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CyberKnife
Patient information

Molecular Imaging Centre

The CyberKnife Centre

81 Harley Street London W1G 8PP

Harley Street at UCH

Tel: 020 7034 8588 cyberknifecentrelondon.co.uk

Nuclear Medicine

The CyberKnife Centre

The Harley Street Clinic

35 Weymouth Street London W1G 8PP
The Harley Street Clinc

HCA International Ltd. 2008, 242 Marylebone Road London NW1 6JL

hcahospitals.co.uk

HCA - Londons premier private cancer network

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Introduction

HCA Londons No. 1 private hospital group gives new hope to cancer patients with the UKs first CyberKnife radiosurgery system. The new CyberKnife Centre at The Harley Street Clinic is part of our 70 million investment in pioneering technology, treatments and facilities upgrades. Now, patients with previously inoperable cancers have a safe and effective treatment that helps them get back to their normal lives faster than ever before.

What is CyberKnife?
CyberKnife is a revolutionary alternative to traditional surgery for cancer patients. The treatment delivers high doses of radiation with pinpoint accuracy, which means tumours that would have been considered inoperable or too complex for surgery in the past can now be treated safely and effectively. CyberKnife delivers multiple beams of radiation from nearly every direction using sophisticated image guidance and computer-controlled robotics. The system tracks the tumours position throughout the procedure and responds to your movements and breathing to ensure that it only targets the tumour. Treatment can be delivered as an outpatient procedure and does not require anaesthesia or invasive stabilising frames. Side effects are minimal, and most patients can return to their normal activities almost immediately.

The CyberKnife Centre London, currently treats suitably referred patients in the following areas:
Lung Cancer Pancreatic Cancer Liver Cancer Sarcoma Head & Neck Cancer Prostate Cancer Brain Tumours Spinal Tumours As clinical evidence expands, further treatments may become appropriate. Up to date information can be found at cyberknifecentrelondon.co.uk To access CyberKnife treatment a referral to one of the Consultant team from a Consultant or GP is required. Our medical team will write back to the referring clinician. Before embarking on treatment you should check with your insurer or other organisation paying your bill. CyberKnife treatment is costly a guide to costs can be obtained by speaking to our HCA Connect team on +44 (0) 20 7079 4344.

CyberKnife treatment
is pain free is non-invasive does not require anaesthesia is an outpatient procedure requires no recovery time has minimal side effects does not require a head or body frame does not require breath-holding during treatment

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What sets CyberKnife apart from other treatments?

In the past, only tumours of the brain and upper spine could be treated with radiosurgery. CyberKnifes unrivalled accuracy enables clinicians to treat tumours anywhere in the body with radiosurgery. The system delivers a concentrated dose of radiation directly to the tumour, so healthy tissue isnt damaged.

The system is:

Accurate clinicians can confidently treat tumours without harming healthy tissue by delivering high doses of radiation with sub-millimetre accuracy. Flexible it offers a level of manoeuvrability and versatility that cannot be matched by traditional radiation delivery systems. The systems flexibility means it can be used to treat tumours anywhere in the body, including the brain, spine, lung, liver, pancreas, head & neck and prostate. Intuitive cyberKnife detects even the slightest movement and continually tracks tumour position, automatically adjusting its beam for safe treatment delivery. Non-invasive the system provides a pain-free alternative to traditional surgery for any patient, and will particularly benefit those diagnosed with previously inoperable or surgically complex tumours.

After a long, painful recovery from the surgery that removed my first lung tumour, I elected to have the second tumour removed non-invasively using the CyberKnife System. The CyberKnife

treatment was very easy. I relaxed and slept during the treatment and was able to return to work immediately. I had no side effects and am grateful for the CyberKnife. Joan, lung cancer patient

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Treatment Process
Fiducial placement for some patients, tiny metal markers (fiducials) must be placed into or near the tumour prior to having their immobilisation device made. This is generally a day case procedure and is performed one week before the treatment scan. Immobilisation device prior to the scan, your custom immobilisation device will be made. This will enable you to be in a comfortable, reproducible position for treatment. The process is quick and painless. Scanning approximately one week before treatment, you will have a scan to verify the size, shape and position of the tumour. This may be a CT, PET-CT or MRI scan, depending on the clinical indications. Planning this step takes about a week, but you will not need to be present. Your doctor and oncologist along with a physicist will develop a treatment plan, tailored to your needs. The treatment plan will enable them to deliver the desired radiation dose to the tumour whilst minimising harm to healthy tissues. Treatment during treatment you will lie comfortably on a specially designed treatment table. The procedure is painless and non-invasive and generally takes between 30 and 90 minutes. Treatment is typically completed in one to five visits. Follow-up your follow-up scan will be performed in the months following treatment to assess the tumours response to the procedure. Referrals should be sent to: Dr Nick Plowman, Medical Director, Cyberknife Centre London, 81 Harley Street, London, W1G 8PP

81 Harley Street London W1G 8PP Tel: +44 (0) 20 7034 8588
Images used with permission from Accuray Incorporated

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