Prostate cancer treatment in Burdenko

Cyber knife at Burdenko Research Institute - prices

The CyberKnife robotic complex can be used for radiosurgical destruction of tumors with a diameter from half a millimeter to 6 cm, which are located in the brain or other parts of the body. With the help of this unit, some non-oncological diseases are also treated

Key Benefits

• The procedure is absolutely painless, does not require the installation of a stereotaxic frame, and is comfortably tolerated.
• It is possible to destroy tumors in hard-to-reach places, such as optic nerve meningiomas, minimizing the risk of serious complications.
• Treatment in most cases is carried out on an outpatient basis.
• Features of the method make it possible to irradiate irregularly shaped foci, as well as neoplasms moving during respiration.

Order of appointment and features of the procedure

• An appointment for a CyberKnife operation in Burdenko is carried out by a doctor of the Scientific and Diagnostic Department during a consultation. When visiting a doctor, you must have a passport, SNILS or a power of attorney with you.
• In the absence of these documents, consultation and all necessary examinations can be done at the NPC for a fee.
• For patients from other cities, it is possible to conduct a remote consultation, at which the medical council examines the sent medical documents and determines the tactics of treatment.
• Before irradiation, an additional examination is mandatory, including CT, if necessary, other methods of visualizing the tumor or the problem area (MRI, PET, SPECT, 3D angiography). These images are used by MultiPlan when planning.
• During the manipulation, it is necessary to limit the patient's mobility as much as possible and, at the same time, to ensure his comfort throughout the entire procedure, which takes from 30 to 120 minutes. To do this, an individual mask is prepared from a special plastic material or a vacuum mattress is used (for extracranial pathologies).
• The full course is from 1 to 7 sessions. In the process of irradiation and after its completion, sometimes there are unexpressed transient changes in well-being. Usually they do not interfere with the quality of life and pass on their own within a few days. If the patient's condition requires medical correction and control, he is hospitalized in the center's hospital.

NPC Burdenko: cost of treatment on the CyberKnife

, and depend on the irradiation area.

For comparison, in the Onkostop center, the cost of treatment without labels starts from 260 thousand. More details.

The final price is determined after consultation, drawing up an individual plan for examination and treatment.

Treatment at the Scientific and Practical Center for Neurosurgery. Burdenko on a paid basis costs 5-10 times cheaper than in European and American clinics, however, even this modest amount by Western standards is not always in the budget of a sick person. For such patients, there is an opportunity to undergo the procedure for free, having received a subsidy from the state budget.

How to get a CyberKnife quota in Burdenko:

• The decision to allocate state subsidies is made by authorized bodies at the federal level. The basis is a package of documents received from a polyclinic or hospital, whose specialists have determined that you are eligible for CyberKnife treatment.
• If the region's budget does not contain sufficient funds ("quotas") intended for the provision of high-tech medical care (HTMC) in the specialty "neurosurgery", you can apply to the Department of HTMC of the Ministry of Health of the Russian Federation (g. 3).
• After the allocation of state subsidies and the receipt of documents by the Center for Neurosurgery. Burdenko is going to a special Commission. Its task is to determine the validity of the referral to the procedure. If there is a queue and you need urgent treatment, you can be redirected from the NPC to another specialized institution that has the necessary equipment and a license for high-tech medical care in the Neurosurgery profile.

The cost of paid procedures, the procedure for obtaining a quota and other information regarding radiosurgical treatment at the CyberKnife facility in Burdenko is up-to-date and corresponds to the information posted on the official website of the NPC.

Procedure efficiency

The institute, which received the status of a scientific and practical medical center in 2016 and is the world's largest neurosurgical clinic, employs leading domestic experts in this field, hosts international conferences, and conducts research.

The Cyber-Knife installed at the Burdenko Research Institute is equipped with a small-sized linear accelerator, which is mounted on a robotic arm with 6 degrees of freedom. The design and technical capabilities of the radiosurgical system make it possible to irradiate tumors inside and outside the skull ranging in size from 0.5 to 60 mm, including irregular shapes.

