Category Archives: First Dayton CyberKnife

First Dayton Cancer Care Celebrates 14 Year Anniversary

Dr. Hughes enjoys being able to spend a lot of time with patients answering all of their questions. He is able to do that in his own practice.

Local cancer doctor, Ed Hughes, MD, PhD, feels that his cancer patients have rights. They have a right to the best medical care possible. They have a right to choose a treatment that is best for them. They have a right to superior health care at a reasonable cost. They have the right to treatment done quickly. They have the right to quality of life. They have a right to stay in Dayton for world class medical care. The reason this doctor left the hospital 14 years ago is even more important today. As more and more physicians sell out to big hospitals, they are losing their rights.

First Dayton Cancer Care was opened in 2003 because Dr. Hughes believes cancer patients have the right to the best. He is an expert in Radiation Oncology. He uses radiation technology to destroy cancer cells throughout the body. It is virtually painless to the patient. “Radiation therapy is all we do. This is not a side service to us. I have a team of experts. This is our passion,” states Dr. Hughes. Over the past 14 years, Dr. Hughes and his team have given more than 126,500 radiation treatments to more than 7,000 people from the southwest Ohio region.

Dayton has some of the most advanced cancer fighting tools in the world thanks to Dr. Hughes. He has been the driving force to bring advances like robotic seed implants for prostate cancer, Intensity Modulated Radiation Therapy (IMRT) and the CyberKnife Stereotactic Radiation Therapy to our city. He has always been on the forefront of these medical breakthroughs.

Dr. Hughes was one of the first oncologists in the country to use Stereotactic Radiation Therapy. He makes financial investments, often foregoing profits, because he wants his patients to have world class cancer treatments right here at home. Dr. Hughes states, “People ask me all the time, ‘If the CyberKnife is such phenomenal technology then why doesn’t every hospital have one?’ I can honestly tell them that is not a profitable service line. It is simply better medicine. And I believe as a physician, my most important mission is to save lives using every possible tool.”

We asked Dr. Hughes why he chose to leave the hospital and open his own center in today’s challenging health care market. “When I worked at the hospital I was always being told what I could and could not do for my patients. Owning my own practice allows me to care for them as individual people. I can do so much more this way.” For example, First Dayton is the only center in the region to actually pick up patients for their treatments. It is a free car service. Mary of Centerville tells us, “It has been a true blessing to have such fine people drive me to my daily appointments. My kids all work. I don’t know how I would have made it otherwise.”

When you have been told you have cancer, you want answers immediately; so Dr. Hughes will see patients within 1-3 days of their first phone call. Dr. Hughes often spends over an hour with his patients and their family at their initial visit. “I want to learn about this person. I want to present all of the treatment options and help the patient decide what will give them the best chance to beat their cancer. I want to answer all of their questions. I couldn’t spend this much time when I worked at the hospital. People with cancer are scared. Patients want hope.”

What’s the Big Deal about the CyberKnife? Why only 5 Treatments?

The Superior Precision of the CyberKnife allows for Only 3-5 Treatments Most Cancers.

Simply put, CyberKnife Stereotactic Ablative Body Radiotherapy, or SABR for short, controls cancers even better than predicted.  For example, the results for patients with early stage lung cancer have been particularly striking. Studies have shown 85-90% cancer control rates with a 3-5 CyberKnife treatments versus only 30% with 30-40 ordinary radiation treatments.  This means that  85-90% of lung cancer patient treated with the CyberKnife got rid of their cancer. That is a huge increase in successful cancer treatment. More people are beating their disease with the CyberKnife than with ordinary radiation therapy.

