Technology

The Technology Behind Your Treatment

Radiation therapy isn't one machine, it's a toolkit. Image-guided systems, proton beams, and precision planning software work together so treatment reaches the tumor accurately while protecting the healthy tissue around it. This page explains, in plain language, how the right technology gets chosen for you.

Reviewed by Dr. P. Vijay Karan Reddy · Radiation Oncologist
Last updated October 2026

KEY TAKEAWAYS

Dr. Karan's team uses two flagship technologies, Image-Guided Radiation Therapy (IGRT) and Proton Beam Therapy, alongside IMRT, SRS, and SBRT, chosen case by case. You don't pick the machine yourself: a tumor board matches technology to your specific diagnosis, tumor location, and treatment goals.

How It's Decided

How the Right Technology Gets Chosen

You Don't Have To Choose Alone

Every Case Goes Through a Tumor Board

Your imaging, pathology, and history are reviewed together by radiation oncology, medical oncology, and radiology.

The team matches tumor type, location, and stage to the technology that delivers the most precise, safest dose.

Dr. Reddy discusses the recommendation with you directly, the reasoning, not just the name of the machine.

This multidisciplinary review happens before every course of radiation at our center, regardless of which technology is ultimately used.

At A Glance

Comparing Our Treatment Technologies

A quick side-by-side of what each technology treats, how it works, and what to expect. Full detail lives on each technology's own page.

Best Suited For

Tumors that move with breathing or daily positioning (lung, prostate, GI)

How It Works

Daily imaging before each session corrects for small shifts in position

Typical Sessions

15–33 sessions (case-dependent)

Best Suited For

Small brain tumors and select spinal lesions

How It Works

Very high, tightly focused doses delivered in very few visits

Typical Sessions

1–5 sessions (case-dependent)

Best Suited For

Tumors near critical structures (brain, spine, pediatric cases)

How It Works

Protons deposit most of their energy at the tumor and stop, sparing tissue beyond it

Typical Sessions

Same as standard radiation for the tumor type

Best Suited For

Most solid tumors, including head & neck and prostate

How It Works

Beam intensity is shaped in hundreds of tiny segments to match the tumor's outline

Typical Sessions

20–40 sessions (case-dependent)

Best Suited For

Small, well-defined tumors in the lung, liver, or spine

How It Works

Similar to SRS but for body tumors, using a few very precise high-dose sessions

Typical Sessions

1–5 sessions (case-dependent)

Best Suited For

Cancers likely to have spread beyond the original site

How It Works

Medication travels through the bloodstream to reach cancer cells body-wide

Typical Sessions

Usually 5–8 cycles (case-dependent)

Best Suited For

Cases where radiation and chemo work better together than either alone

How It Works

Chemotherapy sensitizes cells to radiation, or reaches disease radiation alone can't

Typical Sessions

25–33 radiation sessions, with chemo alongside

Explore Each Technology

Explore Each Technology

Illustration of a patient on a treatment couch under an imaging arm, with two targets lining up

How does IGRT keep radiation on target?

  • Daily imaging captures your exact position before every session
  • Your care team corrects for small shifts before the beam turns on
  • Adaptive tracking follows tumors that move with breathing or daily changes
  • Millimeter-level accuracy keeps the dose off healthy tissue nearby
Learn More→
What Happens Next

What to Expect: The Treatment Pathway

  1. 1

    Consultation & Diagnosis Review

    Dr. Reddy reviews your diagnosis, imaging, and prior treatment history to understand what you're facing.

  2. 2

    Technology Selection

    Dr. Reddy presents your case to a tumor board of specialists, who match the technology to your diagnosis.

  3. 3

    Simulation & Planning

    A CT scan maps your anatomy precisely, and a treatment plan is built around your exact tumor shape and position.

  4. 4

    Treatment Delivery

    Sessions proceed on schedule, with imaging and check-ins along the way to confirm the plan is on target.

Explore Further

Frequently Asked Questions

Questions Patients Ask Us

Not for everyone. Protons stop at the tumor, which matters most for children and tumors near critical structures. For most adult cancers, IMRT works as well at a fraction of the cost.

IGRT is a way of aiming: scans before each session confirm where the tumor sits. SBRT is a treatment that gives very high doses in 1 to 5 sessions, and it relies on IGRT to stay on target.

You don't have to choose alone. A weekly tumor board matches the technology to your diagnosis, and Dr. Karan explains the reasoning, so you can ask questions or get a second opinion.

No. Chemotherapy can be the main treatment, or given before or after surgery. It's paired with radiation for cancers like head and neck, cervical, rectal, lung, and some brain tumors.

It depends on the technology and the cancer. SBRT and SRS take 1 to 5 sessions, while IMRT and IGRT courses usually run 15 to 33 weekday sessions, about 3 to 6 weeks.

No. The radiation is painless with every technology, much like an X-ray. Any discomfort comes from lying still, and stereotactic sessions simply run a little longer, up to 15 minutes.

It means the machine scans you, usually with a cone-beam CT, right before each session. The team compares it with your planning scan and moves the couch if the tumor has shifted.

Get In Touch

Ready to Understand Your Options?

Every treatment plan starts with a conversation. Reach out and Dr. Reddy's team will walk you through which technologies apply to your case and what happens next.

Dr. P. Vijay Karan Reddy

Written & reviewed by Dr. P. Vijay Karan Reddy
Radiation Oncologist · Last reviewed October 2026