Radiation therapy for cancer gets on the beam
10/15/2006 Escondido, CA Bradley J. Fikes NCTimes.com Radiation therapy for cancer gets on the beam Radiation therapy, a treatment for cancer more than a century old, has become much more powerful and precise with the help of the computer. Harmful side effects of radiation on normal tissue have been lessened, and tumors once untreatable by radiation can now be reached. Two relatively new technologies, called the CyberKnife and intensity modulated radiation therapy (IMRT) , make plentiful use of computing power and precise medical imaging to determine the tumor location. The details of how they work are different, but both deliver X-ray radiation in a concentrated pattern from many directions that converge at the tumor. The concept resembles that of another targeted radiation therapy, called the Gamma Knife, which sends about 200 beams of gamma radiation into the tumor. But while the Gamma Knife can be used only for lesions of the brain, the CyberKnife and IMRT can be used over the entire body. IMRT and the CyberKnife are "complementary," said Cihat Ozhasoglu, a medical physicist at the University of Pittsburgh Medical Center. The CyberKnife, the newer of the two therapies, is more precise in delivering radiation. But IMRT is superior for treating large and irregular tumors. Because radiation damage to normal tissue is lessened, both treatments cause less fatigue in patients, a common side effect of radiation, than in conventional radiation. "It's much more pleasant than I thought it would be," said Eugene Fundum, a Temecula resident who received IMRT [...]