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Illinois	
  CyberKnife	
  is	
  a	
  department	
  of	
  Advocate	
  Lutheran	
  General	
  Hospital.	
  



1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068                                     (847) 723-0100                         www.illinoisck.com
What is CyberKnife?
The	
  world’s	
  only	
  robo/c	
  radiosurgery	
  system,	
  CyberKnife	
  treats	
  
pa/ents	
  with	
  a	
  procedure	
  called	
  stereotac(c	
  radiosurgery.	
  
Stereotac/c	
  radiosurgery	
  is	
  a	
  noninvasive	
  method	
  of	
  trea/ng	
  tumors	
  
with	
  high-­‐dose	
  radia/on	
  precisely	
  aimed	
  from	
  different	
  angles.	
  	
  


How	
  does	
  CyberKnife	
  work?	
  

CyberKnife	
  does	
  not	
  require	
  surgery	
  and	
  there	
  is	
  no	
  cu7ng	
  
or	
  anesthesia	
  required.	
  Comprised	
  of	
  a	
  compact	
  linear	
  
accelerator	
  -­‐	
  a	
  machine	
  that	
  generates	
  a	
  radia/on	
  beam	
  -­‐	
  
aDached	
  to	
  a	
  highly	
  maneuverable	
  robo/c	
  arm.	
  	
  
	
  
•  The	
  machine’s	
  robo/c	
  arm	
  moves	
  around	
  you,	
  aiming	
  
       and	
  firing	
  targeted	
  radia/on	
  beams	
  from	
  numerous	
  
       angles.	
  
•  The	
  imaging	
  and	
  tracking	
  system	
  con/nually	
  updates	
  the	
  
       tumor	
  loca/on	
  throughout	
  the	
  treatment	
  procedure,	
  
       compensa/ng	
  for	
  pa/ent	
  movements	
  like	
  breathing.	
  
•  Treatment	
  sessions	
  typically	
  last	
  30	
  -­‐	
  90	
  minutes.	
  



    1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068                                    (847) 723-0100   www.illinoisck.com
1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068   (847) 723-0100   www.illinoisck.com
Why Choose CyberKnife?
                                                 CyberKnife	
               Conven(onal	
                Linac	
                     Proton	
  Therapy	
  
                                                 Stereotac(c	
              Radia(on	
                   Stereotac(c	
  
                                                 Radiosurgery	
             Therapy	
                    Radiosurgery	
  
                        Daily	
  dose	
                 5.0-­‐2.0	
  	
            1.8-­‐3.0	
  	
               5.0-­‐20	
  	
              1.8-­‐2.0	
  	
  
                                                 Gy	
  per	
  frac/on	
     Gy	
  per	
  frac/on	
        Gy	
  per	
  frac/on	
      Gy	
  per	
  frac/on	
  
                        Number	
  of	
  
                                                      3-­‐5	
  days	
          6-­‐7	
  weeks	
                3-­‐5	
  days	
           6-­‐7	
  weeks	
  
                        treatments	
  
                        Accuracy	
  ((ssue	
                                    20-­‐30	
                                                 20-­‐30	
  
                                                 1.5	
  millimeters	
                                     1-­‐5	
  millimeters	
  
                        margin)	
                                             millimeters	
                                             millimeters	
  
                        Number	
  of	
  
                        radia(on	
  beams	
   100-­‐200+	
  beams	
            2-­‐7	
  beams	
             5-­‐15	
  beams	
            2-­‐3	
  beams	
  


                        Con(nuous	
  
                        correc(on	
  for	
  
                        breathing	
  and	
                YES	
                      NO	
                          NO	
                        NO	
  
                        movement	
  



•    Treats	
  pa/ents	
  in	
  as	
  few	
  as	
  one	
  to	
  five	
  visits	
   •                    Reaches	
  most	
  tumors	
  from	
  virtually	
  unlimited	
  
•    Pain	
  free	
  and	
  requires	
  no	
  anesthesia	
                                             direc/ons	
  with	
  robo/c	
  mobility	
  
•    Minimal	
  side	
  effects	
                                                  •                    Minimizes	
  radia/on	
  exposure	
  to	
  healthy	
  /ssue	
  
•    Outpa/ent	
  procedure	
  	
                                                                      surrounding	
  a	
  tumor	
  site	
  
•    Constantly	
  corrects	
  for	
  tumor	
  or	
  pa/ent	
  movement	
   •                          Lesions	
  previously	
  treated	
  with	
  maximum	
  allowed	
  
     throughout	
  procedures	
                                                                        radia/on	
  doses	
  may	
  be	
  treated	
  



