Radiation Oncology Center - Services

Superior Outcomes

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. 

 

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 prostrate 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 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.

Learn more about our research in Molecular and Clinical Oncology

 

Breast Cancer

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, and deep inspiration breath hold.

 

Stereotactic body radiation therapy for breast cancer

Researchers at Good Samaritan Hospital Medical Center and St. Catherine of Siena Medical Center are currently investigating the safety and efficacy of stereotactic body radiation therapy to deliver partial breast irradiation following breast conserving surgery.  In the phase II trial, we are utilizing a dose of 30 Gy in 5 fractions using the Varian Edge system for patients who underwent oncoplastic surgery with placement of implantable markers to 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 research demonstrates that technique results in a significant reduction in weight loss and radiation pneumonitis and most importantly, improved survival.

 

Gynecologic Cancers

Our department helps to support one of the few community hospital-based ACGME-accredited Gynecologic Oncology fellowship training programs.  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.

 

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. 

The Commission on Cancer (CoC), a quality program of the American College of Surgeons (ACS), has awarded its prestigious Outstanding Achievement Award to the Cancer Center at Good Samaritan Hospital Medical Center for the fifth consecutive survey, 15 years in a row. This is a recognition only earned by seven cancer programs nationwide. To earn the Outstanding Achievement Award, a cancer program must meet or exceed  the CoC quality care standards, be evaluated every three years through a survey process, and maintain levels of excellence in the delivery of comprehensive patient-centered care. 

 

Patient Satisfaction

Our Department fosters a healing environment for our patients.  Over 99% of our patients tell us that they would recommend our center to others in need of radiation treatment.

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