The Division of Radiation Oncology offers patients access to some of the most advanced diagnostic and treatment methods for targeted therapies including Helical TomoTherapy, delivering a very sophisticated form of intensity modulated radiation therapy (IMRT) using an integrated system that is unlike any other– giving patients unparalleled access to accuracy, precision and safety. TomoTherapy integrates treatment planning, patient positioning, and treatment delivery into one unique system. Other treatment options include rapid arc IMRT/GRT on two state-of-the art TruBeam linear accelerators, Gamma Knife radiosurgery and fractionated sterotactic radiotherapy.  The division also supports breast cancer patients using sentinel lymph node biopsy and breast MRI/Bx.

Types of radiation Therapy available at John Theurer Cancer Center:

  • TomoTherapy for prostate cancer and head and neck cancers
  • TrueBeam – Varian Medical Systems latest linear accelerator
  • RapidArc – Volumetric arc based radiation therapy for tissue sparing
  • Intensity modulated radiation therapy for a variety of cancers
  • Image guided radiation therapy for a variety of cancers
  • Brachytherapy, both seed implants (low-dose-rate) and high-dose-rate treatments for a variety of cancers, including prostate, gynecologic, and head and neck cancers
  • 3-D conformal radiation therapy for a variety of cancers
  • Partial breast irradiation using Contura® and MammoSite® targeted radiation therapy, which reduces treatment from six weeks external beam radiation treatments to five days Brachytherapy for many patients
  • Non-invasive, same-day stereotactic radiosurgery utilizing Gamma Knife which is used to treat malignant and benign tumors of the brain and other parts of the head

At each step, patients have access to a multi-disciplinary team dedicated to their well-being.  The radiation oncology’s team includes board-certified radiation oncologists, physicists, therapists, nurses and support staff. The department includes as well licensed social workers and registered dietitians to help patients during radiation therapy.

The Team

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GLEN GEJERMAN, M.D., DABR™
Co-Director, Urologic Oncology and Medical Director, Tomotherapy

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LOREN GODFREY, M.D., DABR™
Co-Chief, Head and Neck Oncology and Director, Brachytherapy

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ANTHONY INGENITO, M.D., DABR™
Chairman, Radiation Oncology and Co-Chief, Radiosurgery Institute

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BRETT LEWIS, M.D., PH.D., DABR™
Radiation Oncologist

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ALOIS NDLOVU, PHD, DABR
Director of Medical Physics

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Helical TomoTherapy radiation therapy, more commonly known as TomoTherapy, delivers a very sophisticated form of intensity modulated radiation therapy (IMRT) using an integrated treatment system that is unlike any other — giving patients unparalleled accuracy, precision and safety. John Theurer Cancer Center is one of a few facilities in New Jersey where patients can receive TomoTherapy radiation therapy, and one of a few centers in the US to dedicate TomoTherapy technology to the treatment of prostate cancer.
Tomo-TherapyTomoTherapy is often combined with other types of radiation therapy, including seed implantation and high-dose-rate brachytherapy for prostate cancer. TomoTherapy integrates treatment planning, patient positioning and treatment delivery into one unique system.

With TomoTherapy radiation therapy, the radiation oncologist obtains a CT scan to localize the patient’s tumor before each treatment, then deliver painless and precise radiation therapy based on a carefully customized plan. This double-checking procedure is particularly useful for the prostate and other organs that can move from day to day. In fact, helical TomoTherapy is the most effective method of radiation therapy that a radiation oncologist can use to be certain prostate cancer is being properly targeted for treatment.

TomoTherapy is just one of the state-of-the-art radiation therapy methods used at John Theurer Cancer Center. The Department of Radiation Oncology is the region’s most comprehensive and provides every advanced treatment modality available in the field today, while investing constantly in equipment, technologies and staff.

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In April 2012 John Theurer Cancer Center added the most advanced Gamma Knife radiosurgery to its state-of-the-art radiation oncology department. This radiosurgical treatment offers non-invasive brain surgery to treat conditions that previously were considered inaccessible or inoperable and give patients the ability to return home the same day as surgery.

Gamma Knife is not a knife at all, and no incisions are made. Gamma Knife offers so-called “bloodless surgery” for previously untreatable deep-seated intracranial tumors, vascular malformations and functional disorders. Its highly focused beams of gamma radiation offer the precision of surgery without a scalpel and without the usual risks of surgery or an incision.  In fact, most cases are actually treated in the outpatient setting allowing the patient to go home that same day.

The alternative to treatment is traditional surgery, which involves certain risks and complications. In many cases, it is impossible to surgically treat tumors that are deep-seated or situated close to sensitive parts of the brain such as the spinal cord or the visual and auditory cortexes. Patients must often remain in the hospital for up to 3 weeks after surgery and full recovery is not seen for months.

In 2010 John Theurer Cancer Center Radiation Oncology Department became the first cancer center in New Jersey to acquire TrueBeam™, an innovative system that enables a radically different approach to treating cancer with image-guided radiotherapy (IGRT). TrueBeam enables John Theurer Cancer Center to treat even the most challenging cases with unprecedented speed and accuracy.

The TrueBeam system, from Varian Medical Systems, was engineered from the ground up to deliver more powerful cancer treatments with pinpoint accuracy and precision. It uniquely integrates new imaging and motion management technologies within a sophisticated new architecture that makes it possible to deliver treatments faster while monitoring and compensating for tumor motion, opening the door to new possibilities for the treatment of lung, breast, prostate, head and neck, as well as other cancers that are treatable with radiotherapy.

This state-of-the-art radiotherapy system allows John Theurer Cancer Center to offer even faster treatments, enhanced accuracy and quicker imaging at lower doses. With dose delivery rates that are 40-140 percent higher than earlier generations of Varian technology, simple treatments that once took 15 minutes or more can be completed in less than two minutes once the patient is in position. “Intelligent” automation further speeds treatments with an up to five-fold reduction in the number of steps needed for image guidance and dose delivery.

The precision is measured in increments of less than a millimeter. This accuracy is made possible by the system’s sophisticated architecture, which synchronizes imaging, patient positioning, motion management, beam shaping and dose delivery, performing accuracy checks every ten milliseconds throughout the entire treatment. For lung and other tumors subject to respiratory motion, this system makes it possible to monitor patient breathing and to compensate for tumor motion while quickly delivering a dose during a continuous rotation around the patient. This radiotherapy system will allow physicians to choose an imaging mode that minimizes the amount of X-rays needed to generate an image. The imaging technology can produce the three-dimensional images used to fine-tune tumor targeting in 60 percent less time and the additional functionality makes it possible to create images using 25 percent less X-ray dose.

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Hackensack: 551-996-5900
Palisades: 201-464-0008