Cancer and Radiotherapy Education
Cancer Types
Find out more about the treatment of different types of cancer using radiotherapy.
Radiotherapy types
Read more about various kinds of radiotherapy (proton, VMAT, SRS etc).
Radiotherapy Techniques
Proton therapy, VMAT, 3D, Electrons, IMRT, SBRT, SRS
Proton therapy
Proton beam therapy is a form of radiotherapy that uses protons, positively charged particles, to precisely target and treat cancer cells, with minimal exit dose in normal organs, distal to the tumour.
Download Proton-Beam-Therapy-A-patient-Guide
- Minimise dose distal to tumours
- Allows for high doses to tumours
Volumetric Modulated Arc Therapy
VMAT radiotherapy uses x-rays that are shaped to form a conformal treatment target. It is known for its shorter treatment times, increased treatment accuracy, and improved sparing of critical structures, contributing to more effective and patient-friendly radiation therapy.
- Modulated
- Comfortable
Stereotactic Ablative Radiotherapy or Radiosurgery
Stereotactic Radiosurgery (SRS), or ablative body radiotherapy ( SABR, SBRT etc) is a non-invasive and highly precise radiotherapy technique used to treat small tumors or lesions in the brain or other parts of the body. 
- Concentrated
- 1-5 fractions
- Highly accurate
Radiosurgery
Stereotactic Body Radiation Therapy (SBRT) and Stereotactic Radiosurgery (SRS): These are techniques that deliver highly focused, high-dose radiation to small tumors or specific areas within the body. SBRT is often used for the treatment of small, localized tumors outside the brain, while SRS is typically used for brain tumors.
Discover the Power of Proton Beam Therapy in Cancer Treatment
How is proton different different?
Proton therapy is a type of radiation therapy that uses protons rather than traditional photons. Protons have unique physical properties that allow for more precise targeting of tumors, with the potential to reduce damage to surrounding healthy tissues.
Read about which cancers can be treated with proton beam therapy.
When is proton therapy used?
Unlike traditional X-ray radiation, protons deposit their energy more precisely, minimizing damage to surrounding healthy tissues. This precision is particularly beneficial in treating tumors located near critical structures or in pediatric patients, where sparing healthy tissues is crucial. Proton therapy is often employed in various cancers, including brain tumors, prostate cancer, head and neck cancers, liver cancers, and certain pediatric malignancies, with the goal of maximizing treatment effectiveness while minimizing side effects.
Understanding Cancer: Knowledge is Power
Radiotherapy technology is very advanced these days, leveraging complex computer software and complex linear accelerator to deliver treatment ranging from proton therapy, to high dose ablative radiosurgery, to radionuclides sources placed directly near tumours (brachytherapy).
Radiotherapy, also known as radiation therapy, uses high doses of radiation to kill or damage cancer cells, preventing them from growing and dividing.
Radiotherapy, like many cancer treatments, can cause side effects. The specific side effects can vary depending on the type and location of the cancer being treated, the dose of radiation, the duration of treatment, and individual patient factors. It’s important to note that not everyone will experience the same side effects, and some individuals may have minimal side effects.
For short term toxicities, medications and lotions can be given to patients. For long term toxicities, prevention is key. Your radiation oncologist will explain these to you and review you along the way.
Referral and Consultation:
Simulation involves the use of imaging techniques (such as CT scans) to identify the tumor and surrounding normal tissues.
Immobilization devices may be used to help the patient maintain a consistent position during treatment.
Treatment Planning:
The radiation oncology team, which includes medical physicists and dosimetrists, uses the simulation data to develop a treatment plan.
Treatment planning involves determining the appropriate radiation dose, the angles from which the radiation beams will be delivered, and the duration of treatment.
Quality Assurance:
Before actual treatment begins, the treatment plan undergoes a rigorous quality assurance process to ensure accuracy and effectiveness.
Treatment Sessions:
The patient undergoes a series of treatment sessions, typically scheduled daily from Monday to Friday.
Each session is relatively short, lasting only a few minutes, although the overall treatment duration varies depending on the type and stage of cancer.
Positioning and Immobilization:
Before each treatment session, the patient is carefully positioned on the treatment table using the immobilization devices established during simulation.
Image-guided techniques may be employed to verify the precise positioning of the patient.
Delivery of Radiation:
The patient lies on the treatment table, and the linear accelerator or other radiation delivery system is used to deliver targeted radiation beams to the predetermined treatment area.
The radiation therapist operates the equipment from a control room, monitoring the process through imaging and computer systems.
Monitoring and Adjustments:
Throughout the course of treatment, the radiation oncology team monitors the patient’s response to therapy.
If necessary, adjustments to the treatment plan may be made to account for changes in the tumor size or location.
Side Effect Management:
Throughout treatment, the healthcare team works closely with the patient to manage and alleviate any side effects.
Supportive care measures may include medications, skincare recommendations, and nutritional guidance.
Follow-Up Care:
After completing the prescribed course of radiotherapy, the patient continues to receive follow-up care to monitor the treatment’s effectiveness and address any potential side effects.
Via clinical examination and imaging modalities like CT, MRI, PET-CT and sometimes blood cancer markers.
Brain Tumours
Benign brain tumours like acoustic neuroma and craniopharyngiomas can be controlled safely with moderate doses of radiotherapy. Brain tumours like gliomas can be managed with surgery, chemotherapy and radiotherapy. Small brain metastases can be eradicated with stereotactic radiosurgery.
Sarcomas
Radiotherapy is delivered to the surgical bed with image-guidance treatment with pre-operative MRI guidance. For selected tumours near critical organs, proton therapy can provide safe and high probability of control, e.g. chordoma. For unresectable tumours, high doses of proton therapy can be used to cure.
Process of radiotherapy
- After consultation, the patient will undergo a series of procedures.
- Radiotherapy preparation is a painless process, involving immobilisation and image-acquisition (simulation).
- The radiation oncologist then draws out the tumour to be treated and normal organs to be avoided.
- A physicist or radiation therapy then uses advanced computer algorithms to calculate the doses and most optimal angles for treatment.
- The radiation therapist will set the patient up and take on-couch images to ensure accuracy.
- While on the couch, the patient lie still for about 30 minutes or less. The process is painless.
Talk to your radiation oncologist about your treatment plans to discuss probabilities of short and long term toxicities, with mitigation strategies.
Modern radiotherapy is safe.
Updates
Get the latest news on radiotherapy and cancer discoveries.
Results from a phase III trial Proton Therapy in Head and Neck Cancer
A groundbreaking multi-institution Phase III trial led by The University of Texas MD Anderson Cancer Center reveals that intensity modulated proton therapy (IMPT) provides significant
Data privacy
The protection of your personal data is important to us, and we aim to comply with the requirements ofthe Personal Data Protection Act 2012 (“PDPA”) in respect
Skull base tumour webinar
RO-SE will be conducting a webinar on skull base tumours and their management with endoscopic surgery and proton therapy on April 12th, 2024, 8AM.