This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this image for other purposes, click here.
|Intensity Modulated Radiation Therapy (IMRT) - Medical Animation
|MEDICAL ANIMATION TRANSCRIPT: Your doctor may recommend intensity modulated radiation therapy, a procedure that treats certain forms of cancer to kill cancer cells or control their growth. The cells in the body grow and divide as part of the normal cell cycle. The cell's nucleus controls this process. Inside each nucleus genetic material called DNA contains the instructions for directing this process. Sometimes the cell's DNA becomes damaged. Normally the DNA responds by either repairing itself or instructing the cell to die. In cancer, however, the parts of the cell's DNA that direct cell division become damaged. When these sections are damaged the DNA is unable to repair itself. Instead the unrepaired DNA causes the cell to grow and divide uncontrollably into more damaged cells called cancer cells. A tumor forms as the cancer cells multiply and displace the normal cells. Radiation kills cancer cells by inflicting overwhelming damage to their DNA. The tumor shrinks as the cells stop dividing and die. If the tumor is in your head your radiation therapist may make a mesh frame or mask that will keep you positioned correctly during the IMRT. Or you will get small permanent tattoos to help align the IMRT. Next your therapist will do a CT scan of your head to get a detailed picture of your tumor and its borders. Your doctor will use the scans to specify the three-dimensional shape of your tumor and vital tissues nearby. The tumor's shape, size, type, and location help your doctor determine how the IMRT beam should be adjusted to hit your tumor and avoid healthy tissue. During your procedure a medical linear accelerator will deliver an x-ray beam to your tumor. A computer inside the accelerator will adjust the beam with a device called a collimator. The collimator will adjust or modulate the intensity, direction, and shape of the radiation beam. This feature allows higher doses of radiation to be delivered to your tumor while sparing your healthy tissue around it. You may receive many radiation treatments over days or weeks. This allows your body to recover between treatments and to kill as many cancer cells as possible. Side effects are usually mild and occur only in the treatment area. Common side effects include localized skin irritation, localized hair loss, or inflammation and swelling near the tumor location.
|What attorneys say about MLA and The Doe Report:
|"I have found that the personalized medical illustrations prepared by Medical
Legal Art have been very accurate and helpful. The medical doctors, both
treating physicians and expert witnesses, have commented on the accuracy and
professionalism of the medical illustrations. Most importantly, your prompt
service and attention upon even short notice has been tremendous. I can
certainly say that the medical illustrations prepared by Medical Legal Art
have assisted us in bringing cases to a successful resolution."
Paul L. Redfearn
The Redfearn Law Firm, P.C.
Kansas City, MO
|"I wanted to thank you for the terrific job you did illustrating my client's
injuries. The case was settled at the pre-suit mediation, and I believe a
good part of the success we had was due to the medical legal art you
Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the
conclusion of mediation, and will be using it to train nurses on how to
prevent bed sores..."
Steven G. Koeppel
Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL
|"Thank you for the splendid medical-legal art work you did for us in the
case of a young girl who was blinded by a bb pellet. As a result of your
graphic illustrations of this tragic injury, we were able to persuade the
insurance company to increase their initial offer of $75,000.00 to
$475,000.00, just short of their policy limits.
We simply wanted you to know how pleased we were with your work which, to
repeat, was of superlative character, and to let you know that we would be
more than willing to serve as a reference in case you ever need one. Many
thanks for an extraordinary and dramatic depiction of a very serious injury
which clearly "catapulted" the insurance company's offer to a "full and
fair" amount to settle this case."
Philip C. Coulter
|"A few words about The Doe Report: recently in a brachial plexus injury
case, we used an image from The Doe Report to demonstrate the injury. We
downloaded the PDF file image, and were amazed at the quality. The hard
copies that you sent were even more clear. As well, we could not have been
happier when you customized the image and reversed the injury from the left
shoulder to the right shoulder, which is where our client's injury was.
The speed and cost-effectiveness of the product made it the perfect tool for
our purposes. We will use The Doe Report again in future cases."
Needle Gallagher & Ellenberg, P.A.