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200 Berteau Avenue Elmhurst, IL 60126   (331) 221-2050   www.chicagock.com
A	
  lung	
  tumor	
  diagnosis	
  can	
  be	
  scary.	
  
           	
  
           Learn	
  more	
  about	
  lung	
  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.	
  




200 Berteau AvenueCooper Road Suite 125 Westerville, OH 43081 (614) 898-8300
               495 Elmhurst, IL 60126           (331) 221-2050                                                       www.columbusck.com
                                                                                                                        www.chicagock.com
200 Berteau Avenue Elmhurst, IL 60126   (331) 221-2050   www.chicagock.com
Lung	
  Tumors	
  and	
  Their	
  Symptoms	
  

  The	
  vast	
  majority	
  of	
  primary	
  lung	
  cancers	
  are	
  
  malignant	
  and	
  known	
  as	
  carcinomas.	
  
  	
  
  The	
  most	
  common	
  cancer	
  diagnosis	
  in	
  the	
  
  world,	
  lung	
  cancer	
  is	
  also	
  the	
  leading	
  cause	
  of	
  
  cancer	
  deaths	
  in	
  the	
  United	
  States.	
  	
  

  Symptoms	
  may	
  include:	
  
  •  Coughing	
  
  •  Wheezing	
  
  •  Shortness	
  of	
  breath	
  
  •  Coughing	
  up	
  blood	
  
  •  Unexplained	
  weight	
  loss	
  
  •  Pneumonia	
  or	
  other	
  infec?ons	
  




200 Berteau Avenue Elmhurst, IL 60126                                           (331) 221-2050   www.chicagock.com
200 Berteau Avenue Elmhurst, IL 60126   (331) 221-2050   www.chicagock.com
How	
  does	
  CyberKnife	
  treat	
  lung	
  tumors?	
  
  Prior	
  to	
  stereotac?c	
  radiosurgery,	
  doctors	
  
  may	
  have	
  to	
  implant	
  between	
  three	
  and	
  six	
  
  small	
  metal	
  markers	
  known	
  as	
  fiducials	
  in	
  or	
  
  near	
  the	
  tumor	
  that	
  enable	
  the	
  CyberKnife	
  to	
  
  pinpoint	
  the	
  tumor	
  loca?on	
  during	
  
  treatment.	
  ImplanFng	
  the	
  markers	
  is	
  an	
  
  outpaFent	
  procedure	
  that	
  takes	
  about	
  an	
  
  hour.	
  	
  
  	
  
  About	
  a	
  week	
  later,	
  pa?ents	
  are	
  fiEed	
  with	
  a	
  
  custom	
  body	
  mold	
  made	
  of	
  soF	
  material	
  on	
  
  which	
  they	
  lie	
  during	
  treatment.	
  The	
  fiGng	
  
  process	
  is	
  painless.	
  
  	
  
  The	
  treatment	
  process	
  includes:	
  
  I.  Consulta?on	
  appointment	
  
  II.  Pretreatment	
  procedures	
  
  III.  CyberKnife	
  treatment	
  
  IV.  Follow-­‐up	
  




200 Berteau Avenue Elmhurst, IL 60126                                  (331) 221-2050   www.chicagock.com
ConsultaFon	
  and	
  Pretreatment	
  Procedures	
  
   The	
  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	
  CyberKnife	
  Center	
  of	
  Chicago	
  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.	
  
   	
  




200 Berteau Avenue Elmhurst, IL 60126                          (331) 221-2050                                   www.chicagock.com
CyberKnife	
  Treatment	
  
    Typically,	
  treatment	
  is	
  completed	
  within	
  three	
  to	
  
    five	
  sessions.	
  On	
  the	
  day	
  of	
  your	
  treatment:	
  	
  
    	
  
    1.  A	
  therapist	
  will	
  help	
  you	
  onto	
  the	
  treatment	
  
           table	
  and	
  fit	
  the	
  mask	
  or	
  body	
  mold	
  if	
  needed.	
  
           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	
  technicians.	
  

    2.  While	
  the	
  CyberKnife’s	
  advanced	
  tracking	
  
        system	
  accounts	
  for	
  movements	
  like	
  breathing,	
                    FOR	
  YOUR	
  INFORMATION	
  
        you’re	
  asked	
  to	
  lie	
  s?ll	
  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.	
  
                                                                                          •    Pa?ents	
  are	
  asked	
  to	
  wear	
  comfortable	
  clothing	
  
        sure	
  the	
  radia?on	
  beam	
  is	
  locked	
  on	
  the	
  tumor.	
               during	
  CyberKnife	
  treatments.	
  Jewelry	
  is	
  
                                                                                               acceptable	
  unless	
  it	
  is	
  close	
  to	
  the	
  area	
  being	
  
    3.  Pa?ents	
  can	
  usually	
  go	
  right	
  back	
  to	
  their	
                      treated.	
  
        normal	
  rou?nes	
  once	
  the	
  treatment	
  is	
                             •    Feel	
  free	
  to	
  bring	
  an	
  iPod®	
  or	
  your	
  favorite	
  
                                                                                               music	
  CDs	
  with	
  you	
  on	
  the	
  day	
  of	
  your	
  
        complete.	
                                                                            treatment,	
  and	
  we	
  will	
  play	
  them	
  for	
  you	
  during	
  
                                                                                               the	
  procedure.	
  



