Intensity-modulated Radiation Therapy (IMRT) for Prostate Cancer treatment in the Best Hospitals in the World
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Treatment of Prostate Cancer
- Diagnostics
- Prostate cancer | PSMA-PET
- Radiation therapy
- High intensity focused ultrasound (HIFU)
- Brachytherapy
- Transurethral electroresection
- Radical prostatectomy
- Lutetium-177 PSMA (Lu-177)
- Da Vinci prostatectomy
- Proton Therapy
- Therapy with Lutetium-177-DOTATATE (Lu-177)
- Chemotherapy
- Irreversible electroporation (NanoKnife)
- Photodynamic therapy
University Hospital of Ludwig Maximilian University of Munich
Department of Radiation Therapy
The Department of Radiation Therapy offers all modern services in the field of radiation therapy for cancer treatment. The medical facility uses advanced radiation therapy methods, including intensity-modulated radiation therapy (IMRT), volumetric modulated arc therapy (VMAT), image-guided radiation therapy, brain and lung stereotactic radiosurgery, total body irradiation, brachytherapy, and catheter-based administration of radioactive drugs (afterloading technique). The department is one of the first medical facilities in Germany to successfully use the innovative MR-Linac technology, which makes it possible to obtain high-precision MRI scans during radiation therapy and provide the most effective cancer treatment with optimal protection of the healthy adjacent tissues. It is noteworthy that MR-Linac technology is available only in three healthcare facilities in Germany. The department's radiation therapists cooperate closely with oncologists, chemotherapists, radiologists, and other specialists from related fields, thanks to which patients receive comprehensive treatment.
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 Focus magazine, the Department of Adult and Pediatric Radiation Therapy ranks among the top German medical facilities specializing in radiation therapy! The department offers all types of radiation therapy for the treatment of various oncological diseases at the highest level of university medicine. The cancer patients are treated in modern rooms equipped with the state-of-art technology. In many cases, the radiation therapy is carried out on an outpatient basis. The therapeutic options are complemented with psycho-oncological and palliative care.
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 Radiotherapy and Radiation Oncology
The Department of Radiotherapy and Radiation Oncology offers all modern methods of radiotherapy. It treats patients with oncological diseases, as well as benign pathologies, for example, degenerative joint changes. The department specializes in conformal radiation therapy, brachytherapy, intensity modulated radiation therapy, tomotherapy, stereotactic irradiation of malignant and benign brain neoplasms, whole-body irradiation, as well as in combined chemoradiation therapy.
Department of Adult and Pediatric Radiation Therapy
According to the Focus magazine, the Department of Adult and Pediatric Radiation Therapy ranks among the best German medical facilities specializing in radiation therapy! The department offers the full range of services in this medical field and is one of the most modern departments of this kind in Germany. The medical facility provides comprehensive treatment for various malignant diseases, which includes both radiation therapy and maintenance therapy (for example, pain therapy, diet therapy). The department uses state-of-the-art technical equipment, which allows for the most effective irradiation of the cancer focus with minimal harm to healthy tissues. In addition, the department provides innovative types of treatment – interventional radiation therapy and regional deep hyperthermia. All medical services comply with the highest international standards, and the department's medical team strictly adheres to radiation protection standards. The department's doctors have long clinical experience, and therefore they competently select the optimal course of radiation therapy for each patient to destroy cancer cells. The treatment is provided in close cooperation with oncologists, chemotherapists and other experts from related specialties.
Department of Radiation Oncology and Radiotherapy
According to the Focus magazine, the Department of Radiation Oncology and Radiotherapy ranks among the top German medical facilities in the field of its specialization! The department offers all types of modern radiation therapy for the treatment of various oncological pathologies. The use of the very latest imaging techniques in the treatment planning allows to reduce the incidence and severity of side effects. All therapeutic procedures meet all relevant national and international protocols.
Department of Radiation Oncology and Radiotherapy
According to the Focus magazine, the Department of Radiation Oncology and Radiotherapy ranks among the top German medical facilities in the area of its specialization! The department offers all types of modern radiation therapy for the treatment of benign and malignant tumors. The department has state-of-the-art equipment, namely 8 powerful linear accelerators, 2 brachytherapy devices, X-ray systems, devices for intraoperative radiation therapy and proton therapy. In addition, the department has an innovative CyberKnife radiosurgery system, which allows doctors to effectively treat tumors of various localization, including benign ones. Medical and technical resources combined with the high professionalism of doctors allow guaranteeing top-class medical care corresponding to international standards.
