{"id":46944,"date":"2000-04-04T00:00:00","date_gmt":"2000-04-04T05:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/2000\/04\/04\/unmc-nhs-is-only-site-in-nebraska-offering-this-service\/"},"modified":"2022-08-29T10:55:42","modified_gmt":"2022-08-29T15:55:42","slug":"unmc-nhs-is-only-site-in-nebraska-offering-this-service","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2000\/04\/04\/unmc-nhs-is-only-site-in-nebraska-offering-this-service\/","title":{"rendered":"UNMC\/NHS is Only Site in Nebraska Offering This Service:"},"content":{"rendered":"

<\/FONT><\/p>\n


Ultrasound-Based Radiation Treatment Provides Exciting,<\/p>\n

New Alternative for Prostate Cancer Patients<\/FONT><\/B><\/p>\n

An ultrasound-based radiation treatment now being used at the University<\/p>\n

of Nebraska Medical Center\/Nebraska Health System offers prostate cancer<\/p>\n

patients a new treatment option which could increase the cure rate for<\/p>\n

patients with advanced disease by up to 30 percent by allowing for safe<\/p>\n

delivery of higher therapy doses.<\/p>\n

Called BAT (B-Mode Acquisition and Targeting), the new system allows<\/p>\n

the radiation oncologist to use ultrasound to precisely target prostate<\/p>\n

cancer tumors and thus deliver higher doses of radiation to the tumor with<\/p>\n

less risk of damaging healthy surrounding tissues. The BAT unit, which<\/p>\n

is located at NHS Clarkson Hospital, is one of only 15 such units in the<\/p>\n

country and the only one in Nebraska.<\/p>\n

“This is a major breakthrough for prostate cancer patients,” said Charles<\/p>\n

Enke, M.D., professor and chairman of the Radiation Oncology Department<\/p>\n

at UNMC and an NHS physician. “This is new technology that can help many<\/p>\n

men diagnosed with prostate cancer.”<\/p>\n

With BAT, the patient is positioned on his back on the treatment table,<\/p>\n

which is the same position used for treatment. The physician or trained<\/p>\n

therapist scans the patient’s lower abdomen using an ultrasound probe to<\/p>\n

locate the prostate. This provides a three-dimensional view that will show<\/p>\n

the therapy staff the exact location of the prostate gland. The BAT then<\/p>\n

calculates and communicates this location to the treatment machine for<\/p>\n

the necessary adjustments to more precisely target the prostate.<\/p>\n

“The location of the prostate gland changes each day, depending on how<\/p>\n

full the patient’s bladder and rectum are,” Dr. Enke said. “By giving us<\/p>\n

the exact location of the prostate on a daily basis, BAT allows us to do<\/p>\n

a more precise radiation treatment.”<\/p>\n

By being better able to target the tumor, the radiation oncologist can<\/p>\n

increase the radiation dose, Dr. Enke said, which results in improved cancer<\/p>\n

control. The standard dose for treating prostate cancer is 6800 to 7000<\/p>\n

centigray. With BAT, the radiation oncologist can safely deliver 7500 centigray<\/p>\n

of radiation.<\/p>\n

“Best of all, you can deliver this additional radiation without causing<\/p>\n

injury to the rectal or bladder tissue that is in close proximity to the<\/p>\n

prostate,” Dr. Enke said. AWithout BAT, you are putting the patient at<\/p>\n

greater potential risk for a variety of health problems such as bladder<\/p>\n

and rectal injury.”<\/p>\n

The best candidates for being treated with the aid of BAT are patients<\/p>\n

with the more aggressive form of disease, whose cancer has spread just<\/p>\n

beyond the prostate or who have a Prostate Specific Antigen (PSA) level<\/p>\n

of 10 nanograms per milliliter or higher or a Gleason’s score of 7 to 10.<\/p>\n

“For these patients, a 20 to 30 percent improvement in the PSA relapse<\/p>\n

free survival rate has been observed with doses of 7500 centigray or higher,”<\/p>\n

Dr. Enke said. ABAT allows us to reach those doses with greater safety.”<\/p>\n

Prostate cancer is the most common type of cancer found in American<\/p>\n

men, other than skin cancer. The American Cancer Society predicts there<\/p>\n

will be about 180,400 new cases of prostate cancer in the U.S. in 2000.<\/p>\n

About 31,900 men will die of the disease this year. More than eight out<\/p>\n

of 10 men with prostate cancer are over the age of 65.<\/p>\n

“BAT is very patient friendly,” Dr. Enke said. AEach BAT localization<\/p>\n

takes 5 to 7 minutes, which is immediately followed by the radiation treatment.<\/p>\n

Patients will experience minimal — if any — discomfort.” Patients typically<\/p>\n

receive daily treatments on weekdays over the course of an eight-week period.<\/p>\n

Dr. Enke stressed that the ultrasound procedure is done on the lower<\/p>\n

abdomen and doesn’t involve the use of a rectal probe, which can cause<\/p>\n

discomfort for patients. For more information on the BAT procedure, call<\/p>\n

the UNMC\/NHS Radiation Oncology Department at (402) 552-3844.<\/p>\n

The BAT system was purchased with funds from the Charles W. and Margre<\/p>\n

H. Durham Excellence in Medicine Fund, which was established in 1998 when<\/p>\n

the Durhams made one of the largest gifts ever to benefit UNMC and its<\/p>\n

College of Medicine. It provides the financial support needed to expand<\/p>\n

research and education programs in three key areas B prostate cancer, arthritis<\/p>\n

and minimally invasive surgery.<\/p>\n

UNMC is the only public academic health science center in the state.<\/p>\n

Through its commitment to research, education, outreach and patient care,<\/p>\n

UNMC has established itself as one of the country’s leading centers for<\/p>\n

cancer research and treatment, solid organ transplantation and arthritis.<\/p>\n

During the past year, nearly $31 million in research grants and contracts<\/p>\n

were awarded to UNMC scientists, and UNMC’s funding from the National Institutes<\/p>\n

of Health increased by 28 percent, going from $16.2 million to $20.7 million.<\/p>\n

UNMC’s educational programs are responsible for training more health professionals<\/p>\n

practicing in Nebraska than any other institution.<\/p>\n

NHS is the partnership of the former Clarkson Hospital, the first hospital<\/p>\n

in Nebraska, and the former University Hospital, the primary teaching facility<\/p>\n

for UNMC. The combined hospital is a 685-bed facility and serves approximately<\/p>\n

25 percent of the Omaha-area market. NHS operates clinics and health care<\/p>\n

centers serving Omaha, Plattsmouth and Auburn in Nebraska; and Council<\/p>\n

Bluffs and Shenandoah in Iowa. In addition, NHS physicians operate more<\/p>\n

than 300 outpatient clinics in 100 communities in four states. NHS provides<\/p>\n

access to tertiary and primary care including world-class specialized treatment<\/p>\n

such as solid organ transplantation, burn care, wound care, geriatrics,<\/p>\n

bone marrow (stem cell) transplantation and other cancer treatments.<\/p>\n


 <\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Ultrasound-Based Radiation Treatment Provides Exciting, New Alternative for Prostate Cancer Patients An ultrasound-based radiation treatment now being used at the University of Nebraska Medical Center\/Nebraska Health System offers prostate cancer patients a new treatment option which could increase the cure rate for patients with advanced disease by up to 30 percent by allowing for safe 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