Category Archives: CyberKnife

Elderly Lung Cancer Patients Fear Treatment

CyberKnife is the answer for early stage lung cancer, especially in those older than 70. The decreased complication risks make it ideal.

So many of my elderly patients are now asking whether it’s worth it or not to treat early-stage lung cancer. “I have to die of something!”

But Dr. Walter Curran and colleagues from Emory University School of Medicine may now have a good answer to that important question.  From 2003-2006, the National Cancer Data Base was analyzed for patients 70 years or older with early stage lung cancer who chose either a watch and wait approach or stereotactic radiosurgery, like that delivered by Cyber Knife.  Their findings were reported in the August 2015 Journal of Cancer. The results were striking.  Senior patients with early stage lung cancer treated with stereotactic radiosurgery had better survival than those patients who chose a watch and wait approach.  Importantly, those patients were treated with stereotactic radiosurgery were no sicker initially than those who chose a watch and wait approach.  And they fared much better afterwards.

Stereotactic Radiosurgery, Like that Delivered by Cyber Knife, May be the Solution to Those Fears 

Stereotactic radiosurgery, like that delivered by Cyber Knife, has produced the same lung cancer control rates as surgery for early stage lung cancer patients, but with far fewer side effects.  No incision.  No pain.  And no hospitalization.  Cyber Knife is done on an outpatient basis.  It’s now considered the standard of care for early stage lung cancer patients who are “medically inoperable” or too sick for surgery.

Recent results indicate that Cyber Knife stereotactic radiosurgery may be just as good as open surgery for medically operable patients, or those patients who are healthy enough for open surgery like lobectomy or video-assisted lobectomy.  In a study in the June 2015 issue of the medical journal Lancet Oncology, Dr. Chang and coworkers reported that early-stage lung cancer patients treated with stereotactic radiosurgery had a 95% survival at 3 years versus only 79% for patients with surgery.  And the complications with open are far more severe.  My conclusion is that Cyber Knife radiosurgery may be just as good as open surgery even for young patients who are fit as a fiddle.

So What’s  a Senior with Early Stage Lung Cancer To Do?

Dr. Jonathan Beitler  of Johns Hopkins, commenting on this study, stated “I have to say that it seems to be the surgical community has resisted a large-scale randomized trial and from their point of view, who could blame them?  On the other hand, are they looking out for the patient’s or for themselves?”  That’s a sobering thought.  While I’ll never comment on another person’s motives, I know that it can take a while before doctors change their practice habits.  After all, it took over 50 years for surgeons to learn that a radical mastectomy just simply didn’t work.  More is not always better.  I do think it’s a good idea, may be even mandatory, for all early-stage lung cancer patients, young or old, to see a radiation oncologist experienced in Cyber Knife before undergoing the cold, hard steel sharp edge of the scalpel.  It just may be in the patient’s best interest.  Each and every week when I see early-stage lung cancer patients in consultation, I have to dispel a lot of myths about Cyber Knife.  In this day of data driven decision making, it’s important to have the facts from a number of sources.
So if you have any questions, please feel free to call me, Dr. Ed Hughes, at 855-DAYTON1

CyberKnife for Early Stage Lung Cancer Continues to be Superior to Surgery

Two years after this study was published, survival rates for lung cancer patients treated with the CyberKnife continue to climb. Lung cancer patients treated with the CyberKnife are simply outliving those who had surgery. This is fantastic news! Read more about the original study here:

Treatment for lung cancer with radiation therapy is proven to be superior to surgery. In a landmark study published in the Lancet Oncology June 2015 16(6) 630-637, cancer specialists reported that early stage lung cancer patients treated with stereotactic ablative body radiotherapy (SABR), like that delivered by CyberKnife, had a 3 year overall survival of 95%. Surprisingly, early stage lung cancer patients faired much worse with open surgery (lobectomy) with a 3 year overall survival of only 79%.

CyberKnife treatment stands in stark contrast to surgery. CyberKnife is a highly specialized form of radiation therapy done on an outpatient basis in 3-5 visits, with no pain and no cutting. A lobectomy on the other hand is a major operation where surgeons open your chest and remove an entire lobe of your lung. Requiring a prolonged hospital stay with all the risks of surgery on the chest.

