Treatment FAQ

how can radium be used in the treatment of cancers

by Sedrick Kohler Published 2 years ago Updated 2 years ago
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Radiation therapy can be given in 3 ways:

  • External radiation (or external beam radiation): uses a machine that directs high-energy rays from outside the body into the tumor. ...
  • Internal radiation: Internal radiation is also called brachytherapy. ...
  • Systemic radiation: Radioactive drugs given by mouth or put into a vein are used to treat certain types of cancer. ...

Radium-223 dichloride is a radioactive drug that behaves in a similar way to calcium and collects in cancer that has spread to the bones (bone metastases). The radioactive particles in radium-223 dichloride act on bone metastases, killing the tumor cells and reducing the pain that they can cause.

What are the side effects of radium treatment?

  • Confusion
  • decreased frequency or amount of urine
  • dizziness
  • dry mouth
  • fainting
  • high fever
  • hoarseness
  • increase in heart rate
  • increased blood pressure
  • increased thirst

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Does radiation kill cancer tumors?

Radiation therapy (also called radiotherapy) is a cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumors. At low doses, radiation is used in x-rays to see inside your body, as with x-rays of your teeth or broken bones. On This Page

How is radiation therapy used to treat cancer?

  • Before surgery (to reduce the size of a tumor/usually combined with chemotherapy)
  • After surgery (to clean up any cancer cells that may remain after surgery/usually combined with chemotherapy)
  • As a primary treatment (with or without chemotherapy) to slow the growth of a tumor
  • To treat metastases

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What happens to the prostate after radiation?

What Are The Side Effects Of Brachytherapy

  • Frequent urination or urinary retention or burning with urination
  • Erectile dysfunction
  • Urethral stricture or narrowing of the urethra
  • Diarrhea or blood in the stool
  • Secondary cancers

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How does radium treatment work?

Radium targets bone cancer cells. This is because it is similar to calcium, which is also absorbed by bone cells. The cancer cells in the bone take up radium 223 and it then releases radiation which travels a very short distance. This means that the cancer cells receive a high dose of radiation which can destroy them.

Which radiation element is used in the treatment of cancer?

Cobalt therapy or cobalt -60 therapy is the medical use of gamma rays from the radioisotope cobalt -60 to treat conditions such as cancer.

When was radium first used to treat cancer?

The notion of using radioactive elements to treat cancer probably dates back to 1901, when Becquerel experienced a severe skin burn while accidentally carrying a tube of radium in his vest pocket for 14 continuous days. By 1902, radium had been used successfully treat a pharyngeal carcinoma in Vienna.

When was Radium 223 approved?

On May 15, 2013, based on interim results from the ALSYMPCA trial, the FDA approved radium-223 for the treatment of men with castration-resistant prostate cancer with bone metastases that are causing symptoms.

How much radiation does a syringe emit?

Once the drug, which can be given intravenously, reaches bone, it emits very low levels of radiation that travel less than 100 microns, or approximately four one-thou sandths of an inch, limiting damage to the surrounding tissues.

How many patients were in the Alpharadin trial?

The Alpharadin in Symptomatic Prostate Cancer Patients (ALSYMPCA) trial enrolled 921 patients with metastatic, castration-resistant prostate cancer. Men in the trial were randomly assigned to receive either radium-223 (six intravenous injections, one every 4 weeks) plus the best standard of care or a placebo plus the best standard of care.

Does Xofigo help prostate cancer?

Results from a phase III trial called ALSYMPCA show that radium-223 dichloride (Xofigo®) improves overall survival in men with advanced prostate cancer that has spread to their bones compared with a placebo.

radium treatment

Hi my dad is undergoing radium treatment for advanced prostate cancer he has had I think 4 sessions and is getting really bad pains shoulder ribs and hip thinking spread to bones waiting results but consultant never gives answers to questions about possible future action anyone else experiences with this treatment welcomed x

radium treatment

A big welcome to our forum! I thought I would just bump your post to the top of our page as we do have several members in our forum who have had experience of prostate cancer treatment and who will be happy to share their thoughts with you.

radium treatment

I had radium223 treatment last Thursday for my prostate cancer that has spread to my bones. The pain I was having just seems to have increased since then. Is this common, and if so when is it likely to decrease. Currently mixing co-codamol and paracetamol to help with the pain. This helps but just fora short while.

