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.




Dec 16, 2016 Reporting from Niles, MI
Back to Living Life Faster than Ever Before - Ruth Firme-McMillen
https://www.spectrumhealthlakeland.org/medical-services/cancer-care/cancer-treatment/radiation-oncology/radiation-therapy/intraoperative-radiation-therapy-(iort)/Detail/back-to-living-life-faster-than-ever-before/?utm_source=Back_to_Living_Life_Faster_than_Ever_Before_&utm_medium=PatientStory_Landing&utm_campaign=InternalPages
Dec 16, 2016
Ruth Firme-McMillen knew breast cancer ran in her family. That’s why every year, like clockwork, she visited her doctor to get a routine mammography. And every year the results came back the same – all clear. That was until just before her 79th birth

Back to Living Life Faster than Ever Before - Ruth Firme-McMillen

SpectrumHealth Lakeland

Back to Living Life Faster than Ever Before - Ruth Firme-McMillen

Dec, 2016

Physicians: Elizabeth Jeffers, MDBenjamin Gielda, MD


Ruth Firme-McMillen knew breast cancer ran in her family. That’s why every year, like clockwork, she visited her doctor to get a routine mammography. And every year the results came back the same – all clear. That was until just before her 79th birthday, when the scan showed a lump which turned out to be Stage I breast cancer.

After receiving the startling news, Ruth turned to her family for guidance.

“My niece had just went through a battle with Stage II breast cancer and suggested that I seek out the care of general surgeon, Elizabeth Jeffers, [MD], who had recently traveled to Germany to become trained on a new surgical technique for breast cancer patients.”

Upon her initial consultation, Dr. Jeffers explained to Ruth that Lakeland had recently acquired a new form of therapy for treating breast cancer using the ZEISS INTRABEAM intraoperative radiotherapy (IORT) system. Up until now, the treatment had only been offered primarily at large university medical centers and research hospitals.

Although it is somewhat a complicated procedure, Ruth said she valued the extra time Dr. Jeffers took to explain everything to her.

“She went over every detail very thoroughly and was extremely patient with me when I had questions, which means the world to someone facing a cancer diagnosis,” said Ruth. “Going into surgery I was confident this was the best course of treatment for me.”

After undergoing lumpectomy surgery to remove the cancer and other abnormal tissue from her breast, Ruth became the first patient at Lakeland to undergo IORT therapy. IORT delivers a single dose of radiation directly to the lumpectomy cavity while the patient is still asleep from the surgery.

“Traditionally, after patients undergo lumpectomy, they require five to six weeks of daily radiation treatment,” said radiation oncologist, Benjamin Gielda, MD. “With this new treatment option, the single dose may replace weeks of radiation as well as improve the accuracy of therapy and help patients get back to their lives more quickly.”

Returning to her normal life is something Ruth is thankful for every day.

“I woke up from the procedure feeling no pain or nausea,” she said. “What seemed scary to me at first turned out to be a rather minimal procedure. I can’t stress enough what a miracle it was to have this type of treatment available in our area.”

While she still has to undergo follow-up diagnostics, Ruth is happy to be cancer free and back to living the life she once knew – a feat she credits to early detection.

“I encourage everyone to get a yearly mammogram no matter what,” said Ruth. “I am so thankful that Lakeland was able to detect my cancer early, which saved me a lot of pain down the road. I highly recommend our local cancer specialists and surgeons – I couldn’t have asked for better care.”

 

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