Since the launch of the hardware complex (2009), several thousand patients with various tumors and pathologies of the nervous system have been treated. Thanks to this, an extensive data bank has been collected and a huge practical experience has been gained. This allows radiosurgeons to select the optimal modes, minimizing the risk of complications and achieving positive results even in the most difficult cases.

Center contacts

+7 499 972-86-99 ext. 4190.

You can also get paid treatment at the Onkostop clinic:

Prostate adenoma treatment

Prostate adenoma is one of the most common male diseases of the genitourinary system. In fact, this is a benign change in the prostate gland, in which the gland tissue increases in size. Since the gland surrounds the urethra, the growth of prostate tissue leads to compression and a decrease in the lumen of the urethra.

Impaired urination, urinary retention, pain during urination, and urinary incontinence - all these are the most characteristic symptoms of prostate adenoma.

However, despite the fact that this method has good treatment results, it is often accompanied by serious complications such as urinary retention, sexual dysfunction.

At the same time, there is a minimally invasive and less traumatic technique devoid of these shortcomings - embolization of prostatic arteries. Like any other technique, this technique has a number of limitations, mainly related to the structural features of the pelvic arteries, the volume of the prostate gland (most effective in patients with a gland volume of more than 80 cm3), and individual intolerance to radiopaque substances. However, there are few such restrictions.

Selection of patients is carried out by a urologist, after the patient has undergone a series of examinations:

• Ultrasound of the prostate;
• Blood test for prostate-specific antigen (PSA);
• MRI of the prostate;
• CT angiography of the pelvic arteries.

The procedure itself is performed by an endovascular surgeon in an equipped X-ray operating room. Under local anesthesia, a puncture (injection) of the common femoral artery is performed. Further, a special catheter is brought into the mouth of the arteries supplying the prostate gland, through which embolization particles are introduced. This procedure contributes to the closure of the prostatic arteries, which, in turn, already in the first weeks contributes to a significant reduction in the prostate and, as a result, the regression of symptoms.

Given the absence of surgical trauma, patients can lead their normal lives the very next day. Periodically, a feeling of discomfort may be felt, in some cases, slight pain in the lower abdomen. In the postoperative period, a number of examinations are needed in dynamics to assess the state of the prostate gland and urodynamics.

The cost of this procedure consists of the cost of consumables (catheters, embolizate, contrast agent), the cost of the procedure itself and the hospital stay.

Cost of operations on a paid basis:

M. n).

Aleksey Vladimirovich Gaidukov

Head of the Department of X-ray surgical methods for the diagnosis and treatment of blood vessels. More than 15 years in the profession. Active practitioner. He owns the whole range of endovascular operations in cardiac patients, including the most complex ones: stenting of the trunk of the left coronary artery, installation of an aortic valve in critical stenosis, stenting of coronary arteries in acute coronary syndrome. The department routinely performs endovascular interventions on the carotid, renal arteries, arteries of the lower extremities, including those with "diabetic foot syndrome". Endoprosthesis replacement of abdominal aortic aneurysms with Endurant (USA) and Ella (Czech Republic) stent grafts has been mastered. Recently, he has successfully introduced into the clinic modern minimally invasive embolization methods for the treatment of uterine fibroids, Prostate adenoma, and other benign hyperplastic pathologies. Active participation in all significant European and domestic congresses, along with knowledge of English, allows the doctor to keep abreast of the latest trends and features of a complex and constantly evolving specialty.