Because of this success, a lot of research is being done to find out why it is working so well. And to learn how else SABR can be used to treat cancers and other diseases. Here are some cutting-edge facts:

CyberKnife Damages Cancer’s Blood Supply  

  1. In a recent editorial, oncologist Dr. Paul Sperduto and colleagues stated “the literature supporting this phenomenon (high-dose radiation results in indirect tumor cell death) is not fragmentary, but actually quite robust….  However, we have consistently underestimated the role of indirect cell death by devascularization and its possible role in radiation-induced immune enhancement.”  (Int. J Radiation Oncol Biol Phys. 91, No.1,pp121-13, 2015)
  2. When you cut off the blood supply to the cancer cells, they die. Decades of research shows that a few high doses of radiation will damage the blood vessels supplying the tumor. There is now active research combining Avastin, a drug that blocks blood vessel formation and SABR. Using Avastin and the Cyber Knife may double the efforts to cut off the tumor’s blood supply.

 CyberKnife Can Generate an Immune Response to Attack the Cancer

CyberKnife may help unleash your body’s own immune system to fight your cancer. Recent studies suggest that SABR cause the body to release tumor-specific antigens. These antigens are unique molecules released after radiation destruction of cancer and can generate a cancer-specific immune response.  Once again, there is now active research combining SABR, like that delivered by CyberKnife, with the recent FDA approved drugs called immune checkpoint inhibitors.

CyberKnife Tracks Your Cancer As It Moves

Much like a jet-fighter pilot who always has an enemy target in its cross-hairs, CyberKnife can track your lung cancer as it moves with each and every breath.  CyberKnife’s pencil thin beams of radiation can destroy your tumor, while sparing surrounding normal tissues.  Because of this precision, CyberKnife  uses hundreds of beams of radiation instead of 5 – 7 beams delivered with other radiation machines. With the CyberKnife you do not have to hold your breath during treatment. You just lie still and the machine does all the work for you. Each treatment typically takes a mere 25-50 minutes, with plenty of breaks if needed.

It is not just lung cancers that move. Prostate cancer, liver cancer, pancreas cancer, and many other cancers move inside the body. CyberKnife is the only radiation device that directly watches your cancer as it moves, keeping collateral damage to a minimum.

If you or a loved one has cancer, learn all the options. Discover more here. CyberKnife maybe the answer to beating your cancer. Call me to discover how I can help win your fight.

Computers Helped Save My Life

The CyberKnife can give 300+ beams of controlled radiation to a lung tumor, all while the patient breathes normally.

“I have cancer growing inside of my lungs. I can’t see it. I can’t touch it. But I know that it is there”, shares John, a computer technologist from West Chester.

John states that the doctors have shown him the medical images of his lungs so that he could see his cancer. “Even though I have seen in CT scans and MRI’s, it is still hard to believe. I thought that my increased congestion was due to allergies. I work with computers all day long, but now computers are helping to save my life.”

In addition to the advanced medical images that diagnosed John’s cancer, the treatment that he chose is also possible because of the advances in computer technology. Surgery was not an option for John because it would have damaged the healthy tissue and was close to his heart. He chose to have radiation therapy with Dr. Ed Hughes instead.

“The fact that we can now use advanced computer imaging during John’s treatment to actually see inside his lungs; has been the biggest medical breakthrough in my 35 year career”, explains Hughes. The CyberKnife’s computers actually track the motion of John’s breathing so that it can deliver the radiation with sub-millimeter precision to only the cancerous tissue.

“Knowing that the doctors could see inside my lungs and that the CyberKnife was so precise and so accurate, helped me to relax. I work. I support my wife and 3 kids. I was not only afraid for my life, but afraid to take off work to recover”, says John. He was able to have 3 CyberKnife treatments that lasted about half an hour each. He was able to keep working and was able to keep up with his active family.

It has been 14 months since his CyberKnife treatments and he is now cancer free. (original blog was in July of 2014)

John shares his enthusiasm, “I have always loved computers. They have fascinated me since I was a teenager and now they have saved my life.”

John was just in to visit with us and he is still cancer free thanks to Dr. Hughes and the CyberKnife. If you want help like John, call Dr. Hughes today.

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.

