Patient Pathway

"My treatment at James (centre) was excellent with a caring staff who made me feel comfortable.…

read more

Patient Pathway

Once a decision to proceed with radiotherapy has been made, a number of steps are required before starting treatment. The exact process will depend on the area to be treated and whether other treatments, such as chemotherapy, are needed. Consultations with other members of the multidisciplinary team, such as the dietician and dentist may also be necessary. Most patients should start radiotherapy within four weeks of commencing the planning process. For most types of radiotherapy treatment, you will be given an information booklet that explains all of this in a little more detail.

Pre-Treatment
Pathology Tests

Pathology Tests

To prepare for radiotherapy - and indeed during a patient's radiotherapy/chemotherapy treatment - it may be necessary to take blood and other specimens. ...read more

Simulation/CT

Simulation/CT

For precise planning of their radiotherapy, almost all patients require simulation. This involves the use of imaging in the form of x-ray or CT scanning. ...read more

Mould Room

Mould Room

Some patients having radiotherapy will need an individualised immobilisation device made to allow them to remain as still as possible during simulation and treatment. ...read more

Radiotherapy Planning

Radiotherapy Planning

Once the CT is carried out, it is sent electronically to the planning department. The areas to be treated and the organs to be protected are outlined on the CT and a customised plan is created for the patient. ...read more

Dental Review

Dental Review

If a patient is going to require radiotherapy to the mouth or neck region, it may be necessary to be reviewed by a specialist dentist. ...read more

Treatment
External Beam Radiotherapy (EBRT)

External Beam Radiotherapy (EBRT)

External Beam Radiotherapy (EBRT) refers to radiation directed at you from outside the body. This can be delivered in a number of different ways, including via a Linear Accelerator (Linac), Cobalt or Orthovoltage units. ...read more

Intensity-Modulated Radiotherapy (IMRT)

Intensity-Modulated Radiotherapy (IMRT)

Intensity-Modulated Radiotherapy (IMRT) is a form of external beam radiotherapy that uses linear accelerators to deliver multiple small radiation beams to a tumour. ...read more

Volumetric-Modulated Arc Therapy (VMAT) / RapidArcTM

Volumetric-Modulated Arc Therapy (VMAT) / RapidArcTM

Volumetric-Modulated Arc Therapy (VMAT) is a newer form of IMRT that delivers external beam radiotherapy through a continually rotating radiation source that encircles the patient. ...read more

Image-Guided Radiotherapy (IGRT)

Image-Guided Radiotherapy (IGRT)

Image-Guided Radiotherapy (IGRT) uses imaging with x-ray or CT during a course of radiation. ...read more

Stereotactic Body Radiotherapy (SBRT)

Stereotactic Body Radiotherapy (SBRT)

Stereotactic body radiotherapy is a specialised type of external beam radiotherapy that allows the delivery of high doses of radiation to small tumours, while minimising the dose received by the surrounding normal tissues. It is used most frequently to treat early lung cancers. ...read more

Brachytherapy

Brachytherapy

In Brachytherapy radiation sources are placed directly into the body. ...read more

Deep Inspiration Breath Hold Radiotherapy

Deep Inspiration Breath Hold Radiotherapy

Deep Inspiration Breath Hold Radiotherapy is external beam radiotherapy that is delivered while the breath is held in comfortable inspiration. It is most commonly used when treating breast cancers. ...read more

Orthovoltage Therapy

Orthovoltage Therapy

Orthovoltage or contact therapy uses low-energy x-rays to treat superficial skin cancers. ...read more

Radioisotope Therapy

Radioisotope Therapy

This therapy uses radiopharmaceuticals - radioactive elements combined with a drug or naturally occurring agent - that deliver therapeutic doses of radiation. ...read more

Chemotherapy

Chemotherapy

Chemotherapy is the use of drugs, usually given intravenously or by mouth that travel around the whole body to kill cancer cells. ...read more

Targeted Therapy

Targeted Therapy

Targeted therapies are drugs that block the growth of tumours by acting on specific molecules that cause cancer cells to grow and divide rapidly. ...read more

Hormone Therapy

Hormone Therapy

Some cancers are hormone-sensitive, which means they tend to grow and divide more rapidly when high levels of particular hormones are present in the body. ...read more

Surgery

Surgery

The treatment of many types of cancer often involves an operation. ...read more