THE CANCERS WE TREAT AT FROS


The physicians of FROS Radiation Oncology Cyberknife Center have a vast degree of expertise in the treatment of a wide range of cancer types and organ malignancies.

Having trained at the finest institutions in the world, our skills and expertise rank among the highest in the region. Our experienced physicians and staff have real-world experience in treating most cancers ranging from prostate and breast cancer to tumors of the head and neck region and the brain.

To learn more about a specific cancer treated with life-saving radiation therapy at FROS, click on one of the cancer types below:

Breast Cancer

Breast cancer is cancer originating from breast tissue, most commonly from the inner lining of milk ducts or the lobules that supply the ducts with milk.

Learn more about Breast Cancer
Lung Cancer

Lung cancer is a disease characterized by uncontrolled cell growth in tissues of the lung. Most cancers that start in lung, known as primary lung cancers, are carcinomas that derive from epithelial cells.

Learn more about Lung Cancer
Head & Neck Cancer

Head and neck cancer refers to a group of biologically similar cancers that start in the upper aerodigestive tract, including the lip, oral cavity (mouth), nasal cavity(inside the nose), paranasal sinuses, pharynx, and larynx.

Learn more about Head & Neck Cancer
Brain Cancer

A brain tumor is an intracranial solid neoplasm, a tumor with the brain or spinal canal. They are created by an abnormal and uncontrolled cell division...

Learn more about Brain Cancer
Kidney Cancer

Kidney Cancer (Renal Carcinoma) is not a single disease; it is made up of a number of different types of cancer that occur in the kidney...

Learn more about Kidney Cancer
Stomach Cancer

Adenocarcinoma of the stomach was the leading cause of cancer-related death worldwide through most of the twentieth century. It now ranks second to Lung cancer.

Learn more about Stomach Cancer
Prostate Cancer

Prostate cancer is one of the most common cancers affecting older men in developed countries and a significant cause of death for elderly men.

Learn more about Prostate Cancer
Gynecologic Cancer

Gynecologic cancer refers to cancer of the female reproductive system, including ovarian cancer, uterine cancer, endometrial cancer, cervical cancer, and vulvar cancer.

Learn more about Gynecologic Cancer
Lymphoma

Lymph is considered a part of the interstitial fluid, the fluid which lies in the interstices of all body tissues. Interstitial fluid becomes lymph when it enters a lymph capillary. The lymph then travels to at least one lymph node before emptying ultimately into the right or the left subclavian vein, where it mixes back with blood.

Learn more about Lymphoma

 

Spine Cancer

Spine tumors are neoplasms located in the spinal cord. They are mostly metastases from primary cancers elsewhere (commonly breast, prostate and lung cancer).

Learn more about spine Cancer
Bladder Cancer

Bladder cancer is any of several types of malignant growths of the urinary bladder. It is two and one-half times more common in males than in females.

Learn more about Bladder Cancer
Esophageal Cancer

Esophageal cancer begins in the esophagus. Esophageal cancer embodies two distinct histopathologic types, squamous cell carcinoma and adenocarcinoma.

Learn more about Esphageal Cancer
Liver Cancer

Liver cancer or hepatic cancer is a cancer that originates in the liver. Liver cancers are malignant tumors that grow on the surface or inside the liver.

Learn more about Liver Cancer
Pancreatic Cancer

Pancreatic cancer refers to a malignant neoplasm of the pancreas. The most common type of pancreatic cancer, accounting for 95% of these tumors is adenocarcinoma.

Learn more about Pancreatic Cancer
Skin Cancer

Skin cancers are skin growths with differing causes and varying degrees of malignancy. The three most common malignant skin cancers are basal cell cancer, squamous cell cancer, and melanoma.

Learn more about Skin Cancer

RADIATION TREATMENT PROCESS

CyberKnife Treatment Process | IGRT/IMRT Treatment Process | Accuboost Treatment Process

CyberKnife Treatment Process

 

Consultation: Upon your first visit you will meet with our board certified radiation oncologists. You and your family will have your questions answered in a comforting and caring environment. Our CyberKnife cancer treatment team will explain to you the pros and cons of choosing CyberKnife, as well as what will happen during the treatment.

