Brain Tumor Treatment at NYU Winthrop Hospital
Advanced brain tumor surgery and brain tumor care through the most sophisticated minimally invasive and diagnostic technologies available today
Over the past decade, diagnostic advances, new treatments and innovative research in brain tumor treatment have significantly increased survival rates for many brain tumor patients, inspiring new hope.
NYU Winthrop Hospital’s Brain Tumor Program — a collaboration between our Neuroscience and Cancer care specialists — provides the most progressive multidisciplinary treatment by world-class clinicians. Our renowned specialists hold advanced training in a wide range of specialties, including neurology, neuro-oncology, neurosurgery, medical oncology, radiation oncology, neuropathology and neuroradiology.
From initial evaluation, through diagnosis and treatment and recovery, our care teams work as a cohesive unit to develop and manage each of our patient’s unique, important care plans.
Advancing the Diagnosis of Brain Tumors, for On-Target Treatment Plans
At NYU Winthrop, our focus is on treating patients with primary and metastatic brain tumors, as well as central nervous system lymphoma, neoplastic and lymphomatous meningitis and paraneoplastic syndromes.
Before proceeding with a customized brain tumor treatment program, we utilize the most sophisticated minimally invasive, image-based diagnostic technologies, including:
- Sate-of-the-art, 64-slice computed tomography (CT) scanners
- The most modern magnetic resonance imaging (MRI) equipment
- Positron emission tomography (PET) scanning technology
- Magnetic resonance perfusion -- illuminates cerebral blood volume and identifies vascular abnormalities and altered blood flow dynamics that often signal a tumor’s existence
To obtain a definitive diagnosis, our neurosurgeons may:
- Perform a biopsy to remove a small sample of the tumor tissue, or the entire tumor, for examination.
- When a tumor lies deep in the brain, or in a critical area, our specialists use stereotactic needle biopsy, which employs a computer and three-dimensional scanning to pinpoint the exact tumor site.
- For ventricular lesions, the brain’s fluid chambers are visualized with neuroendoscopy, a minimally invasive, safe and effective diagnostic that involves a small fiber optic camera attached to an endoscope — a thin, tube-like instrument inserted through a small opening in the skull.
At NYU Winthrop Hospital, our neuropathologists use the latest immunohistochemical staining procedures to identify proteins and pinpoint tumor types. We also employ advanced molecular pathology techniques on certain tumors to try to predict how they will respond to chemotherapy.
At the Forefront of Brain Tumor Surgery and Treatment
Brain tumor treatment is dictated by the type and stage of the tumor, its location in the brain, and a host of other variables.
Our clinical teams often use multiple treatment strategies, including brain surgery, radiation therapy and chemotherapy — alone or in combination.
The following state-of-the-art therapies are among the wide range of cutting-edge treatments available at NYU Winthrop for many types of brain tumors, including gliomas, astrocytomas, acoustic neuromas, meningiomas, pituitary adenomas and metastatic brain tumors.
- Image-guided stereotactic surgery marries MRI technology with a stereotactic computer system that creates a virtual roadmap of the brain for our surgeons. The technology guides neurosurgeons through the innermost depths of the brain, enabling them to expand surgical parameters, better visualize tumors and identify abnormal growths or lesions in three-dimensional space.
- CyberKnife® stereotactic radiosurgery, the gold standard for non-invasive radiosurgery, is an alternative to conventional brain surgery in certain cases. This breakthrough treatment uses cruise-missile-guidance technology and ultra flexible, computer-controlled robotics to deliver precisely targeted radiation to deeply imbedded, complex tumors once considered inoperable.
- Intensity-modulated radiation therapy (IMRT) is one of the most advanced radiation therapy techniques. Using sophisticated computer technology, it can sculpt radiation beams of varying intensity to match specific tumor angles and shapes so that the mass is targeted as uniformly and precisely as possible, minimizing radiation exposure of surrounding normal tissue and reducing potential side effects.
- Newly developed brain tumor treatments and clinical research programs: In recent years, neuro-oncologists have succeeded in developing drugs helpful in slowing brain tumor growth. NYU Winthrop neuro-oncologists, with extensive experience in clinical research, have established a clinical trials program to deliver novel, cutting-edge treatments.
Additionally, they are utilizing a protocol employing hyperbaric oxygen therapy for patients with newly diagnosed glioblastomas to be administered in NYU Winthrop’s new, state-of-the-art hyperbaric units. They are also developing other studies, including vaccine therapies, genome slicing and delivery of drugs directly into the brain.
Our Brain Surgery Treatment Team
Paul Duic, MD