Upright Radiation Therapy Micro-Videos

with Kate Yip, Radiation Therapist with Leo Cancer Care

“What is a Clinical Oncologist?”

“What is a Radiation Therapist?”

“What is Radiation Therapy and How Does It Work?”

“What is a Dosimetrist?”

“Will I Be Radioactive After a Radiation Therapy Treatment?”

Frequently Asked Questions: Upright Radiation Therapy

  • For the majority of treatments, a special machine (called a linear accelerator) uses electricity to create a radiation therapy beam. This high-energy beam is pointed at the cancer cells to damage them so they can no longer grow and spread. Once the cancer cells die, your body removes them naturally.

    There are 3 types of particles of radiation therapy:

    Photons: These beams can reach tumors deep in the body.

    Protons: These can also reach tumors deep in the body; however, they do not scatter radiation on their path and stop once they reach the tumor.

    Heavy Ion Beam/ Carbon Ion Beam: These deliver a beam that is more potent and precise than either photon or proton radiation therapy; however, due to the size and cost of the technology it is not yet available for most patients.

  • No, you cannot tell when it is being administered. You cannot feel it, see it, or smell it.

  • Even though the radiation beam is carefully and precisely directed toward the cancer cells, there is a chance that some normal cells are injured or destroyed, causing some undesired side effects. Your cancer care team should explain what side effects may be possible before your treatment begins.

  • We spend most of our daily lives in an upright position. During radiation treatments, we believe an upright position will be more affirming to a patient. It will allow eye-to-eye contact and direct communication between you and your technician. Patients seem to be more at ease, more self-assured to face what is before them.

    There is more. Studies have shown that remaining in an upright position may positively impact some internal organs, reducing motion and allowing gravity to work in our favor. For example, the weight of the bladder may prevent the prostate from shifting, alleviating the need for a full bladder for scanning. Another example is the increase in lung volume when patients are seated upright. Not only can more of the lungs be visualized, but the breathing motion may be reduced.

    Finally, when upright radiation therapy is utilized, we can use a fixed radiation beam while our patient’s upright chair is slowly rotated. This removes the need for a gantry (the machine that rotates around a patient lying on a flat surface), in most cases reducing cost and space.

  • Studies have already indicated that breathing may be less labored when upright; hence, we anticipate less body and organ movement. Leo Cancer Care has partnered with several global suppliers of advanced patient positioning devices such as armrests, shin guards, head, neck, and backrests, all designed for patient support and stability. Finally, comfort is key. We have learned that the more comfortable our patient is, the less movement there will be. It’s a win-win!

  • You may absolutely go near your grandchildren as you normally would. Please rest assured that after treatment, there will not be any radiation left behind, thus posing no threat to anyone you may interact with. It is important to remember that upright radiation therapy is just as safe as traditional radiation therapy.

  • Here is an experiment that you can try at home with a loved one to mimic the speed of our upright patient positioning system. If you have an office chair that swivels, that will work best, however, you can do this standing as well.

    When you say “Go," slowly rotate the chair or turn in a circle while standing. Have your loved one time you until you have completed one circle. How long did it take you? Our Leo Cancer Care upright chair (lovingly called, “Eve”) makes a full 360° rotation in one minute. If you took less time than that to complete your rotation, you are way faster than she is! So, chances are, sitting upright and being rotated for radiation treatments will not make a patient dizzy.

  • Most wheelchair-bound patients can be easily transferred to an upright chair with a gentle lift-and-pivot motion by healthcare aides or staff. After transfer, the technician can ensure the patient's comfort and security by using a supplemental vacuum beanbag positioning system, stability belts, and other rests as needed for arms, shins, back, and neck.

  • Leo Cancer Care’s upright positioning system is not available in the United States yet. While we have signed contracts for our upright patient positioning system, “Eve,” with the University of Wisconsin (UWHealth), McLaren Health Care System in Michigan, and Stanford Health Care System in California, none of these sites will be operational until mid-2024. There is another company on the same journey that is currently offering treatments in Chicago, the US, and Israel. You can learn more here: www.p-cure.com

  • It is too early to tell. However, with federal approval anticipated by the end of 2023, we are moving in the right direction.

Frequently Asked Questions: Cancer

  • Cancer is a disease that occurs when some cells in the body start growing uncontrollably and spread to other parts of the body. Our body is made up of trillions of cells, and normally, the cells grow and multiply to form new cells as required. However, sometimes, the orderly process breaks down, and abnormal or damaged cells grow and multiply when they shouldn't, which may result in the formation of lumps of tissue called tumors. Tumors can be either benign or malignant. Benign tumors do not invade nearby tissues or spread to other parts of the body, and when removed, they usually don't grow back. Malignant tumors, on the other hand, invade nearby tissues and can spread to other parts of the body, which is called metastasis. Solid tumors are the most common type of cancer, but blood cancers like leukemia don't form solid tumors. Benign tumors can also cause serious symptoms or be life-threatening, especially if they are located in critical organs like the brain.

  • Throughout recorded history, cancer has affected humans and animals. People have been writing about it since ancient times, as evidenced by fossilized bone tumors, mummies from ancient Egypt, and ancient manuscripts. These discoveries have revealed growths that suggest osteosarcoma in mummies and bony skull destruction like that seen in head and neck cancer. The Edwin Smith Papyrus is the oldest known description of cancer (which did not use the word "cancer") and dates back to around 3000 BC. It describes eight cases of tumors or ulcers of the breast that were removed by cauterization with a tool called the fire drill. Unfortunately, the writing states that "There is no treatment" for the disease.