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

Cyber Knife For Early Stage Lung Cancer Doubles Your Survival

In the study of more than 1,600 veterans with early-stage lung cancer, stereotactic radiosurgery, like that delivered by Cyber Knife, more than doubled the chances of surviving compared to conventional radiation.  Importantly, the study was conducted at VA Medical Centers over the past decade. The study was presented at last week’s meeting of the American Society of Therapeutic Radiology and Oncology or ASTRO.

 Dr. Brian Kavanagh, President-Elect of ASTRO, told the  Medscape news organization, “Although we are talking about a treatment that is of an advanced technology that has only been allowed in the last 10 years or so, it is also a smarter, more efficient and more cost effective way to do things.  It involves fewer trips to the treatment center for the patient, fewer side effects, and is generally a lot easier to take.”

Cyber Knife has also been shown to be just as effective as open surgery for patients with early stage lung cancer, but without the hospitalization, the risks of open surgery, and the pain. Cyber Knife is available only at First Dayton Cancer Care in southern Ohio.  And Cyber Knife is the only radiation device that breathes with you, tracking your lung cancer’s movement with every breath. 

If you have any questions about treatment of your early stage lung cancer, please feel free to call me, Dr. Edward Hughes, at 855-DAYTON1.  I guarantee that I will see you within 1-3 days.

The First Dayton Cyber Knife Difference-Prostate Cancer

Treatment with the Cyber Knife is painless.

Cyber Knife treatment is painless and it only takes 5 treatments that can take less than 1 hour. Men do not even have to undress for the treatment; it is that simple.

First Dayton Cancer Care began treating prostate cancer patients in 2012 with the Cyber Knife Stereotactic Radiation Therapy System. Since that time, we have performed over 2,500  treatments.  Our physicians have over 30 years of experience treating prostate cancer with a wide range of treatment systems. They have seen for themselves the dramatic difference treatment with the Cyber Knife makes a man’s quality of life and survival.

Discover the First Dayton Difference:

  • 98.8% PSA control rate on our very own patients since 2012.
  • Cure Rates are as good as surgery, but without painful cutting and surgical side effects.
  • Better Quality of Life by lowering risk of embarrassing side effects.
  • Cyber Knife is the ONLY real-time motion tracking radiation system, killing the cancer while sparing health tissue and organs.
  • Drive yourself to and from treatment in just 5 visits. No hospital stays.
  • Everyone has front row parking.
  • Continue to work.
  • Visit with our physicians within 1-3 days of your phone call.

If you have any questions about your prostate cancer, call me, Dr. Ed Hughes at 1-855DAYTON1.

Is American Medicine Rigged? The Truth about Lung Cancer

Are American patients being told all of their options?

Are American patients being told all of their options?

The Presidential primary election season has been eye-opening, with outcries by candidates from both parties of a “rigged system”. The “establishment” has recoiled from such talk. But shining the light on “the accepted way” of doing things has made all Americans more aware of the pitfalls of the system.  And asking probing questions is never bad.

It’s taken two lung cancer specialists from “Down Under” at the MacCallum Cancer Center in Australia to shine the light on the lung cancer surgery establishment in America.  In a thoughtful review of the existing studies of stereotactic ablative body radiation therapy (SABR) versus lung surgery, Dr. Siva and Dr. Ball make a compelling case for the use of SABR to treat early stage non-small cell lung cancer patients.  Dr. Siva and Dr. Ball conclude “SABR and surgery had similar estimated overall and disease-free survival.”  Their study was recently published in the prestigious  journal,  The Oncologist 2016; 21:1-6.

The situation is exactly the same as 30 years ago when I started training in radiation oncology at Harvard.  The raging controversy at that time was lumpectomy and radiation therapy versus mastectomy.  Despite study after study showing that lumpectomy and radiation was exactly the same as mastectomy, the vast majority of early stage breast cancer patients still underwent mastectomy.  But it’s always been hard to get surgeons to tell patients about surgical alternatives for early stage cancers, whether it’s breast cancer or lung cancer.

Did you know that only 14 of 50 states in America require that physicians inform early stage breast cancer patients of lumpectomy and radiation as an alternative to mastectomy?  Any wonder that those same states have more women undergoing radiation and lumpectomy than surgery?

