In Western Australia, we have a comprehensive cancer centre (medical oncology and radiation oncology) at Shenton House in Joondalup, as well as four other radiation treatment locations:
- Fiona Stanley Hospital – 3 linear accelerators, with the potential for expansion, plus a high dose rate brachytherapy service
- Perth Radiation Oncology – 3 linear accelerators. We also have 1 orthovoltage machine located next door at St John of God Hospital in Subiaco
- Shenton House – 2 linear accelerators with capacity for a third
- South West Radiation Oncology - 2 linear accelerators
The latest radiation treatment modalities available across, but not necessarily at all, our centres include:
- 3D Conformal Radiation Therapy (3D CRT)
- Electron Beam Therapy (EBT)
- High Dose Rate Brachytherapy (HDR)
- Intensity Modulated Radiation Therapy (IMRT)
- Image Guided Radiation Therapy (IGRT)
- Stereotactic Body Radiation Therapy (SBRT)
- Superficial X-ray Treatment (SXRT)
- Tin Foil Modified Electron (TME)
- Total Body Irradiation (TBI)
- Total Lymphatic Irradiation (TLI)
- Volumetric Modulated Arc Therapy (VMAT)
We deliver personalised 'made to measure' highly conformal radiation therapy. This involves dedicated CT simulation scans, along with other imaging data to help pin point the tumour in three dimensions (3D). The information from our dedicated radiation therapy CT scan, along with other modalities, is processed and then sent directly to our sophisticated planning computer. It is this computer program that then designs the radiation beams that can be best used to accurately target the tumour, delivering an effective and precise dose whilst minimising dose to the surrounding healthy tissues.
3D PLANNING SYSTEM
Effective radiation treatment requires that treatment beams are precisely measured, shaped and directed at the tumour to avoid as much healthy surrounding tissue as possible.
The planning process, known as dosimetry, utilises complicated computer calculation software and 3D visualisation tools that are applied to each patient's anatomy to best determine the angle of approach, and the radiation beam shapes and intensity, whilst accounting for each patient's individual body size, shape and contour. Read more.
A linear accelerator (linac) is sophisticated medical equipment used to deliver radiation treatments to patients with cancer. The linac can be used to treat nearly all cancer types and presentations. During radiation therapy, treatment is given by directing the planned targeted radiation beams to the cancer and surrounding area, to destroy the main tumour and any nearby cancer cells.
Patients lie on a moveable treatment couch and, with the help of spatially calibrated lasers and X-ray imaging panels, are manoeuvred to ensure accurate beam positioning. The treatment couch can also be manoeuvred in many planes with sub-millimetre accuracy. This occurs synchronously with the linac gantry which can be directed towards the patient's cancer from any angle in a 360° arc. Read more.
INTEGRATED BRACHYTHERAPY UNIT
Genesis Cancer Care Western Australia has an integrated brachytherapy unit at Fiona Stanley Hospital. This specialised service enables brachytherapy procedures to be performed in a purpose built theatre located within the department. This development improves the efficiency of brachytherapy treatments and reduces the need to transfer patients throughout the hospital.
We constantly review our equipment and techniques to ensure that they are world class.