Several appointments are necessary before you can begin your actual external beam radiation therapy (EBRT) treatment. Here is an overview of what you can expect:
Consultation
During the consultation visit, you will meet with your radiation oncologist who will spend 1 to 1-1/2 hours with you reviewing any tests or studies you may have had and discussing the specifics of your diagnosis and treatment options. If external beam radiation therapy is the recommended course of treatment for you, the doctor will discuss what to expect during treatment and possible side effects. The primary goal of this consultation is to make sure that all of your questions are answered fully. You will continue to meet with the radiation oncologist weekly throughout your treatment.
Simulation
On your next visit, you will meet with the radiation oncologist and a radiation therapist for simulation, which is a planning session. During this session, the doctor will use a three-dimensional CT simulator to pinpoint and measure the tumor(s). This valuable information will be used to determine exactly where to direct the radiation beam during treatment. Immobilization devices may be created to help assure reproducibility (accurate patient positioning) during your course of treatment.
Treatment Plan
Between the simulation and your first external beam radiation therapy treatment session, the radiation oncologist will write a prescription for a treatment plan, working in conjunction with the medical physics team that specializes in the accurate measurement and safety of radiation.
Assessment & Verification
The nurse will provide you with patient education material and meet with you weekly to provide support. She/he also will provide you with specific instructions regarding your treatment and may refer you to other healthcare professionals, such as social workers and dietitians, as needed.
After your nursing assessment, you will have a treatment verification session. The radiation therapist will check the accuracy of your treatment area during a practice session on the linear accelerator, the equipment used for external radiation therapy. The radiation oncologist will compare the films taken during the practice session with filmstaken previously during the planning session and approve your treatment area or make adjustments as necessary.
Treatment
Treatment usually involves a 10- to 15-minute session, five days a week for a number of weeks, but treatments may vary. The treatment itself is painless. Throughout, you will be seen at least weekly by the radiation oncology physician and nurse, who work closely to coordinate your care.
Follow-up
After you have completed treatment, you will see your radiation oncologist for a follow-up appointment and evaluation.