Department of Radiation Oncology and CyberKnife Treatment
The Department of Radiation Oncology and CyberKnife Treatment offers all types of modern radiation therapy and state-of-the-art CyberKnife method against cancer. The department's specialists have excellent skills in performing intensity-modulated radiation therapy, intraoperative radiation therapy, new generation radiation therapy (VERSA HD), as well as practice the CyberKnife therapy, brachytherapy and other innovative treatments. For these purposes, the department is equipped with the cutting-edge medical equipment, for example, low- and high-energy LINAC linear accelerators, brachytherapy systems, etc.
Prostate cancer is one of the most common cancers among men. At the initial stages the disease practically does not manifest itself, the symptoms appear already at the advanced stages. The achievements of modern science make it possible to treat this disease at any stage. In particular, oncologists often turn to beam radiation therapy in the fight against prostate cancer.
Treatment of prostate cancer with IMRT
IMRT (intensity-modulated radiation therapy) has revolutionized the conventional medical treatment and dose calculation by making dose escalation possible. IMRT is optimized so that a high radiation dose is delivered to the tumor with minimal radiation delivery to healthy tissues.
Intensity-modulated radiation therapy (IMRT) is a type of radiation therapy. The method is based on the creation of a modulated external beam radiation in a pulsed mode to irradiate a tumor with varying degrees of intensity. The targeted accuracy and the penetration depth of external beam radiation are controlled using computer screening. This allows targeting the maximum dose of external beam radiation on the tumor and reducing the radiation exposure of the nearby healthy tissues.
The method has shown to be highly effective and reliable in the medical treatment of patients with a variety of tumors, including prostate cancer. The advantages of the method include the possibility of precise focusing of external beam radiation without involving healthy areas and organs, which significantly increased the effectiveness of treatment of patients with prostate cancer.
What is the difference between IMRT therapy and brachytherapy?
When conducting the external beam radiation therapy, specialized installations for irradiation are used. There is no direct contact of the patient's body with the irradiating device. In contact radiation therapy (brachytherapy), radiation therapy is carried out by placing a radioactive source directly into the tumor.
When is IMRT the right treatment for prostate cancer?
The prostate is located close to the rectum, bladder, penile bulb, and femoral heads which are at risk of receiving external beam radiation dose and subsequent toxicity against the background of the prostate cancer treatment. It has been demonstrated in clinical trials that IMRT decreases substantially the amount of unintentional radiation delivered to these structures.
In older patients, prostate cancer treatment can significantly impair quality of life, and recovery from medical treatment can be slow. Moreover, treatment complications and side effects are common. Prostate resection is associated with erectile dysfunction and urinary incontinence, for example, and irradiation can cause rectal bleeding.
Because the radiation dose that is delivered to healthy tissue is minimized with IMRT, higher and more effective doses of external beam radiation can be safely delivered to tumors with minimal side effects (as compared to traditional radiation therapy techniques). Compared to the conventional radiation therapy, IMRT requires somewhat longer clinical periods of daily treatment, as well as additional planning and safety performance assessments before a patient can begin clinical treatment.
Currently, IMRT is more actively used to treat prostate cancer, head and neck tumors, and tumors of the central nervous system. IMRT is also used occasionally to treat breast, thyroid, and lung cancers, gastrointestinal tumors, gynecological malignancies, and some specific types of sarcomas. IMRT may also be the treatment of choice for the medical treatment of malignant neoplasms in children.
How is the IMRT carried out?
Before planning prostate cancer treatment, a physical examination and medical history review will be conducted. Next, a treatment simulation session starts, which includes CT scanning. A small mark will be made on the patient's skin to help align and target the equipment. The external beam radiation oncologist uses this scan to elaborate an individual irradiation plan for the patient. In some cases, a mask or other device is used to keep the patient still during radiation therapy. Sometimes the patient should follow a certain bowel and bladder preparation regimen or to fast before the simulation and treatment. Intravenous contrast substance may be injected during the CT scan to help visualize the tumor better.
Occasionally, additional scanning procedures, including positron emission tomography (PET) and magnetic resonance imaging (MRI), might also be required for IMRT planning. These diagnostic images can be merged with the planning CT and help the external beam radiation oncologist determine the precise location of the target tumor.
During external beam radiation, a treatment machine will aim beams of radiation directly to the tumor. The beam passes through the body and destroys prostate cancer cells in its path.
Intensity-modulated radiation therapy (IMRT) uses images that are taken in real-time to deliver the external beam radiation to a tumor. As the natural movements of the body can make the prostate to move slightly during or between treatments, the healthcare team inserts markers into the prostate. These allow doctors to have a better view of the prostate during treatments. The external beam radiation machine moves around the body so the beams can be aimed from many angles. Besides, the shape of the beam changes while the prostate cancer treatment is being performed. This changes the intensity of the beam, which allows the doctor to target a tumor and spare healthy tissues.
