Ependymoma — Radiotherapy: treatment in the Best Hospitals in the World
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Department of Radiation Therapy and Radiation Oncology
The Department of Radiation Therapy and Radiation Oncology offers all types of modern radiation therapy for the highly effective treatment of benign and malignant tumors. The department is equipped with three linear accelerators and brachytherapy systems, which provide patients with the safest, most effective, and most sparing irradiation of tissues affected by oncopathology. The department also provides radiotherapy planning and radiosurgery. An ultramodern technical base, exceptional professionalism, and experience of the department's physicians are the cornerstones of successful clinical practice.
Department of Radiation Therapy
According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of its bicentenary history and tirelessly confirms its primacy at the national and international levels. The outstanding quality of medical care is complemented by highly productive research activities, thanks to which many effective diagnostic and therapeutic methods, saving people’s lives, have been presented in medical practice.
Department of Radiation Therapy
According to the Focus magazine, the Department of Radiation Therapy ranks among the top German medical facilities in the area of its specialization! The department offers all types of modern radiation therapy for cancer treatment at the highest level of university medicine. The priorities of the department's work include the treatment of tumors of the gastrointestinal tract, urogenital system in men, gynecological tumors in women, oncopathologies of the nervous system, as well as head and neck tumors. Each department's specialist strives to ensure all the patients with the most effective and at the same time customized treatment. Due attention is also paid to radiation protection.
Department of Radiation Therapy, Radiation Oncology and Proton Therapy
The Department of Radiation Therapy, Radiation Oncology and Proton Therapy offers the full range of modern radiation therapy at the highest medical and technological level. Innovative proton therapy is also within the competence of the medical facility. As the largest medical facility of this kind in Eastern Saxony, the department annually admits about 2,300 cancer patients, 550 of whom are treated on an inpatient basis. In total, the department has about 110 employees, including 26 doctors, 14 physicists, 22 radiological assistants, 22 nurses and 28 employees of various profiles (in radiation biology research laboratories and other sections). The department's doctors cooperate closely with oncologists, chemotherapists and other specialists in related fields, since cancer patients usually require comprehensive treatment that combines several methods. In most cases, patients undergo radiation therapy on an outpatient basis, which eliminates the need for hospitalization. The main value of the department's medical team is the patient's health, so doctors always strive to provide qualified medical care that meets the individual needs of the patient.
Department of Adult and Pediatric Radiation Therapy
According to the prestigious Focus magazine, the Department of Adult and Pediatric Radiation Therapy is one of the best medical facilities in Germany in its area of specialization! The physicians of the department pay special attention to the treatment of malignant diseases such as breast cancer, prostate cancer, lung cancer, brain cancer, colon cancer, and other tumors. The specialists of the medical facility are also competent in performing radiation therapy for benign diseases with a special emphasis on the treatment of lateral epicondylitis, arthrosis, and heel spurs. The department has state-of-the-art equipment, including a CT scanner, two linear accelerators, a MicroSelectron HDR machine for short-term high-dose irradiation (Afterloading therapy), Oncentra External Beam and Oncentra Brachy machines for irradiation planning, and the iPlan system (Brainlab) for stereotactic irradiation planning. The department performs all types of radiation therapy available in modern medicine. Treatment is performed on an outpatient basis without hospitalization. Each radiation therapy regimen is planned according to the individual needs and wishes of each patient. The department's physicians work with advanced equipment that ensures effective results and high radiation safety.
Department of Adult and Pediatric Radiation Therapy
The Department of Adult and Pediatric Radiation Therapy provides top-class conduction of all types of modern radiation therapy for the treatment of malignant and benign diseases. In most cases, irradiation is indicated to patients with cancers, but this treatment method is also effective for some benign diseases: tennis elbow, arthrosis, as well as other degenerative and inflammatory joint diseases. The department's doctors offer patients individual consultations and radiation therapy using the very latest medical technologies, which guarantee high precision of irradiation and sparing treatment. The department provides many innovative types of radiation therapy, which can effectively deal with all types of cancer. In addition, the department's doctors welcome the use of symptomatic treatment to improve the patients' quality of life and the effectiveness of irradiation. The specialists often resort to traditional Chinese medicine, acupuncture and other procedures.
Department of Adult and Pediatric Radiation Therapy, Radiation Oncology
According to the Focus magazine, the Department of Adult and Pediatric Radiation Therapy, Radiation Oncology is included in the rating of the top German departments specializing in radiation therapy! The department offers the full range of treatment of oncological diseases using ionizing radiation by means of external (teletherapy) or internal (brachytherapy) tumor radiation. The specialists of the department are doing their best to ensure the most effective cancer therapy, taking into account the very latest advances in science and medical technology, interdisciplinary cooperation and an individual approach.