     1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068                                                    (847) 723-0100                                 www.illinoisck.com
What does CyberKnife treat?
                                                         •    Arteriovenous	
  malforma/on	
  
                                                         •    Bone	
  metastases	
  
                                                         •    Brain	
  tumors	
  
                                                                 •  Acous/c	
  neuroma	
  
                                                                 •  Brain	
  metastases	
  
                                                                 •  Gliomas	
  
                                                                          •  Astrocytoma	
  
                                                                          •  Glioblastoma	
  mul/forme	
  
                                                                          •  Glioma	
  
                                                                          •  oligodendroglioma	
  
                                                                 •  Meningioma	
  
                                                                 •  Pituitary	
  adenoma	
  
                                                         •    Kidney	
  tumors	
  
                                                         •    Liver	
  tumors	
  
                                                         •    Lung	
  tumors	
  
                                                         •    Ocular/orbital	
  tumors	
  
                                                         •    Prostate	
  cancer	
  
                                                         •    Pancrea/c	
  cancer	
  
                                                         •    Spinal	
  tumors	
  
                                                         •    Trigeminal	
  neuralgia	
  



1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068             (847) 723-0100             www.illinoisck.com
What is the treatment process?
          Consulta/on	
                                   Meet	
  with	
  the	
  
                                                                                                   Create	
  an	
  
                                                                                                 individualized	
  
          Appointment	
                                  CyberKnife	
  team	
  
                                                                                                treatment	
  plan 	
  	
  




           Poten/al	
                                                                                                                                                          Tissue	
  Markers	
  
         Pretreatment	
                                       	
  CT	
  Scan	
                         	
  MRI	
                        Lab	
  Studies	
                    (extracranial	
  tumors	
  
                                                                                                                                                                                  or	
  lesions)	
  
         Procedures*	
  
                                                                                                                                   The	
  advanced	
  tracking	
  
                                                                                                 CyberKnife’s	
                      system	
  takes	
  x-­‐ray	
  
            CyberKnife	
                                 Technicians	
  help	
  
                                                           you	
  onto	
  the	
  
                                                                                              robo/c	
  arm	
  moves	
  
                                                                                               around	
  you	
  firing	
  
                                                                                                                                    images	
  to	
  ensure	
  the	
  
                                                                                                                                                                                   If	
  needed,	
  the	
  
                                                                                                                                                                                 pa/ent	
  returns	
  for	
  

            Treatment	
                                  treatment	
  table	
                 targeted	
  radia/on	
  
                                                                                                    beams	
  
                                                                                                                                       radia/on	
  beam	
  
                                                                                                                                   remains	
  locked	
  on	
  the	
  
                                                                                                                                                                                    up	
  to	
  4	
  more	
  
                                                                                                                                                                                     treatments.	
  
                                                                                                                                             tumor	
  



                                                        Follow-­‐up	
  imaging	
  
                                                           and	
  physical	
  
             Follow-­‐up	
                               consulta/on	
  to	
  
                                                         monitor	
  tumor’s	
  
                                                             progress	
  




*The	
  procedures	
  required	
  as	
  part	
  of	
  your	
  individualized	
  treatment	
  plan,	
  and	
  the	
  order	
  in	
  which	
  they	
  will	
  occur,	
  will	
  be	
  explained	
  during	
  
your	
  consulta/on	
  visit.	
  



         1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068                                                              (847) 723-0100                             www.illinoisck.com
Our Center
Under	
  the	
  direc/on	
  of	
  medical	
  director	
  Dr.	
  Arica	
  Hirsch,	
  Illinois	
  CyberKnife	
  combines	
  experienced	
  physicians	
  and	
  
the	
  latest	
  medical	
  advances	
  to	
  provide	
  pa/ents	
  with	
  excep/onal	
  care	
  since	
  opening	
  in	
  November	
  2011.	
  Illinois	
  
CyberKnife	
  is	
  part	
  of	
  Advocate	
  Lutheran	
  General’s	
  renowned	
  Cancer	
  Care	
  Center,	
  located	
  in	
  the	
  Center	
  for	
  
Advanced	
  Care	
  on	
  the	
  hospital’s	
  campus.	
  Our	
  doctors	
  are	
  board	
  cer/fied	
  in	
  radia/on	
  oncology	
  and	
  have	
  several	
  
areas	
  of	
  specialty,	
  including	
  brain	
  tumors,	
  head	
  and	
  neck	
  cancers,	
  prostate	
  cancer	
  and	
  lung	
  cancer.	
  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.	
  Arica	
  Hirsch	
  
