topotherapy. The technology enables fixed beam treatments by moving the patient through the machine bore while maintaining specified beam angles.
It provides unprecedented precision, allowing radiation to be delivered directly at the tumor while relatively sparing healthy surrounding tissue. This means faster, more effective treatment with fewer side effects than with conventional radiation therapy.
The side effects of radiotherapy usually peak up to two weeks after treatment has finished. The effects of radiotherapy continue developing, and it may take a further couple of weeks to several months for you to feel normal, depending on the area of the body that has been treated.
When it comes to early stages of disease, patients very frequently do well with either brachytherapy or external beam radiation. Success rates of around 90% or higher can be achieved with either approach.
Radiation therapy can potentially affect your immune system, especially if a significant amount of bone marrow is being irradiated because of its role in creating white blood cells. However, this doesn't typically suppress the immune system enough to make you more susceptible to infections.
Fatigue is the most common acute side effect of radiation therapy. It is believed to be caused by the tremendous amount of energy that is used by the body to heal itself in response to radiation therapy.
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