Department of Radiation Therapy and Radiation Oncology
According to the the Focus magazine, the Department of Radiation Therapy and Radiation Oncology ranks among the top German medical facilities specializing in radiation therapy! The department offers all types of modern radiation therapy for the treatment of malignant neoplasms of various localization. The availability of the cutting-edge radiation therapy technologies, the close cooperation with the specialists from all related disciplines, as well as the experience and competence of doctors provide patients with the individualized treatment and the best therapy results. The department is also part of the Jena University Cancer Center, which employs outstanding professionals who are ready to provide medical care even in the most difficult clinical cases.
Department of Radiation Therapy
According to the Focus magazine, the Department of Radiation Therapy is included in the ranking of the top German department specializing in radiation therapy! The department offers all types of modern radiation therapy for the treatment of cancers. The competent medical team of the department annually provides its services to 2,000 patients.
Department of Adult and Pediatric Radiation Therapy, Ion Radiotherapy and Radiation Oncology
The Department of Adult and Pediatric Radiation Therapy, Ion Radiotherapy and Radiation Oncology offers the full range of radiological diagnostics and cancer therapy. A feature of the department is the exact treatment of cancer with the help of heavy ions and proton therapy. Therapy with heavy ions and protons makes it possible to effectively destroy tumors of difficult-to-reach localization, while maintaining healthy tissues. The department belongs to the most modern medical institutions of this level in the international medical arena. It treats more than 3,500 cancer patients every year.
Department of Radiation Therapy and Radiation Oncology
According to the Focus magazine, the Department of Radiation Therapy and Radiation Oncology ranks among the top German departments specializing in radiotherapy! The department offers all types of modern radiation therapy for the treatment of malignant and benign diseases, various functional disorders. Depending on the patient's state of health and the course of the disease, radiation therapy can be carried out on an outpatient or inpatient basis, as well as in combination with other treatment methods, for example, surgery, chemotherapy, immunotherapy, etc. The high-tech equipment, exceptional professionalism of doctors and close cooperation with the specialists from related fields contribute to the provision of first-class and tailored medical care.
Department of Radiation Oncology
According to the Focus magazine, the Department of Radiation Oncology ranks among the top German departments specializing in radiation therapy! The department offers all advanced types of radiation therapy for the treatment of oncological diseases. Any therapeutic procedure is prescribed individually, taking into account the specific situation and course of pathology. The modern medical equipment and outstanding competence of the physicians contribute to the successful clinical practice of the department.
Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology, Neuroradiology and Radiation Therapy
The Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology, Neuroradiology and Radiation Therapy offers the full range of services in these medical fields. The competent doctors of the department work with the state-of-the-art systems for CT, MRI, x-ray, ultrasound, angiography, fluoroscopy and other imaging studies in adults and children. In addition, the department specializes in all modern types of radiation therapy and interventional procedures for the treatment of vascular and oncological diseases.
Department of Adult and Pediatric Radiation Therapy
According to the Focus magazine, the Department of Adult and Pediatric Radiation Therapy ranks among the top German departments specializing in radiation therapy! The department offers all types of modern radiation therapy for the treatment of various benign and malignant diseases. The focus is on multimodal interdisciplinary therapy of lung cancer, breast cancer, prostate cancer, sarcomas, malignant lymphomas and tumors in children. The stereotactic radiation therapy is available in the department for the targeted treatment of brain tumors. The department treats more than 1,500 inpatients and about 4,300 outpatients every year, which is the indisputable evidence of the outstanding quality of provided medical services.
Department of Radiation Therapy
The Department of Radiation Therapy provides patients with the full range of services in this medical field. The primary focus of the department's clinical practice is the conduction of modern types of radiation therapy for treating malignant diseases. The department's specialists also successfully carry out combination treatments, such as radioimmunotherapy and chemoradiotherapy. The department is part of the Cancer Center at the University Hospital Saarland Homburg, which allows radiation therapists to cooperate closely with oncologists, surgeons, and other specialists, providing comprehensive cancer treatment. The department's team of doctors also treats patients with some benign inflammatory diseases. The department's patients most often receive outpatient medical care. There are 24 beds available to accommodate patients in the department. The pride of the department is the advanced technical equipment that allows the specialists to perform high-precision and efficient irradiation. The treatment takes place in a modern building, in the design of which great importance was attached to creating a comfortable environment for the patient. The department admits more than 1,500 patients who receive high-quality European-level treatment every year.
