Radiation therapy at “Acibadem Sistina” is performed by the most modern radiation therapy accelerator TRILOGY. For the first time in the region, due to the technological capabilities available at “Acibadem Sistina”, PET/CT scans are used in the treatment planning enabling the  precise marking of the tumor and the healthy organs; this is essential in increasing the treatment success rate and reducing adverse treatment effects.

Radiation therapy

Radiotherapy is enabled by a powerful accelerator TRILOGY. In a shorter time interval it provides precise treatment with high dosage of radiation directly on the tumor and offers maximum protection to the surrounding healthy tissues.

Techniques used in radiotherapy application:

  • 3D Conformal Radiotherapy: (3D CRT)
  • Intensity Modulated Radiation Therapy (IMRT) – enhanced three-dimensional technique
  • SRT/SRS: Stereotactic Radiotherapy / Stereotactic Radiosurgery



Exact application of these techniques is provided by Image Guided Radiation Therapy (IGRT), enabling the most advanced planning and control of radiation treatment by using different imaging modalities (MRI, PET/CT, CBCT, PV).

Application of radiotherapy

Depending on the purpose of the radiation therapy it can be:

  • Curative Radiotherapy

Considering the available information on the disease, it is applied in cases where the disease can be completely cured. It can be administered alone or in combination with other treatment modalities – surgery and chemotherapy.

  • Palliative Radiotherapy

It is applied in conditions where the disease is impossible to be completely cured. The goal is to prevent or reduce the symptoms (symptomatic relief) and improve the patient’s quality of life when fighting this serious and complex disease. For example, bone pain due to bone changes can be reduced by radiotherapy. In addition, radiotherapy can prevent pathological fractures of changed bones. Bleeding caused by large tumors can be stopped by the use of radiotherapy. The total dosage of radiotherapy in these cases is smaller and the duration of treatment is significantly shorter.


Radiosurgery is part of the radiation therapy for treatment of tumors, most commonly brain tumors, which can not be surgically removed. For the first time in the region, this type of radiation therapy is available at “Acibadem Sistina” Hospital by the most powerful and the most safe radiotherapy system TRILOGY.

For more information about Center for Oncology and Radiation Therapy please visit: www.cancertreatment.mk