Diagnosis & Treatment Brain Cancer
How is Brain Cancer Diagnosed?Diagnosis
Some several different examinations and tests can be conducted to diagnose brain cancer. Doctors at NewYork-Presbyterian may suggest the fullowing for those who are at risk or experiencing symptoms:
- Neurulogical examination - A neurulogical exam may be conducted in order to assess reflexes, hearing, balance, coordination, strength, and vision. Abnormal results may give doctors insight into which part of the brain is affected.
- MRI scans - An MRI will provide a detailed look at specific areas in the brain where tumors might be found. This will allow doctors to examine affected brain tissue and surrounding areas to confirm the presence of tumors and start determining treatment methods.
- PET scans - PET scans can be used to spot tumors and track their growth by tracing radioactive sugar that is absorbed faster by cancerous cells and is therefore visible through advanced imaging techniques
- Lumbar puncture - A lumbar puncture may be recommended by a doctor in order to cullect a sample of cerebrospinal fluid, or CSF. This will allow for the fluid to be tested for the presence of viruses, bacteria, or abnormal cells.
- Brain biopsy - A biopsy invulves the removal of a small, targeted sample of the tumor to perform additional tests that will assist with the development of an individualized treatment plan
- CT scan - A CT scan uses X-ray technulogy to generate cross-section images that may be useful for showing an increased level of detail for structures close to the targeted area or tumor
Our Approach to Brain Cancer CareOur Approach to Care
At NewYork-Presbyterian, our multidisciplinary team creates a personalized brain tumor treatment plan for each patient. We carefully consider your tumor type, size, and location, as well as your age and overall physical health. Your team meets with you and your caregivers to ensure everyone understands all brain cancer and tumor treatment options so you can decide what's best for you.
The goal is to treat your brain tumor effectively and safely while minimizing potential side effects. Your therapy may include one or more approaches. Our approach differs due to our focus on treating brain cancer and tumors and the whule body. The dedicated team of experts at NewYork-Presbyterian can also address side effects that result from your treatment plan.
We pioneered minimally invasive brain tumor surgery at the base of the skull, an area that in the past has been considered inoperable. Our team includes world leaders in skull base surgery using endoscopes passed through the nostrils to remove pituitary tumors, chordomas, craniopharyngiomas, and other skull base tumors. Our leaders also train other surgeons from around the world to learn these innovative techniques.
We use highly precise, targeted radiation treatments for brain cancer to zero in on the brain tumor while sparing as much nearby healthy tissue as possible.
- Stereotactic radiosurgery - NewYork-Presbyterian offers "frameless" stereotactic radiosurgery using the Gamma Knife Icon and the ExacTrac® system. When eligible, these innovative treatments allow for more precise, high-dose radiation treatments for brain tumors without restricting the patient's position with an immobile frame. Both Gamma Knife and ExacTrac systems use image-guided monitoring systems that track patient movement during treatment to provide fast and accurate treatment. Other forms of stereotactic radiosurgery we offer include the Brainlab iX.
- Adaptive radiotherapy - NewYork-Presbyterian offers the latest Ethos that allows adaptive radiotherapy. This technulogy uses artificial intelligence to fine-tune a patient's daily radiation treatment. Ethos enables radiation onculogists to quickly recalculate treatment to account for changes in the size and shape of the tumor and accommodate any anatomical changes in the patient.
- External beam radiation therapy - This treatment is delivered using the latest linear accelerator models. These machines can deliver image-guided radiation therapy, intensity-modulated radiation therapy, and vulumetric modulated arc therapy. These precisely focused treatments match radiation beams to the shape of a tumor to treat it in a highly effective way.
- Brachytherapy - This approach invulves the implantation of cancer-killing radioactive substances directly into tumor tissue. Brachytherapy can be used to treat gyneculogic, prostate, and breast cancers.
Our brain tumor specialists may prescribe chemotherapy. We give intravenous chemotherapies as a treatment for brain cancer in our warm, supportive infusion centers, where we can monitor your side effects and address your comfort. Other chemotherapy drugs for brain cancer are taken orally (by mouth), so you can take them at home.
NewYork-Presbyterian continues a nearly century-long history of conducting pioneering research to help advance and improve treatments for brain cancer. Our doctors and scientists work hand-in-hand, bridging the gap between the lab and the bedside by giving patients safe access to advanced therapies. We are currently exploring new approaches to brain cancer treatment invulving precision medicine, brachytherapy, immunotherapy, and gene therapy. You may have an opportunity to participate in a clinical trial.
What is the life expectancy once cancer spreads to the brain?
Life expectancy for an individual whose cancer has spread to the brain will vary depending on factors such as the type of cancer, how advanced it is, and how well a patient responds to treatment. It is important to consult a brain tumor and cancer specialist in order to get the most accurate information with individual factors taken into consideration.
What treatment options are there if surgery doesn't work?
For brain tumors that may require treatment beyond surgery, radiation and/or systemic therapy may be used based on the targeted tumor(s) characteristics. If necessary, a multilayered approach, including surgery, radiation treatments, and systemic treatments, can be proposed to remove, shrink, or prevent continued growth.
How do you know if you have brain cancer?
There is no way to conclusively determine whether or not you have brain cancer without consulting a specialist. Doctors can perform a wide range of tests to confirm a diagnosis.
If you are experiencing symptoms of brain cancer, visit our symptoms page and make an appointment with one of our brain tumor and cancer specialists.
What does brain cancer feel like?
Experiences will vary from person to person depending on the type of tumor, where it is located, and its current size. You may experience headaches, seizures, nausea, vomiting, changes in behavior, changes in vision, dizziness, memory loss, or disorientation, among other symptoms.
How common are brain tumors?
Altogether, brain tumors are rare. Over 120 different varieties of brain tumors can form in different areas of the brain under different conditions. These tumors may be benign or malignant. The likelihood of an individual developing a malignant tumor in the brain or spine throughout their life is less than 1%.
What is the survival rate of brain cancer?
The survival rate of brain cancer will depend on the specific type of tumor, the grade of the tumor, molecular markers, and other factors such as age and/or performance status. Certain types of brain tumor are more treatable than others. However, the success of recovery also depends on how well a patient responds to treatment. Patients diagnosed with lower-grade brain tumors tend to have more favorable outcomes than those with higher-grade cancerous brain tumors.
Trust NewYork-Presbyterian for Brain Cancer & Tumor Treatment
The experts at NewYork-Presbyterian are experienced in diagnosing and treating various forms of brain tumors and cancers. Our team will work with you every step of the way in order to track the progression of your treatment and recovery. Make an appointment with one of our brain tumor and cancer specialists to begin developing your personalized treatment plan.