Life's Roller Coaster

If I'm missing, or not taking messages sorry – I'm more angry about letting my friends down than YOU will ever be at being let down! Unfortunately that is sometimes a side effect of Cancer! Mea Culpa: may I blame being short fused & grumpy on it too! My first symptoms presented in Nov-1998 – Follow The Trail on >DIARY of CANCER< Immediately Below!

TomoTherapy and Why!

TomoTherapy and Why!
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Why TomoTherapy®?

The TomoTherapy® platform gives clinicians everything they need to deliver the best radiation therapy possible.

The short story.

TomoTherapy users have the unique ability to:

  • the TomoTherapy treatment system

    Use daily CT imaging to guide treatment based on patient anatomy for that day, rather than for last week or last month

  • Customize delivery for each patient, surrounding the target with highly-precise radiation delivered from all angles
  • Minimize radiation exposure to healthy tissue
  • If necessary, adapt the treatment plan at any point

About five years ago, the first patient was treated on a TomoTherapy treatment system. Today, thousands will be treated on more than 200 systems installed in centers around the world. This growing community of patients—survivors—is our greatest source of pride and inspiration.

The rest of the story.

For more than 80 years, radiation therapy has been used in cancer care. The primary challenges have remained the same:

  • How can doctors be sure the beam is reaching the tumor as planned?
  • How can harm to healthy tissue around the tumor be minimized?

Addressing these challenges in newer, better ways has always entailed adapting a design from a different era. In the early 1990s, we had the opportunity to change that with a machine built for the future.

360º delivery. Conventional machine design allows radiation to be delivered from only a few directions. The TomoTherapy treatment system’s linear accelerator (linac) is mounted to a CT scanner-like ring gantry, which means TomoTherapy treatments can be delivered continuously, from all angles around the patient. More beam directions give physicians more control in how they plan treatments—and more assurance that dose will be confined to the tumor, reducing the risk of short- and long-term side effects.

Thousands of targeted beamlets. The TomoTherapy treatment system uses a patented multi-leaf collimator (MLC) that divides the radiation beam into beamlets, all aimed at the tumor. Typically, tens of thousands of beamlets are used in a single TomoTherapy treatment session. Powerful software optimizes the contribution of each one to the total tumor dose, minimizing exposure to healthy tissue.

CTrue image guidance for every patient, every day. Our unique ring gantry design facilitates a 360º delivery pattern. Perhaps even more importantly, it integrates true CT imaging that can be used on a daily basis to guide the accurate delivery of each treatment session. No other radiation therapy machine offers this seamless integration of image-guided and intensity-modulated radiation therapy. No other machine can.

To view the original article CLICK HERE
See also CLICK HERE
.
Regards,
Greg_L-W.
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
.
Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar.
.
You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

tel: 01594 – 528 337
Accuracy & Copyright Statement: CLICK HERE
Summary, archive, facts & comments on UKIP: http://UKIP-vs-EUkip.com
DO MAKE USE of LINKS & >Right Side Bar< & The Top Bar >PAGES<
Also:
Details & Links: http://GregLanceWatkins.com
UKIP Its ASSOCIATES & DETAILS: CLICK HERE
Views I almost Totally Share: CLICK HERE
General Stuff archive: http://gl-w.blogspot.com
General Stuff ongoing: http://gl-w.com
Health Blog. Archive: http://GregLW.blogspot.com
Health Blog. Ongoing: http:GregLW.com

TWITTER: Greg_LW

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TomoTherapy – The Tomo Process

TomoTherapy – The Tomo Process

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 Please Be Sure To

& Link to my My Blogs
To Spread The Facts World Wide

To Give Hope & Information

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The Tomo® Process

The TomoTherapy® platform introduces a new, integrated way to deliver radiation treatments for cancer. The process makes it easier on clinicians and patients alike.

