Yes. While there is no formal fellowship for pediatric radiation oncology there are people who have a focus in treating pediatric patients. These physicians are most commonly at academic centers as opposed to in private practice.
Yes. Although all radiation oncologists have received pediatric radiation oncology training, a specialist in this area is available at most academic centers. They will often be more up to date on the latest research and studies.
Yes there are. It is of utmost importance to seek a pediatric radiation oncologist who has either had a pediatrics fellowship or has treated multiple cases of pediatric cancers in radiation oncology. The doses for pediatric cases are completely different than for adults, the planning is completely different and the diseases are also very different. I recommend going to a large academic center.
Yes. But almost always associated with a pediatric specialty hospital. Consult with your pediatrician.
Yes. In many large cities there are pediatric cancer specialist. They are almost always at higher education or university settings. St jude's in tennessee is famous for children's cancer therapy and has pediatric radiation oncologists. All radiation oncologists however train and test in the knowledge for pediatric cancers.
Yes and no. All radiation oncology training and certification involves pediatric therapy. However, most radiation oncologists do not treat children after training. There are those of us that do specialize in this and can usually be found in major academic centers and children's hospitals with a cancer program.
Yes. Yes there are. Check with major Children Hospitals such as Boston Children, CHOP, Children Hospital of Los Angeles.
Yes. Usually located or aligned with a major children's hospital with a oncology service.
Yes. Some radiation oncologists treat both adults and children, but there are radiation oncologists at children's hospitals that treat children exclusively.
And while some of. Us are experienced, we all call the experts on each coast and st jude in memphis for advice and discussion.
Cancer treatment. In radiation oncology we use ionizing radiation to treat cancer or benign tumors with curative or palliative intent. Sometimes, we use radiation to treat non-cancerous conditions.
Radiotherapy. They are part of a multidisciplinary cancer treatment team that are experts in the indications, effects, and complications of radiation treatment. They develop planning and timing of treatments. And follow patietns clinically for effect and complications. They also can effectively palliate symptoms in patients with incurable malignancy.
Oncologist. We are oncologists (cancer doctors) that specialize in treating cancer patients using radiation.
To be honest. I humbly feel we are the cancer specialists offering the widest breadth of cancer care. No other oncology specialist takes care of cancers from head to toe, children $ benign tumors. We perform exams like ENT scopes, pelvic exams & must be aware of chemo & surgery options for each site & stage of disease. We perform procedures placing applicators into organs /cancer to deliver brachytherapy.
Team member. They are a scientist with a specialty in radiation physics who work with the radiation oncologist to plan the various radiation fields and doses required for treatment. This aids in reducing exposure of normal tissues to radiation and maximizes the dose to cancer tissues. They are an integral part of the health care team. It is a highly sought after position.
Medical physicist. They are professionals who train in medical physics and learn about all the technical aspect of radiation. From the design of the treatment machines to assisting doctors in creating plans on how to effectively treat patients. They also provide the safety of all aspects of the machines and radioactive substances. They are a major part of the radiation team.
Physicist. Its a physicist who is responsible for the safety and delivery of radiation therapy in a radiation oncology department by being involved in the planning of the radiation treatments, the qa of the plans and the safety checks of the machines.
Medical Physicit. All radiation theory facilities have a physicist usually with with a masters degree or phd. He or she callibrates the machines and monitors the department to make sure patients are getting what the radiation oncologist prescribed. The physicist also often helps the oncologist determine the best way to give the radiation. They can get board certified and have done 1-2 yrs of special training.
It depends where. Just visiting the department will likely not cause much radiation exposure. However, if you are going into a room for treatment your exposure possibly be higher, depending on the treatment device and other surrounding circumstances in the particular environment.
Not likely. Visiting the department is unlikely to give you any significant exposure compared to visiting any other department. It is unlikely that you would be exposed to any radiation at significant levels unless you were there for treatment.
No. There is no "stray" radiation in a radiation treatment facility. It is perfectly safe to visit. The radiation is only in when the patient is in the from and the door is closed which blocks exposure to people who don't need the radiation.
Embrace. Precautions for what? He or she is not infective nor are they radioactive material.
No, not really. Patients receiving radiation to the head are not in any way infectious or radioactive. They may have scalp tenderness or dry skin, but no precautions are necessary.
No. Radiation therapy is generally delivered with x-ray based treatment. This type of radiation is gone immediately after the treatment is done.
No. No worries of radiation exposure risk to others. Be careful of tenderness or dermatitis in scalp & skin but touch & TLC is a far needed treatment too!
Does working in the radiation oncology department expose me to enough radiation to make it more likely i'll get cancer?
Follow guidelines. Early radiation therapy workers died from cancers in the work place. That is why osha and others have strict guidelines on radiation exposure. If you are close enough to the source of radiation that you pick up stray radiation, you work place has strict rules and procedures for you to follow to avoid excess exposure. This would include a radiation monitoring device in the form of a badge.
No. Its too small to measure. Risk for various professions have been reported. Such that dying from this is much less likely than a construction worker for example. Also the radiation exposure is virtually nil since radiation is produced electrically (versus cobalt machines) and workers are outside the room. Being inside the room with radioactive substances increases your risk.
Minimal. People working in the radiation department get some of the lowest amounts of radiation exposure amongst any specialty since so much shielding and so many precautions are are taken. The cardiologists and people working the radiology and cath labs get far more exposure. Working in those departments can b more concerning if you do not follow recommended monitoring guidelines as far as wearing badge.
What are the numbers I should know when evaluating whether the radiation oncology program in our local hospital is good?
See answer. Ask how many patients of your type of cancer have been treated by the doctor. The doctor should see about 250 to 400 of all cancers a year. He may however have no experience in an area, example he may not have done but 1 or 2 prostate brachytherpy procedures...Which is too low. Also ask if board ceritified and how quickly after residency. If it took more than 2 years then get 2nd opinion.
Accreditation progra. Certainly experience counts, the other 'number' you should look at includes whether the program or center is certified by american college of surgeons, american college of radiology, joint commision on accreditation on healthcare organization etc. These organizations set up certain standards for cancer center and radiation program and certification shows the center has reach that certain level.
Basics below. Board certified radiation oncologist. Linear accelerator with the ability to deliver intensity modulated radiation therapy (imrt). Do they offer brachytherapy for prostate, breast, and gynecologic cancers? Ct based planning. How many years has the center been open and how many patient they treat a day. The above treatment modalities should b available in most modern radiation centers.