Department of Radiation Therapy
The Department of Radiation Therapy offers the full range of irradiation procedures for benign and malignant diseases. The department has advanced equipment and highly qualified personnel, which allows providing patients with medical services meeting the highest international standards. The department's specialists have two Varian linear accelerators with a built-in CT scanner with a conical beam and RapidArc technology, Siemens Somatom Definition AS CT scanner for radiation therapy planning, Varian GammaMed iX system for contact radiation therapy using the afterloading technique, Zeiss IntraBeam X-ray therapy device for intraoperative radiation therapy for breast cancer, X-Strahl 200 X-ray therapy device, Varian device for precise positioning of patients before radiation therapy and other equipment. State-of-the-art equipment guarantees high-precision irradiation with minimal damage to healthy tissues. Cancer treatment is of particular interest to the team of the department's radiation therapists. In addition, the department's specialists successfully carry out irradiation for inflammatory joint diseases with severe pain syndrome. The doctors of the medical facility cooperate closely with oncologists and other doctors of related specialties.
An ependymoma is a tumor originating from the ependymal cells that line the ventricles of the brain and the central canal of the spinal cord. Radiation therapy is the second most important method of ependymoma treatment after surgery. It is usually performed after tumor removal surgery and is less commonly used as a stand-alone method of local control. Doctors abroad use advanced methods of radiation therapy, including proton therapy, which is considered the best way to destroy tumors of the central nervous system in children.
Content
- When can radiation therapy be used for ependymomas?
- Methods of radiation therapy in ependymoma treatment abroad
- Proton therapy for ependymomas
- Where to undergo your ependymoma treatment?
When can radiation therapy be used for ependymomas?
Radiation therapy is not required for all patients with ependymomas, as the tumor is usually removed surgically. Many people will not need any other treatment after surgery.
Below are some indications for radiation therapy at hospitals abroad:
- incomplete removal of grade 1 ependymomas;
- after surgery for grade 3 ependymomas;
- in the case of total removal of grade 2 ependymomas, the decision on postoperative radiation therapy is made individually, taking into account additional risk factors for recurrence (age, histological type, tumor location, etc.);
- ependymoma recurrence after its removal.
Radiation therapy is not usually used as a primary treatment for ependymomas. The exception is when surgical treatment is not possible due to medical contraindications. Radiation therapy may provide long-term control of the disease and may even cure ependymoma completely, but this is less likely than surgery. In addition, radiation therapy reduces the size of the tumor not instantly but gradually, which is a disadvantage for patients with severe clinical symptoms.
Methods of radiation therapy in ependymoma treatment abroad
According to the volume of irradiated tissue, radiation therapy for ependymomas can be one of the following:
- total craniospinal irradiation (of the entire central nervous system);
- focal irradiation is when radiation is delivered only to the tumor.
In the past, total craniospinal irradiation for ependymoma treatment was used more frequently than it is today. The method is not safe, and the benefits for most patients are questionable. Most ependymomas do not even spread within the central nervous system, and the risk of dissemination is about 15%. However, if the tumor is malignant and has spread throughout the nervous system, doctors can perform total irradiation of the skull and spinal cord.
Doctors abroad use modern and high-precision irradiation options, including:
- IMRT, which makes it possible to reduce the dose of radiation to tissues, damage to which is important to avoid;
- VMAT is an improved version of IMRT that allows doctors to perform an irradiation session several times faster;
- IGRT is a visual control using CT or MRI scans before each irradiation session;
- SBRT helps to irradiate the tumor more accurately and destroy the tumor in 1-5 treatments instead of 30-33 sessions.
Proton therapy for ependymomas
Some large hospitals abroad use proton therapy. This is the safest way to irradiate the central nervous system. It is preferred for children, as it reduces the risk of developing complications from the growing brain and also reduces the risk of the development of secondary tumors due to the influence of radiation.
Proton therapy uses protons instead of photons for irradiation. Protons release most of their energy only inside the target (tumor). On the way there, however, almost no energy is released, as a result of which protons minimally irradiate the tissue through which they pass.
This method of treatment for ependymomas is not only safer, but possibly more effective. Published studies show that after surgery and proton therapy, the risk of recurrence is very low, even in patients with malignant ependymomas. It does not exceed 8-10% within 5 years. Most patients recover completely from cancer, and the risk of developing severe side effects from such irradiation is very low.
Where to undergo your ependymoma treatment?
You can opt to undergo your treatment abroad to:
- take advantage of modern types of radiation therapy using state-of-the-art equipment;
- undergo your radiation therapy faster, namely in 1-5 sessions instead of 30-33 (only if a patient has a small benign tumor with clear boundaries);
- use proton therapy, for example, in the treatment of children;
- lower the risk of tumor recurrence;
- lower the risk of post-radiation complications.
On the Booking Health website, you can find out the cost of treatment at hospitals abroad and choose a medical care program at the best price. The specialists from the Booking Health company will select a hospital for you and arrange your trip. When you make your appointment through Booking Health, the cost of treatment will be lower than when you contact the hospital directly, due to the lack of taxes for foreign patients.
Authors:
The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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