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500	
  South	
  Paulina	
  Street	
  Chicago,	
  IIL	
  60612	
  	
   	
  
                            treet,	
  Chicago,	
  L	
  60612	
  	
           	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
A	
  brain	
  tumor	
  diagnosis	
  can	
  be	
  scary.	
  
                 	
  
                 Learn	
  more	
  about	
  brain	
  tumors	
  and	
  how	
  we	
  can	
  help.	
  
                 	
  
                 Please	
  note:	
  We	
  encourage	
  consumers	
  to	
  thoroughly	
  review	
  and	
  understand	
  all	
  treatment	
  op8ons.	
  
                 The	
  informa8on	
  presented	
  here	
  is	
  not	
  all-­‐inclusive.	
  Rather,	
  it	
  represents	
  a	
  star8ng	
  point	
  to	
  learn	
  
                 more	
  about	
  medical	
  condi8ons	
  and	
  treatment	
  op8ons.	
  There	
  is	
  no	
  subs,tute	
  for	
  consul,ng	
  a	
  
                 medical	
  professional.	
  




500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
What	
  is	
  a	
  brain	
  tumor?	
  

A	
  brain	
  tumor	
  is	
  an	
  abnormal	
  growth	
  of	
  
cells	
  within	
  the	
  brain	
  or	
  the	
  central	
  spinal	
  
canal	
  and	
  can	
  be	
  cancerous	
  or	
  benign.	
  
Brain	
  tumors,	
  even	
  malignant	
  ones,	
  are	
  
not	
  necessarily	
  fatal.	
  However,	
  any	
  brain	
  
tumor	
  should	
  be	
  considered	
  a	
  serious	
  
health	
  condi;on.	
  
	
  
Brain	
  tumors	
  can	
  be	
  primary	
  (origina;ng	
  
in	
  the	
  brain	
  or	
  spinal	
  cord)	
  or	
  metastaLc	
  
(origina;ng	
  in	
  another	
  part	
  of	
  the	
  body	
  
and	
  spreading	
  to	
  the	
  brain).	
  




500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
What	
  are	
  symptoms	
  of	
  a	
  brain	
  tumor?	
  

        •        Headaches	
                                                                         •          An	
  impaired	
  sense	
  of	
  touch,	
  hearing,	
  
        •        Vomi;ng	
                                                                                      vision	
  or	
  smell	
  
        •        Vision	
  problems	
  	
                                                            •          Personality	
  or	
  emo;onal	
  changes	
  
        •        Altered	
  states	
  of	
  consciousness	
                                          •          Weakness	
  on	
  one	
  side	
  of	
  the	
  body	
  or	
  
        •        Impaired	
  judgment	
                                                                         facial	
  paralysis	
  
                                                                                                     •          Speech	
  and	
  language	
  impairment	
  
        •        Memory	
  loss	
  
        •        Lack	
  of	
  recogni;on	
  	
                                                      •          Abnormal	
  fa;gue	
  
                                                                                                     •          Tremors	
  or	
  epilep;c	
  seizures	
  
        •        Spa;al	
  orienta;on	
  disorders	
  
        	
  
        	
  
        	
  
        	
  
        	
  
        	
  
        	
  
500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
      	
       	
  www.rushradiosurgery.com
What	
  types	
  of	
  brain	
  tumors	
  exist?	
  
        •          AcousLc	
  Neuroma:	
  A	
  benign,	
  slow-­‐growing	
  tumor	
  type,	
  acous;c	
  neuromas	
  affect	
  the	
  
                   seventh	
  and	
  eighth	
  cranial	
  nerves	
  in	
  a	
  part	
  of	
  the	
  brain	
  known	
  as	
  the	
  cerebellar-­‐pon;ne	
  
                   angle.	
  
        	
  
        •          Brain	
  Metastases:	
  A	
  brain	
  metastasis	
  is	
  a	
  brain	
  tumor	
  that	
  develops	
  from	
  cancer	
  cells	
  
                   that	
  spread	
  from	
  another	
  cancerous	
  tumor	
  in	
  the	
  body,	
  usually	
  through	
  the	
  bloodstream.	
  
