- Conventional and Three-dimensional Radiotherapy Formed.
- Simulation and Planning with image fusion: TAC-TAC, TAC-RMN, TAC-PET.
- Modulated Intensity Radiotherapy: IMRT (Steep and shoot simulation and sliding window).
- Fractionated stereotactic radiotherapy: cranial
- Fractionated stereotactic radiotherapy: extra-cranial: pulmonary, hepatic, bony.
- Image guided radiotherapy: IGRT, with fiducial implants for daily positioning verification and correction.
- Brachytherapy High dose rate: endocavitary: Gynecological, Bronchial.
- Brachytherapy of high interstitial dose rate: Prostate, Cutaneous.
- Intraoperative radiotherapy: overpressure dose (digestive tumors, lung, sarcomas) and single dose (breast cancer)
- Photodynamic therapy: interdisciplinary therapeutic modality, which uses irradiation with laser light as a source of energy on tumors to which photosensitizing agents have been administered. It can be used as a single modality or in combination with surgery, ionizing radiation or others.
Singular projects in Radiotherapy:
1.IMRT (prostate, pelvic tumors, head and neck, Re-irradiations).
2.IGRT: Radiation therapy guided by fiducial implants (Acculoc).
3.Stereotactic brain radiotherapy.
4.Extra-cranial stereotactic radiotherapy.
5.Intraoperative radiotherapy: RIO in breast cancer.
6.Brachytherapy: Prostatic BR.
1- Modulated Intensity Radiotherapy (IMRT): allows to modulate the treatment taking into account the internal anatomy of the patient. Useful for shortening treatments (hypofractionation), raising doses or protecting organs:
- Brain: Re-irradiations.
- Tumors O.R.L.
- Abdomen: Digestive tumors and retroperitoneal sarcomas.
- Pelvis: Prostate cancer, rectum and gynecological tumors.
2- Guided radiotherapy / IMRT with fiducial implants: It allows daily on-line verification and correction prior to each radiotherapy session, administering the treatment in conditions of maximum precision. Pioneer in this technique.
Program opened in:
- Prostate carcinoma (escalation of dose and reduction of days of treatment).
- Gynecological tumors. (re-irradiations).
- Carcinomas of cranial localization.
- Vertebral-Paravertebral Tumors: allows to administer radical doses in the lesion with minimal spinal irradiation.
3-Fractionated stereotactic radiotherapy:
- Hipofractionation: Administration of several doses higher than conventional, with immobilization bloodless and recolocable.
- Overprint of multiple metastases.
- Conventional fractionation: For tumors close to very sensitive structures: chiasma, optic nerve .., young patients or children.
- Lung: Early stages (T1-T2, no lymph nodes) or metastasis, replacing surgery and with the same results in control.
- Liver: inoperable primaries, metastasis.
- Paravertebral (IGRT).
4-Mobile Intraoperative Radiotherapy in the Operating Room (MOBETRÓN):
Intraoperative radiotherapy is a high precision technique that allows to administer a single dose of irradiation directly during a surgical act:
- As a dose of overprint: on the residue or zone at risk of relapse,
- After surgical exposure in case of unresectable tumors.
Advantages: direct visualization of the bed to be irradiated, rejecting healthy tissues outside the field, avoiding unnecessary irradiation.
Special interest has the RIO program in: Breast cancer, applying:
- Single dose: Completely suppress external irradiation (6-7 weeks).
- Overprint Dose: Shorten external irradiation.
- Mastectomy with preservation of Areola-nipple complex: after mastectomy, the areola / nipple complex is preserved, which is irradiated intraoperatively with immediate reconstruction of the mammary gland. The only center that does it.
- Pelvic tumors (cancer of the rectum, sarcomas, gynecological).
- As overprint of the surgical bed after preoperative radiotherapy in carcinoma of the lung, thyroid, pancreas and gynecology.
5- Brachytherapy: Radiotherapy administration using a source of irradiation in contact with the area to be treated. Active programs in:
- Lung tumors.
- Gynecological tumors.
- Prostate tumors In patients with intermediate / high risk, a single dose is administered and then completed with external irradiation (IMRT). Advantages: it reduces the dose on the bladder and rectum, saves 2-3 weeks of external irradiation and could biologically improve the results.
- Cutaneous tumors.