State-of-the-art technology Many years of expertise Certified medical quality management

High-energy radiation that can be controlled with millimeter precision to treat tumors and metastases in the brain, head and neck region. By using ZAP-X NUE, clinicians can often avoid conventional radiation therapy or surgery.

Precision is key: During treatment with ZAP-X NUE, hundreds of individual beams are focused on a precisely defined target area by means of a gyroscopically driven linear accelerator. This spares the surrounding tissue thanks to the low doses of the individual beams, but a very high radiation dose is achieved in the target area and the tumor tissue is destroyed.

In many cases, a single session will be sufficient. A custom face mask is made to hold the head in place, securing it in the exact correct position and eliminating the need for screws or frames.

When is ZAP-X NUE used?

Originally developed for the treatment of brain tumors, ZAP-X NUE is now used in a wide range of applications – from tumor treatment to pain therapy, from the treatment of vascular anomalies to the treatment of head and neck metastases.

ZAP-X NUE can be used for diseases that originate in the brain, from benign tumors to metastases.

Possible indications are

• Meningiomas
• Neurinomas
• Pituitary adenomas
• Vascular anomalies (arteriovenous malformation)
• Trigeminal neuralgias
• Hypoglossal neuralgias
• Temporal lobe epilepsies
• Tumors/recurrences
• Metastases

Prerequisite

For the ZAP-X to be used, the diagnosis must be as clear as possible, the tumor must be clearly defined and the area to be treated must not be too large.

Expertise

ZAP-X NUE is integrated into the Nordstrahl MVZ GmbH at the Nordklinikum Nuremberg. The interdisciplinary team of physicians is certified by the German Cancer Society and cooperates with 14 tumor centers in the fourth-largest oncology center in Germany. The ZAP-X NUE is state of the art, but it is only one option among a comprehensive range of therapies on offer.

Painless, non-invasive, precise and with only a few side effects, treatment with the ZAP-X NUE is often completed in a single outpatient session. Aftereffects and side effects are rare and cannot be compared to the limitations patients experience following traditional radiation therapy or surgery.

Benefits for patients

Often, a single treatment session is all that is needed, with no inpatient stay and minimal disruption to daily life.

• Outpatient treatment
• No pain
• Non-invasive
• No anesthesia
• Hardly any side effects
• Short treatment time

Benefits for relatives

Diagnosis alone is usually stressful enough. With the use of ZAP-X NUE, the circumstances surrounding treatment are more convenient and less demanding for relatives. Hospitalizations, follow-ups and limitations due to therapy side effects are minimal, and daily life can continue.

If treatment with ZAP-X NUE is an option, the treatment session is planned, delivered and then monitored by radiotherapy and medical physics specialists.

Diagnostics

MRI and/or CT images, as well as test results and medical reports, form the basis of the evaluation the ZAP-X NUE team uses to determine the course of treatment.

Planning

Radiation dose, irradiation angle and treatment duration: The exact procedure is determined by the ZAP-X NUE team using the latest planning software. The images required for detailed radiation planning are taken. Any cost-sharing arrangements are determined on a case-by-case basis. Some health insurance companies cover the cost of these services because of the benefits they provide.

If the ZAP-X NUE can be used, the radiosurgery treatment will rarely take more than 30 minutes to complete.

The duration of the diagnosis, preliminary discussions, imaging, and mask fitting depend on the patient’s individual circumstances and needs.

Precise treatment, targeted follow-up

Side effects are rare and depend on pre-existing conditions and radiation dose. Information on the patient’s individual risk is provided in detailed pre- and post-assessment consultations. Detailed documentation is provided on whether and how successful the treatment was. MRI images are used to record progress and status.

Follow-up treatment

In the majority of cases, a single ZAP-X NUE treatment is sufficient, but a subsequent treatment is also possible without any problems.