Endobronchial radiation is a team effort between your pulmonologist and radiation oncologist. Using bronchoscopy, a catheter is placed in the patient's airway at the tumor site, and then temporarily filled with high-dose iridium beads to kill the tumor.
Combined with a bronchoscope, technologies such as lasers and electrocautery are used to burn cancer tissue and then remove it. These procedures can allow patients to breathe more easily and decrease shortness of breath and oxygen use.
Our program offers the only interventional pulmonology service in northern New England. Interventional pulmonology provides less invasive methods of diagnosis that decrease the need for some surgeries. Diagnosis of lung cancer is made easier and safer by combining ultrasound and bronchoscopy into endobronchial ultrasound (EBUS). This technology allows your doctors to get a more clear picture of the lungs for accurate biopsy and diagnosis. EBUS improves "staging" of the extent of a tumor and so can help avoid unnecessary surgery. We offer advanced care of tumors within the airway using techniques including laser therapy and stenting.
Minimally invasive and robotic surgery
Our Thoracic Surgeons take advantage of the latest technologies to provide minimally invasive and robotic options that are at the forefront of surgical care. This includes video-assisted thoracoscopic surgery (VATS), robotic video-assisted thoracic surgery (RVATS) and robot-assisted esophagectomy (RAMIE). We specialize in the use of these advanced options for diagnosis, staging and treatment of thoracic malignancies to decrease pain, shorten recovery time and improve outcomes for patients, while advancing surgical practice in cancer treatment, particularly of late stage and complex disease.
New technologies are enabling radiation oncologists to use radiation therapy as an alternative to standard surgery. Our team offers state-of-the-art treatment plans for radiation therapy including advanced radiosurgery with Trilogy™. PET-CT scans with hardware that tracks a patient's breathing cycle allow radiation beams to be switched on and off in time with the patient's breath—so the beams hit only the tumor in the lung as it moves. Radiation treatment recommendations can often be coordinated with physicians and hospitals throughout the New England Area.
For the care of patients with esophageal cancer, we offer the most advanced techniques, including esophageal ultrasound, laser therapy, stenting therapy, endomucosal resection, and radiofrequency ablation.
A stent is an important option when removal of tissue alone is not effective, or for late stage lung cancer. A stent is a metal or plastic tube placed in the airway to open a blocked airway or support a weakened one.
Stereotactic radiosurgery with the Trilogy™ system
The Trilogy system combines high definition x-ray and CT imaging with precise radiation delivery so a radiation oncologist can perform radiosurgery in the lung. Treatment is less invasive and can shorten treatment times and reduce side effects.
Learn more about other opportunities available to you
Learning more about your condition, what we offer and what others have experienced can help you feel more in control of your health and better able to make the right choices for you.
- Advanced nursing - We have a team of nurses who work closely with you and your family to help navigate your treatment. They bridge the communication between physicians, you and your family. They serve as a "point person" to simplify and personalize your care.
- Clinical Trials - A clinical trial is one of the final steps in a long and careful cancer research process that is looking for better ways to prevent, diagnose, or treat cancer.
- Patient and Family Support - We help you take care of your mental and emotional well-being, and the well-being of your loved one.
- Palliative services - We have a team of physicians and nurses dedicated to treating the patient as a whole. We focus on alleviating symptoms caused by cancer and treatment.
- Social work - We have a dedicated social worker who addresses the personal side of cancer care. This person can help with financial assistance and transportation, and address the many unforeseen problems that arise with cancer care.
- Sub-specialized surgical pathology services - Our surgical pathologists are available for consultation and second-opinion review of neoplastic and non-neoplastic lung disease.