    The word cancer comes from the Greek physician Hippocrates, who used the terms carcinos and carcinoma to describe non-ulcer forming and ulcer-forming tumors. These terms refer to a crab in Greek, as the finger-like spreading projections from a cancer reminded him of the shape of a crab. The Roman physician Celsus later translated the Greek term into cancer, the Latin word for crab. Galen used the word oncos (Greek for swelling) to describe tumors. Although the crab analogy of Hippocrates and Celsus is still used to describe malignant tumors, Galen's term is now used as part of the name for cancer specialists, known as oncologists.

  • Cancer patients are often given a “cancer stage" diagnosis, a medical process of identifying the extent and spread of the cancer to help doctors determine the best treatment options. Staging systems assign a number from I (roman numeral 1) to IV (roman numeral 4) to a cancer. In this staging system, I is an isolated cancer and IV is a cancer that has spread to the limit of how it can be measured.

    Cancer stage can also be help predict the course the disease will likely take, how likely treatment will be successful and the overall outlook for patient recovery. Each patient’s cancer experience is different, but cancers of the same type and stage tend to have similar outlooks.

  • Injuries themselves cannot cause cancer. However, an injury may reveal the presence of cancer in the affected area. For instance, a bone that is weakened due to a cancerous tumor is more susceptible to breaking. Treating the fracture could then lead to the detection of the underlying cancer.

  • Indeed, cancer is a genetic disease, and understanding its origins is crucial to finding effective treatments. The disease occurs when mutations or changes in genes affect the normal growth and multiplication of our body's cells. Our genes act as an instruction manual for the cells that make up our bodies. Genes are made of DNA and are responsible for producing proteins. Scientists have identified hundreds of genetic mutations, variations, and alterations that contribute to the formation, growth, and spread of cancer. Researchers can develop new therapies and treatments to combat this devastating disease by studying these changes.

    There are various reasons for cancer-related genetic changes, including random mistakes in our DNA that happen as our cells multiply, alteration of our DNA by carcinogens present in our environment, and sometimes, inheritance from our parents.

    It's important to note that DNA changes can occur throughout our lives and even in the womb, but most aren't harmful on their own. However, an accumulation of genetic changes over many years can lead to healthy cells turning into cancerous cells.

    The good news is that by being aware of the factors that can cause genetic changes and taking steps to avoid them, we can reduce our risk of developing cancer. For example, we can quit smoking, protect ourselves from UV rays, and get vaccinated against HPV. Additionally, early detection through regular screenings and check-ups can increase the chances of successful treatment.

  • It is important to understand that cancer itself cannot be inherited from parents to children, nor can genetic changes in tumor cells be passed down. However, if a genetic mutation that increases the risk of cancer is present in a parent's egg or sperm cells, it can be inherited by their child.

    For instance, if a parent passes on a mutated BRCA1 or BRCA2 gene to their child, the child is at a much higher risk of developing breast and other types of cancers. This is why cancer may appear to run in families, as up to 10% of all cancers may be caused by inherited genetic mutations.

    It is crucial to note that inheriting a cancer-related genetic mutation does not necessarily mean that you will develop cancer. It simply means that your risk of developing cancer is elevated. Therefore, it is recommended that individuals with a family history of cancer speak with their healthcare provider to determine if genetic testing is appropriate for them.

  • Sugar feeds every cell in our body, including cancer cells. However, research shows that sugar itself does not cause cancer, but excessive sugar intake can lead to weight gain, which increases the risk of cancer and other diseases. Women should consume no more than six teaspoons of sugar per day and men should consume no more than nine teaspoons. Hidden sugars can be found in many foods, so it is important to read labels carefully. Natural sweeteners like honey and maple syrup are healthier alternatives to processed sugar, but they still contain the same amount of calories. Artificial sweeteners should be avoided or used in moderation.

  • Cancer drugs, also known as chemotherapy or chemo, work by slowing down or stopping the growth of cancer cells that tend to divide and grow rapidly. Chemotherapy is used to achieve two main objectives:

    - Treating cancer: It can be utilized to cure cancer, reduce the chances of recurrence or slow down its growth.

    - Easing cancer symptoms: It can be used to shrink tumors that cause pain and other discomforts.

    Chemotherapy is a common treatment method for various types of cancer. Sometimes, chemotherapy can be the only treatment option, but in most cases, it is used in combination with other cancer treatments. The cancer treatments you need will depend on the type of cancer you have, whether it has spread, and if you have any other health problems.

    When combined with other treatments, chemotherapy can:

    - Reduce the size of a tumor before radiation therapy or surgery (neoadjuvant chemotherapy)

    - Destroy cancer cells that may remain after surgery or radiation therapy (adjuvant chemotherapy)

    - Improve the effectiveness of other treatments

    - Eliminate cancer cells that have spread to other parts of your body

Please note: Always consult a physician prior to applying information found on the Rise Up Against Cancer website. All content on this website is designed to offer information, choices, and suggestions only and is not intended to render medical advice or professional services. None of the information provided on the Rise Up Against Cancer website is intended for use in diagnosing or treating a health problem or disease and is not a substitute for professional medical advice or consultations with healthcare professionals.