        	
  	
  
        •          Glioma:	
  A	
  glioma	
  is	
  a	
  class	
  of	
  tumor	
  that	
  develops	
  from	
  glial	
  cells	
  in	
  the	
  brain	
  that	
  
                   support	
  and	
  protect	
  neurons.	
  Astrocytes,	
  ependymal	
  and	
  oligodendroglial	
  cells	
  are	
  all	
  
                   examples	
  of	
  glial	
  cells.	
  Includes:	
  Astrocytoma,	
  Glioblastoma	
  Mul;forme,	
  Glioma,	
  
                   Oligodendroglioma.	
  
        	
  
        •          Meningioma:	
  A	
  benign	
  tumor	
  located	
  on	
  the	
  brain	
  surface	
  rather	
  than	
  within	
  brain	
  
                   ;ssue.	
  	
  
        	
  
        •          Pituitary	
  Adenoma:	
  Located	
  at	
  the	
  base	
  of	
  the	
  skull,	
  the	
  pituitary	
  gland	
  serves	
  as	
  the	
  
                   body’s	
  control	
  center	
  for	
  hormones.	
  Pituitary	
  adenomas	
  are	
  slow-­‐growing,	
  benign	
  
                   tumors	
  within	
  the	
  gland.	
  


500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
How	
  does	
  TrueBeam	
  STx	
  	
  
                                              treat	
  brain	
  tumors?	
  
   TrueBeam	
  STx	
  has	
  the	
  ability	
  to	
  treat	
  acous;c	
  
   neuromas,	
  brain	
  metastases,	
  gliomas,	
  
   meningiomas	
  and	
  pituitary	
  adenoma	
  using	
  
   stereotac;c	
  radiosurgery.	
  This	
  is	
  a	
  nonsurgical	
  
   method	
  of	
  trea;ng	
  tumors	
  using	
  a	
  very	
  precise,	
  
   high	
  dose	
  of	
  radia;on.	
  	
  
   	
  
   During	
  treatment,	
  pa;ents	
  lie	
  on	
  a	
  table	
  while	
  
   the	
  machine	
  rotates	
  around	
  them,	
  aiming	
  
   radia;on	
  beams	
  directly	
  at	
  a	
  tumor	
  site.	
  	
  
   	
  
   The	
  treatment	
  process	
  includes:	
  
   I.  Consulta;on	
  appointment	
  
   II.  Pretreatment	
  procedures	
  
   III.  TrueBeam	
  STx	
  treatment	
  
   IV.  Follow-­‐up	
  




500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
ConsultaLon	
  and	
  Pretreatment	
  Procedures	
  
  Rush	
  Radiosurgery	
  physicians,	
  therapists	
  and	
  nurses	
  are	
  focused	
  on	
  your	
  individualized	
  plan	
  for	
  
  treatment:	
  
  	
  
  •  You	
  will	
  meet	
  a	
  Rush	
  Radiosurgery	
  radia;on	
  oncologist	
  to	
  decide	
  if	
  TrueBeam	
  STx	
  treatment	
  
       is	
  appropriate	
  for	
  your	
  diagnosis.	
  	
  
  	
  
  •  Your	
  treatment	
  team	
  will	
  decide	
  which	
  pretreatment	
  procedures	
  you	
  may	
  need	
  to	
  help	
  
       develop	
  your	
  treatment	
  plan.	
  These	
  could	
  include	
  a	
  CT	
  scan,	
  an	
  MRI,	
  laboratory	
  studies	
  or	
  
       ;ssue	
  markers.	
  	
  
  	
  
  •  The	
  data	
  from	
  your	
  pretreatment	
  procedures	
  will	
  be	
  used	
  by	
  the	
  treatment	
  team	
  to	
  
       determine	
  the	
  exact	
  size,	
  shape	
  and	
  loca;on	
  of	
  your	
  tumor.	
  

  •  This	
  informa;on	
  will	
  indicate	
  the	
  size	
  of	
  the	
  area	
  being	
  treated	
  with	
  radia;on,	
  the	
  radia;on	
  
       dose	
  and	
  cri;cal	
  structures	
  where	
  radia;on	
  exposure	
  should	
  be	
  minimized.	
  
