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Second Opinion of a Breast Cancer Diagnosis
Cancer Genetics Program
Breast Surgical Oncology at Mount Sinai Beth Israel Brooklyn
Services for High Risk Women
Physicians and Other Staff
Research and Clinical Trails
Radiation Oncology is an integral part of the Comprehensive
Multidisciplinary Breast Service. The application of radiation therapy
along with limited surgery revolutionized the outcome of patients with
breast cancer. This combination therapy spares women from undergoing a
modified radical mastectomy and maximizes local control while preserving
the breast. The Department features the state-of-the-art technology and
facilities that offer our patients the latest advances in radiation treatment.
In addition, our experienced and accomplished faculty members are leaders
in the field of radiation oncology. Our staff members are dedicated to
providing patients with the individualized attention they need.
Three-Dimensional Conformal External Beam Radiation Therapy
Computerized radiation therapy planning and delivery known as three-dimensional conformal external beam radiation therapy, the radiation beams enter and exit specific points on the body from different angles. Some beams may be filtered to adjust the intensity of radiation delivered. These adjustment allows selective concentration of radiation dose in the region of the cancer, and minimize the dose to the surrounding normal organs.
Intensity Modulated Radiation Therapy
Intensity modulated radiation therapy (IMRT) is one of the latest technologies used for radiation therapy delivery. IMRT optimizes radiation delivery by employing a computer-aided algorithm to repeatedly adjust the intensity of each of the hundreds of segments of distinct radiation beams. This technology enhances the ability to precisely tailor the radiation delivery to the specific needs of each patient.
Brachytherapy, delivers radiation using radioactive seeds that are implanted directly into the tumor or tumor bed. In the treatment of breast cancer these implanted seeds remain in the body temporarily either for a few minutes (high dose rate technique) or for several days (low dose rate technique). In this manner the prescribed dose of radiation therapy is directly delivered to the affected area minimizing radiation exposure to the surrounding healthy tissue. Brachytherapy is also used for recurrent cancers, as a way of re-treating an area that was previously irradiated. There are several brachytherapy techniques applicable to the treatment of breast cancer.
Multi-catheter brachytherapy system:
In this procedure plastic ribbons are placed in the lumpectomy cavity
through which the radioactive seeds are thread and left in place temporarily
to deliver the treatment. This technique targets areas around the lumpectomy
cavity where the tumor is most likely to recur. Beth Israel offers this
brachytherapy treatment on a clinical trial for treating locally recurrent
Accelerated Radiation Therapy in Early Stage Breast Cancer with an In-field Concomitant Boost using either IMRT or the 3D Conformal Radiation Therapy Technique.
Lumpectomy and Brachytherapy as Salvage Treatment for Local Recurrences
Following Breast Conservative Therapy.
For information on clinical studies, click here.
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