Dr. Joe Y. Chang, a professor of radiation oncology at the world famous M.D. Anderson Cancer Center told Medscape, “For the first time, we can say that the 2 therapies are at least equally effective, and the stereotactic ablative radiotherapy (CyberKnife) appears to be better tolerated and might led to better survival outcomes for these patients.”

WHY IS THIS IMPORTANT FOR PATIENTS AND PHYSICIANS TO KNOW?

I believe this study is telling us that CyberKnife is a good solution as compared to open surgery. And a solution that does not require a major operation. No incisions, no pain, and no prolonged hospital stays with a difficult recovery. CyberKnife is painless and quick. You simply lay on a table and relax. No need to even get undressed.

WHAT IS THE CYBERKNIFE ADVANTAGE?

There are other stereotactic systems found at area hospitals. However, the CyberKnife is the ONLY stereotactic radiation device that actually breathes with you. There is no breath holding. This system has real time x-ray imaging that tracks your movement ensuring that it only targets the tumor and spares healthy tissue. This results in fewer long term side effects and offers immediate results.

First Dayton is the ONLY cancer center in southwest Ohio with the CyberKnife system for treating lung cancers. Discover if CyberKnife is the right choice to treat your lung cancer by calling me today, Dr. Ed Hughes at 855-DAYTON1.

Learn more about CyberKnife Treatment for Lung Cancer here.

CYBERKNIFE TREATMENT THROUGH THE EYES OF A CHILD

Cancer treatment with the CyberKnife system is so easy for the patient that we would even allow a child to watch. The patient simply lays on a table for 25-60 minutes while the CyberKnife moves around them. They are able to take breaks, sit up or even take a bathroom break if needed. But they do not feel anything. Treatment is painless. They go about their normal day afterwards. Watch and see.

REAL HOPE FOR STAGE 4 LUNG CANCER

When every extra day counts, turn to the CyberKnife.

When Just Doing the Same Thing Doesn’t Work

The outlook for someone with stage 4 non-small cell lung cancer with only a few metastases is not promising.  After the upfront chemotherapy, the treatment options have been limited to “maintenance” chemotherapy that does not provide a great quality of life.  “Maintenance chemo” is continuing with the same regimen that was prescribed for the original lung cancer and the few metastatic sites.  Many studies have shown that most cancers come back at the site of the original lung cancer and the original metastatic sites, and not new sites.  So why not focus on those areas instead of just giving more chemotherapy?

Look For Better Answers

Dr. Daniel Gomez and colleagues set out to determine if there is a better treatment for Stage 4 non-small cell lung cancer patients who have 1-3 new areas of cancer spread. He spearheaded a clinical trial that randomly assigned patients to A) “maintenance” chemotherapy B) local therapy like radiation or surgery to those metastatic spots or C) no treatment at all.

Patients who had standard chemotherapy and were in relatively good shape after chemotherapy treatment were eligible for the clinical trial. Many medical oncologists (chemo doctors) were reluctant to let their patients in the trial due to their belief that more chemo must be better than anything else. But, they soon learned that more chemo is not better for survival or for quality of life.

A Breakthrough Result  

Although only 74 lung cancer patients were entered into the clinical trial from 2012 to 2016, a real revolutionary result was seen.

Group A (more maintenance chemo) = 4 month survival

Group B (local radiation or surgery) = 12 month survival

Group C (no additional treatment) = 4 month survival

The clinical trial was closed early because the doctors learned very quickly that treating the metastatic spots was so much more effective than continuing with the same chemotherapy. These doctors switched their patients protocols immediately. 

What Does This Mean for You 

Radiation therapy to these new metastatic spots can be done very quickly and painlessly. Treatment with the CyberKnife is the perfect option to beat your non-small cell lung cancer without surgery.  No pain and no incisions. And it allows you more time for the important things in your life. CyberKnife is real hope for another year of symptom free survival.

If you have any questions about your lung cancer, please feel free to call me, Dr. Edward Hughes at 855-Dayton 1.

I guarantee that I will see you within 1-3 days of your phone call for a consultation.