Meet Your Medical Coordinator: After completion of the consultation every patient will have a medical coordinator assigned to them to guide them through each step of the Cyberknife process. We understand how difficult this time is for you and your family, so our trained medical coordinators will help you through the entire process. From technical questions on the Cyberknife technology to insurance authorization, our medical coordinators are here for you.

Treatment set-up: This step helps to determine your course of cancer treatment. You will be fitted for a soft, flexible mesh mask or body mold to help minimize movement during your cancer treatment. This is a painless process. Treatment of certain kinds of tumors outside of the head (prostate, liver, and pancreas) may require the insertion of tiny gold markers called fiducials. These will help identify the location of cancer cells. You will then undergo imaging procedures to determine the exact location, size and shape of your tumor. The process begins with a standard high-resolution computerized tomography (CT) scan. For certain tumors, other imaging techniques, such as molecular resonance imaging (MRI), angiography or positron emission tomography (PET) may also be used. All exams will be scheduled for you through your personal medical coordinator.

Treatment planning: Your cancer treatment team inputs your tumor information into advanced CyberKnife software that calculates the number, direction and intensity of radiation beams that will be used during your cancer treatment. The CyberKnife develops a treatment plan that is specific to your unique tumor. You do not need to be present during this step. Your doctor will communicate with you about your cancer treatment plan.

Treatment delivery: Be sure to wear comfortable clothes and no jewelry the day of your appointment. Feel free to bring your own music with you to enjoy during your cancer treatment. Make sure you bring someone to drive you home, as we may give you a mild sedative to make you more comfortable. During your treatment you will lie comfortably on a treatment table, which automatically positions you. We will help position you on the table and secure your flexible mesh mask/body mold. Because the cancer treatment is painless, you will be awake throughout your entire procedure, which usually lasts anywhere from 30-90 minutes, depending on the complexity of the tumor. After your procedure, you are free to go home. Depending on the course of cancer treatment, you may have to return for more sessions. Most patients have anywhere from one to five sessions with CyberKnife.

Follow-up: After your cancer treatment, your doctor will review follow-up imaging or other tests to assess the tumor's response to the delivered radiation and measure your progress.



IGRT/IMRT Treatment Process

 

Consultation: After being referred to Flushing Radiation Oncology or upon request for a consultation, our office staff will help you arrange a consultation appointment with our radiation oncologist at one of our facilities. You may arrive earlier with your health insurance card and all medical records. For the registration, patient information and signature are required; a photo will be taken for security and identification reasons.
One of our clinical staff will give you an initial physical examination before your consultation. Then, one of our radiation oncologists will review your current case and health history in the consultation and if necessary there will also be another physical examination. If radiation therapy is a treatment option for your particular situation and stage of disease, we will discuss the details of this treatment, including how many treatments will be prescribed, side effects, and risks and benefits. You will have an opportunity to ask any questions you have or talk about your concerns.

Meet Your Medical Coordinator: After completion of the consultation you will have a medical coordinator assigned to you. They will assist you through each step of the treatment. They will help you check the radiation benefits from your health insurance company, get the authorization for your treatment if necessary, schedule the CT simulation, call for the transportation and answer any questions concerning the treatment.

Pre-Simulation Procedures: The following steps may be performed before the CT simulation:

1. Scans or blood work to see if there is any other metastasis. However, it is often not necessary to order further scans.

2. For Prostate Cancer patients: Placement of gold markers to facilitate IGRT/ IMRT – by placing the “fiducial” gold-markers into the prostate using an ultrasound, this helps to locate the precise location of the organ on a daily basis.

Simulation: Prior to the radiation treatment, a Computed Tomography (CT) simulation will be performed. It is part of the “Planning Session”. All the necessary information that the radiation oncologist needs to create an individualized course of radiation is gathered. This helps the oncologists and physicists to design a customized treatment plan that matches your internal and external anatomy. 

The Simulation typically lasts for 30-60 minutes. During the painless process, measurements of your body are taken and a scan of the region of treatment is taken. A body mold or mesh mask is customized to each patient before scanning begins for immobilization purposes and small ink marks may be placed on your skin to aid in daily set-up reproducibility.

After the simulation, our therapists will help you arrange your future treatment appointments, taking into consideration the timeframe that you most prefer.

