Intraoperative Radiation Therapy

Dr. GieldaNew option for early-stage breast cancer

A breast cancer diagnosis can be stressful and emotional. However, if caught early, you may have the option of avoiding weeks of radiation treatment.

Lakeland physicians are now using the ZEISS INTRABEAM® intraoperative therapy system to deliver a  targeted single-dose of radiation to the site of the tumor, after a Lumpectomy. 

Traditional external high-beam radiation requires patients undergo daily radiation to the whole breast, for a five or six week period.

The new therapy, also known as IORT, minimizes radiation exposure to healthy tissue and organs. It has also proven less costly, with limited side effects. Results have been so promising, Lakeland was asked to participate in the international TARGIT-B trial focused on the treatment.

It is important you have the advice and support of your breast care team before making an informed decision. Talk to your physician to see if IORT is right for you.  

Mammograms are key to early detection. Lakeland offers three convenient locations to serve you. Click here to schedule your appointment.

IORT Frequently Asked Questions

How effective is INTRABEAM IORT?
In 1998, a group of international researchers began investigating this method of radiotherapy delivery for breast cancer. The primary study tested the effectiveness of an intraoperative dose of radiation delivered using the INTRABEAM System compared with up to six weeks of conventional external beam radiation treatment (EBRT) for early stage breast cancer. The results of the trial were first presented in 2010 and show the overall number of cancer recurrences for both the EBRT and IORT patients were very similar. Ask your physician about the significant results from the trial named TARGIT-A, including complications.

How is INTRABEAM radiotherapy administered?
INTRABEAM IORT is delivered during breast-conserving surgery in the operating room while the patient is still asleep. Radiation is typically delivered for 20 to 30 minutes The treatment is delivered inside the lumpectomy cavity which minimizes radiation exposure to healthy tissue and organs.

Is IORT right for me?
For many women, INTRABEAM IORT is a viable treatment option. The physicians coordinating your breast conservation therapy will determine whether INTRABEAM radiotherapy is an appropriate treatment for your type of cancer.

What if I have been prescribed whole-breast radiation?
Some women undergoing conventional radiation treatment may have the choice of receiving INTRABEAM radiotherapy as a boost dose during cancer surgery, before the start of external radiation. This initial boost dose of radiation can be used in conjunction with standard course of external breast radiation.




Jun 19, 2018 Reporting from Niles, MI
A No Brainer - Pat Howland
https://www.spectrumhealthlakeland.org/medical-services/cancer-care/cancer-treatment/radiation-oncology/radiation-therapy/intraoperative-radiation-therapy-(iort)/Detail/A-No-Brainer/0a8271ad-c230-6723-add8-ff0100ca780f/?utm_source=A_No_Brainer&utm_medium=PatientStory_Landing&utm_campaign=InternalPages
Jun 19, 2018
Pat Howland is no stranger to mammograms – for the past three years she’s gotten one every six months as a precautionary measure for a spot in her breast that had been previously detected. However, it was between the regularly schedu

A No Brainer - Pat Howland

SpectrumHealth Lakeland

A No Brainer - Pat Howland

Jun, 2018

Physicians: Benjamin Gielda, MD


Pat Howland is no stranger to mammograms – for the past three years she’s gotten one every six months as a precautionary measure for a spot in her breast that had been previously detected. However, it was between the regularly scheduled mammograms, when she noticed a new lump in her left breast. While a diagnostic mammogram revealed the lump was not cancerous, a second lump was detected which turned out to be invasive ductal carcinoma – a common form of breast cancer which occurs in the lining of the milk ducts.

After receiving the news, the Chicago, Illinois resident didn’t waste any time scheduling an appointment with a surgeon near her hometown to learn more about the treatment options available.

“My surgeon discussed what I assumed was standard treatment for breast cancer – surgery and four to six weeks of radiation,” said Pat. “It wasn’t until I was talking to my neighbor and she recommended a new technology available at Lakeland Health that I realized I had other choices.”

Interested in learning more, Pat reached out to oncology nurse navigator, Shelley Wilkinson, RN, CBCN, at the Marie Yeager Cancer Center in St. Joseph.

“Shelley was my angel,” said Pat. “The only thing required of me from the time I met Shelley to the end of my treatment, was to show up when and where she told me. She followed my care and provided me with things I didn't even know I needed. I still can't believe how wonderfully I was treated.”

During her initial meeting with radiation oncologist, Benjamin Gielda, MD, Pat learned about intraoperative radiation therapy (IORT) – a new treatment for breast cancer that delivers radiation at the time of surgery, following tumor removal. For many women this eliminates the need for four to six weeks of follow up radiation after surgery. 

“No one in Chicago even mentioned IORT to me,” said Pat. “After explaining how the procedure worked, Dr. Gielda suggested I go home and think about it. I told him I didn’t need to – as far as I was concerned it was a no brainer for me.”

On the day of surgery, Pat returned to Lakeland – an hour and 45-minute drive she says was worth every mile. While in the operating room, her general surgeon performed lumpectomy surgery to remove the cancerous cells in Pat’s breast. During the procedure they also discovered a second cancerous lump which was previously undetected and removed it at the same time. Once the tumors were removed, Dr. Gielda, delivered a dose of radiation directly to the tumor bed. According to Pat everything went off without a hitch.

“When compared to having my rotator cuff repaired – breast cancer was a walk in the park,” said Pat. “I felt very little discomfort and was strangely at peace throughout the entire experience.”

Since her surgery, Pat continues to follow up regularly with an oncologist in Chicago. Although Pat said she hopes she’ll never have to undergo breast cancer again – she wouldn’t hesitate to return to Lakeland for care. 

“Everyone I came into contact with at Lakeland treated me with the utmost care and concern,” she said. “When faced with this kind of diagnosis, it is wonderful to know there is a place you can go for treatment, and know with certainty they are not going to drop the ball.”

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