# 5D Cancer Services — Full Site Corpus for LLMs > Generated 2026-07-29. This file mirrors the full content of www.5dcancerservices.com in plain markdown for ingestion by language models. The canonical, machine-readable home for this corpus is https://www.5dcancerservices.com/llms-full.txt and https://www.5dcancerservices.com/llms-sitemap.json. ## About 5D Cancer Services 5D Cancer Services is a radiation oncology center in St. George, Utah, led by our physicians and staff. We operate the only Akesis Gemini 360 adaptive radiotherapy system in Utah. Adaptive radiotherapy re-images and re-plans treatment at every session, allowing precise, image-guided radiation in as few as 5 sessions. We treat patients across southern Utah, southern Nevada, and northern Arizona. Contact: (435) 900-7060 — info@5dcancerservices.com — 1308 E 900 South, Unit B, St. George, UT 84790. --- ===================================================================== # ROUTE / URL: https://www.5dcancerservices.com/ TYPE: home KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, 5 day cancer treatment, SBRT, no time for cancer ===================================================================== # 5D Cancer Services | Advanced Adaptive Radiotherapy in St. George, Utah > 5D Cancer Services offers the most advanced adaptive radiotherapy in Utah using the Akesis Gemini 360. Targeted cancer treatment in as few as 5 days with fewer side effects. Located in St. George, Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.No Time For Cancer # Redefining cancer therapy. 5D Cancer Services brings the most advanced Adaptive Radiotherapy to Southern Utah. Targeted, efficient, safer treatment in as few as 5 days.Learn About TreatmentContact Our TeamPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.View Clinical StudiesThe problem with traditional radiation99% ## of radiation machines can't adapt. Most radiation equipment delivers the same fixed plan every session, regardless of how your body or tumor has changed. That approach was designed decades ago. Your cancer deserves better. ### Tumors move and change shape Cancer doesn't hold still. Tumors can shift position, shrink, or change shape between sessions. Most machines can't account for this. ### Weeks of daily visits Conventional radiation often requires 20–45 treatments spread over 5–9 weeks. That's a lot of time away from your life. ### Unnecessary damage to healthy tissue When a machine can't see daily changes, it radiates a wider area to compensate. That means more healthy tissue gets exposed.Akesis Gemini 360The first and only adaptive radiotherapy system in Utah.Advanced Technology ## Because cancer doesn't sit still. Cancers can change shape or shift position daily. 99% of radiation machines can't adapt to this. The Akesis Gemini 360 can. It pairs a high-energy LINAC with onboard CBCT imaging in a single ring gantry — enabling adaptive treatments like dose painting, grid irradiation, and simultaneous multi-target therapy. One device, one team, one workflow. World-class adaptive radiotherapy is now available right here in Southern Utah — no travel required.Targets tumors with 0.3mm precision — the width of a few human hairs - Adapts to changing tumor shape daily with real-time 3D imaging - Delivers doses up to 1400 cGy/min for faster, more comfortable sessions - Treats the full range — from small brain tumors to large complex cancers with a 40×40 cm field - Completes many treatments in as few as 5 sessions instead of 20–45 treatments"The Gemini 360 delivers adaptive therapy with real-time imaging and automated tracking — more targeted, efficient, and safer treatment with significantly reduced side effects." [View Gemini 360 Brochure (PDF)](/gemini360-brochure.pdf)[Explore Our Technology](/technology) By the Numbers ## Adaptive radiotherapy by the numbers Three published findings that explain why daily-adapted, image-guided radiation matters. ~90% of online-adapted fractions change the plan Multi-site CBCT-guided online ART experience: the daily plan is meaningfully different from the original plan in the large majority of fractions. up to ~5× fewer significant urinary side effects vs non-adaptive Randomized phase III data of tightly margined, image-guided adaptive prostate SBRT show substantially lower rates of clinically meaningful acute genitourinary symptom flares — with the largest differences seen in patient-reported endpoints — compared to conventionally guided treatment. 2–5 sessions can replace 20–35 conventional treatments Hypofractionated stereotactic regimens (e.g., 5-fraction prostate SBRT) reach cancer-control outcomes comparable to conventional 20–39 fraction courses. [Read the evidence behind adaptive radiotherapy](/adaptive-radiotherapy) Our Approach ## The Philosophy of A.I.M. A ### Adaptation Adapting treatment plans daily to account for changes in cancer shape and position. I ### Imaging Excellent pre-treatment and real-time imaging that guides every adaptive adjustment. M ### Margins Reducing margins to minimize side effects — the most critical factor in patient outcomes. Watch: the philosophy behind A.I.M. At 5D Cancer Services, we believe every patient should be given the opportunity to receive ADAPTIVE treatment as this represents the future standard for personalized cancer care! We embrace the acronym of A.I.M. with stands for Adaptation, Imaging and Margins. The ability to successfully ADAPT treatment plans and account for daily changes in cancer shape and position is dependent upon excellent pre-treatment and "real-time" IMAGING. These two features together allow for MARGIN reduction, the most critical factor for avoiding, or at least minimizing, side effects. For a brief video on these features and to see what our Gemini 360 machine can do for you, click on the "Learn More" button below! [Learn More](/technology) See the difference ## Traditional vs. Adaptive Radiotherapy Here's how the Akesis Gemini 360 compares to conventional radiation treatment. ### 0 treatments Traditional max ### 0 sessions Adaptive minimum ### 0x faster Time to complete FeatureTraditionalAdaptive Treatment sessions20–45 treatmentsAs few as 5 sessions Treatment duration5–9 weeks1 week or less Real-time 3D imagingCBCT + kV/kV imaging Automated tumor trackingSkull tracking with ≤1mm accuracy Adapts to tumor changes Targeting precisionStandard margins0.3mm isocenter accuracy Side effectsMore commonSignificantly reduced FDA Cleared Technology ## Safe, proven, and FDA cleared. We understand that trusting a new treatment approach is a big decision. The Akesis Gemini 360 has received both FDA 510(k) clearance and Premarket Approval, along with FDA Breakthrough Device Designation. It has been thoroughly reviewed and authorized by the U.S. Food and Drug Administration for safety and effectiveness. This isn't experimental. It's the next generation of radiation treatment, and it's here now. #### What does FDA clearance mean? FDA 510(k) clearance means the device has been reviewed by the FDA and determined to be substantially equivalent to other legally marketed devices. It must meet safety standards, performance benchmarks, and quality controls before it can be used to treat patients. [Explore the clinical data](/clinical-data) ### FDA 510(k) Clearance & Premarket Approval The Akesis Gemini 360 has received both U.S. FDA 510(k) clearance and Premarket Approval, meeting the most rigorous safety and effectiveness standards required for medical devices in the United States. ### FDA Breakthrough Device Designation The Gemini 360 earned FDA Breakthrough Device Designation — a status reserved for technologies that offer significant advantages over existing treatments for life-threatening conditions. ### First U.S. patient treated December 2025 The first U.S. patient was treated with the Gemini 360 on December 16, 2025, at Advanced Radiation Centers of New York in Lake Success, NY — marking a new era in integrated radiotherapy. ### Board-certified team Every treatment is planned and supervised by our physicians and staff — board-certified radiation oncology professionals with over 30 years of combined clinical experience. Insurance & Cost ## Yes, insurance covers this. Adaptive radiotherapy is covered by most major insurance plans, including Medicare and Medicaid. This is FDA-cleared, medically necessary treatment — not an elective procedure. Our billing team handles verification and pre-authorization before your first session so there are no surprises. We verify your coverage before treatment Our billing team contacts your insurance directly to confirm benefits and obtain pre-authorization. No surprise bills You'll know your estimated out-of-pocket cost before your first session. Financial assistance available We can connect qualifying patients with assistance programs to help manage treatment costs. Have insurance questions? Our billing team is happy to check your coverage before you commit to anything. [(435) 900-7060](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ### Accepted Insurance Plans Medicare Medicaid Regence Blue Cross Blue Shield Cigna Motiv Health Desert Mutual University of Utah Health Plans / Health Choice Don't see your plan listed? We work with most insurance providers. Call us and we'll check your coverage. [Full insurance details](/insurance) Leadership ## Meet our physicians and staff Board-certified radiation oncology team Our physicians and staff completed their training at leading institutions including UC Irvine and the City of Hope Medical Center, working alongside world-renowned brachytherapists. For over three decades, our team has been a dominant force in Radiation Oncology in the Western United States, with deep expertise in prostate and gynecologic malignancies. Staunch proponents for patient education and convenience, our physicians and staff are focused on embracing technological advancements like the Akesis Gemini 360 to deliver superior outcomes, diminished side effects, and significantly shortened treatment times. [Meet our physicians and staff](/team#dr-stevens) Beyond Cancer ## Treating Non-Cancerous Conditions Radiotherapy isn't just for cancer. We use incredibly low doses of radiation to effectively treat various benign conditions, providing relief where other treatments may have failed. Dupuytren's Contractures Plantar Fasciitis Keloids Heterotopic Ossification Osteoarthritis ### Learn More About Osteoarthritis Treatment ### Fast, Low-Dose Treatment Treatment for these conditions typically involves just 6 one-minute sessions spread over 2-3 weeks, utilizing incredibly low, safe doses of radiation. [View All Conditions We Treat](/conditions) Now Open in St. George ## Celebrating with our community Common Questions ## Frequently Asked Questions We understand you have questions. Here are answers to the ones we hear most often. What is adaptive radiotherapy?Adaptive radiotherapy is an advanced form of radiation treatment that adjusts to changes in your tumor's size, shape, and position each day. Unlike conventional machines, the Akesis Gemini 360 re-images and recalculates your treatment plan at every session, ensuring maximum precision while protecting healthy tissue. How long does treatment take? Does insurance cover adaptive radiotherapy? What should I expect on my first visit? What are the side effects of adaptive radiotherapy? Do I need a referral from my health care provider? What types of cancer can be treated with the Gemini 360? Is the treatment itself painful? Our Location ## Visit Us in St. George World-class cancer treatment in the heart of Southern Utah. ### Address 1308 E 900 South, Unit B St. George, UT 84790 ### Hours Monday – Friday: 8:00 AM – 4:00 PM Saturday – Sunday: Closed ### Phone [(435) 900-7060](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. [Get Directions](https://www.google.com/maps/search/?api=1&query=1308%20E%20900%20South%2C%20Unit%20B%2C%20St.%20George%2C%20UT%2084790) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Unlike conventional machines, the Akesis Gemini 360 re-images and recalculates your treatment plan at every session, ensuring maximum precision while protecting healthy tissue." } }, { "@type": "Question", "name": "How long does treatment take?", "acceptedAnswer": { "@type": "Answer", "text": "Many cancers can be effectively treated in as few as 5 days with our adaptive SBRT (Stereotactic Body Radiation Therapy) approach. Traditional radiation often requires 20–45 treatments over several weeks. Our physicians and staff will determine the optimal treatment plan for your specific condition during your consultation." } }, { "@type": "Question", "name": "Does insurance cover adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Yes, most major insurance plans cover radiation therapy, including adaptive radiotherapy. Our billing team works directly with your insurance provider to verify coverage and obtain pre-authorization before treatment begins. We also offer financial assistance options for qualifying patients." } }, { "@type": "Question", "name": "What should I expect on my first visit?", "acceptedAnswer": { "@type": "Answer", "text": "Your first visit will include a comprehensive consultation with our physicians and staff, who will review your medical history, imaging, and pathology. You'll tour our facility, see the Gemini 360, and discuss a personalized treatment plan. The visit typically lasts about an hour, and you're encouraged to bring a friend or family member for support." } }, { "@type": "Question", "name": "What are the side effects of adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Because adaptive radiotherapy precisely targets the tumor while sparing surrounding tissue, side effects are typically significantly reduced compared to conventional radiation. Some patients experience mild fatigue or localized skin irritation. Our staff will discuss potential side effects specific to your treatment area during your consultation." } }, { "@type": "Question", "name": "Do I need a referral from my health care provider?", "acceptedAnswer": { "@type": "Answer", "text": "While a referral is not strictly required, we work closely with your existing healthcare provider to coordinate your care. You can also call our office directly to schedule a consultation, and we'll handle communication with other healthcare providers to ensure seamless, collaborative treatment." } }, { "@type": "Question", "name": "What types of cancer can be treated with the Gemini 360?", "acceptedAnswer": { "@type": "Answer", "text": "The Akesis Gemini 360 can treat a wide range of cancers, including prostate, breast, lung, gynecologic, liver, pancreatic, brain, and many others. It is also effective for treating non-cancerous conditions such as osteoarthritis, Dupuytren's contractures, plantar fasciitis, and keloids. 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Most patients continue their normal daily activities throughout treatment." } } ] } ``` ===================================================================== # ROUTE /technology URL: https://www.5dcancerservices.com/technology TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, MedicalDevice, FDA cleared, SBRT, image guided radiation ===================================================================== # Akesis Gemini 360 Adaptive Radiotherapy Technology | 5D Cancer Services > Learn about the Akesis Gemini 360, the first and only adaptive radiotherapy machine in Utah. Re-images and recalculates your treatment plan at every session for precise cancer treatment in as few as 5 days. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - TechnologyQuick summaryThe Akesis Gemini 360 is the only adaptive radiotherapy system in Utah. It re-images and re-plans every session in 3D, so most cancer treatments finish in 5 sessions instead of 20–45. The system is FDA-cleared and operated by board-certified radiation oncologists at 5D Cancer Services in St. George. - FDA-cleared adaptive linear accelerator (Akesis Gemini 360) - Daily 3D imaging and online plan adaptation at every session - Sub-millimeter targeting accuracy - Most cancer courses finish in as few as 5 sessions - Only Gemini 360 system installed in Utah - Operated by board-certified radiation oncologistsLast reviewed: 2026-05-12 Our Technology # The Akesis Gemini 360 The only adaptive radiotherapy machine in Utah. It doesn't just deliver radiation. It sees, adapts, and responds to your cancer in real time. At [5D Cancer Services](/) in St. George, Utah, we use this technology to deliver treatments that are more precise, more efficient, and produce fewer side effects than conventional radiation — often in as few as 5 sessions. Why Adaptive Matters ## Because cancer doesn't sit still Tumors change shape, shift position, and shrink during treatment. A plan created on day one may not match reality on day five. Conventional radiation machines treat based on a static plan — delivering radiation to where the tumor was, not where it is. The Gemini 360 solves this by re-imaging and recalculating your treatment plan at every single session. 