Treatment Planning: The next step is the most important. Once we have your anatomy (images from the CT simulation) on the computer, data will then be reviewed by the radiation oncologist with the aid of our New York State licensed PhD physicists. Using sophisticated software, the shape and angles of the radiation beams are optimized. In the next few days after your CT simulation, a dosimetric Intensity Modulated Radiation Therapy (IMRT) or Image-Guided Radiation Therapy (IGRT) plan will be created based on a precise radiation treatment model which makes sure most of the radiation goes to those areas that need to receive treatment.
Every plan used at FROS is reviewed by at least two of our PhD physicists, a radiation oncologist and a licensed radiation therapist, to assure the quality of the treatment plan. A Quality Assurance test is done for each plan that assures the amount of dose is being given to the correct area.

Treatment Verification: After a radiation oncologist and the physicists create a perfect modeled treatment plan for you, the oncologist will meet with you again. He will specify the number of treatments and risks and side effects, as well as what daily activity the patient should continue or avoid during this period. Your consent/agreement with the radiation oncologist is needed to start the treatment. After you sign the consent, our medical coordinator will escort you to a therapist team and your first treatment will begin.

Our licensed radiation therapists will verify that we are targeting the correct region by taking orthogonal images to assure the area we are treating is accurate. Our radiation oncologists will then verify these images are correct before treatment begins.

Daily Treatments: The radiation oncology department works from Monday to Friday. The entire IMRT / IGRT treatment lasts from 10 to 15 minutes depending on the treatment plan complexity. Please arrive 10-15 minutes early to the treatment. The therapist will escort you into the treatment room and will make sure you are exactly in the same position as you were in the CT simulation by setting up the Immobilization devices and using the marks on your skin.

The therapist will monitor the treatment outside the room. Treatment will be stopped immediately if any emergency occurs. During the treatment, cutting edge radiation technologies are utilized for further precision. As in the IGRT treatment, On-Board Imaging, Cone-Beam CT will help to find the exact and precise location of the targeted region. You won’t feel any pain or discomfort while the treatment is occurring.

On-Treatment Visits: On your first day and even first few weeks of treatment, you are likely to be without any side effects. If any side effects occur and raise your concern, you may contact your radiation oncologist immediately through the medical coordinator assigned to your case. Regardless, you will see the radiation oncologist and nurse for weekly status checks. If medication is necessary for any possible side effects, our radiation oncologist will prescribe it or modify your treatment process. Also, during the course of treatment the therapist team will report your current treatment status to the radiation oncologist for the treatment plan adjusting.

Regular Follow-Ups: Once radiation therapy is completed, our office staff will make you the follow-up appointments with the radiation oncologist. Typically, you will be seen back in our offices one month following completion of treatment, then in 3 months, 6 months, and 1 year. During these follow-up visits, assessment of your response to treatment and disease status is reviewed. In addition, if any tests were performed from another facility it will be requested upon follow up to be reviewed by the radiation oncologist. Within this period, please feel free to contact the medical coordinator and physicians about any request or questions concerning to your health.

Accuboost Treatment Process

 
 
 
 

RADIATION TREATMENT PROCESS

CyberKnife Treatment Process | IGRT/IMRT Treatment Process | Accuboost Treatment Process

CyberKnife Treatment Process

 
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Treatment planning: Your cancer treatment team inputs your tumor information into advanced CyberKnife software that calculates the number, direction and intensity of radiation beams that will be used during your cancer treatment. The CyberKnife develops a treatment plan that is specific to your unique tumor. You do not need to be present during this step. Your doctor will communicate with you about your cancer treatment plan.

Treatment delivery: Be sure to wear comfortable clothes and no jewelry the day of your appointment. Feel free to bring your own music with you to enjoy during your cancer treatment. Make sure you bring someone to drive you home, as we may give you a mild sedative to make you more comfortable. During your treatment you will lie comfortably on a treatment table, which automatically positions you. We will help position you on the table and secure your flexible mesh mask/body mold. Because the cancer treatment is painless, you will be awake throughout your entire procedure, which usually lasts anywhere from 30-90 minutes, depending on the complexity of the tumor. After your procedure, you are free to go home. Depending on the course of cancer treatment, you may have to return for more sessions. Most patients have anywhere from one to five sessions with CyberKnife.

Follow-up: After your cancer treatment, your doctor will review follow-up imaging or other tests to assess the tumor's response to the delivered radiation and measure your progress.



