Measurements, x-rays and scans are taken which enable physicists and dosimetrists to accurately optimize a radiation plan which precisely focuses the radiation on the tumor and minimizes the dose to normal tissue. Designs are made which enable the engineers to fabricate devices which will shield the normal tissues from radiation. Permanent dots are placed on the skin which allow precise positioning of the radiation during 2-7 weeks of daily treatment. Following the simulation, the patient is given an appointment to start therapy several days thereafter, and a schedule is developed for the 10 minute daily treatment appointments. These treatments are painless and have as side effects some fatigue and possible additional symptoms which vary according to the area being treated.
Most patients are able to function in a normal way during the weeks of treatment.
The Radiation Oncology department of Hartford Hospital consists of 4 treatment machines - 3 linear accelerators delivering a range of photons and electrons, and a special machine devoted to the treatment of skin tumors. One of these simulators, the Ximatron CT, utilizes CT scanning of the patient in the treatment position. The department pioneered the use of this simulator and helped develop it for use elsewhere in the United States. In addition to the above equipment, the department houses numerous 3-Dimensional treatment planning computers which are utilized to develop optimized treatment plans, mold, shield, and device fabrication laboratories which fabricate devices to shield normal tissues, and electronics laboratories. The department is staffed by a comprehensive team of nationally recognized radiation oncologists, medical physicists, dosimetrists, engineers, oncology nurses, radiation therapists, and support staff to provide customized, highly specialized, and patient centered care.