Mikhail Ivanovich Abramov, Candidate of Medical Sciences

Doctor for endovascular diagnostics and treatment, surgeon of the highest category; surgical experience - 20 years. In 1996 he graduated from the faculty of training doctors for the Navy Military Medical. academy. CM. Kirov (St. Petersburg). Since 2002 he has been dealing with issues of X-ray endovascular surgery. The area of interest includes endovascular interventions on the carotid, renal arteries, arteries of the lower extremities, including those with "diabetic foot syndrome". Actively deals with the issues of embolization in various pathological processes of the abdominal cavity and retroperitoneal space (embolization of tumors of benign and malignant origin), as well as embolization of the uterine artery in uterine myoma.Currently, he is conducting scientific work on the treatment of portal hypertension in patients with cirrhosis of the liver. Repeatedly passed internships in Germany, Switzerland and France

Aleksey Viktorovich Ivanov, Candidate of Medical Sciences

Doctor - vascular surgeon, phlebologist. The scope of competence includes all the pathology of peripheral veins, such as varicose veins, post-thrombophlebitic disease, deep vein phlebothrombosis, arteriovenous malformations. He is proficient both in the methods of instrumental diagnostics of this pathology (ultrasound duplex scanning of veins and arteries, phlebography), and the whole range of minimally invasive surgical and therapeutic techniques. Repeatedly passed internships in France, Portugal, Germany

What is CyberKnife?

The device, which is popularly called the "spatial scalpel", is a specialized radiosurgical equipment designed to get rid of diverse pathological neoplasms of the brain and cranial cavity. According to experts, it works on the basis of X-rays, and a high-precision linear accelerator is used as a radiation source.

Brief information about the origin of the device

The first CyberKnife (reviews of those operated on using this system can be found in this article) was developed in early 1992. Its creator was the American professor John Adler, who previously taught at Stanford University.

Working on the system, the inventor set himself the goal of overcoming the existing shortcomings that are typical for devices already known to the world in the field of radiosurgery. At the same time, he managed to combine an image control system and a controlled robotic "hand".

Seven years later, after a series of tests, the device finally started working, and the very first patients were people with tumors of the neck and head. After the successful completion of more than a hundred operations, the system has proven itself perfectly. And since people felt better after the Cyber Knife, it was decided to expand the capabilities of the unit. Exactly five years later, it was already in full use for the treatment of neoplasms of any localization.

How does the system work and structure?

A linear accelerator, or Cyberknife, is usually located on a special robot console. According to the developers, it has about six degrees of freedom, allowing for 1,200 positions for the X-ray beam during irradiation.

The radiation itself is carried out using a mobile robotic "arm", which easily redirects the beam of rays to the tumor in need of treatment. At the same time, a computerized console allows you to track the location of the neoplasm, taking into account its possible changes, for example, during the patient's breathing.

What can you do with CyberKnife?

Unlike other similar equipment, the CyberKnife operation allows not only to eliminate the tumor without surgery, but also makes it possible to get rid of metastases in all parts of the body, including those responsible for the respiratory organs. With the help of the "knife" you can eliminate the following neoplasms:

• brain tumor;
• liver and lung cancer;
• primary oncology of the spinal cord;
• arteriovenous malformation;
• trigeminal neuralgia;
• acoustic neuromas;
• Tumor of the larynx, orbit and carotid sinus;
• neck and head cancer;
• primary oncological formations of the sinuses, oral cavity and nasopharynx;
• tumors of the kidneys and female genital organs;
• tumors of the retroperitoneal space;
• prostate cancer.

CyberKnife (reviews of those operated on will help you learn more about the postoperative period) is also used in the treatment of a recurrent tumor located on previously irradiated areas of the body. Moreover, at the same time there is a chance to localize several tumor foci at once.

When can I use the device?

As it turned out, not all malignant and benign neoplasms can be treated with CyberKnife. According to experts, an oncological growth or focus should not exceed 4-5 cm. And in the presence of metastases, the patient must undergo an additional histological examination in order to verify the state of the focus.

In addition, the general physical condition of the cancer patient must be stable, which will allow him to lie motionless for a long time during the procedure.

How is the process of preparing for treatment going?

Before the CyberKnife is used (reviews of those operated on confirm this), patients will have a professional consultation with a radiation oncologist in one of the clinics where this treatment method is used. At the second stage, the patient is recommended to undergo a simple topometry procedure performed on a CT machine.According to experts, it must be done in order to determine the location of the neoplasm.

