The department includes treatment facilities, physics, dosimetry and planning facilities, a 10 examination room outpatient clinic with procedure room, office space, and conference rooms with computer terminal internet access. 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. The health system based EMR is built upon the EPIC platform. Multiple treatment planning systems are available (primarily Eclipse), and MR and PET data/image merge, in conjunction with CT simulation, is available for treatment planning. Major items of equipment include a 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), a Novalis/Varian TX (IGRT/IMRT/MLC/portal imaging) which is equipped with BrainLab Exac trac portal imaging technology, a Varian TrueBeam linear accelerator (IGRT/Calypso/IMRT/MLC/Portal Imaging) which also provides Total Skin Electron Beam Therapy (TSEBT) and Total Body Irradiation (TBI), a Gamma-Med high dose rate after-loading unit, a 250 KV constant potential Siemens x-ray unit, CT-simulation (GE with Advantage-Sim), and a B-mode Acquisition Targeting (BAT) device. The department also houses a Perfexion Gamma Knife unit. Currently the facility is being renovated to accept an additional linear accelerator and CT simulator.
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 department has a fully integrated Aria record and verify system. All portal and IGRT images may be viewed from various workstations within the department as well as remotely, and access includes 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.