Yale-New Haven Hospital
The department includes treatment, physics, dosimetry and planning facilities, a 10 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, radiotherapy based 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 Varian Trilogy™ linear accelerator with multiple photon and electron energies, stereotactic body radiosurgery (SBRT), gating capability, and image guided radiotherapy (IGRT/IMRT/MLC). The department also has a Novalis/Varian TX® (IGRT/IMRT/MLC) which is equipped with BrainLab Exac trac® imaging technology, a Varian TrueBeam™ linear accelerator with flattening-filter free (FFF) technology (IGRT/IMRT/MLC/) which provides Total Skin Electron Beam Therapy (TSEBT) and total body irradiation (TBI), an Elekta Synergy® with agility collimator and FFF technology allowing for faster and more accurate treatment (IMRT, SRS, SBRT, IGRT), 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) as well as a Philips Brilliance big bore which offers a large aperture for more complex setups. The department also houses a Leksell Gamma Knife® Icon™.
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 Mosaiq® record and verify system. All 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.
The Smilow Cancer Center also houses the Yale Gamma Knife® Center. This facility provides specialized multidisciplinary radiosurgical management for patients. Approximately 300 procedures are performed per year.