Intraoperative Radiation Therapy

Dr. GieldaNew option for early-stage breast cancer

A breast cancer diagnosis can be stressful and emotional. However, if caught early, you may have the option of avoiding weeks of radiation treatment.

Lakeland physicians are now using the ZEISS INTRABEAM® intraoperative therapy system to deliver a  targeted single-dose of radiation to the site of the tumor, after a Lumpectomy. 

Traditional external high-beam radiation requires patients undergo daily radiation to the whole breast, for a five or six week period.

The new therapy, also known as IORT, minimizes radiation exposure to healthy tissue and organs. It has also proven less costly, with limited side effects. Results have been so promising, Lakeland was asked to participate in the international TARGIT-B trial focused on the treatment.

It is important you have the advice and support of your breast care team before making an informed decision. Talk to your physician to see if IORT is right for you.  

Mammograms are key to early detection. Lakeland offers three convenient locations to serve you. Click here to schedule your appointment.

IORT Frequently Asked Questions

How effective is INTRABEAM IORT?
In 1998, a group of international researchers began investigating this method of radiotherapy delivery for breast cancer. The primary study tested the effectiveness of an intraoperative dose of radiation delivered using the INTRABEAM System compared with up to six weeks of conventional external beam radiation treatment (EBRT) for early stage breast cancer. The results of the trial were first presented in 2010 and show the overall number of cancer recurrences for both the EBRT and IORT patients were very similar. Ask your physician about the significant results from the trial named TARGIT-A, including complications.

How is INTRABEAM radiotherapy administered?
INTRABEAM IORT is delivered during breast-conserving surgery in the operating room while the patient is still asleep. Radiation is typically delivered for 20 to 30 minutes The treatment is delivered inside the lumpectomy cavity which minimizes radiation exposure to healthy tissue and organs.

Is IORT right for me?
For many women, INTRABEAM IORT is a viable treatment option. The physicians coordinating your breast conservation therapy will determine whether INTRABEAM radiotherapy is an appropriate treatment for your type of cancer.

What if I have been prescribed whole-breast radiation?
Some women undergoing conventional radiation treatment may have the choice of receiving INTRABEAM radiotherapy as a boost dose during cancer surgery, before the start of external radiation. This initial boost dose of radiation can be used in conjunction with standard course of external breast radiation.




Mar 31, 2017 Reporting from Niles, MI
Erasing Cancer - Patty Grau
https://www.spectrumhealthlakeland.org/medical-services/cancer-care/cancer-treatment/radiation-oncology/radiation-therapy/intraoperative-radiation-therapy-(iort)/Detail/Erasing-Cancer/60b262ad-c230-6723-add8-ff0000ca780f/
Mar 31, 2017
Breast Cancer Patient Turns to New Radiation Therapy Option  Less than one centimeter – the size of a pencil eraser. This is an image that will forever stick in the memory of Stevensville resident, Patty Grau. For the past 17 years Patty had

Erasing Cancer - Patty Grau

SpectrumHealth Lakeland

Erasing Cancer - Patty Grau

Mar, 2017

Physicians: Roy Winslow, MD; Edmund Paloyan, MD; Benjamin Gielda, MD


Breast Cancer Patient Turns to New Radiation Therapy Option 

Less than one centimeter – the size of a pencil eraser. This is an image that will forever stick in the memory of Stevensville resident, Patty Grau.

For the past 17 years Patty had an annual mammogram. But on the year of her 57th birthday a small lump in her right breast – only 0.6 centimeters in diameter – appeared on her imaging results. A biopsy later revealed the lump was Stage I breast cancer.

“The spot was so small it could have easily been overlooked,” said Patty. “I’m thankful that my radiologist took the time to carefully review my results and was able to discover it early.”

After receiving the diagnosis, Patty began evaluating her treatment options. Since her cancer was early stage, her care team, including general surgeon, Roy Winslow, MD, oncologist, Edmund Paloyan, MD, and radiation oncologist, Benjamin Gielda, MD, recommended lumpectomy surgery to remove the cancerous cells along with INTRABEAM® intraoperative radiation therapy (IORT). IORT delivers radiation at the time of surgery, following tumor removal. For many patients, including Patty, this would eliminate the need for an additional six weeks of radiation.

“Since it was such a new treatment option I was nervous at first,” admitted Patty. “Dr. Winslow took the time to explain how the technology works and assured me of the specialized, hands-on training he had received. Dr. Gielda was also very detailed when describing the cancer in my breast and even created some drawings so I could visually understand it better. I truly believe my doctors wanted what was best for me – I trusted them.”

In the days leading up to surgery Patty was also grateful for the support and assistance provided to her by nurse navigator, Shelley Wilkinson, RN, CBCN who she calls her “angel.”

“Shelley answered all of my questions and helped to schedule my appointments at times that worked with my schedule – she was very kind and supportive through it all,” said Patty.

After the cancer was removed from Patty’s breast, and while still under anesthesia, Dr. Gielda used the IORT system to deliver a dose of radiation inside the tumor cavity where the cancer was most likely to recur. IORT also minimized radiation exposure to Patty’s healthy tissue and organs.

“I experienced very minimal side effects – it didn’t really even feel like I had surgery to be honest,” Patty recalls. “I suffer from migraines and undergoing surgery was less painful for me.”

In addition to a successful surgery Patty was also grateful for the attention to detail Dr. Winslow gave when stitching up her wound.

“Besides simply being a surgeon and removing the cancer, Dr. Winslow also took the time to make sure my scar looked good – I’m hardly able to see it anymore.”

Three months after surgery, Patty continues to meets regularly with Dr. Paloyan to ensure a smooth, cancer-free recovery. Going forward she also vows to always get a yearly mammogram and encourages all women to do the same.

In October 2016, Lakeland Health became the first health system in the region (west Michigan and northern Indiana) to begin providing radiotherapy using the ZEISS INTRABEAM intraoperative radiotherapy (IORT) system. Up until now, the treatment has only been offered primarily at large university medical centers and research hospitals. Learn more at www.lakelandhealth.org/IORT

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