IGRT/IMRT Treatment Process

 

Consultation: After being referred to Flushing Radiation Oncology or when upon request for a consultation, our office staff will help you arrange a consultation appointment with our radiation oncologist at one of our facilities. You may arrive earlier with your health insurance card and all medical records. For the registration, patient information and signature are required; a photo will be taken for security and identification reason.
One of our clinical staff will give you an initial physical examination before your consultation. Then one of our radiation oncologists will review your current case and health history in the consultation and if necessary there will be a physical examination. If radiation therapy is a treatment option for your particular situation and stage of disease, the details of this treatment including how many treatments will be prescribed, as well as side effects, risks and benefits. You will have an opportunity to ask any questions or talk about your concerns.

Meet Your Medical Coordinator: After completion of the consultation you will have a medical coordinator assigned to you. They will assist you through each step of the treatment. They will help you check the radiation benefits from your health insurance company, if necessary they will get the authorization for your treatment, schedule the CT simulation, call for the transportation and answer any questions concerning with the treatment.

Pre-Simulation Procedures: The following steps may be performed before the CT simulation

1. Scans or blood work to see if there is any other metastasis. However it is often not necessary to order further scans.

2. For Prostate Cancer patients: Placement of gold markers to facilitate IGRT/ IMRT – by placing the “fiducial” gold-markers into the prostate using an ultrasound, this helps to locate the precise location of the organ on a daily basis.

Simulation: Prior to the radiation treatment, a Computed Tomography (CT) simulation will be performed. It is part of the “Planning Session”. All the necessary information that the radiation oncologist needs to create an individualized course of radiation is gathered. This helps the oncologists and physicists to design a customized treatment plan that matches your internal and external anatomy. 

The Simulation typically lasts for 30-60 minutes. During the painless process, measurements of your body are taken and a scan of the region of treatment is taken. A body mold or mesh mask is customized to each patient before scanning begins for immobilization purposes and small ink marks may be placed on your skin to aid in daily set-up reproducibility.

After the simulation, our therapists will help you arrange your future treatment appointments, taking into consideration the timeframe that you most prefer.

Treatment Planning: The next step is the most important. Once we have your anatomy (images from the CT simulation) on the computer, data will then be reviewed by the Radiation Oncologist with the aid of our New York State Licensed PhD Physicists. Using sophisticated software, the shape and angles of the radiation beams are optimized. In the next few days after your CT simulation, a dosimetric Intensity Modulated Radiation Therapy (IMRT) or Image-Guided Radiation Therapy (IGRT) plan will be created based on a precise radiation treatment model which makes sure most of the radiation goes to those areas that need to receive treatment.
Every plan that is done at FROS is reviewed by at least two of our PhD Physicists, Radiation Oncologist and licensed Radiation Therapist to assure the Quality of the treatment plan. A Quality Assurance test is done for each plan that assures the amount of dose is being given to the correct area.

Treatment Verification: After a radiation oncologist and the physicists created a perfect modeled treatment plan for you, the oncologist will meet with you again. He will specify the number of treatments, risks and side effects and what daily activity patient should continue or avoid during this period. Your consent/agreement with the radiation oncologist is needed to start the treatment. After you sign the consent, our medical coordinator will escort you to a therapist team and your first treatment will begin.

Our Licensed Radiation Therapists will verify the area we are treating by taking orthogonal images to assure the area we are treating is accurate. Our Radiation Oncologists will verify these images are correct before treatment begins.

Daily Treatments: The radiation oncology department works from Monday to Friday. The entire IMRT / IGRT treatment lasts from 10 to 15 minutes depending on the treatment plan complexity. Please arrive 10-15 minutes earlier for the treatment. The therapist will escort you into the treatment room and will make sure you are exactly in the same position as you were in the CT simulation by setting up the Immobilization devices and using the marks on your skin.

The therapist will monitor the treatment outside the room. Treatment will be stopped immediately if any emergency happens. During the treatment Cutting edge radiation technologies are utilized for further precision. As in the IGRT treatment, On-Board Imaging, Cone-Beam CT will help to find the exact and precise location of the targeted region. You won’t feel any pain or discomfort when the treatment is on.

On-Treatment Visits: On your first day and even first few weeks of treatment, you are likely to be without any side effects. If any side effects occur and raise your concern, you may contact your radiation oncologist immediately through the medical coordinator assigned to your case. You will see the radiation oncologist and nurse for weekly status checks. If medication is necessary for any possible side effects, our radiation oncologist will prescribe it or modify your treatment process. Also during the course of treatment, the therapist team will report your current treatment status to the radiation oncologist for the treatment plan adjusting.

