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2006 Press Releases

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Institute for Advanced Radiation Oncology at Monmouth Keeps Target on Cancer with Sophisticated ‘Cone-Beam’ Technology

LONG BRANCH, NJ, SEPTEMBER 14, 2006 - Treating cancer like a moving target is the premise behind the latest breakthrough in radiotherapy recently unveiled at the Leon Hess Cancer Center at Monmouth Medical Center.

The introduction of image-guided radiation therapy (IGRT) at Monmouth’s Institute for Advanced Radiation Oncology allows for the pinpoint targeting of cancerous cells, despite tumor motion caused by a patient’s breathing, movement or positioning during treatment.

“The problem of a tumor moving over a four- to six-week course of daily radiation treatments has been an obstacle in effectively targeting cancer treatment — until now,” says Mitchell Weiss, M.D., chairman of radiation oncology at the Leon Hess Cancer Center at Monmouth Medical Center, an affiliate of the Saint Barnabas Health Care System. “IGRT represents the next phase of oncology care in our specialty, as it allows us, through image guidance, to watch the tumor move as a patient breathes, and target it much more accurately than ever before.”

Mitchell Weiss, M.D.
Mitchell Weiss, M.D., chairman of the Institute for Advanced Radiation Oncology at the Leon Hess Cancer Center, says image-guided radiation therapy represents the next phase of oncology care, allowing a tumor to be “watched” as a person breathes and moves, and targeting it much more accurately than ever before.

What specifically sets this state-of-the-art method of conformal radiotherapy apart from other less advanced forms is its unparalleled ability to generate “cone-beam” or 3-D images of the tumor site immediately before treatment.

By allowing radiation oncologists to “see before they treat,” cancerous cells are targeted precisely and accurately in real time without doing much harm to surrounding normal tissue and with the lowest possible radiation dose.

IGRT allows physicians to use functional images from positron emission tomography (PET), magnetic resonance imaging (MRI) and computed tomography (CT) scanning to identify the target in a much more accurate way, according to Dr. Weiss. “And now with cone-beam technology, we can actually track tumor motion and its location in the body, and adapt the treatment accordingly,” he explains.

Marking the latest step in Monmouth Medical Center’s ongoing advancement of 3-D conformal radiotherapy, IGRT with cone-beam technology will be used to treat a host of cancers, including breast, prostate, lung, colon and rectal and head and neck. Only a handful of facilities in the country offer IGRT with cone-beam technology and Monmouth Medical is the only one in its region.

Monmouth Medical Center marked a milestone in radiation therapy in 2003 when it became the first hospital on the East Coast to treat a patient with the Oncor Avant-Garde Linear Accelerator, technology offering the most-sophisticated computer-guided planning capabilities available and ultimately served as the springboard for the introduction of IGRT in 2004 and, most recently, with its cone-beam targeting capabilities.

Jack Yang, Ph.D., chief physicist for Monmouth’s Institute for Advanced Radiation Oncology, further explains that the “cone-beam” technique allows for an entire 3-D volume to be imaged with just one Linac rotation. “Much like a global tracking system, this system allows us to pinpoint the targeted area, delivering radiation only to the precise area of the tumor and sparing healthy adjacent tissue,” he adds.

For the past eight years, Monmouth has served as an intensity modulated radiation therapy (IMRT) “elite model site” for Siemens Medical Solutions, the Malvern, Pa.-based health care supplier that developed the Oncor system to integrate many leading-edge technologies. As a result of this status, it has hosted more than 300 site visits over the last several years, welcoming radiation oncologists, medical physicists and other cancer specialists from throughout the world to explore the process and benefits of establishing an IMRT practice in a community hospital.

Gaining international, national and state recognition for its clinical research into advanced methods of radiation therapy in recent years, the Institute for Advanced Radiation Oncology’s achievements paved the way for Monmouth Medical Center to become the first hospital in Monmouth County to earn accreditation from the American College of Radiation Oncology for the quality, safety and appropriateness of its radiation therapy.

Free tours of Monmouth Medical Center’s Institute for Advanced Radiation Oncology for the general public are offered the second Friday of each month from 1:30 to 2:30 p.m. For more information on IGRT or to register for a tour, call 732-923-6890.

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