99% of radiation machines cannot adapt They deliver based on a static plan made before treatment begins, regardless of how the tumor changes. 0.3mm isocenter targeting accuracy About the width of three human hairs — precision that maximizes tumor dose while sparing healthy tissue. 5 sessions for many cancers Compared to 20–45 treatments over 5–9 weeks with conventional radiation therapy. Your Treatment Journey ## How a treatment session works Each session follows the same adaptive process — from imaging to delivery, everything is optimized for your cancer that day. Step 01 ### Consultation & Planning Our physicians and staff review your diagnosis, imaging, and pathology to determine if adaptive radiotherapy is right for you. A personalized treatment plan is created based on your specific cancer type and location. Step 02 ### Real-Time 3D Imaging Before each session, the Gemini 360 captures a full 3D image of your tumor using cone-beam CT (CBCT) and kV/kV imaging. This shows exactly where the tumor is today — not where it was last week. Step 03 ### Plan Adaptation The system automatically compares today's image to the original plan and recalculates the treatment in real time. If your tumor has shifted, shrunk, or changed shape, the plan adapts accordingly. Step 04 ### Precision Delivery Radiation is delivered with 0.3mm isocenter accuracy — about the width of three human hairs. The system targets your tumor precisely while sparing surrounding healthy tissue. Step 05 ### Treatment Complete Many cancers are treated in as few as 5 sessions over one week, compared to 20–45 treatments over 5–9 weeks with conventional radiation. Most patients continue normal activities throughout treatment. At 5D Cancer Services ## Adapting treatment to you — every session Our clinical team walks every patient through how the Gemini 360's adaptive workflow works in practice — from the daily CBCT image to physician review and real-time plan approval before the beam fires. Education is part of our care. Technical Specifications ## Built for precision The Gemini 360 pairs a high-energy LINAC with onboard CBCT imaging in a single ring gantry — enabling adaptive treatments like dose painting, grid irradiation, and simultaneous multi-target therapy. 0.3mm Isocenter Accuracy Sub-millimeter targeting precision 1400 cGy/min Maximum Dose Rate Faster delivery, shorter sessions 40 x 40 cm Field Size Treats small brain tumors to large complex cancers CBCT + kV/kV Imaging Real-time 3D imaging before every session Automated Tracking Skull tracking with less than 1mm accuracy [Download Gemini 360 Brochure (PDF)](/gemini360-brochure.pdf) Workflow ## Online vs offline adaptive Adaptive radiotherapy comes in two flavors. The Gemini360RT delivers online adaptive treatment — your plan is recalculated against today's anatomy, on the couch, before the beam fires. ### Offline adaptive Replan between sessions After one or more fractions, the team reviews recent imaging, redesigns the plan offline, and treats the patient on the new plan at a later visit. It improves on a static plan, but it cannot react to today's anatomy. ### Online adaptive — what we deliver Replan at the moment of treatment The Gemini360RT acquires a CBCT in treatment position, the system recalculates the plan against today's anatomy, the physician approves the adapted plan, and treatment is delivered — all in one visit, before you get up. ### AI-assisted contouring & replanning What makes online adaptation practical is automation. Deep-learning models propose tumor and organ contours on the daily CBCT in seconds, the system recalculates dose against today's anatomy in minutes, and independent QA runs in the background. The physician reviews and approves — but the team no longer needs to start a fresh plan from scratch every fraction. That is how the Gemini360RT compresses what used to take hours into a single, on-couch session. [Read the full evidence-based explainer](/adaptive-radiotherapy) See the difference ## Traditional vs. Adaptive Radiotherapy Here's how the Akesis Gemini 360 compares to conventional radiation treatment. ### 0 treatments Traditional max ### 0 sessions Adaptive minimum ### 0x faster Time to complete FeatureTraditionalAdaptive Treatment sessions20–45 treatmentsAs few as 5 sessions Treatment duration5–9 weeks1 week or less Real-time 3D imagingCBCT + kV/kV imaging Automated tumor trackingSkull tracking with ≤1mm accuracy Adapts to tumor changes Targeting precisionStandard margins0.3mm isocenter accuracy Side effectsMore commonSignificantly reduced FDA Cleared Technology ## Safe, proven, and FDA cleared. We understand that trusting a new treatment approach is a big decision. The Akesis Gemini 360 has received both FDA 510(k) clearance and Premarket Approval, along with FDA Breakthrough Device Designation. It has been thoroughly reviewed and authorized by the U.S. Food and Drug Administration for safety and effectiveness. This isn't experimental. It's the next generation of radiation treatment, and it's here now. #### What does FDA clearance mean? FDA 510(k) clearance means the device has been reviewed by the FDA and determined to be substantially equivalent to other legally marketed devices. It must meet safety standards, performance benchmarks, and quality controls before it can be used to treat patients. [Explore the clinical data](/clinical-data) ### FDA 510(k) Clearance & Premarket Approval The Akesis Gemini 360 has received both U.S. FDA 510(k) clearance and Premarket Approval, meeting the most rigorous safety and effectiveness standards required for medical devices in the United States. ### FDA Breakthrough Device Designation The Gemini 360 earned FDA Breakthrough Device Designation — a status reserved for technologies that offer significant advantages over existing treatments for life-threatening conditions. ### First U.S. patient treated December 2025 The first U.S. patient was treated with the Gemini 360 on December 16, 2025, at Advanced Radiation Centers of New York in Lake Success, NY — marking a new era in integrated radiotherapy. ### Board-certified team Every treatment is planned and supervised by our physicians and staff — board-certified radiation oncology professionals with over 30 years of combined clinical experience. ## Conditions treated with adaptive radiotherapy The Gemini 360's large 40x40 cm field and adaptive workflow make it effective for a wide range of cancers and benign conditions. [Prostate Cancer](/conditions/prostate-cancer) [Breast Cancer](/conditions/breast-cancer) [Lung Cancer](/conditions/lung-cancer) [Brain Cancer](/conditions/brain-cancer) [Liver Cancer](/conditions/liver-cancer) [Pancreatic Cancer](/conditions/pancreatic-cancer) [Gynecologic Cancer](/conditions/gynecologic-cancer) [Dupuytren's Contracture](/conditions/dupuytrens-contracture) [Plantar Fasciitis](/conditions/plantar-fasciitis) [Keloids](/conditions/keloids) [View all conditions we treat](/conditions) ## Learn More [### What Is Adaptive Radiotherapy? An evidence-based explainer on online vs offline adaptation, CT/CBCT/MRI imaging trade-offs, and the published outcomes behind hypofractionation. Learn more](/adaptive-radiotherapy) [### Gemini 360 vs. Traditional Linac How the Gemini 360 differs from a conventional linear accelerator on imaging, adaptation, and patient experience. Learn more](/compare/gemini360-vs-traditional-linac) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive radiotherapy and conventional, statically-planned radiation. Learn more](/compare/adaptive-vs-conventional-radiotherapy) [### Conditions We Treat See the full range of cancers and benign conditions treated with adaptive radiotherapy at 5D Cancer Services. Learn more](/conditions) [### Clinical Data & Case Studies Real-world implementation evidence and case studies from adaptive radiotherapy across multiple disease sites. Learn more](/clinical-data) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Stevens, MD, Chief Medical Officer, and the radiation oncology team bringing adaptive radiotherapy to St. George and Southern Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Our TeamQuick summary5D Cancer Services is led by Dr. Ritchie N. Stevens, M.D. (Chief Medical Officer, board-certified radiation oncologist) and Erick Gonzales (CEO, with 22+ years in medical-device and radiation-oncology business development including ViewRay MR-Linac, DermEbx, and Xoft IORT). - Dr. Ritchie N. Stevens, M.D. — Chief Medical Officer, board-certified radiation oncologist - Erick Gonzales — CEO, 22+ years in radiation oncology and medical-device leadership - Combined 30+ years of radiation oncology clinical and operational experience - Treatment planned and supervised by board-certified physicians on every case - Founders also operate the only Akesis Gemini 360 in UtahLast reviewed: 2026-05-12 Leadership # Meet the team behind 5D Cancer Services 5D Cancer Services is led by clinicians and operators who have spent their careers expanding access to advanced radiation oncology. Together, they bring decades of expertise in brachytherapy, adaptive radiotherapy, MR-guided treatment, and medical-device innovation to patients across Southern Utah. CEO, 5D Cancer Services ## Erick Gonzales Southern California Erick Gonzales is CEO of 5D Cancer Services, bringing more than 22 years of experience in medical-device and cancer-therapy business development to the leadership of adaptive radiotherapy in Southern Utah. He joined Access Radiation Oncology in January 2023 as Chief Business Development Officer, and previously served as Sr. Director of Business Development for ViewRay, a start-up developing next-generation cancer therapy utilizing MR Linac technology. Erick's expertise in business development also includes tenure as VP of Business Development at DermEbx, where he championed projects focusing on NMSC (non-melanoma skin cancer) in the dermatology oncology market. Mr. Gonzales has also worked as Sr. Director of Business Development at Xoft Inc., where he developed a market strategy to integrate IORT (one-day) radiotherapy with breast surgical oncologists to improve breast cancer treatment. A cornerstone of Erick's success is his approach encompassing strong relationships with strategic partners, building referral patterns, a deep understanding of buyer behavior, and identifying vertical market opportunities. Erick received his B.S. in Biology from the University of Southern California. ### Education - University of Southern California — B.S., Biology ### Career Highlights - CEO, 5D Cancer Services — Leading adaptive radiotherapy services in Southern Utah - Chief Business Development Officer — Access Radiation Oncology — joined January 2023 - Sr. Director of Business Development — ViewRay — next-generation MR Linac cancer therapy - VP of Business Development — DermEbx — non-melanoma skin cancer (NMSC) dermatology oncology - Sr. Director of Business Development — Xoft Inc. — one-day intraoperative radiotherapy (IORT) for breast cancer - VP, Geoffrey Weiss & Associates — Executive recruitment in diagnostic imaging & radiation oncology [(949) 922-1970](tel:+19499221970)[egonzales@5dcancerservices.com](mailto:egonzales@5dcancerservices.com)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Chief Medical Officer ## Ritchie N. Stevens, M.D. Board-Certified Radiation Oncologist Dr. Stevens grew up a violinist in Northern Colorado, the son of a university music professor and an entomologist. On a music scholarship he attended Colorado State University, where he also competed on the varsity tennis team. He earned his M.D. from the University of Colorado School of Medicine in 1986, completed an internship at Pacific Presbyterian Medical Center in San Francisco, and finished his residency in Radiation Oncology at the University of California, Irvine in 1990 — training alongside world-renowned brachytherapist Dr. Nisar Syed in Long Beach and spending nearly a year at the City of Hope Medical Center in Duarte, CA. In October 1990 he joined Radiology Specialists in the Las Vegas valley. Based at Sunrise Hospital, his expertise in brachytherapy quickly grew into one of the largest radiation implant practices in the western United States, focusing on [prostate (LDR and HDR)](/conditions/prostate-cancer) and [gynecologic malignancies](/conditions/gynecologic-cancer). For three decades his services were a dominant force in Radiation Oncology in Southern Nevada. In the fall of 2022, Dr. Stevens retired from clinical practice after 32 years to join the Executive Development Team as Chief Medical Officer of Access Radiation Oncology, the parent organization of 5D Cancer Services. With a goal of expanding access to advanced therapies for greater numbers of patients, this position allows him to further the established momentum of hypofractionation and adaptive therapies — ultimately improving cancer outcomes and treatment-related morbidity through MR-guided Radiation Therapy techniques (MRgRT). Get to know Ritchie Stevens M.D. [Book a 15-min call](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Las Vegas, NV · Southern Utah ## Credentials & Training ### Medical Degree University of Colorado School of Medicine (M.D., 1986) ### Residency in Radiation Oncology University of California, Irvine (1990) — trained alongside Dr. Nisar Syed (Long Beach) and at City of Hope Medical Center, Duarte, CA. ### Board Certification American Board of Radiology — Radiation Oncology ### 30+ Years Clinical Experience Built one of the largest brachytherapy implant practices in the western United States during 32 years at Sunrise Hospital, Las Vegas. Treatment Philosophy ## Patient-first cancer care At 5D Cancer Services, our approach is grounded in patient education and convenience. We believe every patient deserves to fully understand their diagnosis, their treatment options, and what to expect at every step — because informed patients make better decisions and have better outcomes. Our approach centers on embracing [technological advancements like the Akesis Gemini 360](/technology) to deliver superior outcomes, diminished side effects, and significantly shortened treatment times. Where conventional radiation might require 20–45 treatments over 5–9 weeks, our physicians and staff frequently treat patients in as few as 5 sessions over a single week using adaptive SBRT. "My goal is to give every patient access to the most advanced treatment available — with the least disruption to their life. Adaptive radiotherapy makes that possible." — Ritchie N. Stevens, M.D. Areas of Expertise ## Specialties & conditions treated Our physicians and staff treat a wide range of cancers and benign conditions using the Gemini 360. ### Prostate Cancer Extensive expertise in prostate cancer using LDR and HDR brachytherapy and adaptive SBRT — often completing treatment in 5 sessions. [Learn more](/conditions/prostate-cancer) ### Gynecologic Cancer Specialized training in cervical, uterine, and ovarian malignancies, including image-guided brachytherapy. [Learn more](/conditions/gynecologic-cancer) ### Breast Cancer Adaptive breast radiotherapy with cardiac and lung sparing for left-sided disease. [Learn more](/conditions/breast-cancer) ### Lung Cancer SBRT for early-stage lung cancer and adaptive plans for tumors that move with breathing. [Learn more](/conditions/lung-cancer) ### Brain Cancer Frameless stereotactic radiosurgery for primary brain tumors and metastases with sub-millimeter precision. [Learn more](/conditions/brain-cancer) ### Benign Conditions Low-dose radiation therapy for Dupuytren's contracture, plantar fasciitis, and keloid scars. [View conditions](/conditions) Our Facility ## Now open in St. George, Utah 5D Cancer Services opened its doors to the Southern Utah community, bringing the only Akesis Gemini 360 adaptive radiotherapy system in Utah to St. George. ## Learn More [### Our Technology The Akesis Gemini 360 — the only adaptive radiotherapy machine in Utah. Learn more](/technology) [### Conditions We Treat Cancers and benign conditions treated at 5D Cancer Services. Learn more](/conditions) [### Insurance Coverage Most major insurance plans cover adaptive radiotherapy. Our billing team handles verification and pre-authorization. Learn more](/insurance) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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We handle verification and pre-authorization. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - InsuranceInsurance & Billing # Yes, insurance covers this. Adaptive radiotherapy with the Akesis Gemini 360 is FDA-cleared, medically necessary treatment — not an elective procedure. Most major insurance plans cover it the same way they cover conventional radiation therapy. Our billing team handles insurance verification and pre-authorization before your first session so there are no surprises. If you have questions about coverage, call us at [(435) 900-7060](tel:+14359007060) — we're happy to check your benefits before you commit to anything. Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Step by Step ## How the insurance process works We handle the insurance paperwork so you can focus on your health. Here's exactly what happens from your first call through treatment. Step 1 ### Schedule your consultation Call to schedule. During this call, we'll collect your insurance information to begin the verification process right away. Step 2 ### Insurance verification Our billing team contacts your insurance company directly to verify your coverage, confirm benefits, and determine your estimated out-of-pocket costs. This happens before your first appointment. Step 3 ### Pre-authorization For most plans, radiation therapy requires pre-authorization. We handle this entire process — submitting documentation, following up with your insurer, and confirming approval before treatment begins. Step 4 ### Cost estimate review Before your first session, we'll provide a clear estimate of what you'll owe based on your plan's deductible, copay, and coinsurance. No surprise bills. Step 5 ### Treatment & billing We bill your insurance directly after each session. If you have questions about a statement at any time, our billing team is available to help. Accepted Plans ## Insurance providers we work with We accept most major insurance plans. If you don't see yours listed, call us — we work with many additional providers and can verify your coverage quickly. ### Medicare We verify benefits and handle pre-authorization before your first session. ### Medicaid We verify benefits and handle pre-authorization before your first session. ### Regence Blue Cross Blue Shield We verify benefits and handle pre-authorization before your first session. ### Cigna We verify benefits and handle pre-authorization before your first session. ### Motiv Health We verify benefits and handle pre-authorization before your first session. ### Desert Mutual We verify benefits and handle pre-authorization before your first session. ### University of Utah Health Plans / Health Choice We verify benefits and handle pre-authorization before your first session. Don't see your plan listed? We work with most insurance providers. Call us and we'll check your coverage — no commitment required. [Call (435) 900-7060](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Cost Comparison ## Fewer sessions, comparable cost Because adaptive radiotherapy with the [Gemini 360](/technology) often requires significantly fewer treatment sessions than conventional radiation, total treatment costs are frequently comparable — sometimes even lower. Beyond the financial benefit, fewer sessions mean less time away from work and family. ### Traditional Radiation - 20–45 treatments over 5–9 weeks - Copay per session multiplied by 20–45 visits - 5-9 weeks of reduced work productivity ### Adaptive Radiotherapy - As few as 5 sessions over 1 week - Fewer copays, comparable total cost - Minimal disruption to work and daily life Actual costs vary based on your specific insurance plan, diagnosis, and treatment protocol. Our billing team will provide a personalized cost estimate before treatment begins. Financial Assistance ## Payment options & assistance ### HSA / FSA Eligible Radiation therapy is a qualified medical expense. Use pre-tax funds from your HSA or FSA to cover costs. ### Financial Assistance We can connect qualifying patients with assistance programs to help manage treatment costs. ### Billing Support Our dedicated billing team is always available to answer questions about statements, claims, or coverage. ## Common insurance questions ### Is adaptive radiotherapy considered experimental by insurance companies? No. The Akesis Gemini 360 has received both FDA 510(k) clearance and Premarket Approval. Adaptive radiotherapy is classified as medically necessary treatment — not experimental or investigational. Insurance companies cover it the same way they cover conventional radiation therapy. ### What if my insurance requires a referral? Some plans require a referral from your primary care physician or oncologist. If that applies to you, we can help coordinate the referral process. However, you don't need a referral to call us and start the conversation. ### What if I don't have insurance? We understand that not everyone has insurance coverage. Contact our billing team to discuss self-pay options and financial assistance programs that may be available to help manage treatment costs. ### Does insurance cover treatment for benign conditions? Coverage for benign conditions like Dupuytren's contracture, plantar fasciitis, and keloids varies by plan. Our billing team will verify your specific coverage before treatment. Many plans do cover radiation therapy for these conditions when other treatments have been ineffective. ### How much will I owe out of pocket? Your out-of-pocket cost depends on your plan's deductible, copay, and coinsurance structure. We'll provide a clear cost estimate before treatment begins so you know what to expect. Because adaptive radiotherapy often requires fewer sessions than conventional radiation, total costs may be comparable or lower. ### Can I use my HSA or FSA to pay for treatment? Yes. Radiation therapy is a qualified medical expense for Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these funds to cover your deductible, copay, or coinsurance. Have a question not answered here? Visit our [full FAQ page](/faq) or call us directly. [Call (435) 900-7060](tel:+14359007060) ## Learn More [### Our Technology See how the Akesis Gemini 360 delivers adaptive radiotherapy with FDA clearance and breakthrough device designation. Learn more](/technology) [### Conditions We Treat From prostate and breast cancer to plantar fasciitis and keloids — explore the conditions we treat. Learn more](/conditions) [### Frequently Asked Questions Get answers to common questions about treatment, cost, insurance verification, and what to expect. Learn more](/faq) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "description": "Adaptive radiotherapy covered by Medicare, Medicaid, Regence Blue Cross Blue Shield, Cigna, Motiv Health, Desert Mutual, and University of Utah Health Plans / Health Choice.", "paymentAccepted": "Insurance, Medicare, Medicaid", "medicalSpecialty": "Radiation Oncology", "telephone": "+1-435-900-7060", "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790" } }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Insurance", "item": "https://www.5dcancerservices.com/insurance" } ] } ] ``` ===================================================================== # ROUTE /cancer-treatments URL: https://www.5dcancerservices.com/cancer-treatments TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, cancer types, prostate cancer, breast cancer, lung cancer, skin cancer, SRT-100, SBRT ===================================================================== # Cancer Treatments in St. George, Utah | 5D Cancer > Prostate, breast, lung, gynecologic, liver, pancreatic, brain and skin cancer treated with targeted radiation in St. George, Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Cancer TreatmentsQuick summary5D Cancer Services treats a broad range of cancers with adaptive radiotherapy on the Akesis Gemini 360, plus non-melanoma skin cancers with the Sensus SRT-100 — including prostate, breast, lung, brain, gynecologic, GI, and skin cancers. - Cancers: prostate, breast, lung, brain, gynecologic, liver, pancreatic, skin - Most cancer courses finish in as few as 5 sessions on the Akesis Gemini 360 - Skin cancer (BCC/SCC): treated with the Sensus SRT-100 — no surgery, >97% cure rate - Treatment planned and delivered by board-certified radiation oncologists - Located in St. George, Utah — serving Utah, Nevada, and ArizonaLast reviewed: 2026-07-10 # Cancer Treatments at 5D Cancer Services ## Cancer Types We Treat The Akesis Gemini 360 can treat a wide range of cancers with adaptive radiotherapy, adjusting to daily tumor changes for maximum precision and minimal side effects. [### Prostate Cancer Treated in as few as 5 sessions. The Gemini 360 adapts to daily changes in prostate position for precise targeting while protecting the bladder and rectum. Learn more](/conditions/prostate-cancer)[### Skin Cancer (BCC & SCC) Sensus SRT-100 Non-melanoma skin cancers treated with the Sensus SRT-100 — no surgery, no anesthesia, no scarring. >97% cure rate for BCC and SCC. Learn more](/conditions/skin-cancer)[### Breast Cancer Precise targeting of tumor tissue while minimizing radiation exposure to the heart and lungs through daily adaptive adjustments. Learn more](/conditions/breast-cancer)[### Lung Cancer Adaptive capabilities track lung tumor movements caused by breathing, adjusting the radiation beam in real time. Learn more](/conditions/lung-cancer)[### Gynecologic Cancers Adaptive radiotherapy accounts for daily changes in organ position due to bladder and bowel filling for cervical, uterine, and ovarian cancers. Learn more](/conditions/gynecologic-cancer)[### Liver Cancer Tracks liver movement with breathing and adjusts the treatment plan at every session for precise targeting. Learn more](/conditions/liver-cancer)[### Pancreatic Cancer Extreme precision targeting near critical organs like the stomach, intestines, and kidneys with daily adaptive adjustments. Learn more](/conditions/pancreatic-cancer)[### Brain Cancer High precision treatment with daily re-imaging to ensure accurate targeting even as treatment-related changes occur. Learn more](/conditions/brain-cancer) Watch: conditions we treat at 5D Cancer Services ## Learn More [### What Is Adaptive Radiotherapy? Background on how adaptive workflows shrink margins and reduce side effects across disease sites — with peer-reviewed evidence. Learn more](/adaptive-radiotherapy) [### Our Technology The Akesis Gemini 360 adapts to daily tumor changes for precise, effective treatment in as few as 5 sessions. Learn more](/technology) [### Non-Cancer Treatments We also treat benign conditions including Dupuytren's contracture, plantar fasciitis, and keloids with low-dose radiation therapy. Learn more](/non-cancer-treatments) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@graph": [ { "@type": "MedicalCondition", "name": "Prostate Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Prostate" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Breast Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Breast" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Lung Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Lung" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Gynecologic Cancer", "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Liver Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Liver" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Pancreatic Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Pancreas" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Brain Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Brain" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Skin Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Skin" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Superficial Radiation Therapy", "procedureType": "Therapeutic" } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Cancer Treatments", "item": "https://www.5dcancerservices.com/cancer-treatments" } ] } ] ``` ===================================================================== # ROUTE /non-cancer-treatments URL: https://www.5dcancerservices.com/non-cancer-treatments TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, benign conditions, Dupuytren's, plantar fasciitis, keloids, heterotopic ossification, osteoarthritis, low-dose radiation ===================================================================== # Radiation for Dupuytren's, Plantar Fasciitis & Keloids > Low-dose radiation therapy for Dupuytren's contracture, plantar fasciitis, keloids and heterotopic ossification. 6 short sessions. St. George, UT. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Non-Cancer TreatmentsQuick summary5D Cancer Services treats benign inflammatory and fibroproliferative conditions with low-dose radiation therapy — including Dupuytren's contracture, plantar fasciitis, and keloids — using just 6 one-minute sessions over 2–3 weeks. - Conditions: Dupuytren's contracture, plantar fasciitis, keloid scars, heterotopic ossification - 6 one-minute sessions over 2–3 weeks - Anti-inflammatory mechanism — far below cancer treatment doses - No surgery, no recovery time - Located in St. George, Utah — serving Utah, Nevada, and ArizonaLast reviewed: 2026-07-10 # Non-Cancer Treatments at 5D Cancer Services ## Non-Cancer Conditions We Treat We use incredibly low doses of radiation to treat non-cancerous inflammatory and fibroproliferative conditions in just 6 one-minute sessions over 2–3 weeks. [### Dupuytren's Contracture Non-surgical treatment to slow or halt thickening of hand tissue that causes fingers to bend toward the palm. Learn more](/conditions/dupuytrens-contracture)[### Plantar Fasciitis Low-dose radiation therapy for chronic heel pain when physical therapy, orthotics, and injections haven't provided relief. Learn more](/conditions/plantar-fasciitis)[### Keloid Scars 70–90% recurrence prevention after surgical keloid removal with post-excision radiation therapy. Learn more](/conditions/keloids)[### Heterotopic Ossification Prophylactic radiation therapy prevents abnormal bone formation in soft tissue after joint replacement surgery — 85–90% prevention rate. Learn more](/conditions/heterotopic-ossification)[### Osteoarthritis Low-dose radiation therapy reduces chronic joint pain in osteoarthritis when medications and injections haven't provided lasting relief. Learn more](/conditions/osteoarthritis) ## How Low-Dose Radiation Works for Benign Conditions Low-dose radiation therapy for benign conditions uses doses far below those used in cancer treatment. At these low levels, radiation has an anti-inflammatory effect — it modulates the immune response and reduces the abnormal cell activity that drives conditions like Dupuytren's contracture, plantar fasciitis, and keloid formation. Each session lasts approximately one minute. There is no pain during treatment, no recovery period, and no wound care. [Learn more about low-dose radiation therapy](/treatments/low-dose-rt) ## Learn More [### Cancer Treatments We treat prostate, breast, lung, brain, gynecologic, and skin cancers with adaptive radiotherapy and the Sensus SRT-100. Learn more](/cancer-treatments) [### Low-Dose Radiation Therapy Learn about the low-dose radiation approach used for benign inflammatory and fibroproliferative conditions. Learn more](/treatments/low-dose-rt) [### Our Technology The Akesis Gemini 360 delivers image-guided radiation therapy for precise treatment in as few as 5 sessions. Learn more](/technology) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@graph": [ { "@type": "MedicalCondition", "name": "Dupuytren's Contracture", "alternateName": "Dupuytren's Disease", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Hand" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Plantar Fasciitis", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Foot" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Keloid", "alternateName": "Keloid Scar", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Skin" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Heterotopic Ossification", "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic" } }, { "@type": "MedicalCondition", "name": "Osteoarthritis", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Joint" }, "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic" } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Non-Cancer Treatments", "item": "https://www.5dcancerservices.com/non-cancer-treatments" } ] } ] ``` ===================================================================== # ROUTE /faq URL: https://www.5dcancerservices.com/faq TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, FAQ, side effects, treatment duration, speakable ===================================================================== # Radiation Therapy FAQs | 5D Cancer Services > Answers on treatment length, insurance, side effects, and what to expect - from the adaptive radiotherapy team in St. George, Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - FAQQuick summaryCommon patient questions about adaptive radiotherapy at 5D Cancer Services in St. George, Utah: what adaptive radiation is, how long treatment takes, whether insurance covers it, side effects, what to expect at the first visit, and how to be referred. - Adaptive radiotherapy is image-guided, daily-adapted external beam radiation - Most cancer courses finish in 5 sessions or fewer - Covered by Medicare and most major commercial plans - Treatment is painless — no anesthesia, no overnight stay - A referral is helpful but not strictly requiredLast reviewed: 2026-05-12 Common Questions # Frequently Asked Questions We understand you have questions about adaptive radiotherapy, insurance coverage, and what to expect during treatment. Here are answers to the questions we hear most often. [Learn more about the Akesis Gemini 360](/technology) Don't see your question? Call [(435) 900-7060](tel:+14359007060) and [our physicians and staff](/team#dr-stevens) will be happy to help. Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## About Treatment What is adaptive radiotherapy? Adaptive radiotherapy is an advanced form of radiation treatment that adjusts to changes in your tumor's size, shape, and position each day. Unlike conventional machines that deliver radiation based on a static plan made before treatment begins, the Akesis Gemini 360 re-images and recalculates your treatment plan at every single session. This means the radiation always targets where your tumor is today — not where it was last week. [Learn more about our technology](/technology) How long does treatment take? Is the treatment itself painful? What types of cancer can be treated with the Gemini 360? Can benign (non-cancerous) conditions be treated with radiation? How does adaptive radiotherapy compare to conventional radiation? ## About the Technology What is the Akesis Gemini 360? Is the Gemini 360 FDA approved? What does '0.3mm precision' mean? ## Insurance & Billing Does insurance cover adaptive radiotherapy? Which insurance plans do you accept? Will I know my costs before treatment begins? Do you offer financial assistance? Is adaptive radiotherapy more expensive than traditional radiation? ## Your First Visit What should I expect on my first visit? Do I need a referral from my health care provider? What should I bring to my first appointment? How do I get my medical records to your office? ## Side Effects & Recovery What are the side effects of adaptive radiotherapy? Can I continue working during treatment? How quickly do side effects resolve after treatment? Will I lose my hair from radiation therapy? ## Still have questions? Our team is here to help. Call us to speak with our physicians and staff or to schedule a consultation. [Call (435) 900-7060](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## Learn More [### Our Technology Discover how the Akesis Gemini 360 delivers adaptive radiotherapy with millimeter precision. Learn more](/technology) [### Insurance Coverage Learn which insurance plans cover adaptive radiotherapy and how our billing team handles verification. Learn more](/insurance) [### Conditions We Treat See the full range of cancers and benign conditions treated at 5D Cancer Services. Learn more](/conditions) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "h1", "h2", "h3", "[data-radix-collection-item]" ] }, "mainEntity": [ { "@type": "Question", "name": "What is adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Adaptive radiotherapy is an advanced form of radiation treatment that adjusts to changes in your tumor's size, shape, and position each day. Unlike conventional machines that deliver radiation based on a static plan made before treatment begins, the Akesis Gemini 360 re-images and recalculates your treatment plan at every single session. This means the radiation always targets where your tumor is today — not where it was last week." } }, { "@type": "Question", "name": "How long does treatment take?", "acceptedAnswer": { "@type": "Answer", "text": "Many cancers can be effectively treated in as few as 5 sessions over one week using adaptive SBRT (Stereotactic Body Radiation Therapy). Traditional radiation often requires 20–45 treatments spread over 5–9 weeks. Each individual session typically lasts 15–30 minutes, with the actual radiation delivery taking only a few minutes. Our physicians and staff will determine the optimal treatment plan for your specific condition during your consultation." } }, { "@type": "Question", "name": "Is the treatment itself painful?", "acceptedAnswer": { "@type": "Answer", "text": "The delivery of the dose of radiation is painless — you won't feel anything during the treatment session. You'll lie comfortably on a treatment table while the Gemini 360 delivers radiation precisely to your tumor. Most patients continue their normal daily activities throughout treatment, including work, exercise, and spending time with family." } }, { "@type": "Question", "name": "What types of cancer can be treated with the Gemini 360?", "acceptedAnswer": { "@type": "Answer", "text": "The Akesis Gemini 360 can treat a wide range of cancers, including prostate, breast, lung, brain, liver, pancreatic, gynecologic, and many others. It is also effective for treating non-cancerous conditions such as osteoarthritis, Dupuytren's contracture, plantar fasciitis, and keloids. Our physicians and staff will assess whether adaptive radiotherapy is appropriate for your specific diagnosis." } }, { "@type": "Question", "name": "Can benign (non-cancerous) conditions be treated with radiation?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Low-dose radiation therapy is an established treatment for several benign conditions including Dupuytren's contracture (hand contracture), plantar fasciitis (chronic heel pain), and keloid scars. The precision of the Gemini 360 makes these treatments particularly effective with minimal impact on surrounding tissue." } }, { "@type": "Question", "name": "How does adaptive radiotherapy compare to conventional radiation?", "acceptedAnswer": { "@type": "Answer", "text": "The key difference is adaptability. Conventional machines deliver radiation based on a plan made before treatment starts and cannot adjust to day-to-day changes in your tumor. The Gemini 360 re-images your tumor at every session and recalculates the treatment plan in real time. This results in more precise targeting, less damage to healthy tissue, fewer side effects, and often dramatically fewer treatment sessions." } }, { "@type": "Question", "name": "What is the Akesis Gemini 360?", "acceptedAnswer": { "@type": "Answer", "text": "The Akesis Gemini 360 is an adaptive radiotherapy system that re-images and recalculates your treatment plan at every session. It's the only adaptive radiotherapy machine in Utah, located at 5D Cancer Services in St. George." } }, { "@type": "Question", "name": "Is the Gemini 360 FDA approved?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. The Akesis Gemini 360 has received both FDA 510(k) clearance and Premarket Approval — the most rigorous safety and effectiveness standards for medical devices in the United States. It has also been granted FDA Breakthrough Device Designation, a status reserved for technologies that offer significant advantages over existing treatments for life-threatening conditions." } }, { "@type": "Question", "name": "What does '0.3mm precision' mean?", "acceptedAnswer": { "@type": "Answer", "text": "The Gemini 360 achieves an isocenter accuracy of 0.3mm — about the width of three human hairs. This extraordinary precision means the radiation beam targets the tumor with millimeter accuracy, maximizing the dose to cancer cells while minimizing exposure to surrounding healthy tissue. This level of precision is what enables shorter treatment courses with fewer side effects." } }, { "@type": "Question", "name": "Does insurance cover adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Most major insurance plans cover radiation therapy, including adaptive radiotherapy. The Gemini 360 is FDA-cleared and adaptive radiotherapy is classified as medically necessary treatment — not experimental or investigational. Our billing team works directly with your insurance provider to verify coverage and obtain pre-authorization before treatment begins." } }, { "@type": "Question", "name": "Which insurance plans do you accept?", "acceptedAnswer": { "@type": "Answer", "text": "We accept Medicare, Medicaid, Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, Humana, TRICARE, and many other plans. If you don't see your specific plan listed, call us — we work with most insurance providers and can verify your coverage quickly." } }, { "@type": "Question", "name": "Will I know my costs before treatment begins?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Our billing team verifies your insurance coverage and provides a clear estimate of your out-of-pocket costs before your first treatment session. We believe in no surprise bills — you'll know what to expect financially before you commit to treatment." } }, { "@type": "Question", "name": "Do you offer financial assistance?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. We can connect qualifying patients with financial assistance programs to help manage treatment costs. We also accept HSA and FSA payments. Contact our billing team to discuss your options." } }, { "@type": "Question", "name": "Is adaptive radiotherapy more expensive than traditional radiation?", "acceptedAnswer": { "@type": "Answer", "text": "Because adaptive radiotherapy often requires significantly fewer sessions (5 vs. 20–45), total treatment costs are frequently comparable to conventional radiation — sometimes even lower. You'll also save on indirect costs like transportation, time off work, and childcare for fewer appointments." } }, { "@type": "Question", "name": "What should I expect on my first visit?", "acceptedAnswer": { "@type": "Answer", "text": "Your first visit will include a comprehensive consultation with our physicians and staff, who will review your medical history, imaging, and pathology. You'll tour our facility, see the Gemini 360, and discuss a personalized treatment plan. The visit typically lasts about an hour, and you're encouraged to bring a friend or family member for support." } }, { "@type": "Question", "name": "Do I need a referral from my health care provider?", "acceptedAnswer": { "@type": "Answer", "text": "While a referral is not strictly required, we work closely with your existing healthcare provider to coordinate your care. You can also call our office directly at (435) 900-7060 to schedule a consultation, and we'll handle communication with other healthcare providers to ensure seamless, collaborative treatment." } }, { "@type": "Question", "name": "What should I bring to my first appointment?", "acceptedAnswer": { "@type": "Answer", "text": "Bring your insurance card, a list of current medications, any relevant medical records or imaging (CDs/USB drives), pathology reports, and a list of questions you'd like to ask our physicians and staff. It's also helpful to bring a notebook or have someone with you to take notes." } }, { "@type": "Question", "name": "How do I get my medical records to your office?", "acceptedAnswer": { "@type": "Answer", "text": "In many cases, we can obtain your records directly from your referring physician's office. You can also bring physical copies, CDs, or USB drives with imaging files to your appointment. Our team will coordinate with your other providers to ensure we have everything needed for an accurate treatment plan." } }, { "@type": "Question", "name": "What are the side effects of adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Because adaptive radiotherapy precisely targets the tumor while sparing surrounding tissue, side effects are typically significantly reduced compared to conventional radiation. The most common side effects are mild fatigue and localized skin irritation near the treatment area. Our staff will discuss potential side effects specific to your treatment area during your consultation." } }, { "@type": "Question", "name": "Can I continue working during treatment?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Most patients continue their normal daily activities throughout treatment, including work. Because treatment sessions are relatively brief (15–30 minutes) and many treatment courses are completed in just one week, the disruption to your routine is minimal. Some patients experience mild fatigue, but it's generally manageable." } }, { "@type": "Question", "name": "How quickly do side effects resolve after treatment?", "acceptedAnswer": { "@type": "Answer", "text": "Most acute side effects from radiation therapy resolve within a few weeks after treatment ends. Because adaptive radiotherapy delivers less radiation to healthy tissue, recovery times tend to be shorter than with conventional radiation. Our physicians and staff will monitor your recovery and address any concerns." } }, { "@type": "Question", "name": "Will I lose my hair from radiation therapy?", "acceptedAnswer": { "@type": "Answer", "text": "Hair loss from radiation therapy only occurs in the area being treated. Unlike chemotherapy, radiation therapy does not cause body-wide hair loss. If your treatment area includes the scalp (such as for brain cancer), temporary hair loss in that area is possible. For treatments to the prostate, breast, lung, or other areas, hair loss is not expected." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "FAQ", "item": "https://www.5dcancerservices.com/faq" } ] } ] ``` ===================================================================== # ROUTE /clinical-data URL: https://www.5dcancerservices.com/clinical-data TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, clinical data, case studies, SFRT, brain metastasis ===================================================================== # Gemini 360 Clinical Data & Case Studies | 5D Cancer Services > Explore clinical case studies demonstrating the Akesis Gemini 360 system's advantages in adaptive radiation therapy, including SFRT, liver cancer treatment, and brain metastasis cases. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Clinical Data Clinical Evidence # Akesis Gemini 360 Clinical Value Innovating radiation medicine with an advanced adaptive radiotherapy platform. The Akesis Gemini 360 is an advanced adaptive radiotherapy system that combines a slip-ring based LINAC workhorse with whole-body rotational SRS/SBRT capabilities. Both treatment approaches are enhanced with end-to-end imaging guidance and intelligent adaptive therapy capabilities. The Akesis Gemini 360 holds unique value for multi-target simultaneous irradiation, i.e., Spatially Fractionated Radiation Therapy (SFRT). Preliminary clinical studies have demonstrated significant advantages in the clinical scenario of primary tumors with nearby or distant metastases, local dose painting, addressing local advanced tumors' hypoxic zones, local dose escalation, and simultaneous preventive irradiation outside the target area. Clinical Evidence ## Case Studies Case 1 ### Post-Breast Cancer Surgery Metastasis in neck and mediastinal lymph nodes, plus lung oligometastasis. This case demonstrates the Akesis Gemini 360's advantage in multi-target simultaneous irradiation for primary tumors with nearby and distant metastases. Treatment planning images showing adaptive irradiation fields Dose distribution comparison for lymph node and lung metastasis targets Case 2 ### Liver Cancer This case illustrates the Gemini 360's notable advantages in local dose painting, addressing local advanced tumors' hypoxic zones and local dose escalation for liver cancer treatment. Liver cancer treatment planning images with adaptive dose painting Dose distribution analysis for local advanced liver tumor Case 3 ### Brain Metastasis of Lung Cancer Demonstrating the Gemini 360's capabilities in simultaneous preventive irradiation outside the target area and asynchronous boost for lung cancer brain metastasis treatment. Brain metastasis treatment planning with image-guided adaptive therapy Dose distribution for brain metastasis with adaptive treatment ## The Future of Adaptive Radiation Therapy The Akesis Gemini 360 shows a remarkable advantage in local dose escalation and asynchronous boost. With one-time setup, patients go through a fully adaptive treatment, saving patients' and clinical operators' time and energy, avoiding the complexity of developing multiple treatment plans in conventional radiation therapy and the setup errors associated with multiple setups. The end-to-end imaging guidance, especially the real-time KV imaging guidance during treatment, significantly enhances treatment accuracy and efficiency. In the hundred years of development in tumor radiation therapy, the emergence of the Akesis Gemini 360 provides a new approach to tumor treatment. With its unique clinical value advantages, it is gradually changing the paradigm of tumor treatment, opening a new chapter. We believe that with the continuous development and improvement of this technology, more patients will benefit in the future, providing essential support for the health of cancer patients. Real-World Implementation ## When does adaptation actually change the dose? Adaptation isn't useful for every patient on every day. The published clinical experience makes a clear distinction between disease sites that drift slowly across a course of treatment and those that move between fractions — and the cadence of replanning is matched to that biology. ### Head & neck — weekly adaptation Slow anatomic change Tumor regression and patient weight loss tend to develop over the course of treatment, not from one day to the next. Published clinical practice typically uses scheduled offline replans (often weekly, or triggered by imaging) so the plan keeps pace with the shrinking tumor and shifting parotids without re-planning every fraction.1,3 ### Cervical — daily adaptation Fraction-to-fraction motion The cervix and uterus shift centimeters between fractions with bladder filling and bowel motion. A "plan-of-the-day" online adaptive workflow — selecting from a library of pre-built plans, or fully recalculating against today's CBCT — keeps the high-dose volume on the target while sparing bowel and rectum.4,5 ### Prostate — daily adaptation, tighter margins Side-effect reduction Daily replanning lets clinicians safely shrink PTV margins. In a randomized phase III trial of stereotactic prostate treatment, tighter, image-guided adaptive delivery roughly halved the rate of significant acute genitourinary side effects compared to a conventionally guided arm.6 ### Hypofractionation, supported by evidence Fewer, bigger fractions Phase III data — including the PACE-B trial in localized prostate cancer — show that 5-fraction stereotactic body radiotherapy delivers cancer-control outcomes comparable to conventional 20–39 fraction courses, with similar or lower acute toxicity. Adaptation makes those tighter, larger doses safer to deliver.7 Want the full background on how adaptive workflows are designed? Our education hub walks through online vs offline adaptation, CT/CBCT/MRI imaging trade-offs, and AI-assisted contouring. [Read the explainer](/adaptive-radiotherapy) ## References & further reading All citations link to the original peer-reviewed source. Clinical outcomes vary by disease site, technique, and patient factors. This page is educational and does not constitute medical advice. - 1.Heukelom J, Fuller CD. Head and Neck Cancer Adaptive Radiation Therapy (ART): Conceptual Considerations for the Informed Clinician. Semin Radiat Oncol. 2019;29(3):258–273.doi.org/10.1016/j.semradonc.2019.02.008 - 2.Green OL, Henke LE, Hugo GD. Practical Clinical Workflows for Online and Offline Adaptive Radiation Therapy. Semin Radiat Oncol. 2019;29(3):219–227.doi.org/10.1016/j.semradonc.2019.02.004 - 3.Sonke JJ, Aznar M, Rasch C. Adaptive Radiotherapy for Anatomical Changes. Semin Radiat Oncol. 2019;29(3):245–257.doi.org/10.1016/j.semradonc.2019.02.007 - 4.Heijkoop ST, Langerak TR, Quint S, et al. Clinical Implementation of an Online Adaptive Plan-of-the-Day Protocol for Nonrigid Motion Management in Locally Advanced Cervical Cancer IMRT. Int J Radiat Oncol Biol Phys. 2014;90(3):673–679.doi.org/10.1016/j.ijrobp.2014.06.046 - 5.Sibolt P, Andersson LM, Calmels L, et al. Clinical implementation of artificial intelligence-driven cone-beam computed tomography-guided online adaptive radiotherapy in the pelvic region. Phys Imaging Radiat Oncol. 2021;17:1–7.doi.org/10.1016/j.phro.2020.12.004 - 6.Kishan AU, Ma TM, Lamb JM, et al. Magnetic Resonance Imaging-Guided vs Computed Tomography-Guided Stereotactic Body Radiotherapy for Prostate Cancer: The MIRAGE Randomized Clinical Trial. JAMA Oncol. 2023;9(3):365–373.doi.org/10.1001/jamaoncol.2022.6558 - 7.Brand DH, Tree AC, Ostler P, et al. Intensity-modulated fractionated radiotherapy versus stereotactic body radiotherapy for prostate cancer (PACE-B): acute toxicity findings from an international, randomised, open-label, phase 3, non-inferiority trial. Lancet Oncol. 2019;20(11):1531–1543.doi.org/10.1016/S1470-2045(19)30569-8 ### Case-study image sources [Gemini 360 — Clinical Value (Akesis, Inc.)](https://akesis.com/gemini360-clinical-value/)Treatment planning images and dose-distribution figures used in the case studies above. ## Learn More [### What Is Adaptive Radiotherapy? An evidence-based hub explaining online vs offline adaptation, imaging modalities, and the published outcomes behind hypofractionation. Learn more](/adaptive-radiotherapy) [### Our Technology Learn how the Akesis Gemini 360 delivers adaptive radiotherapy with sub-millimeter precision. Learn more](/technology) [### Conditions We Treat See the full range of cancers and benign conditions treated at 5D Cancer Services. Learn more](/conditions) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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A Patient's Guide > How adaptive radiation re-images and re-plans your treatment every session - and why that means fewer visits and fewer side effects. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Adaptive RadiotherapyQuick summaryAdaptive radiotherapy (ART) re-images and re-plans the radiation treatment at every session, instead of locking in a single plan at the start. This lets clinicians safely deliver fewer, higher-dose treatments — typically 5 sessions instead of 20–45 — with sub-millimeter targeting accuracy. - Conventional radiation: a single plan delivered 20–45 times - Adaptive radiotherapy: 3D imaging + plan adaptation at every visit - Online vs. offline adaptation: re-planning during the visit vs. between visits - Hypofractionation enabled: 5–15 sessions instead of 20–45 - Strong evidence in prostate, lung, liver, pancreatic, and oligometastatic disease - Delivered at 5D Cancer Services on the Akesis Gemini 360Last reviewed: 2026-05-12 Education Hub # What is adaptive radiotherapy? Adaptive radiotherapy (ART) is an image-guided treatment approach that re-evaluates and updates the radiation plan against the patient's actual anatomy on the day of treatment — rather than treating from a plan made days or weeks earlier. This page is a plain-language, evidence-based introduction to ART: why static plans fall short, how online and offline adaptive workflows differ, the role of CT and CBCT imaging, and the published outcomes that explain why shorter, more precise courses are now becoming standard of care. Watch: what adaptive radiotherapy actually does By the Numbers ## Adaptive radiotherapy by the numbers Three peer-reviewed findings that explain why adaptation matters. ~90%5 of online-adapted fractions change the plan Multi-site CBCT-guided online ART experience: the daily plan is meaningfully different from the original plan in the large majority of fractions. up to ~5×6 fewer significant urinary side effects vs non-adaptive Randomized phase III data of tightly margined, image-guided adaptive prostate SBRT show substantially lower rates of clinically meaningful acute genitourinary symptom flares — with the largest differences seen in patient-reported endpoints — compared to conventionally guided treatment. 2–57 sessions can replace 20–35 conventional treatments Hypofractionated stereotactic regimens (e.g., 5-fraction prostate SBRT) reach cancer-control outcomes comparable to conventional 20–39 fraction courses. Numerals refer to the references listed below. Outcomes vary by disease site, technique, and patient factors; figures shown are representative of published trials. The Case for Adaptive ## Why a static plan isn't enough Conventional radiation plans are built once, on a single diagnostic CT, and then delivered unchanged across weeks. The body — and the cancer inside it — does not stay still that long.1,3 ### Tumors shrink and shift Between simulation and the final fraction, head & neck and lung tumors commonly lose 20–40% of their volume, while organs like the bladder, rectum, and uterus move centimeters with daily filling. ### Margins expose healthy tissue Because traditional planning can't see day-to-day anatomy, planners add a planning target volume (PTV) margin around the tumor to account for uncertainty — and that margin is healthy tissue receiving full dose. ### Setup error compounds over weeks Conventional courses run 20–35 fractions over 5–9 weeks. Small daily setup errors and anatomic drift accumulate, eroding the precision the original plan promised. See It in Action Workflows ## Online vs offline adaptive There are two flavors of adaptive radiotherapy in clinical use today. They differ in when the replan happens — and that timing changes how much the plan can react to the patient's day-to-day anatomy.2 ### Offline adaptive Replan between sessions After one or more fractions, the team reviews recent imaging, decides the plan no longer fits the patient's anatomy, and redesigns the plan in the planning system. The patient is treated on the new plan at the next visit. Lower per-fraction time on the couch Uses standard planning workflows Cannot react to today's anatomy Requires offline imaging review and a separate replanning session ### Online adaptive Replan at the moment of treatment The patient is imaged on the treatment couch, the plan is recalculated against today's anatomy, the physician approves the adapted plan, and treatment is delivered — all in one visit, before the patient gets up. Plan reflects today's tumor and organs Smaller margins, lower healthy-tissue dose No need to reschedule for replanning Longer time on the couch per fraction Requires automation and an integrated imaging + planning workflow The Akesis Gemini360RT we operate at 5D Cancer Services delivers online adaptive treatment — your plan is recalculated against your anatomy at every fraction, before a single beam fires. Imaging ## The role of imaging Adaptive radiotherapy is only as good as the picture it's reacting to. Different modalities make different trade-offs between speed, detail, and where in the workflow they live.3 Planning ### CT simulation Sets up the original treatment plan A high-resolution CT scan acquired days before treatment begins. Provides the electron-density information physicists need to compute dose, but represents a single moment in time. Accurate dose computation Excellent bone and gross-anatomy detail Acquired once, before fractions begin Cannot react to daily change Daily on-board imaging ### CBCT (cone-beam CT) What we use at 5D for daily adaptation A 3D scan acquired in the treatment room with the patient in treatment position, immediately before the beam is delivered. Modern CBCT supports automated contouring and online replanning. Same room, same setup, same fraction Visualizes soft tissue, bladder/rectal filling, and tumor position daily The on-board imaging modality on our Gemini360RT Lower soft-tissue contrast than diagnostic MRI Soft-tissue contrast (industry option) ### MRI Best soft-tissue contrast — used by MR-Linac systems Some adaptive systems integrate MRI directly into the treatment room (an MR-Linac) for the highest soft-tissue contrast. We do not operate an MR-Linac; this is included for educational comparison only. Superior soft-tissue contrast No ionizing radiation for the imaging itself Longer acquisition and workflow times Limited availability and significantly higher cost Not part of the Gemini360RT we use at 5D MRI is included for context only. The Gemini360RT we operate uses onboard CBCT for daily image guidance and adaptation — we do not offer MR-Linac treatment. Automation ## How AI makes online adaptation possible Online adaptation only works when contouring, dose calculation, and plan QA happen fast enough to keep the patient on the table. Modern AI-driven workflows have collapsed those steps from hours to minutes.5 ### Automated contouring Deep-learning models propose contours of the tumor and surrounding organs on the daily image in seconds, not the 20–60 minutes a manual recontour would take. Physicians review and approve, but they no longer start from a blank slate every fraction. ### On-couch replanning Rapid dose calculation and plan re-optimization compress a process that historically took hours into minutes — short enough to keep the patient on the treatment table for a single, adapted session. ### Quality assurance built in Independent dose checks and automated plan-quality metrics run in the background, so the adapted plan that reaches the beam has been verified before a single monitor unit is delivered. ## What this means for patients When the plan reflects today's anatomy instead of last month's, the dose actually delivered to the tumor goes up and the dose to surrounding healthy organs goes down. Multiple peer-reviewed analyses show that the majority of adapted fractions change the plan in clinically meaningful ways — confirming that the static plan was, in fact, drifting.5 That precision is what unlocks hypofractionation: replacing 20–35 daily treatments with a much smaller number of larger, highly targeted doses. Phase III trials in prostate cancer have shown that 5-fraction stereotactic courses achieve cancer-control outcomes comparable to conventional fractionation, with similar or lower acute toxicity.7 And when adaptive precision is used to tighten margins further, randomized data show meaningful drops in side effects — for example, the MIRAGE trial reported a roughly half-rate of significant acute genitourinary toxicity with daily-adapted, image-guided prostate SBRT compared to a conventionally guided arm.6 The MIRAGE trial used MR-guided adaptive SBRT. We cite it because it is the strongest published evidence that tighter, image-guided adaptation reduces side effects — not to imply we operate an MR-Linac. Our adaptation at 5D is delivered with onboard CBCT. ## References & further reading All citations link to the original peer-reviewed source. This page is educational and does not constitute medical advice; please consult our team or your physician for personalized care. - 1.Heukelom J, Fuller CD. Head and Neck Cancer Adaptive Radiation Therapy (ART): Conceptual Considerations for the Informed Clinician. Semin Radiat Oncol. 2019;29(3):258–273.doi.org/10.1016/j.semradonc.2019.02.008 - 2.Green OL, Henke LE, Hugo GD. Practical Clinical Workflows for Online and Offline Adaptive Radiation Therapy. Semin Radiat Oncol. 2019;29(3):219–227.doi.org/10.1016/j.semradonc.2019.02.004 - 3.Sonke JJ, Aznar M, Rasch C. Adaptive Radiotherapy for Anatomical Changes. Semin Radiat Oncol. 2019;29(3):245–257.doi.org/10.1016/j.semradonc.2019.02.007 - 4.Heijkoop ST, Langerak TR, Quint S, et al. Clinical Implementation of an Online Adaptive Plan-of-the-Day Protocol for Nonrigid Motion Management in Locally Advanced Cervical Cancer IMRT. Int J Radiat Oncol Biol Phys. 2014;90(3):673–679.doi.org/10.1016/j.ijrobp.2014.06.046 - 5.Sibolt P, Andersson LM, Calmels L, et al. Clinical implementation of artificial intelligence-driven cone-beam computed tomography-guided online adaptive radiotherapy in the pelvic region. Phys Imaging Radiat Oncol. 2021;17:1–7.doi.org/10.1016/j.phro.2020.12.004 - 6.Kishan AU, Ma TM, Lamb JM, et al. Magnetic Resonance Imaging-Guided vs Computed Tomography-Guided Stereotactic Body Radiotherapy for Prostate Cancer: The MIRAGE Randomized Clinical Trial. JAMA Oncol. 