Radiation Oncology Center - Services
In the Department of Radiation Oncology, we offer advanced treatments and technologies that are often not available at competing facilities.
A Relentless Focus on Quality
The physicians and staff in the Department of Radiation Oncology focus on delivering outstanding outcomes for our patients. We have developed treatment protocols that reduce the risk of side effects while improving effectiveness. The key elements of our quality system include incorporating the most advanced tumor imaging to accurately target the tumor, paying close attention to limiting radiation dose to healthy organs during treatment planning and using the best available technology. We have recently published our exceptional results with this approach for patients with lung, prostate and metastatic cancers. Moving forward, we are committed to implementing the latest breakthrough technologies to further advance patient care.
Our radiation oncologists are proud to share the results of advanced techniques developed at Good Samaritan and published in peer-reviewed oncology journals.
MRI-guided radiation therapy for prostate cancer
Our radiation oncologists work closely with your multidisciplinary team to develop a personalized treatment plan for you. Prior to undergoing radiation therapy, our team will obtain an advanced multiparametric prostate MRI to accurately delineate the tumor and target volumes. During your radiation treatment course, cone beam CT scans are obtained to precisely align the prostate. Doses to nearby structures are strictly limited to safe levels. We deliver treatment on the Varian Edge equipped with a six-degree-of-freedom robotic treatment couch. In addition to treating the entire prostate, additional dose is delivered to the prostate tumor.
In a recent publication, this newer non-invasive technique resulted in excellent disease control with a reduced chance of developing side effects compared to the standard technique of delivering a uniform dose to the entire prostate.
Our department is an essential component of the Good Samaritan Hospital Breast Health Center. The Breast Health Center is nationally accredited and was the first of its kind established in Suffolk County to respond to the increasing incidence of breast cancer in our community. Our team proudly supports the Breast Health Center’s mission by providing state of the art radiation treatment techniques, including brachytherapy (internal radiation), stereotactic body radiation therapy, and intensity modulated radiation therapy. We recognize the potentially harmful effects of radiation on the heart and work to minimize the radiation dose to the heart using cardiac blocks, prone positioning, optical surface monitoring and deep inspiration breath hold.
5-fraction partial breast irradiation for early breast cancer
Led by Dr. Andrew Wong, researchers at Good Samaritan Hospital Medical Center and St. Catherine of Siena Medical Center are currently investigating the safety and efficacy of a convenient 5-fraction regimen of partial breast irradiation. In an IRB-approved phase II trial, we are utilizing a dose of 30 Gy in 5 fractions using the Varian Edge radiosurgery system for breast cancer patients who underwent oncoplastic surgery with placement of implantable markers to accurately delineate the tumor bed.
Esophagus, heart and contralateral lung-sparing IMRT for locally advanced lung cancer
Physicians at Good Samaritan Hospital Medical Center use PET to target the lung tumor and positive lymph nodes while sparing the normal esophagus, opposite lung and heart. Our published research demonstrates this technique results in a significant reduction in weight loss and radiation pneumonitis and most importantly, improved survival compared to older techniques still used at other centers.
Our team provides a full array of radiation treatment technologies including high dose-rate brachytherapy, intensity modulated radiation therapy, and extended field radiation therapy. We are excited to offer image-guided brachytherapy, which incorporates the use of advanced CT and MRI modalities to maximize tumor coverage and minimize exposure to nearby healthy tissues. Through a close collaboration with gynecologic oncology, our team is focused on delivering the best possible outcomes for our patients.
Intensified treatment for patients with limited metastatic disease
In 2014, researchers at Good Samaritan Hospital Medical Center and Mount Sinai demonstrated that 1/3 of patients with limited metastatic disease remained alive and free of cancer several years following a pioneering phase I/II trial of involved site radiotherapy to 40 to 50 Gy in 10 fractions with concurrent systemic therapy. Image-guided radiation therapy to all areas of known disease was both feasible and well tolerated.
More recently, confirmatory randomized trials have demonstrated that involved site radiation improves disease-free survival and overall survival compared to systemic therapy alone for patients with limited metastatic disease. Researchers in Good Samaritan have subsequently developed predictive models to better select patients with metastatic disease for either treatment intensification or for palliative care.
Brain Tumor Center
In collaboration with our neurosurgeons, Good Samaritan Hospital is pleased to offer HyperArc high-definition radiotherapy using the Varian Edge Radiosurgery System. This cutting-edge technology represents a significant advancement in the management of brain tumors and allows the real-time tracking of the brain tumor during treatment delivery. This new technology allows for fully automated robotic treatment delivery to safely, accurately and comfortably treat multiple brain tumors without the need for an invasive headframe. Our center has trained physicians from around the world on the safe and effective use of HyperArc technology.