  	
  




500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
TrueBeam	
  STx	
  Treatment	
  
     The	
  accuracy	
  of	
  TrueBeam	
  STx	
  allows	
  physicians	
  to	
  
     treat	
  difficult-­‐to-­‐reach	
  tumors	
  that	
  may	
  have	
  been	
  
     impossible	
  to	
  treat	
  in	
  the	
  past.	
  Treatment	
  involves	
  
     one	
  to	
  five	
  sessions,	
  with	
  a	
  typical	
  session	
  las;ng	
  
     about	
  15	
  minutes.	
  	
  
     	
  
     1.  Pa;ents	
  are	
  observed	
  throughout	
  the	
  
            treatment	
  on	
  closed-­‐circuit	
  television,	
  and	
  they	
  
            can	
  pause	
  treatment	
  at	
  any	
  ;me	
  by	
  waving	
  or	
  
            speaking	
  to	
  the	
  technicians.	
  

     2.  During	
  treatment,	
  the	
  machine	
  rotates	
  around	
  
          the	
  pa;ent	
  to	
  deliver	
  radia;on	
  from	
  various	
                                            FOR	
  YOUR	
  INFORMATION	
  
          angles.	
  The	
  radia;on	
  beam	
  is	
  sculpted	
  and	
                                              •    Treatment	
  procedures	
  take	
  about	
  15	
  –	
  20	
  
                                                                                                                          minutes,	
  depending	
  on	
  the	
  complexity	
  of	
  your	
  
          shaped	
  to	
  match	
  the	
  three-­‐dimensional	
  shape	
                                                  tumor.	
  
          of	
  the	
  tumor,	
  helping	
  protect	
  nearby	
  healthy	
                                           •    Pa;ents	
  are	
  asked	
  to	
  wear	
  comfortable	
  clothing	
  
          ;ssue	
  and	
  cri;cal	
  organs.	
  	
                                                                        during	
  treatments.	
  Jewelry	
  is	
  acceptable	
  unless	
  
     	
                                                                                                                   it	
  is	
  close	
  to	
  the	
  area	
  being	
  treated.	
  
                                                                                                                     •    Feel	
  free	
  to	
  bring	
  an	
  iPod®	
  or	
  your	
  favorite	
  
     3.  Pa;ents	
  can	
  usually	
  return	
  to	
  their	
  normal	
                                                   music	
  CDs	
  with	
  you	
  on	
  the	
  day	
  of	
  your	
  
          rou;nes	
  once	
  the	
  treatment	
  is	
  complete.	
                                                        treatment,	
  and	
  we	
  will	
  play	
  them	
  for	
  you	
  during	
  
                                                                                                                          the	
  procedure.	
  



500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
      	
          	
         	
  www.rushradiosurgery.com
AddiLonal	
  Resources	
  




500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
     	
     	
  (312)	
  942-­‐4600	
  	
  	
     	
     	
     	
  www.rushradiosurgery.com
Our	
  Center	
  
   Under the direction of medical director Dr. Aidnag Diaz, Rush Radiosurgery brings together
   experienced physicians and the latest medical advances to provide patients with
   exceptional care. Our cancer treatment facility opened in March 2012 on the campus of
   Rush University Medical Center. Our doctors are board-certified in radiation oncology and
   have several areas of specialty including head and neck cancers, brain tumors, prostate
   cancer and lung cancer.
   	
  
   Rush Radiosurgery uses an advanced technology, TrueBeam STx®, to treat various cancers
   with stereotactic radiosurgery, a noninvasive method of treating tumors and other medical
   conditions with very precise, high-dose radiation.
   TrueBeam STx has the ability to “shape” the radiation beams it delivers to match the three-
   dimensional shape of a patient’s tumor, helping protect nearby healthy tissue and critical
   organs. By delivering targeted, high-dose radiation beams, TrueBeam STx also significantly
   reduces treatment time.

