Cyberknife

What is Cyberknife

The CyberKnife system is a form of robotic radiosurgery used to treat both malignant and benign tumors in all areas of the body. The advantages to the CyberKnife system is that it provides a more targeted and precise form of treatment than other radiation therapies, it is relatively non-invasive, and it eliminates the need for the rigid head frame needed in other brain surgery procedures. CyberKnife is also an outpatient surgery that requires no incision, is painless, and requires little recovery time for the patient making it a quick and minimally distressing treatment for the patient. Using image guided technology continuously throughout the process, the CyberKnife system is able to accurately target tumors with radiation produced from a small linear particle accelerator. This particle accelerator is attached to a robotic arm with enough freedom of movement to be able to reach any targeted area of the patient’s body.

CyberKnife is able to treat a large variety of tumors and is especially effective for individuals who are unable to undergo traditional surgeries. Patients should consult with their doctor(s) before considering CyberKnife as an option so that a team of specialists can be assembled to prepare the patient and plan for the treatment. Brain scans must be done prior to the procedure so that the data can be loaded into the CyberKnife system and used to determine the critical structures needing to be treated and to define the optimum dose of radiation.

Before the Procedure

How it is performed

How It Is Performed

After the CyberKnife system is provided with the relevant data from the previously performed brain scan, the patient is positioned on a table while the robotic arm moves around the body and delivers radiation to the tumors. It may be necessary for the patient to slightly shift positions in order for the radiation to accurately target specific areas, however, the computerized targeting system is calibrated to handle any minor shifts that may occur inadvertently. Depending on the location and severity of the cancer, the patient may have to undergo more than one treatment.

Recovery

Recovery for CyberKnife is relatively easy and quick.  Most patients are able to return to regular activities in a fairly short amount of time.  If the patient must have multiple treatments, they must return over the following days to receive them as well as to assess progress.

Potential Risks

Some minimal side effects may be apparent for some patients but they generally subside after a few weeks. Some of these side effects include:

• Injury to surgery site tissue• Liver pain• Vomiting and nausea• Weakness and/or fatigue• Rib pain

One long term side effect may be radiation-induced liver disease (RILD) which is usually accompanied by symptoms of abdominal pain, fatigue, and increased abdominal girth. Patients should consult their doctor(s) if any of these symptoms persist.

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