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Mouth Oesophagus (Food pipe) Windpipe (trachea) Lungs Stomach In planning proton beam treatment to the oesophagus it is clear that future breathing complications are prevented because protons do not interfere with lung tissue or the spinal cord. COMPARED TO CONVENTIONAL RADIOTHERAPY PROTON THERAPY IS LESS TOXIC The goal of radiotherapy is to eradicate cancer cells while sparing healthy tissue. Conventional radiotherapy goes straight through the whole body, does not stop in the tumour, and damages healthy tissue before and behind the tumour. There are many sensitive tissues such as in the digestive tract, small intestine, liver, kidney, lungs, mediastinum and the heart as well. The risk of damage to healthy tissue limits the amount of radiation that can be given, and this reduces the effectiveness of treatment. Conventional X-ray radiotherapy cannot achieve final dosages high enough to always destroy the tumour, or does so only with a high risk of causing permanent health complications. Advanced cancer treatments, state-of-the art examinations and an individualised approach. The Proton Therapy Center in Prague is more than just a hospital. Proton Therapy Center Czech s.r.o. Budínova 2437/1A, Prague 8, 180 00 Appointments: +420 222 999 000 GPS: 50.1171363, 14.4646944 E-mail: [email protected] WIFI Available More information: en.ptc.cz Proton Therapy UK Ltd. www.ukprotontherapy.co.uk Proton Therapy Hungary www.protonterapia.hu Proton Therapy Germany www.krebsprotontherapie.de Proton Therapy Spain www.protoncenter.es Dose distribution comparison for treatment of the pancreas (conventional radiotherapy vs. proton radiotherapy) In contrast to conventional radiotherapy, a proton beam can be stopped at any point in the tumour with millimetre accuracy where it is needed. Proton radiation precisely targets the tumour and other tissues that may need treatment (such as lymph nodes in the mediastinum) while surrounding healthy tissue receives only 20-30% of radiation. When treating pancreatic cancer for example, protons reduce the dose to the spinal cord by about 78%, the liver by about 55% and the kidneys down to 23%. Proton Therapy Russia http://ru.ptc.cz/ Proton Therapy France www.cancertraitement.fr Proton Therapy Türkiye www.protontedavisi.com.tr Proton Therapy for Gastrointestinal Cancer A new chance to treat pancreatic carcinoma, liver carcinoma and oesophageal carcinoma Proton therapy is a completely new and revolutionary cancer treatment for the pancreas, liver and esophagus. How is cancer of the pancreas, cancer of the esophagus, and primary liver cancer treated? In the past there was virtually no effective treatment option for pancreas, liver and oesophagus cancer. Despite all the methods currently available cure rates were low, and only slowed disease progression. In over half of patients who receive post-operative chemotherapy, the cancer returns. With conventional radiotherapy there is always damage to surrounding organs – like the adjacent small intestine, liver and kidney, and therefore conventional radiotherapy is indicated less and less. Please be aware that: The characteristics of proton radiation are a three-dimensional dose distribution with the highest level of precision and conformity to the tumour. This means less normal tissue is irradiated, causing less toxicity and higher doses to the tumour, thereby increasing the possibility of a cure. It is far more appropriate to use proton therapy for the treatment of tumours close to or in vital structures, including tumours of the gastrointestinal tract, such as cancer of the pancreas, liver or oesophagus. Proton therapy allows us to achieve what could not previously be achieved with conventional radiation therapy, and opens the door to successfully treating complex diagnoses, such as pancreatic cancer. Dr. Pavel Vítek, Ph.D., MBA Radiation Oncologist, Proton Therapy Center Czech. International research indicates that proton therapy offers new treatment possibilities for numerous complicated diagnoses. Preoperative irradiation of pancreatic cancer can enable surgery to be performed, or improves the results of surgery itself. Separate irradiation achieves tumour suppression, life extension and relief from troubles. Proton therapy offers new possibilities by preserving sensitive healthy tissues around the pancreas like the small bowel, liver, kidney and spinal cord. Proton therapy has only minimal side effects with better final outcomes. Tumours of the oesophagus need surgical removal post-treatment. Sometimes an operation cannot be performed and irradiation is applied seperately, as with locally advanced tumours. With conventional radiotherapy it is impossible to apply a high enough dose to destroy the tumour without causing serious side effects like vomiting, weight loss, pain and decreased food intake. Liver tumours or metastases in the liver need high doses of radiation to be destroyed, and healthy liver tissue cannot tolerate this. Thus only a low radiation dose can be applied, and this dose is insufficient to completely destroy the tumour. Alternatively, a proton beam can preserve healthy tissue and destroy the tumour with high dosages. Unlike conventional radiotherapy, proton therapy for pancreatic cancer: • r educes radiation exposure to the spinal cord by 78% • r educes radiation exposure to the liver by 55% • r educes unnecessary radiation exposure to the kidney by 23% The pancreas and kidneys - essential organs for life... 50 % 27 % % of radiation to kidneys Proton therapy 27 % Conventional radiotherapy 50 % In 70% of cases pancreatic cancer is diagnosed too late. In addition to cancer treatments, the Proton Therapy Center provides complete diagnostic services. PROTON THERAPY IS SUITABLE FOR: Tumours of the pancreas • Preoperative radiotherapy for locally advanced operable tumours • Primary radiotherapy, or in combination with chemotherapy, for locally advanced inoperable tumours • Postoperative radiotherapy after complete or partial resection of the pancreas Oesophageal tumours • Preoperative radiotherapy for locally advanced operable tumours • Primary radiotherapy, or in combination with chemotherapy, for locally advanced inoperable tumours Hepatocellular (liver) carcinoma • Liver tumours unsuitable for surgery without extrahepatic involvement DURING TREATMENT: Proton treatment is performed on an outpatient basis. Treatment time takes from about 3 to 6 weeks, depending on the stage of the disease. Each visit takes 45 minutes, but beam delivery only takes a few minutes. Before and during treatment, the qualified patient management team arranges accommodation and all other support services during your stay in Prague. In addition to this PTC offers complete diagnostics and proton beam therapy for cancer under one roof.