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6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.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.	
  This	
  is	
  not	
  intended	
  as	
  a	
  subs.tute	
  for	
  
medical	
  advice	
  from	
  your	
  professional	
  healthcare	
  provider.	
  	
  Contact	
  your	
  professional	
  
healthcare	
  provider	
  to	
  find	
  out	
  if	
  CyberKnife	
  treatment	
  is	
  right	
  for	
  you.	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com
6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.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	
  
•  Coughing	
  
•  Wheezing	
  
•  Shortness	
  of	
  breath	
  
•  Coughing	
  up	
  blood	
  
•  Unexplained	
  weight	
  loss	
  
•  Pneumonia	
  or	
  other	
  infec?ons	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com
6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com
ConsultaMon	
  and	
  Pretreatment	
  Procedures	
  
Oklahoma	
  CyberKnife’s	
  physicians,	
  therapists	
  and	
  physicist	
  are	
  focused	
  on	
  your	
  individualized	
  
plan	
  for	
  treatment.	
  
	
  
•  You	
  will	
  meet	
  an	
  Oklahoma	
  CyberKnife	
  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.	
  
	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com
How	
  CyberKnife	
  Can	
  Treat	
  Lung	
  Tumors	
  
Oklahoma	
  CyberKnife	
  treats	
  lung	
  cancer	
  pa?ents	
  who	
  cannot	
  tolerate	
  surgery,	
  have	
  an	
  inoperable	
  
tumor,	
  or	
  are	
  seeking	
  an	
  alterna?ve	
  to	
  surgery.	
  	
  
• 
	
  
• 
	
  
• 

• 

CyberKnife	
  has	
  gained	
  recogni?on	
  as	
  an	
  effec?ve	
  treatment	
  for	
  pa?ents	
  with	
  medically	
  inopera?ve	
  
early	
  stage	
  nonsmall	
  cell	
  lung	
  cancer.	
  
The	
  challenge	
  of	
  trea?ng	
  lung	
  tumors	
  is	
  that	
  the	
  tumor	
  moves	
  as	
  the	
  pa?ent	
  breathes.	
  Unlike	
  
tradi?onal	
  radia?on	
  therapy,	
  the	
  CyberKnife	
  system	
  iden?fies	
  the	
  tumor	
  loca?on	
  during	
  non-­‐
invasive	
  treatment.	
  	
  
The	
  ?ghtly	
  contoured	
  beams	
  move	
  precisely	
  with	
  the	
  mo?on	
  of	
  the	
  target	
  throughout	
  the	
  breathing	
  
cycle,	
  requiring	
  no	
  breath	
  holding	
  or	
  respiratory	
  ga?ng.	
  Thus	
  allowing	
  pa?ents	
  to	
  breathe	
  normally	
  
and	
  remain	
  comfortable	
  during	
  treatment.	
  
Treatment	
  is	
  delivered	
  by	
  Oklahoma	
  CyberKnife’s	
  radia?on	
  oncologist	
  and	
  highly	
  trained	
  staff.	
  
Oklahoma	
  CyberKnife	
  provides	
  a	
  non-­‐invasive,	
  painless	
  and	
  comfortable	
  treatment	
  with	
  no	
  
recovery	
  ?me.	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com
CyberKnife	
  Treatment	
  
Prior	
  to	
  stereotac?c	
  body	
  radia?on	
  therapy,	
  
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.	
  ImplanMng	
  the	
  markers	
  is	
  
an	
  outpaMent	
  procedure	
  that	
  takes	
  about	
  an	
  
hour.	
  	
  
	
  
About	
  a	
  week	
  later,	
  pa?ents	
  are	
  fiOed	
  with	
  a	
  
custom	
  body	
  mold	
  made	
  of	
  soP	
  material	
  that	
  
they	
  lie	
  on	
  during	
  treatment.	
  The	
  fiSng	
  
process	
  is	
  painless.	
  