                                                                                          	
  
                                                                                          CyberKnife	
  Nurse:	
  Linda	
  Green,	
  BS	
  RN	
  
                                                                                          	
  
                                                                                          Medical	
  Physicist:	
  Tony	
  Simon	
  
                                                                                          	
  
                                                                                          Connect	
  with	
  us	
  
                                                                                          	
  




   1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068                                    (847) 723-0100                   www.illinoisck.com
The US Radiosurgery Network



In	
  partnership	
  with	
  Advocate	
  Lutheran	
  General	
  Hospital,	
  Illinois	
  CyberKnife	
  is	
  a	
  US	
  Radiosurgery	
  facility.	
  
	
  
Based	
  in	
  Nashville,	
  Tennessee,	
  US	
  Radiosurgery	
  is	
  a	
  division	
  of	
  Alliance	
  Oncology	
  and	
  partners	
  with	
  hospitals	
  
and	
  physician	
  groups	
  around	
  the	
  U.S.	
  to	
  develop	
  and	
  operate	
  full-­‐body	
  radiosurgical	
  centers.	
  	
  
	
  
Collec(vely,	
  the	
  US	
  Radiosurgery	
  network	
  of	
  centers	
  has	
  treated	
  thousands	
  of	
  pa(ents	
  since	
  the	
  opening	
  of	
  
the	
  company’s	
  first	
  center	
  in	
  2003.	
  The	
  group	
  of	
  facili/es	
  is	
  ac/vely	
  engaged	
  in	
  research,	
  with	
  physicians	
  
regularly	
  presen/ng	
  papers	
  and	
  authoring	
  ar/cles	
  related	
  to	
  the	
  efficacy	
  of	
  CyberKnife	
  treatment	
  for	
  various	
  
types	
  of	
  tumors	
  and	
  lesions.	
  Tumors	
  of	
  the	
  lung,	
  brain	
  and	
  prostate,	
  as	
  well	
  as	
  certain	
  func/onal	
  disorders	
  such	
  
as	
  trigeminal	
  neuralgia,	
  have	
  become	
  key	
  treatment	
  areas	
  throughout	
  the	
  network	
  of	
  centers.	
  
	
  




 1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068                                           (847) 723-0100                     www.illinoisck.com

