“The ability to use solid compensators gets around the motion issue and allows us to feel very comfortable using IMRT in daily use for lung cancer patients and really for any tumor that moves significantly: esophagus, kidney or pancreas.”
Craig Stevens, MD, PhD - H. Lee Moffitt Cancer Center & Research Institute
"After 100 patients with MLC-based IMRT with 1 cm leaves, we switched to brass-modulated Solid IMRT® with .decimal®. Because distributions were more conformal, integral dose was much lower and throughput was improved... (we have over 500 patients on SIMRT, and the rad oncs will not go back to MLC IMRT)."
David L Vassy, MS, FACR, FAAPM - Gibbs Cancer Center - SRHS - Spartanburg, South Carolina
“I use compensators because I am concerned about underdosing a mobile tumor as beamlets spread across the tumor as it is moving in and out of the field. There is research that shows you can underdose a [moving] tumor up to 30%. Rather than leave those things to chance, I like to use .decimal® compensators because they allow you to treat the whole field all at once; therefore no matter how the tumor is moving, you are treating the entire lesion the entire time.”
Tom Dilling, MD - H. Lee Moffitt Cancer Center & Research Institute
“.decimal® has helped us give the highest quality of care to the patients at our Green Valley clinic through the use of their brass compensators for Solid IMRT®. Richard Sweat and his team have helped us at various stages of our Solid IMRT® program from helping us find places to recycle the brass in our own community to double checking if a plan was completely uploaded. We have enjoyed working closely with .decimal® because of the great customer service and the family attitude they bring to every client. It was a wonderful experience to have one of our patients be the 100,000 compensator and to share in the celebration of that milestone with .decimal®.”
Robin Campos, PhD. - Arizona Oncology Associates, P.C. - Tucson, Arizona
"In the two small centers that I cover, we utilize .decimal® compensators for several reasons.
1. Planning is much faster with corresponding, shorter, daily treatment times since you never have a carriage split for larger fields. Our MU's are in the order of 550-650 total MU's for our prostate patients, with fewer MU's, the integral dose is much less to the patient.
2. QA is much more straightforward and less time-consuming: with the patients we have treated in the past two years, the reliability and the QA results have been even better than expected.
3. With solid compensators, if your machine is running, you are treating. This is very important for the small centers that do not have service help immediately available.
4. Trivial as it may seem, it is easier to explain and visually show to attending physicians (and patients) exactly what we are doing with IMRT. Again, for small centers, this public explanation is very important.
5. A final very "nice" feature is the fact that .decimal® is always there to help if or when you have a problem. Problems are infrequent, but when they do happen this becomes very important as small clinics simply do not have a lot of support personnel for troubleshooting."
Darrell Wolf, CMD, BA - Alliance/Bethesda Cancer Centers - Sikeston/Farmington, Missouri
".decimal® is to be commended for putting together a great team of individuals, and each representative from different work areas performs professionally. You current product, and your work for future improvements, is very customer service friendly. Your service is excellent!"
Craig McKenzie, CMD - University of Florida Proton Therapy Institute - Jacksonville, Florida
"Customer service is AWESOME! If [.decimal®] doesn't know the answer, they find someone who does AND when they say they'll call back, they really do. If I need customer service to check on something, they're always pleasant and it's never a problem!"
Dina Risalvato, CMD - Bothwell Regional Health Center - Sedalia, Missouri
"...we can deliver a safer, more precise and equivalent or better IMRT treatment with Solid IMRT® than with MLC IMRT."
Warren Bryant, MS, CMP - Thomas Memorial Hospital - South Charleston, West Virginia
“I needed a very reliable method for delivering IMRT. That’s why I chose the Solid IMRT® method. I’ve known Richard Sweat for a long time and admire his professionalism and dedication to quality. I see him as a pioneer in the field of Solid IMRT®. If it wasn’t for Richard, this type of treatment wouldn’t be as developed as it is. If we are to serve the larger market efficiently, we need to encourage the development of these methods."
Dr. Walsh explains the advantages of Solid IMRT®, “Lower average doses to the patient and higher doses to the tumor [are a benefit.]" He continues, “We can’t afford to have more side effects. There is no excess toxicity with Solid IMRT®."
Dr. Christopher S. Walsh - Mid-Rivers Cancer Center - Montross, Virginia
"We have to have all available tools to treat a wide variety of patient situations. Extensive use of 3D conformal breast treatment planning started in 2002 with the implementation of our new XiO systems. It became rapidly obvious that 3D compensation would be of immense help in improving dose homogeneity throughout treatment volumes for most, if not all breast cancer patients."
Raj Mitra, M.S. DABMP - Oschner Health System - New Orleans, Louisiana