the TomoTherapy treatment system

Planning. Before beginning a TomoTherapy treatment, the doctor uses 3D images from a combination of scanning technologies (such as CT and MRI) and special software to establish the precise contours for each treatment volume (tumor) and any regions at risk (sensitive organs or structures). The doctor then decides how much radiation the tumor should receive, as well as acceptable levels for surrounding structures. The TomoTherapy treatment system calculates the appropriate pattern, position and intensity of the radiation beam to be delivered, to match the doctor’s prescription as closely as possible.


the TomoTherapy treatment system

Patient positioning. As both a treatment delivery machine and a CT scanner, the TomoTherapy system allows doctors to take a CT scan just before each treatment. With the scan, they can verify the position of the tumor and, if necessary, adjust the patient’s position to help make sure radiation is directed right where it should be.


the TomoTherapy treatment system

Precise treatment delivery. The TomoTherapy treatment system delivers radiation therapy with a spiral delivery pattern (TomoHelical) or discrete-angle approach (TomoDirect). Photon radiation is produced by a linear accelerator (or linac for short), which travels around the patient and moves in unison with a device called a multi-leaf collimator, or MLC, that shapes the beam. Meanwhile, the couch is also moving—guiding the patient slowly through the center of the ring.

To view the original article CLICK HERE
.
Regards,
Greg_L-W.
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
.
Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar.
.
You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

tel: 01594 – 528 337
Accuracy & Copyright Statement: CLICK HERE
Summary, archive, facts & comments on UKIP: http://UKIP-vs-EUkip.com
DO MAKE USE of LINKS & >Right Side Bar< & The Top Bar >PAGES<
Also:
Details & Links: http://GregLanceWatkins.com
UKIP Its ASSOCIATES & DETAILS: CLICK HERE
Views I almost Totally Share: CLICK HERE
General Stuff archive: http://gl-w.blogspot.com
General Stuff ongoing: http://gl-w.com
Health Blog. Archive: http://GregLW.blogspot.com
Health Blog. Ongoing: http:GregLW.com

TWITTER: Greg_LW

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Radiation Therapy as a Cause of Heart Disease!

Radiation Therapy as a Cause of Heart Disease!
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Hi,

as I have had high dosage Chemo AND likewise Radio Therapy and subsequently a serious (when are they not!) Heart Attack, I was particularly interested in this article:

The Economist explains

How can radiation therapy cause heart disease?

RADIATION therapy is a powerful tool for improving the survival rate of those diagnosed with certain forms of cancer. But the dozens of doses of high-energy radiation involved carry a risk, as healthy cells are zapped along with cancerous ones. Many short-term and long-term consequences are well known, including an increased risk of developing new cancers decades after successful treatment. But improvements in early diagnoses, chemotherapy and surgery (as well as, lately, immunology) have combined with radiation to produce larger numbers of cancer survivors living beyond the ten-year mark from the end of treatment. This has brought a previously suspected link into sharper focus: radiation-induced heart disease (RIHD). On July 16th a study called for higher level of cardiovascular screening in cancer survivors. But how can radiation therapy cause heart disease?

Oncologists use radiation, typically X-rays, to fight cancerous cells for many forms of the disease. The therapy may be used to destroy or shrink tumours, to halt malignancies, to reduce the odds of recurrence or to reduce the severity of the disease. Cancer cells tend to divide rapidly and often uncontrollably. Radiation causes the most harm to cells in the process of division. Bodies are remarkably resilient, however, and despite often challenging short-term effects, tissues recover and long-term damage in those that avoid the recurrence of cancer is often minor. However, the heart has been found to suffer the most, particularly with radiation to the thorax or mediastinum, the central part of the thoracic cavity. After radiation, the heart’s efforts to repair itself appear to lead to thickening and calcification of tissues and inflamed arteries. This, in turn, substantially increases the risk of heart diseases, including atherosclerosis (thickening of the arteries), pericardial disease (damage to the heart’s surrounding membrane) and congestive heart failure. Certain chemotherapy drugs may exacerbate some effects as well.

