Cyberknife Therapy for Prostate Cancer David Spellberg M.D., FACS Naples Urology Associates, P.A.

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Presentation transcript:

Cyberknife Therapy for Prostate Cancer David Spellberg M.D., FACS Naples Urology Associates, P.A.

Localized Prostate Cancer Effective treatment Safe treatment Minimal lifestyle changes

Radiation Options: IMRT BRACHYTHERAPY HDR COMBINATION

Advantages of Radiosurgery Outpatient No anesthesia Painless Over 5 years clinical experience Equal precision to surgery

CYBERKNIFE MINIMAL SIDE EFFECTS EASE OF TREATMENT UNIFORM TREATMENT PHYSICIAN FRIENDLY

PATIENT DRIVEN NON-INVASIVE MINIMAL SIDE EFFECTS MINIMAL DISRUPTION OF LIFE EFFICACY

PATIENT SELECTION 3 PROTOCOLS UP TO STAGE T2c –LOW RISK –INTERMEDIATE RISK –HIGH RISK

SEQUENCE OF EVENTS PATHOLOGY REVIEW CT/BS REVIEW DISCUSSION OF TREATMENT OPTIONS FIDUCIAL PLACEMENT CYBERKNIFE TREATMENT

FIDUCIAL PLACEMENT NPO IV SEDATION TRUS GUIDED TEMPLATE ANTIBIOTICS

Precise control limits dose to the rectal wall and urethra Automatic correction for target motion during treatment Prostate Radiosurgery Footage courtesy of St. Anthony’s Hospital

CODING TRUS/ FIDUCIAL PLACEMENT 76875, CYBERKNIFE TREATMENT 61793

SUMMARY Another treatment alternative Safe and effective Patient driven Physician friendly