Prostate Cancer: Only You Know What’s Best for You

The Superior Precision of the CyberKnife allows for    Only 5 Treatments for Prostate Cancer.

It seems like a simple idea, doesn’t it?  Only you know what is best for you.  But for patients with prostate cancer, it may be a matter of life and death. 

Since I  treated our first patient with CyberKnife over 5 years ago, I have been more impressed with this breakthrough technology each and every day.  Yet there remains a lot of negative information out there in Dayton, even by healthcare professionals who should know better.  I suppose it can be chalked up to a doctor turf war.  But if you are the man with prostate cancer, you only want to do what is best for you.  And that means not only curing your prostate cancer, but also having a good quality of life afterwards.  By that I mean a life without urinary leakage and other embarrassing side effects.

SEEK YOUR OWN TRUTH 

I encourage men and their families to go out and dig up the information for themselves on their prostate treatment options.  I think it’s crucial for men with prostate cancer to take their time and talk to prostate cancer specialists, both urologists and radiation oncologists.  I would also ask the radiation oncologist how many different ways he or she can actually treat prostate cancer with radiation.  Do they have only one kind of technology?  At First Dayton CyberKnife I have more options than any other center in Dayton, including CyberKnife, IMRT, and temporary radiation implants. 

PROVEN RESULTS

A remarkable result for CyberKnife for men with low and intermediate risk prostate cancer was reported at the 58th Annual Meeting of the American Society for Radiation Oncology.

17 different CyberKnife centers studied the long-term results of 259 prostate cancer patients treated by CyberKnife.  The results were astounding.  At the 5-year mark, the prostate cancer free survival rate was 100% for low risk patients and 88.5% for intermediate risk patients.  At First Dayton CyberKnife, my results are even better.  At the 5-year mark our prostate cancer free survival rates were 98.8%.  And no patient had severe side effects requiring medical therapy or surgical therapy for complications. We have performed over 1,800 CyberKnife treatments.  

WHAT IS SPECIAL ABOUT THE CYBERKNIFE?

Why is prostate cancer treatment by CyberKnife better?  Simply put, CyberKnife is designed to deliver stereotactic ablative body radiotherapy or SBRT.  CyberKnife is given in 5 visits, with no pain and no cutting. There is no surgery. Plus with only 5 treatments instead of the standard 40, men can get back to living their normal life quicker.  

CyberKnife is breakthrough technology that delivers high doses of radiation with an extremely high degree of precision.  CyberKnife is the ONLY radiation device out there that has the unique capability of continually tracking your prostate cancer movement and automatically correcting for that movement in real time.  The prostate can move as much as 10 mm in as little as 30 seconds.  That exquisite precision is exactly how CyberKnife treats with 5 high doses of radiation without damaging surrounding organs, like the bladder and rectum.  

Dr. Donald Fuller in San Diego, the lead investigator of this study said “Outcomes from this long-term, prospective study reinforced that CyberKnife prostate SBRT is highly effective, with typically minimal side effects and impact on quality of life during and after treatment. It is important to note that nearly 90% of patients in the study were treated at community facilities across the United States, which may provide reassurance for men with localized prostate cancer that the results are achievable in their community setting.” 

If you have any questions about your prostate cancer diagnosis or treatment, please feel free to call me, Dr. Edward Hughes at 855-Dayton 1.  I guarantee that I will see you in consultation in 1-3 days.  And when you call us, you will speak to a real person, and not be put on hold or transferred to a call center.

CyberKnife: Beat Prostate Cancer Without Surgery

Only You Know What’s Best For You   

Seems like a simple idea, doesn’t it?  But it may not be so simple when you’re diagnosed with prostate cancer.  A lot of emotions come into play.  And there are so many choices. Your emotions tell you that you’ll be all better once the prostate is cut out of your body.  But it’s just not that easy. 

To the surprise of most men, the chance of recurrence at the site of surgery is an all too common problem.  That’s right.  Up to 20% of men following surgery need radiation because of rising PSA levels.  And it just doesn’t stop there.  After surgery, there may be embarrassing side effects like incontinence – leaking urine when you least expect it. 