Suspicions that radiation therapy led to increased risk of heart disease date back to the 1970s. The British Medical Journal examined evidence in 1976 and dismissed concerns as minor. But the number of long-term survivors of cancers treated with radiation near the heart—notably Hodgkin’s Disease, breast cancer and lung cancer—only began to swell in the 1990s, providing more data to study. A 2007 review by the American Society of Clinical Oncology put the incidence of some form of RIHD at between 10% and 30% by five to ten years after treatment. Now the European Heart Journal – Cardiovascular Imaging and the Journal of the American Society of Echocardiography have recommended that the link between radiation and heart disease is clear enough for oncologists and cardiologists to carry out heart checks on patients undergoing radiation therapy. Before the therapy begins, they say, tests should establish a patient’s cardiovascular health; immediately after, tests should determine the extent of any short-term damage. Oncologists and general practitioners should look out for symptoms in the years that follow, even if deemed unlikely because of age or the absence of other risk factors. High-risk patients should receive non-invasive echocardiographic (sonogram-like) screening at five years following radiation, says Patrizio Lancellotti, chair of the group that produced the recommendation; others, at ten years. The recommendation may be enough to send former radiation patients scurrying to their doctors.

Patients face an unappealing choice: have radiation therapy and risk later getting heart disease; avoid it, and reduce the chance of surviving cancer. But the news is not all bad. Some forms of heart disease, notably atherosclerosis, appear to be far more common when radiation therapy is coupled with other risky behaviour, such as smoking or having a fatty diet. That knowledge may steer younger patients into healthier lifestyles. Catching problems earlier with screening can prevent medical or surgical interventions. Conventional cardiac therapies work for cancer survivors as well as the general population, even though the need comes earlier in life or for otherwise atypical sufferers. The best news of all is that because of the increased concern decades ago about RIHD, radiation therapy was modified to reduce energy to the heart both in intensity and by using shielding to limit the area exposed. As a result, researchers expect that even as the pool of cancer survivors who received radiation therapy will grow, the percentage suffering from related heart disease should shrink.

To view the original article CLICK HERE
.
Regards,
Greg_L-W.
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
.
Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar.
.
You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

tel: 01594 – 528 337
Accuracy & Copyright Statement: CLICK HERE
Summary, archive, facts & comments on UKIP: http://UKIP-vs-EUkip.com
DO MAKE USE of LINKS & >Right Side Bar< & The Top Bar >PAGES<
Also:
Details & Links: http://GregLanceWatkins.com
UKIP Its ASSOCIATES & DETAILS: CLICK HERE
Views I almost Totally Share: CLICK HERE
General Stuff archive: http://gl-w.blogspot.com
General Stuff ongoing: http://gl-w.com
Health Blog. Archive: http://GregLW.blogspot.com
Health Blog. Ongoing: http:GregLW.com

TWITTER: Greg_LW

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Sir Michael Parkinson being treated for Prostate Cancer

Sir Michael Parkinson being treated for Prostate Cancer
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Hi,

regular chec ks can save your life and ignoring symptoms is plain stupid and not one iota macho or clever!

Good luck to Sir Michael Parkinson and as many of us know radio therapy can work wonders if started in time.

Michael Parkinson: Chat Show Host Has Cancer

Sir Michael Parkinson, 78, who is undergoing radiotherapy, admitted it was a “great shock” to learn he has prostate cancer.

Michael Parkinson

Sir Michael wants to help raise awareness of the disease

Chat show host Sir Michael Parkinson has revealed he is being treated for prostate cancer but has no intention of stopping working.

The television star, 78, is currently undergoing radiotherapy but is expected to make a full recovery.

Sir Michael, who was diagnosed in May after a routine medical last October, said he was confident of fighting the disease.

He said: “It was a great shock, but I have been told to expect to make a full recovery.”