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Illinois CyberKnife

  • 1. Illinois  CyberKnife  is  a  department  of  Advocate  Lutheran  General  Hospital.   1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com
  • 2. What is CyberKnife? The  world’s  only  robo/c  radiosurgery  system,  CyberKnife  treats   pa/ents  with  a  procedure  called  stereotac(c  radiosurgery.   Stereotac/c  radiosurgery  is  a  noninvasive  method  of  trea/ng  tumors   with  high-­‐dose  radia/on  precisely  aimed  from  different  angles.     How  does  CyberKnife  work?   CyberKnife  does  not  require  surgery  and  there  is  no  cu7ng   or  anesthesia  required.  Comprised  of  a  compact  linear   accelerator  -­‐  a  machine  that  generates  a  radia/on  beam  -­‐   aDached  to  a  highly  maneuverable  robo/c  arm.       •  The  machine’s  robo/c  arm  moves  around  you,  aiming   and  firing  targeted  radia/on  beams  from  numerous   angles.   •  The  imaging  and  tracking  system  con/nually  updates  the   tumor  loca/on  throughout  the  treatment  procedure,   compensa/ng  for  pa/ent  movements  like  breathing.   •  Treatment  sessions  typically  last  30  -­‐  90  minutes.   1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com
  • 3. 1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com
  • 4. Why Choose CyberKnife? CyberKnife   Conven(onal   Linac   Proton  Therapy   Stereotac(c   Radia(on   Stereotac(c   Radiosurgery   Therapy   Radiosurgery   Daily  dose   5.0-­‐2.0     1.8-­‐3.0     5.0-­‐20     1.8-­‐2.0     Gy  per  frac/on   Gy  per  frac/on   Gy  per  frac/on   Gy  per  frac/on   Number  of   3-­‐5  days   6-­‐7  weeks   3-­‐5  days   6-­‐7  weeks   treatments   Accuracy  ((ssue   20-­‐30   20-­‐30   1.5  millimeters   1-­‐5  millimeters   margin)   millimeters   millimeters   Number  of   radia(on  beams   100-­‐200+  beams   2-­‐7  beams   5-­‐15  beams   2-­‐3  beams   Con(nuous   correc(on  for   breathing  and   YES   NO   NO   NO   movement   •  Treats  pa/ents  in  as  few  as  one  to  five  visits   •  Reaches  most  tumors  from  virtually  unlimited   •  Pain  free  and  requires  no  anesthesia   direc/ons  with  robo/c  mobility   •  Minimal  side  effects   •  Minimizes  radia/on  exposure  to  healthy  /ssue   •  Outpa/ent  procedure     surrounding  a  tumor  site   •  Constantly  corrects  for  tumor  or  pa/ent  movement   •  Lesions  previously  treated  with  maximum  allowed   throughout  procedures   radia/on  doses  may  be  treated   1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com
  • 5. What does CyberKnife treat? •  Arteriovenous  malforma/on   •  Bone  metastases   •  Brain  tumors   •  Acous/c  neuroma   •  Brain  metastases   •  Gliomas   •  Astrocytoma   •  Glioblastoma  mul/forme   •  Glioma   •  oligodendroglioma   •  Meningioma   •  Pituitary  adenoma   •  Kidney  tumors   •  Liver  tumors   •  Lung  tumors   •  Ocular/orbital  tumors   •  Prostate  cancer   •  Pancrea/c  cancer   •  Spinal  tumors   •  Trigeminal  neuralgia   1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com
  • 6. What is the treatment process? Consulta/on   Meet  with  the   Create  an   individualized   Appointment   CyberKnife  team   treatment  plan     Poten/al   Tissue  Markers   Pretreatment    CT  Scan    MRI   Lab  Studies   (extracranial  tumors   or  lesions)   Procedures*   The  advanced  tracking   CyberKnife’s   system  takes  x-­‐ray   CyberKnife   Technicians  help   you  onto  the   robo/c  arm  moves   around  you  firing   images  to  ensure  the   If  needed,  the   pa/ent  returns  for   Treatment   treatment  table   targeted  radia/on   beams   radia/on  beam   remains  locked  on  the   up  to  4  more   treatments.   tumor   Follow-­‐up  imaging   and  physical   Follow-­‐up   consulta/on  to   monitor  tumor’s   progress   *The  procedures  required  as  part  of  your  individualized  treatment  plan,  and  the  order  in  which  they  will  occur,  will  be  explained  during   your  consulta/on  visit.   1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com
  • 7. Our Center Under  the  direc/on  of  medical  director  Dr.  Arica  Hirsch,  Illinois  CyberKnife  combines  experienced  physicians  and   the  latest  medical  advances  to  provide  pa/ents  with  excep/onal  care  since  opening  in  November  2011.  Illinois   CyberKnife  is  part  of  Advocate  Lutheran  General’s  renowned  Cancer  Care  Center,  located  in  the  Center  for   Advanced  Care  on  the  hospital’s  campus.  Our  doctors  are  board  cer/fied  in  radia/on  oncology  and  have  several   areas  of  specialty,  including  brain  tumors,  head  and  neck  cancers,  prostate  cancer  and  lung  cancer.  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.  Arica  Hirsch     CyberKnife  Nurse:  Linda  Green,  BS  RN     Medical  Physicist:  Tony  Simon     Connect  with  us     1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com
  • 8. The US Radiosurgery Network In  partnership  with  Advocate  Lutheran  General  Hospital,  Illinois  CyberKnife  is  a  US  Radiosurgery  facility.     Based  in  Nashville,  Tennessee,  US  Radiosurgery  is  a  division  of  Alliance  Oncology  and  partners  with  hospitals   and  physician  groups  around  the  U.S.  to  develop  and  operate  full-­‐body  radiosurgical  centers.       Collec(vely,  the  US  Radiosurgery  network  of  centers  has  treated  thousands  of  pa(ents  since  the  opening  of   the  company’s  first  center  in  2003.  The  group  of  facili/es  is  ac/vely  engaged  in  research,  with  physicians   regularly  presen/ng  papers  and  authoring  ar/cles  related  to  the  efficacy  of  CyberKnife  treatment  for  various   types  of  tumors  and  lesions.  Tumors  of  the  lung,  brain  and  prostate,  as  well  as  certain  func/onal  disorders  such   as  trigeminal  neuralgia,  have  become  key  treatment  areas  throughout  the  network  of  centers.     1700 Luther Lane Suite 1110 Park Ridge, Illinois 60068 (847) 723-0100 www.illinoisck.com