radium treatment

I thought you'd be interested to know that there is a new user on our forum who is also about to start radium223 treatment. Find Fusilier's thread here and feel free to drop him a line!

radium treatment

Hi Olly73, you have given me much room for thought. I am due to have my first radium injection on Weds the 4th November. My disease is described by my team as "Not cureable, but treatable" I have secondary cancer in 4 places, ribs, arm, thigh,but mostly in my spine in the Lumbar region.

radium treatment

Hi my dad is now 5 into 6 treatments and his health in general has declined we believe due to the treatment he can hardly walk due to muscle weakness he was fine prior to the treatment he is in pain lower back and is very tempted not to have the sixth. It had been a few weeks since I saw him and must say got the shock of my life not nice to see.

radium treatment

My dad is 5 out of 6 now and not very well at all he can hardly walk in severe pain and they are saying it's the treatment. My dad now is refusing to have the last treatment as until the start of it was fairly active considering he was not made fully aware of the side effects at the time.

How does radiation help cancer?

When radiation is combined with surgery, it can be given: 1 Before surgery, to shrink the size of the cancer so it can be removed by surgery and be less likely to return. 2 During surgery, so that it goes straight to the cancer without passing through the skin. Radiation therapy used this way is called intraoperative radiation. With this technique, doctors can more easily protect nearby normal tissues from radiation. 3 After surgery to kill any cancer cells that remain.

Why do people with cancer need radiation?

Why People with Cancer Receive Radiation Therapy. Radiation therapy is used to treat cancer and ease cancer symptoms . When used to treat cancer, radiation therapy can cure cancer, prevent it from returning, or stop or slow its growth. When treatments are used to ease symptoms, they are known as palliative treatments.

What is intraoperative radiation therapy?

During surgery, so that it goes straight to the cancer without passing through the skin. Radiation therapy used this way is called intraoperative radiation.

What is brachytherapy with liquid source?

Learn more about brachytherapy. Internal radiation therapy with a liquid source is called systemic therapy. Systemic means that the treatment travels in the blood to tissues throughout your body, seeking out and killing cancer cells.

What is the best radiation treatment for thyroid cancer?

A systemic radiation therapy called radioactive iodine, or I-131, is most often used to treat certain types of thyroid cancer.

What is the treatment for cancer that has spread to the bone called?

Pain from cancer that has spread to the bone can be treated with systemic radiation therapy drugs called radiopharmaceuticals.

What is external beam radiation therapy?

External Beam Radiation Therapy. External beam radiation therapy comes from a machine that aims radiation at your cancer. The machine is large and may be noisy. It does not touch you, but can move around you, sending radiation to a part of your body from many directions.

How does radiation help cancer cells?

But cancer cells grow and divide faster than most normal cells. Radiation works by making small breaks in the DNA inside cells. These breaks keep cancer cells from growing and dividing and cause them to die.

How is radiation given?

Radiation therapy can be given in 3 ways: 1 External radiation (or external beam radiation): uses a machine that directs high-energy rays from outside the body into the tumor. It’s done during outpatient visits to a hospital or treatment center. It's usually given over many weeks and sometimes will be given twice a day for several weeks. A person receiving external radiation is not radioactive and does not have to follow special safety precautions at home. 2 Internal radiation: Internal radiation is also called brachytherapy. A radioactive source is put inside the body into or near the tumor. With some types of brachytherapy, radiation might be placed and left in the body to work. Sometimes it is placed in the body for a period of time and then removed. This is decided based on the type of cancer. Special safety precautions are needed for this type of radiation for a period of time. But it's important to know if the internal radiation is left in the body, after a while it eventually is no longer radioactive. 3 Systemic radiation: Radioactive drugs given by mouth or put into a vein are used to treat certain types of cancer. These drugs then travel throughout the body. You might have to follow special precautions at home for a period of time after these drugs are given.

What doctor is trained to treat cancer?

Radiation oncologist: This doctor is specially trained to treat cancer with radiation. This person oversees your radiation treatment plan. Radiation physicist: This is the person who makes sure the radiation equipment is working as it should and that it gives you the exact dose prescribed by your radiation oncologist.

What is the treatment for cancer that has returned?

To treat cancer that has returned (recurred) If a person's cancer has returned (recurred), radiation might be used to treat the cancer or to treat symptoms caused by advanced cancer. Whether radiation will be used after recurrence depends on many factors.

Why do people get radiation to their head?

This is done to help prevent cancer from spreading to the head even before it can.

