Lung Tumors: CyberKnife Treatment Overview

1. 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com

2. A lung tumor diagnosis can be scary. Learn more about lung tumors and how we can help. Please note: We encourage consumers to thoroughly review and understand all treatment op8ons. The informa8on presented here is not all-‐inclusive. Rather, it represents a star8ng point to learn more about medical condi8ons and treatment op8ons. This is not intended as a subs.tute for medical advice from your professional healthcare provider. Contact your professional healthcare provider to ﬁnd out if CyberKnife treatment is right for you. 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com

4. Lung Tumors and Their Symptoms The vast majority of primary lung cancers are malignant and known as carcinomas. The most common cancer diagnosis in the world, lung cancer is also the leading cause of cancer deaths in the United States. Symptoms •  Coughing •  Wheezing •  Shortness of breath •  Coughing up blood •  Unexplained weight loss •  Pneumonia or other infec?ons 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com

6. ConsultaMon and Pretreatment Procedures Oklahoma CyberKnife’s physicians, therapists and physicist are focused on your individualized plan for treatment. •  You will meet an Oklahoma CyberKnife radia?on oncologist to decide if CyberKnife treatment is appropriate for your diagnosis. •  Your CyberKnife team will decide which pretreatment procedures you may need to help develop your treatment plan. These could include a CT scan, an MRI, laboratory studies or ?ssue markers. •  The data from your pretreatment procedures will be used by the CyberKnife team to determine the exact size, shape and loca?on of your tumor. •  This informa?on will indicate the size of the area being treated with radia?on, the radia?on dose and cri?cal structures where radia?on exposure should be minimized. 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com

7. How CyberKnife Can Treat Lung Tumors Oklahoma CyberKnife treats lung cancer pa?ents who cannot tolerate surgery, have an inoperable tumor, or are seeking an alterna?ve to surgery. •  •  •  •  CyberKnife has gained recogni?on as an effec?ve treatment for pa?ents with medically inopera?ve early stage nonsmall cell lung cancer. The challenge of trea?ng lung tumors is that the tumor moves as the pa?ent breathes. Unlike tradi?onal radia?on therapy, the CyberKnife system iden?fies the tumor loca?on during non-‐ invasive treatment. The ?ghtly contoured beams move precisely with the mo?on of the target throughout the breathing cycle, requiring no breath holding or respiratory ga?ng. Thus allowing pa?ents to breathe normally and remain comfortable during treatment. Treatment is delivered by Oklahoma CyberKnife’s radia?on oncologist and highly trained staff. Oklahoma CyberKnife provides a non-‐invasive, painless and comfortable treatment with no recovery ?me. 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com

8. CyberKnife Treatment Prior to stereotac?c body radia?on therapy, doctors may have to implant between three and six small metal markers known as fiducials in or near the tumor that enable the CyberKnife to pinpoint the tumor loca?on during treatment. ImplanMng the markers is an outpaMent procedure that takes about an hour. About a week later, pa?ents are fiOed with a custom body mold made of soP material that they lie on during treatment. The fiSng process is painless. The treatment process includes: I.  Consulta?on appointment II.  Pretreatment procedures III.  CyberKnife treatment IV.  Follow-‐up 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com

9. CyberKnife Treatment Process Typically treatment is completed within three to ﬁve sessions. On the day of your treatment: 1.  A therapist will help you onto the treatment table and ﬁt the body mold. Pa?ents are observed throughout the treatment on a closed-‐circuit television, and they can pause treatment at any ?me by waving or speaking to the therapists. 2.  While the CyberKnife’s advanced tracking system accounts for movements like breathing, you’re asked to lie s?ll during treatments. The system periodically takes x-‐ray images and compares them to the CT scan data to make sure the radia?on beam is locked on the tumor. 3.  Pa?ents can usually return to their normal rou?nes once the treatment is complete. 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 FOR YOUR INFORMATION •  •  •  918-‐949-‐6676 Treatment procedures take about 30 – 90 minutes, depending on the complexity of your tumor. Pa?ents are asked to wear comfortable clothing during CyberKnife treatments. Jewelry is acceptable unless it is close to the area being treated. Feel free to bring an iPod® or your favorite music CDs with you on the day of your treatment and we will play them for you during the procedure. OklahomaCK.com

10. AddiMonal Resources 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com

11. Our Center Oklahoma CyberKnife is widely known as a leading provider of stereotac?c radiosurgery. In the fourth quarter of 2009, our center performed the highest number of lung-‐cancer treatments of any CyberKnife center in the world. We con?nue to treat a great deal of lung pa?ents. In 2012 and 2013 combined, we treated more lung pa?ents than any other lesion. Diseases most oPen treated at our center include brain tumors, lung tumors, prostate cancer and trigeminal neuralgia. Oklahoma CyberKnife has extensive experience in trea?ng lung cancer pa?ents, as lung tumors represent the largest number of our cases. We have treated pa?ents from around the state, as well as pa?ents from Arkansas and Missouri. We are dedicated to providing our pa?ents with the latest cancer treatment technology and are proud of the experience and exper?se our physicians and caring staﬀ bring to our pa?ents. Medical Director: Dr. Diane Heaton RadiaMon Oncologist: Dr. Joshua Garren RadiaMon Oncologist: Dr. Connie Nguyen Connect with us 6802 South Olympia Ave Suite G100 Tulsa, OK 74132 918-‐949-‐6676 OklahomaCK.com