For Patients

Ft Meyers, FL

Prostate Cancer is rarely the same in each individual and needs to be treated according to the disease. After diagnosis is made, we offer a full spectrum of treatment options including da Vinci® Robotic Prostatectomy, RapidArc™ 360° Radiotherapy, High Dose Rate Brachytherapy, Radioactive Seed Implants and Cryoablation Therapy.

RapidArc™ 360° Radiotherapy

Premiere Radiation Oncology is the first organization in southwest Florida to offer RapidArc™ treatment to people who are battling prostate cancer. RapidArc™ radiotherapy is a breakthrough technology for delivering fast, precise treatment to many different types of cancer. RapidArc™ is two to eight times faster than conventional radiotherapy. Its precision enables doctors to target tumors in three dimensions and with pinpoint accuracy such that more radiation goes to the tumor and less to the surrounding healthy tissues.
RapidArc™ radiotherapy delivers image-guided IMRT (intensity-modulated radiation therapy) in a single rotation of the treatment machine around the patient in approximately two minutes. During the treatment, the radiation beam is shaped and reshaped as it is continuously delivered from virtually every angle in a 360-degree revolution and with sub-millimeter precision. The beam shaping is accomplished using a multi-leaf collimator (MLC), which is a device with 120 computer-controlled mechanical “leaves” or “fingers” that move to create apertures of different shapes and sizes. During a RapidArc™ treatment, specialized software algorithms vary three parameters simultaneously, the speed of rotation around the patient, the shape of the MLC aperture, and the dose delivery rate. Sophisticated treatment plans, generated by computer on the basis of each patient’s unique anatomy and tumor size, shape, and position within the body, guide the treatments.
The faster RapidArc™ treatments are easier on the patient as it is not necessary to hold still for long periods of time. By reducing the time it takes to deliver IMRT, RapidArc™ has the potential to improve the quality of care and patient comfort, while making radiation oncology a more affordable treatment for some types of cancer.

Our board certified radiation oncologists are available to provide additional information. We can also arrange a tour of our state-of-the-art facilities as well as a demonstration of this technology using one of our board certified radiation therapists.


High Dose Rate Brachytherapy

With the patient under general anesthesia, a template is used to guide the placement of a number of needles into the prostate by passing the needles through the skin in the area between the scrotum and anus. A CT scan is obtained to determine the position of each needle relative to the prostate. This information is then transferred into the treatment planning computer and a treatment plan is formulated. A computer controlled machine then runs a tiny radioactive pellet out into each individual needle. The radioactive pellet is then stopped at pre-determined locations within each needle for a pre-determined period of time to deliver a precisely sculpted dose of radiation to the entire prostate. A second application is delivered later the same day. The needles are then removed and the patient goes home. A second set of two applications is typically delivered a few weeks later.