2023;9(3):365–373.doi.org/10.1001/jamaoncol.2022.6558 - 7.Brand DH, Tree AC, Ostler P, et al. Intensity-modulated fractionated radiotherapy versus stereotactic body radiotherapy for prostate cancer (PACE-B): acute toxicity findings from an international, randomised, open-label, phase 3, non-inferiority trial. Lancet Oncol. 2019;20(11):1531–1543.doi.org/10.1016/S1470-2045(19)30569-8 ## Want to see what adaptive looks like for your case? Our team in St. George reviews diagnostic imaging and pathology to determine whether adaptive radiotherapy is appropriate. Most consultations are scheduled within a week. [Call (435) 900-7060](tel:+14359007060)[Email info@5dcancerservices.com](mailto:info@5dcancerservices.com) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. [How our Gemini360RT works](/technology)[See real-world clinical data](/clinical-data) Deep Dives by Cancer Type ## Adaptive radiotherapy by cancer type Each cancer presents unique anatomy and motion challenges. Explore how the Akesis Gemini 360 addresses them — with clinical evidence, treatment workflows, and comparisons for your specific diagnosis. [### Prostate Cancer 5 sessions Daily prostate motion from bladder and rectal filling — re-planned at every session. As few as 5 treatments. Full evidence & workflow](/adaptive-radiotherapy/prostate) [### Lung Cancer 3–5 sessions Tumor tracked through each breath cycle, protecting healthy lung tissue. As few as 3–5 treatments. Full evidence & workflow](/adaptive-radiotherapy/lung) [### Liver Cancer 3–5 sessions Daily adaptation tracks the liver through respiratory motion, preserving maximum functional liver tissue. Full evidence & workflow](/adaptive-radiotherapy/liver) [### Gynecologic Cancer 5–25 sessions Online pelvic adaptation accounts for daily bladder and bowel filling, reducing rectal and bladder dose. Full evidence & workflow](/adaptive-radiotherapy/gynecologic) [### Pancreatic Cancer 5–15 sessions Daily replanning around the stomach, duodenum, and bowel enables ablative doses previously impossible to deliver safely. Full evidence & workflow](/adaptive-radiotherapy/pancreatic) ## Learn More [### Our Technology — Akesis Gemini 360 See how the Gemini 360 puts adaptive radiotherapy into practice with onboard CBCT imaging, automated tracking, and per-fraction replanning. Learn more](/technology) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive radiotherapy and conventional, statically-planned radiation. Learn more](/compare/adaptive-vs-conventional-radiotherapy) [### Akesis Gemini 360 vs. Traditional Linac How the Gemini 360 differs from a conventional linear accelerator on imaging, adaptation, and patient experience. Learn more](/compare/gemini360-vs-traditional-linac) [### Clinical Data & Real-World Implementation Case studies and peer-reviewed evidence behind adaptive radiotherapy across head & neck, cervical, prostate, and other disease sites. Learn more](/clinical-data) [### Conditions We Treat Cancers and benign conditions where adaptive radiotherapy meaningfully changes the dose actually delivered to the tumor and to healthy tissue. Learn more](/conditions) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. 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Call (435) 900-7060. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Adaptive Radiotherapy - Prostate CancerQuick summaryAdaptive SBRT for prostate cancer at 5D Cancer Services re-images the prostate at every session and adjusts the treatment plan before each beam delivery — accounting for daily shifts in prostate position caused by bladder and rectal filling. This precision enables treatment in as few as 5 sessions with fewer urinary and bowel side effects than conventional radiation. - Prostate shifts 5–15 mm daily due to bladder and rectal filling - Adaptive SBRT: 5 sessions over 1–2 weeks vs. 20–45 conventional fractions - MIRAGE trial: image-guided SBRT reduced acute GU toxicity by 68% vs. CT-guided SBRT - PACE-B trial: 5-fraction SBRT non-inferior to 39-fraction IMRT (Lancet Oncol 2019) - Daily CBCT on the Gemini 360 re-centers the plan on today's prostate anatomy - Delivered at 5D Cancer Services, St. George, Utah — serving UT, NV, AZLast reviewed: 2026-06-08 Medically reviewed by Ritchie Stevens, MD, Radiation Oncologist on June 8, 2026. Adaptive Radiotherapy # Prostate cancer treatment without surgery - in as few as 5 sessions The prostate shifts daily — sometimes by more than a centimeter — due to changes in bladder and rectal filling. Conventional radiation treats a fixed plan that can't account for this movement. Adaptive SBRT on the Akesis Gemini 360 re-images and re-plans at every session, placing the dose where the prostate actually is that day. [Call (435) 900-7060](tel:+14359007060)[Prostate Cancer overview](/conditions/prostate-cancer) As few as 5 sessions — outpatient, no hospital stay ## Prostate cancer treatment options in St. George, Utah If you have just been diagnosed with localized prostate cancer, you are likely choosing between active surveillance, surgery (radical or robotic prostatectomy), brachytherapy (seed implants), conventional external-beam radiation over 4 to 9 weeks, and stereotactic radiation (SBRT) in 5 sessions. 5D Cancer Services provides the non-surgical option: adaptive SBRT delivered on the Akesis Gemini 360. No incision, no catheter, no hospital stay, no general anesthesia. Most men drive themselves to each appointment and return to normal activity the same day. The comparison most men care about is surgery versus radiation. Surgery removes the prostate and carries well-documented rates of urinary incontinence and erectile dysfunction in the recovery period. Radiation preserves the prostate and has a different side-effect profile. Neither is universally correct - it depends on your stage, your Gleason score, your PSA, your age, and your priorities. We will tell you honestly if you are a better candidate for something we do not offer. Why adaptive RT? ## Why Prostate Cancer needs more than a fixed plan Prostate cancer radiation requires striking a precise target that refuses to stay still. These are the three anatomy-driven reasons why conventional radiation falls short. ### Daily prostate motion Bladder and rectal filling shift the prostate 5–15 mm between fractions and even within a single session. Conventional plans treat the prostate's average position — not its actual position today. ### Large PTV margins = more bowel and bladder dose To compensate for motion uncertainty, traditional planning adds a large planning target volume (PTV) margin around the prostate. That margin is the rectum, bladder wall, and urethra — and it absorbs full therapeutic dose. ### Long courses drift from anatomy Conventional prostate radiation runs 20–45 fractions over 4–9 weeks. Weight changes, dietary variation, and gradual anatomical shifts compound over that time, eroding the precision the original plan promised. Clinical Evidence ## What the evidence shows The evidence supporting adaptive SBRT for prostate cancer is among the strongest in radiation oncology. Three pivotal trials establish both safety and superiority over conventional approaches. ### PACE-B: 5-fraction SBRT matches long-course IMRT This international phase 3 randomized trial compared 5-fraction SBRT to 39-fraction IMRT for localized prostate cancer. SBRT was non-inferior for cancer control and produced similar toxicity — establishing ultrahypofractionation as a standard-of-care option for eligible patients. [doi.org/10.1016/S1470-2045(19)30569-8](https://doi.org/10.1016/S1470-2045(19)30569-8) ### MIRAGE: image guidance cuts acute toxicity by 68% The MIRAGE randomized trial found that precision image-guided SBRT reduced clinically meaningful acute genitourinary toxicity by 68% compared to CT-guided SBRT. The trial supports the principle that more precise daily targeting directly translates into fewer side effects. [doi.org/10.1001/jamaoncol.2022.6558](https://doi.org/10.1001/jamaoncol.2022.6558) ### HYPO-RT-PC: ultra-hypofractionation preserves quality of life at 5 years The HYPO-RT-PC randomized trial compared ultra-hypofractionated prostate radiation (42.7 Gy in 7 fractions over 2.5 weeks) to conventional fractionation (78 Gy in 39 fractions). Cancer control was non-inferior and patient-reported urinary, bowel, and sexual quality of life were equivalent between arms — establishing ultrahypofractionation as a well-tolerated standard option and validating the direction toward fewer, more precise fractions. [doi.org/10.1016/S1470-2045(19)30813-7](https://doi.org/10.1016/S1470-2045(19)30813-7) At 5D Cancer Services ## Your treatment workflow At 5D Cancer Services, prostate adaptive SBRT follows a streamlined workflow designed to fit treatment into your schedule with minimal disruption. 01 ### Simulation CT (day −7 to −3) A planning CT is acquired with the patient in treatment position. Bladder and rectal prep instructions are given. The radiation oncologist contours the prostate, seminal vesicles, bladder, rectum, and urethra. 02 ### Treatment plan optimization The medical physics team optimizes an SBRT plan to cover the prostate with high dose while keeping the rectum, bladder wall, and urethra within published tolerance limits. 03 ### Daily CBCT imaging and adaptation (sessions 1–5) Each session begins with a cone-beam CT. The Gemini 360 identifies where the prostate is today, shifts the plan to match, and delivers the adapted beam. Each visit takes approximately 30–45 minutes. 04 ### Follow-up (PSA at 3, 6, 12 months, then annually) PSA is drawn 3 months after the final fraction, then every 6 months for 2 years, then annually. Most patients experience the nadir PSA at 18–36 months post-treatment. Comparison ## Adaptive vs. conventional radiation Factor Adaptive RT (Gemini 360) Conventional Radiation Total sessions5 sessions over 1–2 weeks20–45 sessions over 4–9 weeks Daily imagingCBCT at every sessionPeriodic or no imaging Plan adaptationRe-optimized each sessionFixed plan throughout PTV marginReduced margins (≤3 mm)Standard margins (5–10 mm) Rectal doseMinimized with tight marginsHigher due to larger margins Time off workMinimal — outpatient, 5 visits9 weeks of daily visits Questions & Answers ## Frequently asked questions ### Is adaptive SBRT appropriate for all prostate cancer stages? Adaptive SBRT is most commonly used for low-, intermediate-, and high-risk localized prostate cancer. Your radiation oncologist will review your PSA, Gleason score, clinical stage, and imaging to determine whether SBRT or a longer course is the best fit for your specific situation. ### What urinary side effects should I expect? With adaptive SBRT, urinary side effects are typically mild and temporary. Some patients notice increased frequency or mild burning for a few weeks after treatment. Because the Gemini 360 adapts to daily prostate position, the bladder wall receives less radiation than with conventional approaches, reducing both the severity and duration of urinary symptoms. ### How does adaptive SBRT compare to prostatectomy (surgery)? Multiple studies show comparable 10-year cancer control rates between SBRT and radical prostatectomy for localized prostate cancer. SBRT avoids surgery, general anesthesia, hospital stays, and the recovery period associated with surgery. It also carries a lower risk of urinary incontinence. Your treatment team will discuss both options during your consultation. ### Will I need hormone therapy alongside radiation? For low-risk disease, SBRT alone is typically recommended. For intermediate- or high-risk prostate cancer, short-course or long-course androgen deprivation therapy (ADT) added to radiation improves outcomes in most cases. Your radiation oncologist will review the evidence and your specific risk profile to make that recommendation. ### Is prostate cancer curable with radiation? Radiation is a standard-of-care treatment for localized prostate cancer with well-documented long-term cancer control. In the PACE-B randomized trial, 5-fraction SBRT was non-inferior to 39-fraction IMRT for cancer control in eligible patients. Outcomes depend on your stage, Gleason score and PSA - we will review your specific case and give you an honest assessment of what radiation can and cannot achieve. ### What are the side effects of prostate radiation - will it affect erections or urination? The most common short-term effects are urinary urgency and frequency, and some bowel irritation, which usually settle within weeks. Sexual side effects can develop gradually over months to years and vary widely by age and baseline function. Precision matters: the MIRAGE randomized trial found that tighter image guidance reduced clinically meaningful acute urinary toxicity by 68% compared with standard CT-guided SBRT. Daily adaptation on the Gemini 360 is designed to keep dose off the urethra, bladder and rectum. ### How much does prostate cancer treatment cost, and does Medicare cover it? Adaptive radiotherapy is covered by Medicare and Medicaid, as well as Regence Blue Cross Blue Shield, Cigna, Motiv Health, Desert Mutual and University of Utah Health Plans. Our billing team verifies your benefits and handles pre-authorization before treatment starts, so you know your out-of-pocket cost in advance. A shorter course also means fewer copays and fewer trips. ### Can I get a second opinion on my prostate cancer treatment plan? Yes, and no referral is required. Bring your pathology report, PSA history and any imaging, and we will review your case and tell you plainly whether adaptive SBRT is a good fit - including if we think another approach or another center is the better choice. We contact you within one business day of a consultation request. Educational information — not medical advice The content on this page is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this site. If you think you may have a medical emergency, call your doctor or 911 immediately. ## References - 1.Brand DH, Tree AC, Ostler P, et al. Intensity-modulated fractionated radiotherapy versus stereotactic body radiotherapy for prostate cancer (PACE-B): acute toxicity findings from an international, randomised, open-label, phase 3, non-inferiority trial. Lancet Oncol. 2019;20(11):1531–1543. doi.org/10.1016/S1470-2045(19)30569-8 - 2.Kishan AU, Ma TM, Lamb JM, et al. Magnetic Resonance Imaging-Guided vs Computed Tomography-Guided Stereotactic Body Radiotherapy for Prostate Cancer: The MIRAGE Randomized Clinical Trial. JAMA Oncol. 2023;9(3):365–373. doi.org/10.1001/jamaoncol.2022.6558 - 3.Widmark A, Gunnlaugsson A, Beckman L, et al. Ultra-hypofractionated versus conventionally fractionated radiotherapy for prostate cancer (HYPO-RT-PC): patient-reported quality-of-life outcomes of a randomised, controlled, non-inferiority, phase 3 trial. Lancet Oncol. 