For appointments: 212-523-7170
The Departments of Radiation Oncology at Continuum Cancer Centers of New York are recognized among the largest and most sophisticated in the country. Our world-renowned, highly skilled specialists and innovative technology attracts patients from around the world.
Radiation Oncology at Beth Israel Medical Center and St. Luke's and Roosevelt Hospitals is celebrated as a premier program due to our comprehensive, multidisciplinary approach to care. To provide patients with the individualized attention they need, our staff is experienced in the most advanced approaches to treatment. In addition, we offer technologically superior facilities to provide the best care possible.
Our patients often receive other treatments such as chemotherapy, hormone therapy or surgery as well as radiation therapy. To ensure the best possible outcome, this multi-disciplinary approach requires collaboration and coordination among the specialists on a patient's treatment team. Therefore, during your first visit you will meet with your radiation oncologist and a nurse practitioner. Your radiation oncologist may consult with any other specialists as necessary before your treatment begins to determine the best course of action. In addition, other members of the Cancer Support Services Program may be brought in to better help you successfully manage your treatment.
The major goal of radiation therapy is to maximize cure while maintaining optimal organ function and quality of life. Because each patient's case presents unique challenges and requires individual attention, we urge you to consult your radiation oncologist about which treatment plan is best for you. It is extremely important to seek out an expert team of physicians who specialize in your type of cancer to ensure optimal outcome.
Andrew Evans, MD
Andrew Evans, MD, is an attending physician in the Department of Radiation Oncology at St. Luke's and Roosevelt Hospitals and Beth Israel Medical Center. He also serves as an assistant professor of radiation oncology at the Albert Einstein College of Medicine. Dr. Evans has clinical interests in thoracic and GI malignancies, gynecologic cancers, prostate cancer and pediatric neuro-oncology. He has extensive research experience in the use of neurotropic factors to prevent radiation-induced damage to the central nervous system. Dr. Evans has won several awards and grants for his research, including the Radiological Society of America Roentgen Resident/Fellow Research Award, the Young Investigator Award from the American Society of Clinical Oncology, and the Young Investigator Award from the Radiation Research Society. Dr. Evans received his medical degree from the University of Cape Town Medical School and Groote Schuur Hospital in South Africa. He underwent residency training at St. Mary's Hospital, England, and at the Albert Einstein College of Medicine in New York. He has also completed research fellowships at the Cross Cancer Institute in Canada, and at Albert Einstein. Dr. Evans is board certified by the American Board of Radiology.
Ronald D. Ennis, MD
Ronald D. Ennis, MD, serves as an Associate Director of Continuum Cancer Centers of New York and Director of Radiation Oncology at St. Luke's and Roosevelt Hospitals. He is also an attending physician in the Department of Radiation Oncology at Beth Israel Medical Center. Prior to joining Continuum, Dr. Ennis served as Medical Director in the Department of Radiation Oncology at College of Physicians and Surgeons of Columbia University and as an associate attending at New York Presbyterian Hospital-Columbia. Dr. Ennis's interests include prostate cancer, gynecologic cancers, pancreatic cancer, testicular cancer, and bladder cancer. He specializes in both brachytherapy and external beam radiotherapy including intensity-modulated radiotherapy. His research interests have focused on the development of special planning and delivery techniques for prostate brachytherapy and external beam therapy. Dr. Ennis has been named by Castle Connolly as one of America's Best Doctors and has been listed in New York magazine's annual issue of New York's Best Doctors. Dr. Ennis also serves as an associate professor of radiation oncology at Albert Einstein College of Medicine. Dr. Ennis received his medical degree from Yale University School of Medicine in 1990. After an internship at the Long Island Jewish Medical Center, he completed his residency in therapeutic radiology at Yale University School of Medicine. Dr. Ennis is board certified by the American College of Radiology.
Paul Gliedman, MD
Paul Gliedman, MD is an Associate Director of Continuum Cancer Centers of New York and the Director of Radiation Oncology at Beth Israel Medical Center, Brooklyn Division. He also serves as Senior attending physician in the Department of Radiation Oncology at St. Luke's- Roosevelt Hospital and Beth Israel Medical Center. Prior to joining the department in 1998, Dr. Gliedman served as Director of Radiation Oncology at Hackensack University Medical Center. Dr. Gliedman has extensive experience in managing cancer of the prostate, breast, lung, central nervous system and gastrointestinal tract as well as gynecologic cancers. He has developed active programs in stereotactic radiosurgery and prostate seed implantation.
External Beam Radiation Therapy
External beam radiation therapy involves a series of daily outpatient treatments to accurately deliver radiation to the breast.
Painless radiation treatments are delivered in a series of daily sessions. Each treatment will last less than 30 minutes, Monday through Friday, for five to seven weeks.
The usual course of radiation treats only the breast, although treatment of the lymph nodes around the collarbone or the underarm area is sometimes needed.
3-dimensional conformal radiotherapy (3D-CRT) combines multiple radiation treatment fields to deliver very precise doses of radiation to the breast and spare surrounding normal tissue.
Intensity modulated radiation therapy (IMRT) is a form of 3D-CRT that further modifies the radiation by varying the intensity of the radiation beams. It is currently being studied for treating breast cancer.
Side effects might include skin irritation, like a mild to moderate sunburn, mild to moderate breast swelling and fatigue.
Partial Breast Irradiation
Doctors are studying ways to deliver radiation to only part of the breast.
Available in a few clinics for a very select group of patients, these techniques are used after a lumpectomy to deliver radiation to the tumor site rather than the entire breast.
Breast brachytherapy involves placing flexible plastic tubes called catheters or a balloon into the breast. Over one to five days, the catheters or the balloon are connected to a brachytherapy machine so high doses of radiation can treat the nearby breast tissue.
Other techniques include 3-D conformal partial breast irradiation and intra-operative radiation therapy (IORT).
The long-term results of these techniques are still being studied. Talk with your radiation oncologist if you would like more information.
After Mastectomy Radiation
In cases where the breast is surgically removed, your doctor may suggest radiation therapy for the chest wall and nearby lymph node areas.
Whether or not radiation therapy should be used after removal of the breast depends on several factors, including the number of lymph nodes involved, tumor size and surgical margins.