A medical linear accelerator (LINAC) generates the photons, or X-rays, used in IMRT. The machine has the size of a small car. It is approximately 10 feet high and 15 feet long. During the treatment, the patient must lie still. The intensity of each external beam radiation dose is dynamically varied according to the treatment plan. The patient will not feel any pain while the external beam radiation is performed, but will hear noise from the machine, and may smell an odor from the electronic equipment, or see the warning indicator light. The noises and odors from the machine are normal. The patient will be in the room alone during treatment but he is constantly monitored by the external beam radiation therapists from outside the treatment room. The time in the treatment room depends on the specific plan but usually it is between 15 minutes and one hour.
As with other external beam radiation therapy treatments, there is no pain expected during the prostate cancer treatments with IMRT. However, the machine can be stopped if a patient experiences discomfort due to the treatment position or positioning devices. As prostate cancer treatment continues, some patients may experience treatment-related side effects. The nature of the side effects depends on the state of the normal tissue structures near the tumor that are being irradiated. The external beam radiation oncologist and the nurse discuss with the patient potential side effects and the management of those side effects.
You may receive external beam radiation therapy either alone or in combination with hormone therapy. Depending on the stage of prostate cancer, your doctor may recommend hormonal therapy in combination with radiation therapy. The goal of hormonal therapy is to shrink the prostate gland and prevent prostate cancer from growing to help make the treatment more effective.
Side effects of IMRT
Changes in the urinary system, such as:
- Difficulty urinating
- Increased frequency of urination
- Sudden urge to urinate
- Burning sensation when urinating
Bowel changes, such as:
- More frequent bowel movements
- Worsening of hemorrhoid symptoms
- Rectal discomfort
- Mild rectal bleeding
- Increased bloating
In some prostate cancer patients, after the end of external beam radiation treatment changes in sexual function may appear:
- Erectile dysfunction
- Change in the sensation of orgasm
- Changes in the amount or consistency of ejaculate
These changes in the sexual sphere can occur over many months or even years after treatment. It is important to study the information on treatments for erectile dysfunction.
Benefits of intensity-modulated radiation therapy (IMRT)
A recent systematic review of data from 13 studies representing 5,768 patients suggests that IMRT may be appropriate for patients with moderate or high-grade prostate tumors because it appears to spare rectal tissue from unnecessary irradiation. This results in fewer complications, such as rectal bleeding, pain, and uncontrolled defecation.
A separate systematic review that examined prostate cancer information from 16 studies also found reduced toxicity with IMRT but noted that evidence for local tumor control and overall patient survival was generally inconclusive. Significantly decreased gastrointestinal or genitourinary toxic effects were reported for the IMRT groups.
The cost of IMRT for prostate cancer
With Booking Health services, you can book IMRT for prostate cancer at an affordable price. The cost of the procedure varies in different countries. We can arrange a trip for external beam radiation therapy at a fair price. The cost of IMRT for prostate cancer goes as follows:
- Germany – from 16,000 EUR
- Turkey – from 13,000 EUR
- India – from 12,300 EUR
Where can I undergo IMRT for prostate cancer treatment abroad?
Among foreign hospitals, the best success rates in IMRT for prostate cancer treatment are demonstrated by:
1. Medicana International Ankara Hospital, Department of Radiation Oncology, and CyberKnife Treatment. The department offers cutting-edge methods of radiation oncology for the treatment of all types of tumors. It specializes in intensity-modulated radiation therapy, intraoperative radiation therapy, CyberKnife treatments, brachytherapy, and other treatments.
2. University Hospital of Ludwig Maximillian University of Munich, Department of Radiation Therapy and Radiation Oncology. The department ranks among the TOP German departments specializing in radiation therapy. It offers all modern services in radiation therapy, including special treatments like intensity-modulated radiation therapy, image-guided radiation therapy, whole-body irradiation, and others.
3. University Hospital Carl Gustav Carus Dresden, Department of Radiation Therapy, Radiation Oncology, and Proton Therapy. The department ranks among the TOP German medical facilities specializing in radiation therapy. As the largest medical institution of its kind in Eastern Saxony, the department provides treatment for about 2,300 cancer patients each year.
How can I undergo IMRT treatment abroad?
The self-organization of IMRT treatment abroad can be overwhelming. It requires specific knowledge and experience in medical tourism. It is safer, easier, and less stressful to shift some responsibility onto a medical tourism agency.
Booking Health is the largest and most transparent medical tourism agency in the world. Medical treatment abroad is arranged due to the direct cooperation with leading foreign hospitals.
Booking Health provides the following services:
- Selection of treatment program and medical facility
- Communication with the clinic
- Information on the overall cost of radiation therapy procedures
- Translation of medical documents
- Help in applying for a visa for the patient and accompanying person
- Flight and accommodation booking
- Interpreting services
To undergo prostate cancer treatment abroad for a reasonable price, please leave a request on our website. The medical tourism manager will contact you within a few hours and provide you with the necessary information.