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




200 Berteau Avenue Elmhurst, IL 60126   (331) 221-2050    www.chicagock.com
Our	
  Center	
  
  CyberKnife	
  Center	
  of	
  Chicago	
  opened	
  in	
  August	
  2009	
  and	
  brings	
  together	
  experienced	
  physicians	
  and	
  the	
  latest	
  
  medical	
  advances.	
  	
  At	
  CyberKnife	
  Center	
  of	
  Chicago,	
  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	
  has	
  a	
  dedicated	
  CyberKnife	
  Nurse	
  Navigator	
  who	
  works	
  with	
  our	
  physicians	
  and	
  pa?ents	
  to	
  
  coordinate	
  care	
  and	
  manage	
  the	
  treatment	
  process.	
  




                                                                                              Medical	
  Director:	
  Dr.	
  Andy	
  Su	
  
                                                                                              CyberKnife	
  Nurse:	
  Griselle	
  Romero	
  
                                                                                              Medical	
  Physicist:	
  Christopher	
  Peck	
  	
  


                                                                                              Connect	
  with	
  us	
  
                                                                                              	
  




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

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Lung Tumors: CyberKnife Treatment Overview

  • 1. 200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 2. A  lung  tumor  diagnosis  can  be  scary.     Learn  more  about  lung  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.   200 Berteau AvenueCooper Road Suite 125 Westerville, OH 43081 (614) 898-8300 495 Elmhurst, IL 60126 (331) 221-2050 www.columbusck.com www.chicagock.com
  • 3. 200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 4. Lung  Tumors  and  Their  Symptoms   The  vast  majority  of  primary  lung  cancers  are   malignant  and  known  as  carcinomas.     The  most  common  cancer  diagnosis  in  the   world,  lung  cancer  is  also  the  leading  cause  of   cancer  deaths  in  the  United  States.     Symptoms  may  include:   •  Coughing   •  Wheezing   •  Shortness  of  breath   •  Coughing  up  blood   •  Unexplained  weight  loss   •  Pneumonia  or  other  infec?ons   200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 5. 200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 6. How  does  CyberKnife  treat  lung  tumors?   Prior  to  stereotac?c  radiosurgery,  doctors   may  have  to  implant  between  three  and  six   small  metal  markers  known  as  fiducials  in  or   near  the  tumor  that  enable  the  CyberKnife  to   pinpoint  the  tumor  loca?on  during   treatment.  ImplanFng  the  markers  is  an   outpaFent  procedure  that  takes  about  an   hour.       About  a  week  later,  pa?ents  are  fiEed  with  a   custom  body  mold  made  of  soF  material  on   which  they  lie  during  treatment.  The  fiGng   process  is  painless.     The  treatment  process  includes:   I.  Consulta?on  appointment   II.  Pretreatment  procedures   III.  CyberKnife  treatment   IV.  Follow-­‐up   200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 7. ConsultaFon  and  Pretreatment  Procedures   The  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  CyberKnife  Center  of  Chicago  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.     200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 8. CyberKnife  Treatment   Typically,  treatment  is  completed  within  three  to   five  sessions.  On  the  day  of  your  treatment:       1.  A  therapist  will  help  you  onto  the  treatment   table  and  fit  the  mask  or  body  mold  if  needed.   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  technicians.   2.  While  the  CyberKnife’s  advanced  tracking   system  accounts  for  movements  like  breathing,   FOR  YOUR  INFORMATION   you’re  asked  to  lie  s?ll  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.   •  Pa?ents  are  asked  to  wear  comfortable  clothing   sure  the  radia?on  beam  is  locked  on  the  tumor.   during  CyberKnife  treatments.  Jewelry  is   acceptable  unless  it  is  close  to  the  area  being   3.  Pa?ents  can  usually  go  right  back  to  their   treated.   normal  rou?nes  once  the  treatment  is   •  Feel  free  to  bring  an  iPod®  or  your  favorite   music  CDs  with  you  on  the  day  of  your   complete.   treatment,  and  we  will  play  them  for  you  during   the  procedure.   200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 9. AddiFonal  Resources   200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com
  • 10. Our  Center   CyberKnife  Center  of  Chicago  opened  in  August  2009  and  brings  together  experienced  physicians  and  the  latest   medical  advances.    At  CyberKnife  Center  of  Chicago,  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  has  a  dedicated  CyberKnife  Nurse  Navigator  who  works  with  our  physicians  and  pa?ents  to   coordinate  care  and  manage  the  treatment  process.   Medical  Director:  Dr.  Andy  Su   CyberKnife  Nurse:  Griselle  Romero   Medical  Physicist:  Christopher  Peck     Connect  with  us     200 Berteau Avenue Elmhurst, IL 60126 (331) 221-2050 www.chicagock.com