Brain Tumors

Brain Tumor Treatments

Dr. Linson may use IMRT, SBRT, SRS or whole-brain radiation to treat a brain tumor. The recommended approach depends on whether the tumor is primary or metastatic, its type, number, size and location, prior treatment, symptoms and the goals of care.

• IMRT (Intensity Modulated Radiation Therapy) shapes radiation from multiple directions to conform the dose to the treatment area while limiting exposure to nearby healthy tissue.
• SBRT (Stereotactic Body Radiation Therapy) delivers highly focused radiation in a small number of treatments and may be considered for selected targets.
• SRS (Stereotactic Radiosurgery) is a precise, non-surgical treatment commonly delivered in one session or a few closely related sessions for selected brain tumors.
• Whole-brain radiation treats the entire brain and may be considered when there are multiple tumors, widespread involvement or other clinical reasons.
• Radiation may be used alone or coordinated with surgery, chemotherapy, targeted therapy, immunotherapy or supportive care, depending on the diagnosis.

How We Keep Your Treatment Accurate

• A fitted thermoplastic mask keeps the head in a precise, repeatable position. Tell the team before simulation if you are claustrophobic.
• CT simulation maps area of the brain to be treated.
• The physician defines the target and area to protect; the dosimetrist and medical physicist create and verify the plan.
• Image guidance confirms tumor location and positioning before radiation is delivered.

Before the First Treatment

• Complete your consultation.
• Complete CT simulation and individualized treatment planning.
• The care team completes dose calculations and quality checks.

During Treatment

• Brain swelling may occur and can be treated with a corticosteroid such as dexamethasone. Take it exactly as prescribed and never stop suddenly unless your prescriber directs you.
• Hair loss may occur in the treatment area and may begin several weeks after treatment.
• Fatigue is common; prioritize activities, pace yourself and balance gentle activity with rest.
• Contact the care team immediately for a seizure, new weakness, confusion, severe or worsening headache, repeated vomiting, speech or vision changes, loss of balance or another sudden neurologic change. Call 911 for a medical emergency.

After Treatment

• Fatigue and treatment-area effects may continue for a period after radiation. Hair loss, when it occurs, may begin several weeks after treatment starts and regrowth varies. Brain swelling and neurologic symptoms require individualized monitoring.