                                                                                                                          Connect	
  with	
  us	
  
                     Medical	
  Director:	
  Dr.	
  Aidnag	
  Diaz	
                                                      	
  
                     	
  
                     TrueBeam	
  STx	
  Nurse:	
  Debbie	
  Gonzalez	
  
                     	
  




500	
  South	
  Paulina	
  Street,	
  Chicago,	
  IL	
  60612	
  	
  	
      	
     	
  (312)	
  942-­‐4600	
  	
  	
      	
     	
      	
  www.rushradiosurgery.com

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Brain Tumors: Rush Radiosurgery Treatment Overview

  • 1. 500  South  Paulina  Street  Chicago,  IIL  60612       treet,  Chicago,  L  60612        (312)  942-­‐4600            www.rushradiosurgery.com
  • 2. A  brain  tumor  diagnosis  can  be  scary.     Learn  more  about  brain  tumors  and  how  we  can  help.     Please  note:  We  encourage  consumers  to  thoroughly  review  and  understand  all  treatment  op8ons.   The  informa8on  presented  here  is  not  all-­‐inclusive.  Rather,  it  represents  a  star8ng  point  to  learn   more  about  medical  condi8ons  and  treatment  op8ons.  There  is  no  subs,tute  for  consul,ng  a   medical  professional.   500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 3. 500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 4. What  is  a  brain  tumor?   A  brain  tumor  is  an  abnormal  growth  of   cells  within  the  brain  or  the  central  spinal   canal  and  can  be  cancerous  or  benign.   Brain  tumors,  even  malignant  ones,  are   not  necessarily  fatal.  However,  any  brain   tumor  should  be  considered  a  serious   health  condi;on.     Brain  tumors  can  be  primary  (origina;ng   in  the  brain  or  spinal  cord)  or  metastaLc   (origina;ng  in  another  part  of  the  body   and  spreading  to  the  brain).   500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 5. What  are  symptoms  of  a  brain  tumor?   •  Headaches   •  An  impaired  sense  of  touch,  hearing,   •  Vomi;ng   vision  or  smell   •  Vision  problems     •  Personality  or  emo;onal  changes   •  Altered  states  of  consciousness   •  Weakness  on  one  side  of  the  body  or   •  Impaired  judgment   facial  paralysis   •  Speech  and  language  impairment   •  Memory  loss   •  Lack  of  recogni;on     •  Abnormal  fa;gue   •  Tremors  or  epilep;c  seizures   •  Spa;al  orienta;on  disorders                 500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 6. What  types  of  brain  tumors  exist?   •  AcousLc  Neuroma:  A  benign,  slow-­‐growing  tumor  type,  acous;c  neuromas  affect  the   seventh  and  eighth  cranial  nerves  in  a  part  of  the  brain  known  as  the  cerebellar-­‐pon;ne   angle.     •  Brain  Metastases:  A  brain  metastasis  is  a  brain  tumor  that  develops  from  cancer  cells   that  spread  from  another  cancerous  tumor  in  the  body,  usually  through  the  bloodstream.       •  Glioma:  A  glioma  is  a  class  of  tumor  that  develops  from  glial  cells  in  the  brain  that   support  and  protect  neurons.  Astrocytes,  ependymal  and  oligodendroglial  cells  are  all   examples  of  glial  cells.  Includes:  Astrocytoma,  Glioblastoma  Mul;forme,  Glioma,   Oligodendroglioma.     •  Meningioma:  A  benign  tumor  located  on  the  brain  surface  rather  than  within  brain   ;ssue.       •  Pituitary  Adenoma:  Located  at  the  base  of  the  skull,  the  pituitary  gland  serves  as  the   body’s  control  center  for  hormones.  Pituitary  adenomas  are  slow-­‐growing,  benign   tumors  within  the  gland.   500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 7. 500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 8. How  does  TrueBeam  STx     treat  brain  tumors?   TrueBeam  STx  has  the  ability  to  treat  acous;c   neuromas,  brain  metastases,  gliomas,   meningiomas  and  pituitary  adenoma  using   stereotac;c  radiosurgery.  This  is  a  nonsurgical   method  of  trea;ng  tumors  using  a  very  precise,   high  dose  of  radia;on.       