He told The Sun On Sunday: “Of course mortality is on the mind. But I’m not afraid.

“My wife Mary has been a tremendous support and while she has been, of course, very upset, she can see how I have approached this.

“Once she realised I wouldn’t let it affect me, Mary was fine.

“I don’t feel ill. And I will keep working. I have no intention of stopping working.”

The presenter, affectionately known as “Parky” to his legion of fans, has been having five sessions of radiotherapy a week.

He is also backing a campaign to help raise awareness of the disease.

Sir Michael said: “All that concerns me now is for men around the country to stop and take notice of any symptoms that might save their lives.

“I’m not a softy. If you show the symptoms of this dreadful disease, get help. Men need to get themselves checked. It will save lives.”

To view the original of this article CLICK HERE

.
Regards,
Greg_L-W.
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
.
Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar.
.
You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

tel: 01594 – 528 337
Accuracy & Copyright Statement: CLICK HERE
Summary, archive, facts & comments on UKIP: http://UKIP-vs-EUkip.com
DO MAKE USE of LINKS & >Right Side Bar< & The Top Bar >PAGES<
Also:
Details & Links: http://GregLanceWatkins.com
UKIP Its ASSOCIATES & DETAILS: CLICK HERE
Views I almost Totally Share: CLICK HERE
General Stuff archive: http://gl-w.blogspot.com
General Stuff ongoing: http://gl-w.com
Health Blog. Archive: http://GregLW.blogspot.com
Health Blog. Ongoing: http:GregLW.com

TWITTER: Greg_LW

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Royal Gwent – appt.: Adam C. Carter re: urology

Royal Gwent – appt.: Adam C. Carter re: urology
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Hi,
so I had expected today to be a roundup of my recent bleeding and comments on the use of Finastiride and Tamsulosin and how we proceed to ensure no repeat of the bleeds.
It was not to be! Adam Carter believes that the last scan I had (CT) has showed a marked thickening of the bladder wall which leads him to believe that the cancer is back in the bladder wall.
The plan now is that he wants to have a consequential biopy of the tissue tacking pieces, rather than the normal (as I had last time) small clips of tissue and having it biopsied.
The problem, apart from the obvious, is the risk level of a General Anaesthetic and an epidural is deffinitely out due to the risk of bleeding into the spinal column and resultant paralysis! The risks are still considered consequential so soon after the heart attack and in view of the drugs I’m taking. Adam Carter wants me to see the anaesthetist who will assess the risk and the apposite response.
So now I wait for a slot on Adam Carter’s operating list, which he promises as soon as possible!
The result of the biopsy will be about 10 days from the procedure and the outcome will dictate the way forward – there is a possibility that the thickenning is a result of all the treatment, radio therapy and the like, that I have had but Carter’s considered opinion is that it is a return of cancer and neither chemo. nor further radio theraph are a possibility as I’m all dosed out on that and there is no likelihood it would have an effect.
So if it is a return of cancer, which I must accept is likely, then the only hope is a radical cystectomy and at the same time a radical prostectomy and hope it hasn’t metastesized elsewhere and we have caught it in time.
Time will tell!
.
Regards,
Greg_L-W.
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
.
Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar.
.
You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

tel: 01594 – 528 337
Accuracy & Copyright Statement: CLICK HERE
Summary, archive, facts & comments on UKIP: http://UKIP-vs-EUkip.com
DO MAKE USE of LINKS & >Right Side Bar< & The Top Bar >PAGES<
Also:
Details & Links: http://GregLanceWatkins.com
UKIP Its ASSOCIATES & DETAILS: CLICK HERE
Views I almost Totally Share: CLICK HERE
General Stuff archive: http://gl-w.blogspot.com
General Stuff ongoing: http://gl-w.com
Health Blog. Archive: http://GregLW.blogspot.com
Health Blog. Ongoing: http:GregLW.com

TWITTER: Greg_LW

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