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Centre for Internal Medicine

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Clinic for Radiotherapy and Radiation Oncology

Medical Director
Prof. Dr. Bernhard F. Schmidt

Telephone +49 (0)711 278-34201
Telefax +49(0)711 278-34209
b.schmidt@klinikum-stuttgart.de

The Clinic of Radiotherapy and Radiation oncology and the Medical Centre provide radiotherapy services with highly qualified personnel and high-performance devices for dose planning and radiation therapy to about 1,800 patients per year in the Stuttgart region. The clinic has three modern linear accelerators, a computer-controlled reload device for contact radiation (HDR-afterloading) and a device for permanent interstitial implantation of radioactive seeds. CT and MRI equipment is used in diagnostic radiology and neuroradiology for cutaway view-based treatment planning. A modern radiotherapy simulator is also available. Modern computer and control programs allow accurate scheduling and documentation of radiotherapy in a networked system. Radio-oncological combination treatments (“radiochemotherapy”) usually take place in the clinic's comfortable and modern wards or are offered on an outpatient basis in close collaboration with internal medicine or paediatric oncologists.

The clinic covers the entire spectrum of radio-oncological disease patterns. Innovative radiation techniques such as Intensity Modulated Radiotherapy (IMRT) and image-guided radiotherapy (IGRT) can be realized in two specially-equipped modern linear accelerators. Stereotactic precision radiotherapy is in progress. For specific procedures (e.g. tomotherapy, proton and heavy ion irradiation) we have co-operations with neighbouring university clinics.

Of particular importance is the interdisciplinary integration of radiation oncology in oncological multimodal therapy concepts, for example, in cases of malignant lymphatic tissue tumours (“malignant lymphoma”) or certain types of leukaemia. We also offer fractionated total body irradiation in bone marrow transplantation.

Treatment and care priorities

All radio-oncological disease patterns
Radiation therapy of benign diseases
Individually optimized three-dimensional treatment planning (CT and MRI-based), IMRT, IGRT
HDR-afterloading brachytherapy, possibly in combination with teletherapy or radiochemotherapy
Seed implantation of the prostate, HDR brachytherapy for prostate cancer
Combined radiation with chemo-/hormone- / immunotherapy

Special offers and facilities

Tumour outpatient clinic
CT and/or MRI-based computer planning with image fusion, joint use of the PET image information for individual configuration of the radiotherapy target areas
Scheduling and documentation in the RIS
Modern linear accelerator with multileaf collimator, IMRT, IGRT
Radiotherapy after-treatment and follow-up
Interdisciplinary integration of radiation oncology
Inpatient palliative treatment
Interdisciplinary oncological pain therapy
Case Management

Medical care centre
Medical director: Prof. Dr. Marc Munter
Telephone +49 (0)711 278-34223
m.muenter@klinikum-stuttgart.de

Outstanding procedures in diagnosis and therapy

Intensity Modulated Radiotherapy (IMRT)
Image Guided Radiotherapy (IGRT)
Interstitial HDR-boost irradiation for prostate cancer

Scientific activities

Participation in several multi-centre studies in paediatric radiation oncology, on cases of malignant lymphoma, brain tumours in childhood and adolescence
DELOS-II study for laryngeal preservation by chemoradiotherapy instead of laryngectomy
PETACC-6 study to improve the results of chemoradiotherapy in rectal carcinomas

Quality assurance (selection)

Systematic quality assurance in the context of multiple certifications for each radio-oncology case part in the organ-related tumour centres
Regular technical checks of radiation systems by TÜV, regional council and the company-specific maintenance service
Observation of the radiation protection rules by the “Medical Authority” of the Medical Association

Hospital numbers

2008	2009	2010
36	35	35	Available Beds
855	824	805	Inpatient Cases
12.0	12.6	12.9	Length of stay in days

Selected services (case number)*

2008	2009	2010
38,309	35,732	32,540	Teletherapy radiotherapies (Linear accelerator)
267	311	227	Brachytherapy series
2,840	2,669	2,135	Computer-assisted radiotherapy planning

* Clinic of Radiotherapy and Radiation oncology including MVZ for radiotherapy

Clinic for Radiotherapy and Radiation Oncology

Klinikum Stuttgart – Katharinenhospital
Kriegsbergstrasse 60
70174 Stuttgart
Germany

Telephone +49 (0)711 278-34201
Telefax +49 (0)711 278-34209
b.schmidt@klinikum-stuttgart.de

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