How does cancer spread?

Cancer can spread from where it started to other body parts. Doctors often assume that a few cancer cells might already have spread even when they can’t be seen on imaging scans like CT scans or MRIs. In some cases, the area where the cancer most often spreads to may be treated with radiation to kill any cancer cells before they grow into tumors. For instance, people with certain kinds of lung cancer may get radiation to the head, even when there is no cancer known to be there, because their type of lung cancer often spreads to the brain. This is done to help prevent cancer from spreading to the head even before it can. Sometimes, radiation to prevent future cancer can be given at the same time that radiation is given to treat existing cancer, especially if the area the cancer might spread to is close to the tumor itself.

How many people with cancer get radiation?

More than half of people with cancer get radiation therapy. Sometimes, radiation therapy is the only cancer treatment needed and sometimes it's used with other types of treatment. The decision to use radiation therapy depends on the type and stage of cancer, and other health problems a patient might have.

What is the radiation used to treat skin cancer?

When radiation therapy is used to treat skin cancers, the radiation is focused from outside the body onto the tumor. This is often done using a beam of low-energy x-rays ( superficial radiation therapy) or electrons ( electron beam radiation ). These types of radiation don’t go any deeper than the skin.

Why is radiation used after surgery?

For example, radiation can be used after surgery as an adjuvant (additional) treatment to kill any small areas of remaining cancer cells that may not have been visible during surgery. This lowers the risk of cancer coming back after surgery.

How long does radiation treatment last?

The procedure itself is painless. Each treatment lasts only a few minutes, although the setup time – getting you into place for treatment – takes longer.

What is the purpose of radiation therapy?

Radiation therapy uses high-energy rays (such as x-rays) or particles (such as photons, electrons, or protons) to kill cancer cells.

Is radiation bad for you?

Radiation is also not recommended for people with certain inherited conditions (such as basal cell nevus syndrome or xeroderma pigmentosum), who may be at higher risk for new cancers, or for people with connective tissue diseases (such as lupus or scleroderma), which radiation might make worse.

Can radiation therapy be used for cancer?

Radiation therapy can also be useful for some patients who, for other health reasons, can’t have surgery. Radiation therapy can often cure small basal or squamous cell skin cancers and can delay the growth of more advanced cancers. Radiation is also useful when combined with other treatments.

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Summary

  • Results from a phase III trial called ALSYMPCA show that radium-223 dichloride (Xofigo®) improves overall survival in men with advanced prostate cancer that has spread to their bones compared with a placebo.
See more on cancer.gov

Background

  • In most men with metastatic castration-resistant prostate cancer—prostate cancer that no longer responds to hormone therapy—the cancer spreads (metastasizes) to the bones. Bone metastases can cause intense pain, weakness, and bone fractures, greatly impairing quality of life—and in some cases causing death. Several drugs have been approved by the Food and Drug Administra…
See more on cancer.gov

The Study

  • The Alpharadin in Symptomatic Prostate Cancer Patients (ALSYMPCA) trial enrolled 921 patients with metastatic, castration-resistant prostate cancer. Men in the trial were randomly assigned to receive either radium-223 (six intravenous injections, one every 4 weeks) plus the best standard of care or a placebo plus the best standard of care. The trial’s primary endpointwas overall survival…
See more on cancer.gov

Results

  • Median overall survival was 14.9 months for the men assigned to receive radium-223 and 11.3 months for those assigned to the placebo. An overall survival benefit with radium-223 was seen in all subgroups of men analyzed—for example, men benefited whatever the extent of their disease and regardless of whether they had previously received docetaxel or were currently being treate…
See more on cancer.gov

Limitations

  • The trial investigators, led by Christopher Parker, MD, of the Royal Marsden National Health Service Foundation Trust and Institute of Cancer Research (Sutton, United Kingdom), wrote that the study findings are likely to be “generalizable to routine clinical practice.” They also noted a potential limitation to the study, which is that despite its otherwise broad eligibility the trial did n…
See more on cancer.gov

Comment

  • “This well-executed study shows a clear survival benefit in patients who had received the treatments that were available when the study was conducted, including standard chemotherapy,” said Bhupinder Mann, MBBS, of NCI’s Division of Cancer Treatment and Diagnosis. Drs. Vapiwala and Glatstein agreed. “The real-world applicability is undeniable; these patients had symptomati…
See more on cancer.gov

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