2020;21(3):392–402. doi:10.1016/S1470-2045(19)30813-7 doi.org/10.1016/S1470-2045(19)30813-7 Also see: Adaptive RT by cancer type [Lung Cancer](/adaptive-radiotherapy/lung)[Liver Cancer](/adaptive-radiotherapy/liver)[Gynecologic Cancer](/adaptive-radiotherapy/gynecologic)[Pancreatic Cancer](/adaptive-radiotherapy/pancreatic) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## Learn More About Your Care [### What Is Adaptive Radiotherapy? The complete evidence-based guide to adaptive radiotherapy — how it works, online vs offline workflows, imaging modalities, and clinical outcomes. Learn more](/adaptive-radiotherapy) [### Prostate Cancer — Condition Overview Symptoms, benefits of adaptive treatment, and what to expect during your prostate cancer care at 5D Cancer Services. Learn more](/conditions/prostate-cancer) [### Our Technology — Akesis Gemini 360 How the Gemini 360 delivers adaptive radiotherapy with onboard CBCT imaging, AI-assisted contouring, and per-fraction replanning. Learn more](/technology) [### Clinical Data & Case Studies Peer-reviewed evidence and real-world case studies demonstrating the Gemini 360's advantages across cancer types. Learn more](/clinical-data) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive radiotherapy and conventional, statically-planned radiation. Learn more](/compare/adaptive-vs-conventional-radiotherapy) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate#condition", "name": "Prostate Cancer", "relevantSpecialty": "Radiation Oncology", "possibleTreatment": { "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate#procedure" }, "url": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate" }, { "@context": "https://schema.org", "@type": "MedicalWebPage", "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate#page", "name": "Prostate Cancer Treatment Without Surgery | St. George UT", "description": "Non-surgical prostate cancer treatment in St. George, Utah - targeted radiation in as few as 5 sessions instead of 9 weeks. Call (435) 900-7060.", "url": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate", "inLanguage": "en-US", "about": { "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate#procedure" }, "audience": { "@type": "MedicalAudience", "audienceType": "Patient" }, "lastReviewed": "2026-06-08", "publisher": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" } }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate#procedure", "name": "Adaptive Radiotherapy for Prostate Cancer", "alternateName": [ "Adaptive SBRT", "Online Adaptive Radiotherapy", "ART" ], "procedureType": "Therapeutic", "bodyLocation": "Prostate", "status": "https://schema.org/EBMedicineHigh", "relevantSpecialty": "Radiation Oncology", "url": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate", "performer": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" } }, { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "main h1", "main h2", "main p" ] }, "mainEntity": [ { "@type": "Question", "name": "Is adaptive SBRT appropriate for all prostate cancer stages?", "acceptedAnswer": { "@type": "Answer", "text": "Adaptive SBRT is most commonly used for low-, intermediate-, and high-risk localized prostate cancer. Your radiation oncologist will review your PSA, Gleason score, clinical stage, and imaging to determine whether SBRT or a longer course is the best fit for your specific situation." } }, { "@type": "Question", "name": "What urinary side effects should I expect?", "acceptedAnswer": { "@type": "Answer", "text": "With adaptive SBRT, urinary side effects are typically mild and temporary. Some patients notice increased frequency or mild burning for a few weeks after treatment. Because the Gemini 360 adapts to daily prostate position, the bladder wall receives less radiation than with conventional approaches, reducing both the severity and duration of urinary symptoms." } }, { "@type": "Question", "name": "How does adaptive SBRT compare to prostatectomy (surgery)?", "acceptedAnswer": { "@type": "Answer", "text": "Multiple studies show comparable 10-year cancer control rates between SBRT and radical prostatectomy for localized prostate cancer. SBRT avoids surgery, general anesthesia, hospital stays, and the recovery period associated with surgery. It also carries a lower risk of urinary incontinence. Your treatment team will discuss both options during your consultation." } }, { "@type": "Question", "name": "Will I need hormone therapy alongside radiation?", "acceptedAnswer": { "@type": "Answer", "text": "For low-risk disease, SBRT alone is typically recommended. For intermediate- or high-risk prostate cancer, short-course or long-course androgen deprivation therapy (ADT) added to radiation improves outcomes in most cases. Your radiation oncologist will review the evidence and your specific risk profile to make that recommendation." } }, { "@type": "Question", "name": "Is prostate cancer curable with radiation?", "acceptedAnswer": { "@type": "Answer", "text": "Radiation is a standard-of-care treatment for localized prostate cancer with well-documented long-term cancer control. In the PACE-B randomized trial, 5-fraction SBRT was non-inferior to 39-fraction IMRT for cancer control in eligible patients. Outcomes depend on your stage, Gleason score and PSA - we will review your specific case and give you an honest assessment of what radiation can and cannot achieve." } }, { "@type": "Question", "name": "What are the side effects of prostate radiation - will it affect erections or urination?", "acceptedAnswer": { "@type": "Answer", "text": "The most common short-term effects are urinary urgency and frequency, and some bowel irritation, which usually settle within weeks. Sexual side effects can develop gradually over months to years and vary widely by age and baseline function. Precision matters: the MIRAGE randomized trial found that tighter image guidance reduced clinically meaningful acute urinary toxicity by 68% compared with standard CT-guided SBRT. Daily adaptation on the Gemini 360 is designed to keep dose off the urethra, bladder and rectum." } }, { "@type": "Question", "name": "How much does prostate cancer treatment cost, and does Medicare cover it?", "acceptedAnswer": { "@type": "Answer", "text": "Adaptive radiotherapy is covered by Medicare and Medicaid, as well as Regence Blue Cross Blue Shield, Cigna, Motiv Health, Desert Mutual and University of Utah Health Plans. Our billing team verifies your benefits and handles pre-authorization before treatment starts, so you know your out-of-pocket cost in advance. A shorter course also means fewer copays and fewer trips." } }, { "@type": "Question", "name": "Can I get a second opinion on my prostate cancer treatment plan?", "acceptedAnswer": { "@type": "Answer", "text": "Yes, and no referral is required. Bring your pathology report, PSA history and any imaging, and we will review your case and tell you plainly whether adaptive SBRT is a good fit - including if we think another approach or another center is the better choice. We contact you within one business day of a consultation request." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Adaptive Radiotherapy", "item": "https://www.5dcancerservices.com/adaptive-radiotherapy" }, { "@type": "ListItem", "position": 3, "name": "Prostate Cancer", "item": "https://www.5dcancerservices.com/adaptive-radiotherapy/prostate" } ] } ] ``` ===================================================================== # ROUTE /adaptive-radiotherapy/lung URL: https://www.5dcancerservices.com/adaptive-radiotherapy/lung TYPE: article KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, lung cancer, lung SBRT, SABR lung cancer, RTOG 0236, non-small cell lung cancer radiation, inoperable lung cancer treatment ===================================================================== # Adaptive Radiotherapy for Lung Cancer | 5D Cancer Services — St. George, UT > Evidence-based guide to adaptive SBRT for lung cancer. The Akesis Gemini 360 tracks tumor motion through breathing, delivering precise treatment in 3–5 sessions. Serving St. George, UT, Nevada, and Arizona. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Adaptive Radiotherapy - Lung CancerQuick summaryAdaptive SBRT for lung cancer at 5D Cancer Services tracks the tumor's position through every breath cycle and adjusts the treatment plan before each session. This approach delivers a high, effective dose to the tumor while protecting healthy lung tissue, the esophagus, and the heart — completing treatment in as few as 3–5 sessions for early-stage disease. - Lung tumors move 5–30 mm with each breath cycle - Adaptive SBRT: 3–5 sessions for early-stage; up to 30 for locally advanced - RTOG 0236: SBRT achieved 97.6% local control at 3 years for inoperable stage I NSCLC - STARS/ROSEL pooled analysis: SBRT equivalent to surgery for operable stage I NSCLC - Reduced risk of radiation pneumonitis vs. conventional large-field lung radiation - Delivered at 5D Cancer Services, St. George, Utah — serving UT, NV, AZLast reviewed: 2026-06-08 Medically reviewed by Ritchie Stevens, MD, Radiation Oncologist on June 8, 2026. Adaptive Radiotherapy # Adaptive radiotherapy for lung cancer Lung tumors move with every breath — often shifting a centimeter or more within a single session. Conventional radiation treats a large volume to account for this motion, damaging healthy lung tissue in the process. Adaptive SBRT on the Akesis Gemini 360 tracks the tumor's actual position and adapts the plan before each beam delivery, protecting the lung tissue the patient needs. [Call (435) 900-7060](tel:+14359007060)[Lung Cancer overview](/conditions/lung-cancer) 3–5 sessions for early-stage — outpatient, no hospital stay Why adaptive RT? ## Why Lung Cancer needs more than a fixed plan Lung cancer presents some of the most complex challenges in radiation therapy. These three factors explain why conventional approaches fall short of what adaptive radiotherapy can achieve. ### Respiratory motion Lung tumors move 5–30 mm with each breath cycle, depending on tumor location. Conventional machines treat a large internal target volume that encompasses all possible tumor positions — irradiating healthy lung tissue throughout. ### Tumor volume changes Lung tumors often shrink during a multi-week course of radiation. A fixed plan built on the original tumor size continues to treat tissue that no longer contains active cancer, unnecessarily exposing adjacent structures. ### Adjacent critical structures The esophagus, heart, spinal cord, and major airways lie close to most lung tumors. Wide margins used to compensate for motion uncertainty increase dose to these structures, raising the risk of esophagitis, cardiac toxicity, and radiation pneumonitis. Clinical Evidence ## What the evidence shows Lung SBRT has one of the most robust evidence bases in radiation oncology, with multiple trials demonstrating cure rates approaching surgery for early-stage disease. ### RTOG 0236: 97.6% local control at 3 years This landmark NCI-sponsored trial treated inoperable stage I non-small cell lung cancer patients with 3-fraction SBRT. At 3 years, primary tumor control was 97.6% — establishing SBRT as the standard of care for medically inoperable early-stage lung cancer. [doi.org/10.1001/jama.2010.261](https://doi.org/10.1001/jama.2010.261) ### STARS/ROSEL: SBRT equals surgery for operable patients A pooled analysis of two randomized trials comparing SBRT to lobectomy in operable stage I NSCLC found comparable 3-year overall survival (95% vs. 79%) and local recurrence rates. SBRT patients had significantly fewer severe adverse events, suggesting SBRT as a valid surgical alternative for selected patients. [doi.org/10.1016/S1470-2045(15)70168-3](https://doi.org/10.1016/S1470-2045(15)70168-3) ### SABR-COMET: improved survival with oligometastatic lung SBRT This randomized phase 2 trial found that adding SBRT to standard of care for patients with oligometastatic disease (including lung metastases) improved overall survival at 5 years (42.3% vs. 17.7%) — supporting the role of precise ablative RT in metastatic lung disease. [doi.org/10.1200/JCO.20.00818](https://doi.org/10.1200/JCO.20.00818) At 5D Cancer Services ## Your treatment workflow At 5D Cancer Services, lung SBRT follows a rigorous protocol designed to account for respiratory motion at every step — from planning to treatment delivery. 01 ### 4D CT simulation A four-dimensional CT captures the tumor through the full breathing cycle, creating a motion envelope. This data informs the internal target volume (ITV) and shapes the adaptive replanning that happens at every treatment session. 02 ### Treatment planning The radiation oncologist contours the tumor, motion envelope, and all adjacent critical structures — esophagus, heart, spinal cord, and uninvolved lung. The plan is optimized to deliver ablative dose to the ITV while staying within published organ-at-risk constraints. 03 ### Daily CBCT imaging and adaptation (sessions 1–5) Before each treatment, a CBCT is acquired. The Gemini 360 identifies the tumor's position in today's anatomy, adapts the delivery accordingly, and confirms the plan before the beam is turned on. Each session is approximately 30–60 minutes. 04 ### Follow-up CT at 3, 6, and 12 months Imaging follow-up tracks tumor response and monitors for late toxicity (pneumonitis, fibrosis). Most patients who achieve local control at 12 months maintain durable disease-free status. Comparison ## Adaptive vs. conventional radiation Factor Adaptive RT (Gemini 360) Conventional Radiation Total sessions3–5 (early stage) or 15–30 (advanced)30–33 sessions over 6–7 weeks Daily imagingCBCT at every sessionPeriodic kV imaging or none Respiratory managementDaily adaptation to actual positionLarge ITV to encompass motion Healthy lung volume irradiatedSignificantly reducedLarger volume due to motion margins Local control (early stage)~97% at 3 years (RTOG 0236)~80–90% with IMRT Pneumonitis riskReduced — precise marginsHigher with larger fields Questions & Answers ## Frequently asked questions ### Can SBRT cure early-stage lung cancer? Yes. For patients with stage I non-small cell lung cancer who are not surgical candidates — or who prefer to avoid surgery — SBRT achieves cure rates comparable to lobectomy, with published local control rates above 90–97% at 3 years. Your radiation oncologist will review your staging CT and PET to confirm whether SBRT is appropriate. ### What is radiation pneumonitis and how is it prevented? Radiation pneumonitis is inflammation of the lung caused by radiation exposure to healthy tissue. The Gemini 360 reduces this risk by tracking the tumor's actual position and adapting each session's plan, so the volume of healthy lung receiving high dose is minimized. Most patients who do develop mild pneumonitis respond to short-course corticosteroids. ### How does adaptive SBRT handle breathing motion? The planning process captures the tumor's full range of motion through the breathing cycle using a 4D CT. At each treatment session, a CBCT is acquired and the plan is adapted to account for where the tumor is on that day. This eliminates the large motion-compensation margins used in conventional lung radiation, protecting healthy tissue adjacent to the tumor. ### Can lung metastases from other cancers be treated? Yes. Adaptive SBRT is highly effective for oligometastatic lung disease — one to five lung metastases from another primary cancer. The Gemini 360 can target individual lesions with high precision. The SABR-COMET trial demonstrated a survival benefit when SBRT is added to systemic therapy for oligometastatic patients. Educational information — not medical advice The content on this page is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this site. If you think you may have a medical emergency, call your doctor or 911 immediately. ## References - 1.Timmerman R, Paulus R, Galvin J, et al. Stereotactic body radiation therapy for inoperable early stage lung cancer. JAMA. 2010;303(11):1070–1076. doi.org/10.1001/jama.2010.261 - 2.Chang JY, Senan S, Paul MA, et al. Stereotactic ablative radiotherapy versus lobectomy for operable stage I non-small-cell lung cancer: a pooled analysis of two randomised trials. Lancet Oncol. 2015;16(6):630–637. doi.org/10.1016/S1470-2045(15)70168-3 - 3.Palma DA, Olson R, Harrow S, et al. Stereotactic Ablative Radiotherapy for the Comprehensive Treatment of Oligometastatic Cancers: Long-Term Results of the SABR-COMET Phase II Randomized Trial. J Clin Oncol. 2020;38(25):2830–2838. doi.org/10.1200/JCO.20.00818 Also see: Adaptive RT by cancer type [Prostate Cancer](/adaptive-radiotherapy/prostate)[Liver Cancer](/adaptive-radiotherapy/liver)[Gynecologic Cancer](/adaptive-radiotherapy/gynecologic)[Pancreatic Cancer](/adaptive-radiotherapy/pancreatic) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## Learn More About Your Care [### What Is Adaptive Radiotherapy? The complete evidence-based guide to adaptive radiotherapy — how it works, online vs offline workflows, imaging modalities, and clinical outcomes. Learn more](/adaptive-radiotherapy) [### Lung Cancer — Condition Overview Symptoms, benefits of adaptive treatment, and what to expect during your lung cancer care at 5D Cancer Services. Learn more](/conditions/lung-cancer) [### Our Technology — Akesis Gemini 360 How the Gemini 360 delivers adaptive radiotherapy with onboard CBCT imaging, AI-assisted contouring, and per-fraction replanning. Learn more](/technology) [### Clinical Data & Case Studies Peer-reviewed evidence and real-world case studies demonstrating the Gemini 360's advantages across cancer types. Learn more](/clinical-data) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive radiotherapy and conventional, statically-planned radiation. Learn more](/compare/adaptive-vs-conventional-radiotherapy) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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The Akesis Gemini 360 tracks tumor motion through breathing, delivering precise treatment in 3–5 sessions. Serving St. George, UT, Nevada, and Arizona.", "url": "https://www.5dcancerservices.com/adaptive-radiotherapy/lung", "inLanguage": "en-US", "about": { "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/lung#procedure" }, "audience": { "@type": "MedicalAudience", "audienceType": "Patient" }, "lastReviewed": "2026-06-08", "publisher": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" } }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/lung#procedure", "name": "Adaptive Radiotherapy for Lung Cancer", "alternateName": [ "Adaptive SBRT", "Online Adaptive Radiotherapy", "ART" ], "procedureType": "Therapeutic", "bodyLocation": "Lung", "status": "https://schema.org/EBMedicineHigh", "relevantSpecialty": "Radiation Oncology", "url": "https://www.5dcancerservices.com/adaptive-radiotherapy/lung", "performer": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" } }, { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "main h1", "main h2", "main p" ] }, "mainEntity": [ { "@type": "Question", "name": "Can SBRT cure early-stage lung cancer?