Do you know how many states require that doctors tell early stage non-small cell lung cancer patients of using stereotactic ablative body radiation, or SABR for short, to cure early stage lung cancer versus surgery?  Exactly 0! Any wonder that many early stage lung cancer patients have never even heard of stereotactic ablative body radiation (SABR), like that delivered by Cyber Knife?  Or that the information given to them was inaccurate or incomplete?

Dr. Michael Steinberg and colleagues from UCLA looked at 102 early stage non-small cell lung cancer patients treated with stereotactic radiation (SABR)-56% had no prior knowledge of SABR before meeting a radiation oncologist.  Among those 102 patients, 39 patients had prior lung surgery for a previous lung cancer.  And 90% of those patients would rather have had stereotactic ablative body radiation, like that delivered by Cyber Knife, than another lung surgery (Lung Cancer 2015; 90:230-233).

So what’s an early stage lung cancer patient to do?  I have a modest proposal.  Early stage lung cancer patients need to be “difficult patients.” All of us doctors know the type – asking a lot of questions, having many family members present, and coming armed with a lot of facts found on the Internet. Challenging your physician can sometimes be a good thing.

So if you have any questions on your early stage non-small cell lung cancer, please feel free to call me, Dr. Edward Hughes at 855-DAYTON1

 

BREAST CANCER: THE TOP 5 THINGS YOU NEED TO KNOW

Over 8,000 breast cancer researchers and clinicians attended the San Antonio Breast Cancer

Know the results of these 5 research studies to help make treatment decisions.

Know the results of these 5 research studies to help make treatment decisions.

Symposium meeting in December 2015.  Here are some of the key highlights that I though would be important to our breast cancer patients.

1. Lumpectomy and Radiation Therapy Is Better Than Mastectomy

In a 10 year study of 37,000 women in the Netherlands, the relative risk of death was 20% lower in women who underwent lumpectomy and radiation therapy versus mastectomy alone.  The 10 year overall survival was 76.8% with lumpectomy and radiation therapy versus only 59.7% with mastectomy alone.  Importantly, the overall survival benefits held even for women who had lymph node positive disease.

  1.  With Lumpectomy and Radiation Therapy, It’s a Good Idea to Stop Smoking

Over 40,000 women were studied by the Early Breast Cancer Trialists’ Collaborative Group.  The results were clear cut-those women who underwent lumpectomy and radiation therapy but continued to smoke were at increased risk for lung cancer and heart disease.

The study was somewhat dated as the median time to entry into the study was 1983. And breast radiation therapy has improved dramatically over 30 years.  But I believe these results still ring true.

3. Skipping Chemotherapy Altogether in Postmenopausal Women with Breast Cancer

Post-menopausal women with the so-called luminal A subtype breast cancer can consider skipping chemotherapy altogether and still expect a good prognosis even when node positive (ER/PR positive, HER-2 negative). Analysis of the “old” Danish Breast Cancer Cooperative Group 77B Trial finally confirmed what many clinicians already thought: Patients with low risk breast cancer do not need chemotherapy.

4. Heart Medications Protect against Herceptin Damage

In the MANICORE  study, women taking both the beta-blocker bisoprolol (Concor) and the ACE inhibitor perindopril(Converyl, Aceon) preserved heart function.  The study may be a life saver for many of those breast cancer patients who take Herceptin for months. Herceptin is known to cause heart damage.

5. Preventing Breast Cancer Recurrence In Women with DCIS: Anastrozole May Be Just As Good As Tamoxifen

The IBIS DCIS Trial and the NRG/Oncology/ NSABP-35 trial showed that the drugs are equally effective. Anastrozole is my choice because of its fewer side effects.

Be sure that you consider these 5 facts when you are making decisions about the treatment plan that is best for you. The goal should be do treat your breast cancer without causing further health issues.

If you have any questions about your breast cancer treatment, please feel free to call me, Dr. Edward Hughes, at 855-DAYTON1