The CyberKnife Solution 

With CyberKnife, there is no pain, no cutting.  CyberKnife is done as an outpatient in only 5 visits.  CyberKnife is not surgery at all.  CyberKnife is a highly specialized radiation machine that tracks your cancer continuously.  And it’s the only radiation machine out there that does so. 

What does this mean for you as a prostate cancer patient?  Better prostate cancer control and fewer side effects. 

The Proof Is In the Results 

Dr. Robert Meier of the Swedish Medical Center in Seattle was the lead investigator of the study of 309 men with newly diagnosed prostate cancer treated at 21 community, regional, and academic cancer centers across the United States.  The prostate cancer patients were treated with stereotactic body radiotherapy (SBRT), like that delivered by CyberKnife. 

The results were impressive:

1).  97% of men were free from prostate cancer progression at 5 years 

2).  Only 4 of 309 men had serious side effects.  And the side effects were usually temporary. 

At the 2016 Meeting of the American Society of Therapeutic Radiology and Oncology, Dr. Meier said “After following patients for more than 5 years, we found that serious side effects from a brief course of SBRT were uncommon and that cancer control rates were very favorable compared to historical data.” 

The First Dayton CyberKnife Difference 

I’m proud to report that prostate cancer control rates were a bit better at First Dayton CyberKnife. 

First Dayton CyberKnife’s Results (January 2012- September 2016):

1). 98.8% of men were free from prostate cancer progression at 5 years. 

2). 0 of 187  men had serious side effects.

First Dayton CyberKnife is the only SBRT machine in Dayton that continuously tracks the movement of your cancer.  It’s easy to understand that a lung cancer moves with your breathing.  But your prostate also moves as well during radiation.  With CyberKnife tracking, your continuous prostate tracking means less scatter radiation to your rectum and bladder.  And that means less side effects for you. 

Here the facts for yourself.  Only you know what’s best for you.  If you have any questions about your prostate cancer, I guarantee that I will see you in 1-3 days.  You be the judge.  Call me, Dr. Edward Hughes, at 855-Dayton 1

CyberKnife: For More than Just Lung and Prostate Cancer

People are shocked to learn that CyberKnife can be used for many cancers, not just lung cancer and prostate cancer.  It’s not surprising.  The TV ads for First Dayton CyberKnife focus on lung cancer and prostate cancer exclusively.

But CyberKnife can treat a whole host of other cancers, anywhere the body, including:

  • brain

    CyberKnife Iris.tif

    The CyberKnife is the only system to track your tumor during treatment. Giving it the most precision of any radiation delivery system in the world.

  • breast
  • kidney
  • liver
  • lung
  • pancreas
  • prostate
  • spine
  • reccurent head and neck

 CyberKnife is breakthrough radiation treatment.  It is the only radiation machine that tracks your cancer in real time, protecting healthy tissue.  With lung cancer treatment, CyberKnife breathes with you, sparing critical structures such as normal lung, heart, spinal cord, and esophagus. 

CyberKnife treatment takes just 3-5 brief visits over 1 week.  There is no cutting, no pain, and far fewer side effects than surgery or radiation at ordinary cancer centers.  Best of all, there is no recovery time.  You can resume your normal activity after each visits. 

CyberKnife is as effective as surgery but with a much better quality of life.  And First Dayton Cancer Care has the most CyberKnife experience of any center in Southwest Ohio. 

Get your life back faster.  I guarantee I’ll see you in 1-3 days of your call.  Dr. Edward Hughes at 855-Dayton 1

CYBERKNIFE: PERFECT CHOICE FOR SENIORS WITH LUNG CANCER

CyberKnife is perfect for the elderly with early stage lung cancer. No surgery means fewer risks.

CyberKnife is perfect for the elderly with early stage lung cancer. No surgery means fewer risks.

Stereotactic radiosurgery, like that delivered by CyberKnife, has become the “standard of care” for stage I lung cancer patients considered to be medically inoperable or if a patients is too sick for surgery.  A new study of 62,213 patients 60 years and older with stage I lung cancer, showed that stereotactic radiosurgery increased the 2 year survival rate to 58% compared to 39% for seniors treated with conventional radiation. 