During  treatment,  pa;ents  lie  on  a  table  while   the  machine  rotates  around  them,  aiming   radia;on  beams  directly  at  a  tumor  site.       The  treatment  process  includes:   I.  Consulta;on  appointment   II.  Pretreatment  procedures   III.  TrueBeam  STx  treatment   IV.  Follow-­‐up   500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 9. ConsultaLon  and  Pretreatment  Procedures   Rush  Radiosurgery  physicians,  therapists  and  nurses  are  focused  on  your  individualized  plan  for   treatment:     •  You  will  meet  a  Rush  Radiosurgery  radia;on  oncologist  to  decide  if  TrueBeam  STx  treatment   is  appropriate  for  your  diagnosis.       •  Your  treatment  team  will  decide  which  pretreatment  procedures  you  may  need  to  help   develop  your  treatment  plan.  These  could  include  a  CT  scan,  an  MRI,  laboratory  studies  or   ;ssue  markers.       •  The  data  from  your  pretreatment  procedures  will  be  used  by  the  treatment  team  to   determine  the  exact  size,  shape  and  loca;on  of  your  tumor.   •  This  informa;on  will  indicate  the  size  of  the  area  being  treated  with  radia;on,  the  radia;on   dose  and  cri;cal  structures  where  radia;on  exposure  should  be  minimized.     500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 10. TrueBeam  STx  Treatment   The  accuracy  of  TrueBeam  STx  allows  physicians  to   treat  difficult-­‐to-­‐reach  tumors  that  may  have  been   impossible  to  treat  in  the  past.  Treatment  involves   one  to  five  sessions,  with  a  typical  session  las;ng   about  15  minutes.       1.  Pa;ents  are  observed  throughout  the   treatment  on  closed-­‐circuit  television,  and  they   can  pause  treatment  at  any  ;me  by  waving  or   speaking  to  the  technicians.   2.  During  treatment,  the  machine  rotates  around   the  pa;ent  to  deliver  radia;on  from  various   FOR  YOUR  INFORMATION   angles.  The  radia;on  beam  is  sculpted  and   •  Treatment  procedures  take  about  15  –  20   minutes,  depending  on  the  complexity  of  your   shaped  to  match  the  three-­‐dimensional  shape   tumor.   of  the  tumor,  helping  protect  nearby  healthy   •  Pa;ents  are  asked  to  wear  comfortable  clothing   ;ssue  and  cri;cal  organs.     during  treatments.  Jewelry  is  acceptable  unless     it  is  close  to  the  area  being  treated.   •  Feel  free  to  bring  an  iPod®  or  your  favorite   3.  Pa;ents  can  usually  return  to  their  normal   music  CDs  with  you  on  the  day  of  your   rou;nes  once  the  treatment  is  complete.   treatment,  and  we  will  play  them  for  you  during   the  procedure.   500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 11. AddiLonal  Resources   500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com
  • 12. Our  Center   Under the direction of medical director Dr. Aidnag Diaz, Rush Radiosurgery brings together experienced physicians and the latest medical advances to provide patients with exceptional care. Our cancer treatment facility opened in March 2012 on the campus of Rush University Medical Center. Our doctors are board-certified in radiation oncology and have several areas of specialty including head and neck cancers, brain tumors, prostate cancer and lung cancer.   Rush Radiosurgery uses an advanced technology, TrueBeam STx®, to treat various cancers with stereotactic radiosurgery, a noninvasive method of treating tumors and other medical conditions with very precise, high-dose radiation. TrueBeam STx has the ability to “shape” the radiation beams it delivers to match the three- dimensional shape of a patient’s tumor, helping protect nearby healthy tissue and critical organs. By delivering targeted, high-dose radiation beams, TrueBeam STx also significantly reduces treatment time. Connect  with  us   Medical  Director:  Dr.  Aidnag  Diaz       TrueBeam  STx  Nurse:  Debbie  Gonzalez     500  South  Paulina  Street,  Chicago,  IL  60612          (312)  942-­‐4600            www.rushradiosurgery.com