Smilow Radiation Therapy Clinic
Billing and Insurance
The new department includes treatment facilities, physics, dosimetry and planning facilities, a 9 examination room outpatient clinic with procedure room, 2 additional consultation rooms, office space, a departmental library with computer terminal internet access, and two conference rooms of 20 and 50 person capacity. Conference space is equipped with audio visual links to other centers, as well as secure online computer access to dosimetry, diagnostic radiology, portal imaging, and internet. Multiple treatment planning systems are available, and MR and PET data/image merge, in conjunction with CT simulation, is available for treatment planning. Major items of equipment include a new Varian Trilogy linear accelerator with multiple photon and electron energies, stereotactic body radiosurgery and gating capability, and image guided radiotherapy (IGRT/IMRT/MLC/Portal Imaging) which was installed in early 2007 in the previous Hunter facility and is now in place in the new Smilow Cancer Hospital. The new department also has a Novalis/Varian TX (IGRT/IMRT/MLC/portal imaging) which is equipped with BrainLab Exac trac portal imaging technology, a Varian EX linear accelerator (IMRT/MLC/Portal Imaging) which also provides Total Skin Electron Beam Therapy (TSEBT) to approximately 30 patients annually, a Gamma-Med high dose rate after-loading unit, a 250 KV constant potential Siemens x-ray unit, one of the first CT-simulators in Connecticut (GE with Advantage-Sim), and a B-mode Acquisition Targeting (BAT) device. The new department also houses a new Perfexion gamma Knife unit.
The Yale program has a stock supply of sources for interstitial and intracavitary brachytherapy applications. The department offers 4D gating simulation and treatment delivery equipment, in addition to cone beam CT as integral features and components of the IGRT and stereotactic body radiosurgery programs. The current Gamma Knife device will be upgraded to the Perfexion system and will be installed in the Smilow Cancer Hospital Radiation Oncology Department in the winter/spring of 2010. The department has a fully integrated Varis-Aria record and verify system. All portal and IGRT images may be viewed from various workstations within the department and include all clinical areas as well as attending and resident physician offices. A dedicated machine and electronics shop also resides in-house. Approximately 1500 new patients per year are seen, in addition to follow up visits.
Multidisciplinary clinical care takes place on the floors above the Department of Therapeutic Radiology, and the new building includes 112 inpatient beds, 12 operating rooms, and 61 chemotherapy suites exclusively for the care of oncology patients. The department continues to maintain basic research operations in the newly renovated laboratory space on the 2nd and 3rd floors of the Hunter building and the department continues some administrative operations in the current Hunter location. The net square footage for the department, within the new cancer center facility, will add an additional 32,000 nsf. This will bring the departmental total (including laboratory space) to over 60,000 nsf.