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2007–2008 Annual Report

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takes IMRT a step further with image-guided radiation<br />

therapy (IGRT).<br />

da Vinci® Surgical System<br />

Southeast is the third hospital in Missouri and the first<br />

community hospital in the state to offer robotic-assisted<br />

surgery using the da Vinci® Surgical System. Using da Vinci,<br />

physician specialists from Cape Girardeau Urology Associates<br />

can surgically remove the prostate gland with a magnified,<br />

three-dimensional view of the prostate more detailed<br />

than is possible with the human eye alone. More than 100<br />

robotic-assisted prostatectomies are performed annually at<br />

Southeast.<br />

Monaco® IMRT Workstation<br />

Southeast’s Radiation Therapy Department continues<br />

to offer state of the art radiation therapy treatment planning<br />

technology, and has upgraded its equipment to include the<br />

highly sophisticated Monaco IMRT Workstation. Monaco is<br />

an intensity-modulated radiation therapy (IMRT) treatment<br />

planning program that utilizes the latest Monte Carlo dose<br />

calculation model. This new system enables physicians to<br />

better optimize radiation dose distributions, with a shorter<br />

treatment time for the patient and the most accurate dose<br />

delivery currently available.<br />

MammoSite®<br />

Southeast is the first hospital in the region to add<br />

MammoSite high-dose radiation therapy to its arsenal of<br />

treatment options for breast cancer. This form of partial breast<br />

irradiation is used to treat early Stage I or Stage II tumors.<br />

MammoSite also can reduce the total number of treatments<br />

from a standard 30 treatments over six weeks to just 10<br />

treatments over the course of five days.<br />

Gynecologic Brachytherapy<br />

Southeast also is the only cancer center in the region<br />

to offer an HDR brachytherapy option for some forms of<br />

gynecological cancer. Now, rather than undergoing lowdose<br />

brachytherapy, which can involve an overnight stay in<br />

the hospital and confine the patient to bed for several days,<br />

a woman can receive high-dose-rate brachytherapy on an<br />

outpatient basis. In most cases a course of treatment consists<br />

of three to four treatments that usually can be delivered in<br />

less than 10 minutes. With this procedure patients have less<br />

discomfort and are better able to tolerate treatment. Breast<br />

MRI, available at Southeast since August 2007, features<br />

9<br />

Southeast Missouri Hospital <strong>Annual</strong> <strong>Report</strong> <strong>2007–2008</strong><br />

cutting-edge technology that, for each breast MRI exam,<br />

can produce over 1,000 images with contrast between soft<br />

tissues in the breast many times greater than that obtained<br />

with standard mammography. The ability to perform MRIguided<br />

biopsies is essential to detecting cancers. Breast MRI,<br />

in addition to mammography, is recommended for high-risk<br />

women – those with a 20 to 25 percent or higher chance of<br />

developing breast cancer over the course of a lifetime.<br />

NESS H200TM & NESS L300TM For many stroke patients, two technologies brought<br />

to not only the region but the state by Southeast are<br />

helping these patients regain mobility and recapture<br />

their independence. The NESS H200 for hands and the<br />

NESS L300 for legs use functional electronic stimulation<br />

to activate muscles that have been affected by stroke or<br />

injury. These exciting new technologies are used both in<br />

Southeast’s acute rehab program and outpatient rehab.<br />

Both technologies also may be used in the home setting<br />

as well.<br />

X-Stop® & Prestige® Cervical Disc<br />

For patients with spinal stenosis, the X-Stop implant<br />

has been successful for many patients. Traditional surgery<br />

for this condition involves removal of bone and soft tissue.<br />

Now, neurosurgeons at the Brain and NeuroSpine Clinic of<br />

Missouri, at Southeast’s Regional Brain and Spine Center, can<br />

insert the X-Stop,<br />

smaller than a<br />

quarter, through a<br />

small incision in the<br />

back. The procedure<br />

is less invasive and<br />

promises a faster<br />

recovery time.<br />

Neurosurgeons<br />

at the Brain and<br />

NeuroSpine Clinic of<br />

The Prestige Cervical Disc<br />

Missouri also have<br />

the expertise to implant the new Prestige Cervical Disc,<br />

approved by the Food and Drug Administration in July 2007<br />

as the first artificial disc for the treatment of degenerative<br />

disc disease and herniated disc. Because of its unique ball<br />

and trough design, the disc allows a patient to maintain<br />

neck flexibility.

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