Regular Follow-Ups: Once radiation therapy is completed, our office staff will make you the follow-up appointments with the radiation oncologist. Typically, you will be seen back in our offices one month following completion of treatment, then in 3months, 6months and 1 year. During these follow-up visits, assessment of your response to treatment and disease status is reviewed. In addition, if any tests were performed from another facility it will be requested upon follow up to be reviewed by the radiation oncologist. Within this period, please feel free to contact the medical coordinator and physicians about any request or questions concerning to your health.

Accuboost Treatment Process

 

ACCUBOOST BREAST CANCER TREATMENT


Accuboost at FROS Radiation Oncology Cyberknife Center for Image Guided Breast Irradiation


A new option when making an important decision…

Women with early stage breast cancer increasingly choose to treat the cancer and save their breast. Breast conservation therapy (BCT) starts with the surgical removal of cancerous tissue in a procedure known as lumpectomy. Lumpectomy is followed by daily sessions of radiation therapy to the whole breast for six weeks. Whole breast irradiation (WBI) is widely accepted as the “gold standard” for breast radiotherapy based on over three decades of experience. The BCT protocol also requires additional localized radiation, known as the “boost” dose, aimed only at the tissue surrounding the tumor bed. The combination of surgery and completion of radiation therapy has been effective in preventing cancer recurrence. Numerous studies show that women with early stage disease have a clear option to preserve the breast and fight off the cancer.

The Importance of the Boost Dose
The full course of radiation therapy includes a “boost” dose solely for the breast tissue around the surgical site. This tissue is believed to contain pre-cancerous cells that, if left alone, may cause cancer to return. Numerous studies have shown the contribution of this all-important boost dose for preventing recurrence.
The Need for Boost Dose Improvements
Today, the boost dose is aimed at the surgical site mainly by using the surgical scar left on the skin. It is well known that the incision site is primarily chosen to minimize the visibility of the surgical scar and in most cases does not provide a good reference point for the location of the lumpectomy, and is unrelated to its shape and size. In fact, recent reports indicate that in more than 50% of cases analyzed, the boost dose which is aimed via the surgical scar, misses the intended target. Clearly, methods that direct the boost dose to the target tissue and control both the delivery process and dose quality are important in preventing breast cancer recurrence.
AccuBoost’s Strive for Perfection...
AccuBoost is the latest innovation in breast radiotherapy that achieves the goal of targeting the boost dose to the lumpectomy cavity margin – the tissue that is the most likely site of future recurrence. The AccuBoost design combines a non-invasive method of delivering a well focused beam with the power of real-time image guidance to target the radiation dose accurately and reliably to the surgical excision site (target tissue). Additionally, AccuBoost controls unintentional exposure to otherwise healthy tissue and minimizes radiation-related side effects.
AccuBoost Achieves Results
AccuBoost is the latest innovation in breast radiotherapy that achieves the goal of targeting the boost dose to the lumpectomy cavity margin – the tissue that is the most likely site of future recurrence. The AccuBoost design combines a non-invasive method of delivering a well focused beam with the power of real-time image guidance to target the radiation dose accurately and reliably to the surgical excision site (target tissue). Additionally, AccuBoost controls unintentional exposure to otherwise healthy tissue and minimizes radiation-related side effects.
Hitting the Bull’s Eye – The Importance of IGRT
In the AccuBoost design, the radiographic imaging equipment and the radiation delivery hardware share a common platform making dose targeting accurate and eliminating daily patient positioning “guess-work”. The real-time image guided radiation therapy (IGRT) feature of AccuBoost allows exact targeting of the tissue giving rise to the AccuBoost slogan:
"You see what you treat and you treat what you see"

Accuboost

At FROS Radiation Oncology Cyberknife Center, our team is committed to bringing leading-edge technology with highly compassionate care to our patients.

Please call us at 1-888-880-6646 today to find the right treatment for you.

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LOCATIONS

Flushing: 40-22 Main St, 4th Fl,
Flushing, NY 11354
Brooklyn: 1737 Bath Ave
Brooklyn, NY 11214
Manhattan: 47 Essex St.
New York, NY 10002

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