The latest news and events from the Spire Specialist Care Centre, Chelmsford.
Treatments that will be routinely offered in the centre:
• Stereotactic Radiosurgery/Stereotactic Ablative Radiotherapy (SRS/SABR) - The Specialist Care Centre at Chelmsford is the first Spire site with the capability to provide stereotactic radiosurgery (SRS)/stereotactic radiation therapy (SRT) for cranial/brain treatments, as well as stereotactic ablative radiotherapy (SABR)/stereotactic body radiation therapy (SBRT) to other body sites. Both SRS and SABR are highly targeted forms of radiation therapy where the tumour receives a very high (ablative) dose of radiation whilst surrounding tissues receive a low dose. SRS is delivered in 1 to 5 fractions whilst SABR is generally delivered in 1 to 8 fractions. SRS and SABR are performed on an outpatient basis.
• Intensity Modulated Radiotherapy (IMRT) – Allows treatment to be shaped around structures that need to be avoided whilst the intensity of a radiation beam can be varied to produce areas of high and low dose within a treatment beam dependent on the patient’s tumour and location. This variation optimises the effectiveness of the radiotherapy treatment. To enhance the precise planning and treatment using IMRT daily image guided radiotherapy (IGRT) is used.
• Volumetric Modulated Arc Therapy (VMAT) – This is an IMRT treatment technique that utilises the linear accelerator moving in an arc rotation to reduce the time the patient is on the treatment machine, whilst ensuring optimal dose to the tumour and reducing the dose normal tissues receive.
• Image Guided Radiotherapy (IGRT) – A planning CT scan is used to tailor, design and plan patient specific treatments. The images acquired from the initial CT scan are used to provide baseline reference images. This ensures treatment accuracy and positioning, daily images are taken and compared to the original planning CT scan. IGRT can be achieved by a number of techniques from two dimensional X-ray images to three dimensional cone beam images acquired on a radiotherapy treatment machine pre to and during daily treatments. IGRT offers the benefit of using advanced imaging systems to precisely position the radiotherapy treatment and target the tumour.
• DIBH - Deep Inspiration Breath Hold (DIBH) is a new cardiac sparing technique used when treating leftsided breast cancer patients. It allows us to further minimise the amount of radiation potentially received by the heart therefore reducing long term cardiac toxicities
• 4D CT - Four dimensional CT scanning methods are used to achieve highly conformal radiotherapy in the presence of respiratory-induced motion of tumours and normal tissue and requires a 4D CT image in which the internal motion as a function of the respiratory cycle can be quantified
• Dupuytrens service – A benign hand contracture condition which can cause a person to have limited hand mobility. Radiotherapy treatment options for Dupuytren’s are currently only available privately due to the demand on the NHS. At SSCC we can provide a quick, smooth and pain free treatment option for patients in the early stages of Dupuytren’s Contracture