Dr. Andrew Farach told HemOnc Today that “Our findings indicate that physicians should feel confident recommending radiation therapy to patients who are too sick to undergo surgery or choose not to undergo surgery for other reasons.”  Dr. Farach and his colleagues reported their findings at the September 2016 meeting of the American Society of Therapeutic Radiology and Oncology(ASTRO) in Boston last month. 

THE CYBERKNIFE ADVANTAGE 

CyberKnife is the only stereotactic radiosurgery device that continuously tracks your lung cancer as you breathe.  CyberKnife treatments are painless-no incision. CyberKnife treatments are completed in only 3-5 outpatient visits.  In fact, many of our patients can drive themselves to and from visits. 

Many of our seniors have many medical problems that limit their surgical options.  And CyberKnife is a perfect alternative.  At the prestigious Massachusetts General Hospital in Boston, there has been a drop in surgery for seniors with early-stage lung cancer with many choosing stereotactic radiosurgery. 

“It is a rare situation where the more convenient therapy is also the more effective therapy,” said Dr. Farach of Houston’s Methodist Hospital at the ASTRO 2016 press conference last month. 

First Dayton is the only cancer center in Southwest Ohio using the CyberKnife to treat lung cancer. If you have any questions about your lung cancer, please feel free to call me, Dr. Edward Hughes, at 855-Dayton 1.  I guarantee that I will see you in 1-3 days of your call. Expertise. Experience. Caring. The First Dayton CyberKnife difference.

The Cyber Knife Breaths with You

Dr. Hughes explains how the Cyber Knife is used to treat cancers such as lung, prostate, kidney, brain, spine and many others. Not only can we control the radiation beam to mere millimeters, the real time imaging allows the Cyber Knife to track the tumor to ensure that we target only the cancer. It actaully breaths with our lung cancer patients.  It follows the motion of the prostate. It sees into the brain during treatment. There is NO other radiation treatment that can do this. Watch!

CyberKnife for Early Stage Lung Cancer is Superior to Surgery

Treatment for lung cancer with radiation therapy is proven to be superior to surgery. In a landmark study published in the Lancet Oncology June 2015 16(6) 630-637, cancer specialists reported that early stage lung cancer patients treated with stereotactic ablative body radiotherapy (SABR), like that delivered by CyberKnife, had a 3 year overall survival of 95%. Surprisingly, early stage lung cancer patients faired much worse with open surgery (lobectomy) with a 3 year overall survival of only 79%.

CyberKnife treatment stands in stark contrast to surgery. CyberKnife is a highly specialized form of radiation therapy done on an outpatient basis in 3-5 visits, with no pain and no cutting. A lobectomy on the other hand is a major operation where surgeons open your chest and remove an entire lobe of your lung. Requiring a prolonged hospital stay with all the risks of surgery on the chest.

Dr. Joe Y. Chang, a professor of radiation oncology at the world famous M.D. Anderson Cancer Center told Medscape, “For the first time, we can say that the 2 therapies are at least equally effective, and the stereotactic ablative radiotherapy (CyberKnife) appears to be better tolerated and might led to better survival outcomes for these patients.”

WHY IS THIS IMPORTANT FOR PATIENTS AND PHYSICIANS TO KNOW?

I believe this study is telling us that CyberKnife is a good solution as compared to open surgery. And a solution that does not require a major operation. No incisions, no pain, and no prolonged hospital stays with a difficult recovery. CyberKnife is painless and quick. You simply lay on a table and relax. No need to even get undressed.

WHAT IS THE CYBERKNIFE ADVANTAGE?

There are other stereotactic systems found at area hospitals. However, the CyberKnife is the ONLY stereotactic radiation device that actually breathes with you. There is no breath holding. This system has real time x-ray imaging that tracks your movement ensuring that it only targets the tumor and spares healthy tissue. This results in fewer long term side effects and offers immediate results.

First Dayton is the ONLY cancer center in southwest Ohio with the CyberKnife system for treating lung cancers. Discover if CyberKnife is the right choice to treat your lung cancer by calling me today, Dr. Ed Hughes at 855-DAYTON1.

WATCH THE CYBERKNIFE IN ACTION. SEE HOW IT TRACKS THE LUNG TUMOR AND TARGETS ITS POWERFUL RADIATION BEAMS WITH PINPOINT PRECISION.