	
  
The	
  treatment	
  process	
  includes:	
  
I.  Consulta?on	
  appointment	
  
II.  Pretreatment	
  procedures	
  
III.  CyberKnife	
  treatment	
  
IV.  Follow-­‐up	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com
CyberKnife	
  Treatment	
  Process	
  
	
  
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	
  body	
  mold.	
  Pa?ents	
  are	
  observed	
  throughout	
  
the	
  treatment	
  on	
  a	
  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	
  make	
  sure	
  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.	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

FOR	
  YOUR	
  INFORMATION	
  
• 

• 

• 

	
  918-­‐949-­‐6676	
  

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.	
  

	
  

	
  OklahomaCK.com
AddiMonal	
  Resources	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com
Our Center
Oklahoma	
  CyberKnife	
  is	
  widely	
  known	
  as	
  a	
  leading	
  provider	
  of	
  stereotac?c	
  radiosurgery.	
  In	
  the	
  fourth	
  quarter	
  of	
  
2009,	
  our	
  center	
  performed	
  the	
  highest	
  number	
  of	
  lung-­‐cancer	
  treatments	
  of	
  any	
  CyberKnife	
  center	
  in	
  the	
  
world.	
  We	
  con?nue	
  to	
  treat	
  a	
  great	
  deal	
  of	
  lung	
  pa?ents.	
  In	
  2012	
  and	
  2013	
  combined,	
  we	
  treated	
  more	
  lung	
  
pa?ents	
  than	
  any	
  other	
  lesion.	
  
	
  
Diseases	
  most	
  oPen	
  treated	
  at	
  our	
  center	
  include	
  brain	
  tumors,	
  lung	
  tumors,	
  prostate	
  cancer	
  and	
  trigeminal	
  
neuralgia.	
  Oklahoma	
  CyberKnife	
  has	
  extensive	
  experience	
  in	
  trea?ng	
  lung	
  cancer	
  pa?ents,	
  as	
  lung	
  tumors	
  
represent	
  the	
  largest	
  number	
  of	
  our	
  cases.	
  We	
  have	
  treated	
  pa?ents	
  from	
  around	
  the	
  state,	
  as	
  well	
  as	
  pa?ents	
  
from	
  Arkansas	
  and	
  Missouri.	
  	
  We	
  are	
  dedicated	
  to	
  providing	
  our	
  pa?ents	
  with	
  the	
  latest	
  cancer	
  treatment	
  
technology	
  and	
  are	
  proud	
  of	
  the	
  experience	
  and	
  exper?se	
  our	
  physicians	
  and	
  caring	
  staff	
  bring	
  to	
  our	
  pa?ents.	
  
Medical	
  Director:	
  Dr.	
  Diane	
  Heaton	
  
RadiaMon	
  Oncologist:	
  Dr.	
  Joshua	
  Garren	
  
RadiaMon	
  Oncologist:	
  Dr.	
  Connie	
  Nguyen	
  

Connect	
  with	
  us	
  
	
  

6802	
  South	
  Olympia	
  Ave	
  Suite	
  G100	
  Tulsa,	
  OK	
  74132

	
  

	
  918-­‐949-­‐6676	
  

	
  

	
  OklahomaCK.com

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Lung Tumors: CyberKnife Treatment Overview

