Does ECT always work
The first irradiation ("initial setting")
The so-called initial setting is particularly important because during this session the radiation plan, which has since been drawn up and checked independently by another medical physics expert, is transferred to your body and the radiation fields are drawn in. This first setting is always carried out by a doctor together with an MTRA and, if necessary, a medical physics expert. State-of-the-art technology is used to check whether the irradiation fields comply with the specifications. Image-guided radiation therapy is used for this. For special techniques, computer tomographs are built into our linear accelerators, which make it possible to carry out a high-precision position control before the irradiation is triggered. After checking the correct position of the fields, they are drawn on your body. This drawing is done so that even the slightest deviations can be recognized immediately during the subsequent irradiations. These can then be corrected.
You are in a large, bright room on the treatment table. The radiation source is located at a distance of one meter from you and moves around you at this distance. There is visual and mutual speech contact via monitors and microphones at all times when the actual irradiation is taking place.
Please allow 30-45 minutes for the first irradiation. The irradiation itself then only takes a few minutes. You can neither see nor hear nor smell the beam.
After this first irradiation, the daily irradiation takes place. As a rule, radiation is carried out 5 times a week from Monday to Friday. You will always receive three appointments in advance so that you can plan for the following days of radiation. Please discuss your individual therapy requests with the staff at the radiation device, which we can usually respond to in the morning from 8:00 a.m. to around 4:30 p.m. Only between 12:30 p.m. and 3:00 p.m. is it not possible to routinely irradiate, since this is where the new patients are introduced to the therapy. Should you be prevented from doing so urgently, we ask you to let us know in good time. We will try to find an alternative date for you. Breaks in treatment should be avoided if possible.
Medical care during radiation therapy
At regular intervals, at least once a week, you will be examined by medical colleagues for possible side effects, blood count and laboratory tests carried out if necessary and further examinations arranged if necessary. Should you also personally wish to seek medical advice on current issues, please ask the staff to introduce you directly to the doctor in charge. This is possible at any time.
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