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Norris Cotton Cancer Center
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Brain Tumor Treatment Program

Our Neuro-Oncology Program offers you the best technology and top oncologists for the treatment of glioblastomas, gliomas and more.

The Neuro-Oncology / Brain Tumor Program provides expert, integrated cancer care to those diagnosed with brain tumors and cancers that affect the nervous system, as well as those afflicted with neurologic complications of systemic cancer:

  • Brain and nervous system cancers
  • Pituitary tumors
  • Spine cancers, coordinated with the Spine Center at DHMC

The Future of Brain Tumor Surgery is Here

In serene rural New Hampshire, Ivy League physician scientists and biomedical engineers have amassed resources and knowledge unmatched in North America:

  • Therapy tailored to the genetic characteristics of a tumor
  • National Institutes of Health helped fund this $20 million neurosurgical operating room system with real time, intraoperative MRI/CT
  • A hyperbaric chamber to oxygenate cells to enhance benefits of radiation

Center for Surgical Innovation at Dartmouth

Brain surgery with real time MRI and CT

Dartmouth's Center for Surgical Innovation is a high tech pavilion. The skillful integration of equipment, mechanical systems, and configuration allows the surgeon to have access to an overhead rail-mounted MRI and CT scanner within a single configurable operating room. This outstanding intraoperative imaging—before, during, and after brain surgery—greatly improves precision and safety. Advanced functional imaging allows for strategic brain tumor biopsy, real-time imaging during resection of brain tumors, and the opportunity to check the brain following surgery.

New surgery for brain tumors uses fluorescence

Dartmouth has been a leading institution in North America to study fluorescence-guided neurosurgery to selectively tag brain tumor tissue with fluorescent dye. This technology allows surgeons to visually discriminate between normal and cancerous tissues to improve the accuracy of tumor removal.

Brain surgery without a knife

With new technology, radiation oncologists use radiation therapy as an alternative to standard surgery.

  • Stereotactic radiosurgery with the Trilogy™ system combines high definition X-ray and CT imaging with precise radiation delivery so a radiation oncologist can perform radiosurgery.
  • Computer-assisted volumetric resection using OR navigation.
  • Computer-assisted stereotactic radiosurgery, together with laser instruments, can help physicians locate and target deep brain tumors more accurately than traditional techniques.
  • Intensity-Modulated Radiation Therapy (IMRT). The most advanced approach, known as 3-D conformal radiation therapy, uses computer-generated images to plan and deliver tightly focused radiation beams to cancerous tumors while preserving healthy brain tissue.

Analyzing molecular pathology of brain tumors

The advanced technology of our molecular pathology laboratory allows us to perform sophisticated tests to diagnose and characterize brain tumors. Immunohistochemistry, cytogenetic testing, and molecular profiling, as well as genomic sequencing are now part of our clinical practice.

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