  • 1. 6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.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.  This  is  not  intended  as  a  subs.tute  for   medical  advice  from  your  professional  healthcare  provider.    Contact  your  professional   healthcare  provider  to  find  out  if  CyberKnife  treatment  is  right  for  you.   6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com
  • 3. 6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.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   •  Coughing   •  Wheezing   •  Shortness  of  breath   •  Coughing  up  blood   •  Unexplained  weight  loss   •  Pneumonia  or  other  infec?ons   6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com
  • 5. 6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com
  • 6. ConsultaMon  and  Pretreatment  Procedures   Oklahoma  CyberKnife’s  physicians,  therapists  and  physicist  are  focused  on  your  individualized   plan  for  treatment.     •  You  will  meet  an  Oklahoma  CyberKnife  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.     6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com
  • 7. How  CyberKnife  Can  Treat  Lung  Tumors   Oklahoma  CyberKnife  treats  lung  cancer  pa?ents  who  cannot  tolerate  surgery,  have  an  inoperable   tumor,  or  are  seeking  an  alterna?ve  to  surgery.     •    •    •  •  CyberKnife  has  gained  recogni?on  as  an  effec?ve  treatment  for  pa?ents  with  medically  inopera?ve   early  stage  nonsmall  cell  lung  cancer.   The  challenge  of  trea?ng  lung  tumors  is  that  the  tumor  moves  as  the  pa?ent  breathes.  Unlike   tradi?onal  radia?on  therapy,  the  CyberKnife  system  iden?fies  the  tumor  loca?on  during  non-­‐ invasive  treatment.     The  ?ghtly  contoured  beams  move  precisely  with  the  mo?on  of  the  target  throughout  the  breathing   cycle,  requiring  no  breath  holding  or  respiratory  ga?ng.  Thus  allowing  pa?ents  to  breathe  normally   and  remain  comfortable  during  treatment.   Treatment  is  delivered  by  Oklahoma  CyberKnife’s  radia?on  oncologist  and  highly  trained  staff.   Oklahoma  CyberKnife  provides  a  non-­‐invasive,  painless  and  comfortable  treatment  with  no   recovery  ?me.   6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com
  • 8. CyberKnife  Treatment   Prior  to  stereotac?c  body  radia?on  therapy,   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.  ImplanMng  the  markers  is   an  outpaMent  procedure  that  takes  about  an   hour.       About  a  week  later,  pa?ents  are  fiOed  with  a   custom  body  mold  made  of  soP  material  that   they  lie  on  during  treatment.  The  fiSng   process  is  painless.     The  treatment  process  includes:   I.  Consulta?on  appointment   II.  Pretreatment  procedures   III.  CyberKnife  treatment   IV.  Follow-­‐up   6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com
  • 9. CyberKnife  Treatment  Process     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  body  mold.  Pa?ents  are  observed  throughout   the  treatment  on  a  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  make  sure  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.   6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132   FOR  YOUR  INFORMATION   •  •  •   918-­‐949-­‐6676   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.      OklahomaCK.com
  • 10. AddiMonal  Resources   6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com
  • 11. Our Center Oklahoma  CyberKnife  is  widely  known  as  a  leading  provider  of  stereotac?c  radiosurgery.  In  the  fourth  quarter  of   2009,  our  center  performed  the  highest  number  of  lung-­‐cancer  treatments  of  any  CyberKnife  center  in  the   world.  We  con?nue  to  treat  a  great  deal  of  lung  pa?ents.  In  2012  and  2013  combined,  we  treated  more  lung   pa?ents  than  any  other  lesion.     Diseases  most  oPen  treated  at  our  center  include  brain  tumors,  lung  tumors,  prostate  cancer  and  trigeminal   neuralgia.  Oklahoma  CyberKnife  has  extensive  experience  in  trea?ng  lung  cancer  pa?ents,  as  lung  tumors   represent  the  largest  number  of  our  cases.  We  have  treated  pa?ents  from  around  the  state,  as  well  as  pa?ents   from  Arkansas  and  Missouri.    We  are  dedicated  to  providing  our  pa?ents  with  the  latest  cancer  treatment   technology  and  are  proud  of  the  experience  and  exper?se  our  physicians  and  caring  staff  bring  to  our  pa?ents.   Medical  Director:  Dr.  Diane  Heaton   RadiaMon  Oncologist:  Dr.  Joshua  Garren   RadiaMon  Oncologist:  Dr.  Connie  Nguyen   Connect  with  us     6802  South  Olympia  Ave  Suite  G100  Tulsa,  OK  74132    918-­‐949-­‐6676      OklahomaCK.com