A physician-led initiative at Mercy Health – Lorain targets shortening treatments for cancer patients.
Brachytherapy delivers radiation in a higher dose over a shorter distance, said Dr. David Barron, a radiation oncologist.
The technique spares the surrounding tissue, limits side effects and shortens treatment plans from four to six weeks down to two to three days, Barron said.
“We can treat cancers with high fidelity without treating the surrounding tissue by delivering a maximum dose of radiation to the cancer target,” he said.
Mercy Health – Lorain is the only hospital in the Mercy Health system using brachytherapy, the only site in Northeast Ohio and one of only three sites in the state of Ohio using the SAVI Brachy system.
After undergoing a lumpectomy, the SAVI applicator uses thin tubes or catheters to deliver a targeted cloud of radiation to the site.
The method delivers radiation where it is needed most, rather than treating the whole breast with a more traditional external radiation beam.
Surgeon Dr. Mita Patel said the treatment reduces pain, swelling, redness and other physical side effects as well as the mental and often economic load of a longer treatment plan.
“We’ve got patients coming from all over, and they’re more likely to complete treatment under this plan,” Patel said. “They can just stay overnight and get it done.
“I think for them it’s a big relief to feel finished so quickly.”
“Every single patient we’ve treated has been amazed at how easy it’s been and how few side effects they’ve had,” Barron added, noting that some patients may need oral chemotherapy medications after their radiation course is complete.
Oncology Director Ben Kosewski credited Barron and Patel with bringing the technique to Lorain.
Both doctors have worked to enhance services, gain accreditations and acquire products to benefit patients.
“It was absolutely physician driven,” Kosewski said. “The aspects of the breast program have been very beneficial.
“This opens up the door for us to treat multiple cancers with brachytherapy.”
Patel added that the procedure follows the “less is more” trend in breast cancer treatment.
If caught early — and in an otherwise healthy patient — breast cancer has a high survival rate.
Both doctors agreed the physicians’ expertise combined with support and buy in from the Mercy Health system have made this possible in Lorain.
“Having the program support from Mercy and surgery support are keys,” Barron said.
Building the space for brachytherapy requires a significant investment in specialized equipment made in Europe.
The room also has to be shielded due to the high levels of radiation.
Kosewski does hope to grow the program, which currently can treat two or three patients per month.
“What’s been amazing despite the limits of funding, we’ve been able to move the needle with collaboration,” Patel said. “What’s better for the patient has always been a priority — making sure our patients have access to all types of care so they can get back to their lives.
“I’m so grateful we have the expertise here.”