At the third stage, as a rule, irradiation modeling takes place, taking into account healthy organs and tissues surrounding the tumor. And finally, after all this, the patient will have one or more sessions of irradiation with the CyberKnife system.

Is hospitalization required during treatment?

According to experts, the irradiation process is carried out on an outpatient basis. It follows that after the procedure, the patient leaves the hospital and can safely return to his usual mode of life.

How long is the course of treatment?

Depending on each individual case, the course of radiation therapy is 1-5 sessions. Moreover, each of them takes approximately 30-120 minutes. The number of necessary repetitions is set and controlled by the attending physician.

What are the benefits of treatment?

Among the main advantages of using beam equipment called Cyber Knife are the following:

• performs the operation without leaving marks on the mucous membranes and skin;
• removes tumors without pain;
• does not require an additional set of rehabilitation procedures;
• assumes free breathing and a comfortable position of the patient's body during treatment;
• does not require surgery or anesthesia;
• assumes comfortable fixation of the body and head during treatment;
• helps to get rid of malignant neoplasms of almost any localization;
• involves a second course of treatment after previously used radiation therapy.

And, of course, each patient has the right to choose the clinic that he likes

Are there any disadvantages of treatment?

Despite a whole list of significant advantages, the CyberKnife system also has a number of disadvantages. And the first of them is that the effect of the applied treatment does not appear immediately. The first signs of positive changes in the patient's condition can be observed 2-3 months after exposure. At the same time, some tumors stop growing and gradually disappear, while in others, the recovery process takes much longer. Moreover, to monitor the patient's condition, experts insist on periodic CT and MRI performed once every six months.

The second important disadvantage of the CyberKnife (in Burdenko, this equipment is available in the medical and diagnostic centers of the hospital) is not capable of eliminating certain types of malignant neoplasms. These include tumors that exceed the maximum limit of the equipment (6x6 cm).

In addition, an indisputable disadvantage is the presence of a huge queue for treatment. This is due to the low capacity of the centers (2-3 patients per day). And, finally, many cancer patients are finally upset by the price of procedures, many times higher than the cost of ordinary radiotherapy.

Where can I find equipment?

Despite the uniqueness of this equipment, you can not find it in all medical institutions. According to the manufacturer, there are currently about 250 Cyberknife installations in the world. Most of them are in US clinics, followed by Japan, followed by countries in Europe and Asia. For example, there is a device at the Moscow Research Institute named after P. A. Herzen, located at the address: 2nd Botkinsky pr., 3.

Today, this institute employs qualified specialists with extensive experience in treating patients suffering from oncological diseases of varying severity

In search of professional medical care using the innovative CyberKnife system, you can contact one of the clinics of the PET-Technology federal network of nuclear medicine centers

Another institution where CyberKnife treatment is practiced is the Burdenko Main Military Clinical Hospital. 3

For comparison: the price of such a radiosurgical intervention in German clinics will cost you 5-12 thousand euros, in Israel - 15-30 thousand dollars, in China - 20-24 thousand dollars, and in US centers - 10-20 thousand dollars.

Cancer treatment in Israel

Of course, the "spatial scalpel" system is widely used abroad. For example, there is it in Israel, at the Ichilov Medical Center. It diagnoses and treats cancers of the skin, lungs, trachea, prostate, kidneys and genitourinary system.

The CyberKnife system is also used in another Israeli clinic - "Top-Assuta". It also diagnoses and treats tumors of the brain, kidneys, lungs, pancreas and stomach, liver, prostate and other organs.

Cancer treatment is carried out in Israel and at the NetOnco clinic. In this institution, you can get rid of forty different tumor formations, including chordomas, hemangiomas, cavernomas and others.

What do patients say about the system?

You can hear a variety of reviews about the innovative CyberKnife equipment. For example, one user is immensely grateful to the Moscow center, where her father was treated for stage 3-4 prostate cancer. According to her, after several procedures, the patient feels well.

Another claims that his condition is still uncertain, since less than two weeks have passed since the treatment