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. For patients with stage I non-small cell lung cancer who are not surgical candidates — or who prefer to avoid surgery — SBRT achieves cure rates comparable to lobectomy, with published local control rates above 90–97% at 3 years. Your radiation oncologist will review your staging CT and PET to confirm whether SBRT is appropriate." } }, { "@type": "Question", "name": "What is radiation pneumonitis and how is it prevented?", "acceptedAnswer": { "@type": "Answer", "text": "Radiation pneumonitis is inflammation of the lung caused by radiation exposure to healthy tissue. The Gemini 360 reduces this risk by tracking the tumor's actual position and adapting each session's plan, so the volume of healthy lung receiving high dose is minimized. Most patients who do develop mild pneumonitis respond to short-course corticosteroids." } }, { "@type": "Question", "name": "How does adaptive SBRT handle breathing motion?", "acceptedAnswer": { "@type": "Answer", "text": "The planning process captures the tumor's full range of motion through the breathing cycle using a 4D CT. At each treatment session, a CBCT is acquired and the plan is adapted to account for where the tumor is on that day. This eliminates the large motion-compensation margins used in conventional lung radiation, protecting healthy tissue adjacent to the tumor." } }, { "@type": "Question", "name": "Can lung metastases from other cancers be treated?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Adaptive SBRT is highly effective for oligometastatic lung disease — one to five lung metastases from another primary cancer. The Gemini 360 can target individual lesions with high precision. The SABR-COMET trial demonstrated a survival benefit when SBRT is added to systemic therapy for oligometastatic patients." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Adaptive Radiotherapy", "item": "https://www.5dcancerservices.com/adaptive-radiotherapy" }, { "@type": "ListItem", "position": 3, "name": "Lung Cancer", "item": "https://www.5dcancerservices.com/adaptive-radiotherapy/lung" } ] } ] ``` ===================================================================== # ROUTE /adaptive-radiotherapy/liver URL: https://www.5dcancerservices.com/adaptive-radiotherapy/liver TYPE: article KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, liver cancer, liver SBRT, HCC radiation, hepatocellular carcinoma treatment, liver metastases radiation, liver stereotactic body radiation ===================================================================== # Adaptive Radiotherapy for Liver Cancer | 5D Cancer Services — St. George, UT > Evidence-based guide to adaptive SBRT for liver cancer and liver metastases. The Gemini 360 tracks respiratory liver motion for precise treatment in 3–5 sessions. Serving St. George, UT, Nevada, and Arizona. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Adaptive Radiotherapy - Liver CancerQuick summaryAdaptive SBRT for liver cancer at 5D Cancer Services tracks the liver's movement through breathing at every session, enabling precise high-dose radiation to hepatocellular carcinoma and liver metastases while preserving the maximum amount of functional liver tissue. Most courses are completed in 3–5 sessions. - Liver moves 10–30 mm with breathing — more than almost any other organ - Adaptive SBRT: 3–5 sessions over 1–2 weeks - Phase 1 trial (Bujold et al.): SBRT for HCC achieved 87% 1-year local control - Rusthoven et al.: 92% local control at 2 years for liver metastases with SBRT - Daily CBCT adaptation preserves healthy liver tissue needed for function - Delivered at 5D Cancer Services, St. George, Utah — serving UT, NV, AZLast reviewed: 2026-06-08 Medically reviewed by Ritchie Stevens, MD, Radiation Oncologist on June 8, 2026. Adaptive Radiotherapy # Adaptive radiotherapy for liver cancer The liver is one of the most mobile organs in the body, shifting 10–30 mm with every breath. Conventional radiation must use wide margins to account for this motion — exposing healthy liver tissue the patient needs for survival. Adaptive SBRT on the Akesis Gemini 360 re-images the liver at every session and recalculates the plan to treat the tumor where it actually is, preserving the maximum amount of functional liver. [Call (435) 900-7060](tel:+14359007060)[Liver Cancer overview](/conditions/liver-cancer) 3–5 sessions over 1–2 weeks — outpatient, no hospital stay Why adaptive RT? ## Why Liver Cancer needs more than a fixed plan Delivering radiation to the liver is uniquely demanding. These three challenges explain why adaptive capability matters more for liver cancer than almost any other site. ### Massive respiratory motion The liver shifts 10–30 mm superiorly and inferiorly with each breath cycle — the largest organ motion of any abdominal structure. A conventional plan built on a single-moment CT cannot account for this continuous movement. ### Liver function preservation Unlike most organs, the liver cannot spare much reserve. Patients with hepatocellular carcinoma often have underlying cirrhosis, making liver function preservation critical. Wide radiation margins that irradiate healthy hepatic parenchyma risk radiation-induced liver disease. ### Proximity to hollow viscera The stomach, duodenum, and colon lie immediately adjacent to the liver. These radiation-sensitive structures are easily damaged if the plan cannot tightly conform to the liver tumor's exact daily position. Clinical Evidence ## What the evidence shows SBRT for liver tumors has accumulated robust prospective evidence over the past two decades, establishing high local control rates with an acceptable toxicity profile. ### Bujold et al.: 87% 1-year local control for HCC This prospective phase 1–2 dose escalation study treated 102 patients with hepatocellular carcinoma using SBRT. At one year, local control was 87% and median overall survival was 17 months — results comparable to other local ablative therapies in patients unsuitable for resection or ablation. [doi.org/10.1200/JCO.2012.44.1659](https://doi.org/10.1200/JCO.2012.44.1659) ### Rusthoven et al.: 92% local control for liver metastases This multi-institutional phase 1–2 trial treated 47 patients with 1–3 liver metastases using 3-fraction SBRT. Two-year local control was 92%, with no grade 4–5 toxicity. SBRT is now considered a standard treatment option for oligometastatic liver disease. [doi.org/10.1200/JCO.2008.19.6329](https://doi.org/10.1200/JCO.2008.19.6329) ### Child-Pugh A patients tolerate ablative doses Multiple studies confirm that Child-Pugh A liver function is the key eligibility criterion for ablative liver SBRT. With careful dosimetric constraints on healthy liver volume, the risk of radiation-induced liver disease (RILD) can be kept below 5% in appropriately selected patients. [doi.org/10.1016/s0360-3016(02)02846-8](https://doi.org/10.1016/s0360-3016(02)02846-8) At 5D Cancer Services ## Your treatment workflow At 5D Cancer Services, liver SBRT is planned and delivered with the highest attention to respiratory motion management and liver function preservation. 01 ### Liver function evaluation and simulation Pre-treatment labs assess liver function (Child-Pugh score, bilirubin, albumin). A planning CT — often with diagnostic MRI or PET fusion — is acquired. Contrast enhancement delineates the tumor boundary from surrounding hepatic parenchyma. 02 ### Dosimetric planning with liver constraints The plan is optimized to deliver ablative dose to the tumor while keeping healthy liver volume within published tolerance limits — typically constraining the volume of liver receiving more than 15–21 Gy to protect functional reserve. 03 ### Daily CBCT adaptation (sessions 1–5) At each session, a CBCT localizes the liver tumor's current position relative to the treatment isocenter. The Gemini 360 shifts and adapts the plan to match, then delivers the beam. Sessions typically take 30–50 minutes. 04 ### Imaging follow-up at 1, 3, and 6 months CT or MRI with contrast is used to assess local response at 4–6 weeks after the final fraction, then every 3 months for the first year. AFP is monitored in HCC patients. Local control is typically confirmed by 3 months post-treatment. Comparison ## Adaptive vs. conventional radiation Factor Adaptive RT (Gemini 360) Conventional Radiation Total sessions3–5 sessions over 1–2 weeks15–28 sessions over 3–6 weeks Daily imagingCBCT at every sessionPeriodic imaging only Respiratory managementDaily plan adaptation to liver positionLarge ITV or breath-hold technique Healthy liver preservationTight margins protect functional parenchymaWider margins irradiate more healthy liver Local control (HCC)~87–90% at 1 year~70–80% with standard IMRT RILD riskMinimized with tight dosimetric constraintsHigher with larger irradiated volumes Questions & Answers ## Frequently asked questions ### Can adaptive SBRT treat hepatocellular carcinoma (HCC)? Yes. Adaptive SBRT is an effective local treatment for HCC in patients who are not candidates for surgical resection, transplant, or thermal ablation — or whose tumors are not accessible to ablation. Child-Pugh A liver function and adequate healthy liver volume are the primary eligibility criteria. ### Can liver metastases from colon, breast, or lung cancer be treated? Yes. Adaptive SBRT for liver metastases is well-supported by prospective data, with 2-year local control rates above 90% in properly selected patients. One to three liver lesions can typically be treated in a single SBRT course. ### How does breathing motion affect liver treatment? The liver shifts 10–30 mm vertically with each breath. The Gemini 360 captures the tumor's exact position before each fraction via CBCT and adapts the plan accordingly. This eliminates the large motion margins required by conventional approaches, protecting healthy hepatic parenchyma from unnecessary radiation. ### What is radiation-induced liver disease (RILD) and how is it avoided? RILD is a syndrome of liver dysfunction caused by radiation to a large volume of hepatic tissue. It is avoided by carefully constraining the volume of healthy liver that receives high doses — keeping the mean liver dose and the volume exceeding specific dose thresholds within published safe limits. The adaptive tight margins on the Gemini 360 make these constraints easier to meet. Educational information — not medical advice The content on this page is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this site. If you think you may have a medical emergency, call your doctor or 911 immediately. ## References - 1.Bujold A, Massey CA, Kim JJ, et al. Sequential Phase I and II Trials of Stereotactic Body Radiotherapy for Locally Advanced Hepatocellular Carcinoma. J Clin Oncol. 2013;31(13):1631–1639. doi.org/10.1200/JCO.2012.44.1659 - 2.Rusthoven KE, Kavanagh BD, Cardenes H, et al. Multi-Institutional Phase I/II Trial of Stereotactic Body Radiation Therapy for Liver Metastases. J Clin Oncol. 2009;27(10):1572–1578. doi.org/10.1200/JCO.2008.19.6329 - 3.Dawson LA, Normolle D, Balter JM, et al. Analysis of radiation-induced liver disease using the Lyman NTCP model. Int J Radiat Oncol Biol Phys. 2002;53(4):810–821. doi.org/10.1016/s0360-3016(02)02846-8 Also see: Adaptive RT by cancer type [Prostate Cancer](/adaptive-radiotherapy/prostate)[Lung Cancer](/adaptive-radiotherapy/lung)[Gynecologic Cancer](/adaptive-radiotherapy/gynecologic)[Pancreatic Cancer](/adaptive-radiotherapy/pancreatic) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## Learn More About Your Care [### What Is Adaptive Radiotherapy? The complete evidence-based guide to adaptive radiotherapy — how it works, online vs offline workflows, imaging modalities, and clinical outcomes. Learn more](/adaptive-radiotherapy) [### Liver Cancer — Condition Overview Symptoms, benefits of adaptive treatment, and what to expect during your liver cancer care at 5D Cancer Services. Learn more](/conditions/liver-cancer) [### Our Technology — Akesis Gemini 360 How the Gemini 360 delivers adaptive radiotherapy with onboard CBCT imaging, AI-assisted contouring, and per-fraction replanning. Learn more](/technology) [### Clinical Data & Case Studies Peer-reviewed evidence and real-world case studies demonstrating the Gemini 360's advantages across cancer types. Learn more](/clinical-data) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive radiotherapy and conventional, statically-planned radiation. Learn more](/compare/adaptive-vs-conventional-radiotherapy) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. 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Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Daily pelvic adaptation on the Gemini 360 reduces bladder and bowel dose. Serving St. George, UT, Nevada, and Arizona. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Adaptive Radiotherapy - Gynecologic CancerQuick summaryAdaptive radiotherapy for gynecologic cancers at 5D Cancer Services re-images the pelvis at every session and recalculates the plan to account for daily bladder and bowel filling changes — the primary source of target motion in cervical and uterine cancer. This online adaptive approach delivers precise dose to the tumor while protecting the bladder, rectum, and bone marrow. - Cervix and uterus shift 10–30 mm daily with bladder and bowel filling - Online adaptive RT reduces rectal and bladder dose vs. fixed-plan IMRT - Heijkoop 2014: plan-of-the-day protocol reduced rectal dose by 17% vs. fixed IMRT - Sibolt 2021: AI-driven CBCT adaptive in pelvis feasible with consistent quality - Our physicians and staff have >30 years specializing in gynecologic malignancies - Delivered at 5D Cancer Services, St. George, Utah — serving UT, NV, AZLast reviewed: 2026-06-08 Medically reviewed by Ritchie Stevens, MD, Radiation Oncologist on June 8, 2026. Adaptive Radiotherapy # Adaptive radiotherapy for gynecologic cancer In the pelvis, the bladder and rectum change filling throughout the day — shifting the cervix, uterus, and nearby lymph nodes with them. Conventional radiation treats a fixed plan that cannot respond to these daily changes, exposing more bladder and bowel to therapeutic dose. Online adaptive RT on the Akesis Gemini 360 re-images the pelvis before each session and reshapes the plan around today's anatomy. [Call (435) 900-7060](tel:+14359007060)[Gynecologic Cancer overview](/conditions/gynecologic-cancer) 5–25 sessions depending on stage — outpatient, no hospital stay Why adaptive RT? ## Why Gynecologic Cancer needs more than a fixed plan Pelvic anatomy is among the most variable in the body. These three challenges explain why conventional radiation struggles to deliver precise treatment for gynecologic cancers. ### Daily bladder and bowel filling variation The cervix and uterus shift 10–30 mm depending on how full the bladder and rectum are. A plan built on one day's anatomy may be badly misaligned by the next session — treating adjacent healthy tissue rather than the tumor. ### Bone marrow in the radiation field Pelvic radiation inevitably includes pelvic bone marrow in the treatment volume. Wide margins from motion uncertainty increase the irradiated bone marrow volume, compounding hematological toxicity — particularly relevant when chemotherapy is given concurrently. ### Bladder and rectal toxicity The bladder wall and rectum are immediately adjacent to the cervix and uterus. Larger margins to account for motion uncertainty translate directly into higher doses to these structures, increasing the risk of long-term urinary and bowel side effects. Clinical Evidence ## What the evidence shows Online adaptive radiotherapy for gynecologic cancers — particularly cervical cancer — has been validated in multiple institutional studies demonstrating clear dosimetric benefits over fixed-plan IMRT. ### Heijkoop et al.: plan-of-the-day reduced rectal dose by 17% This prospective clinical trial implemented an online adaptive plan-of-the-day protocol for locally advanced cervical cancer. Compared to a fixed IMRT plan, the adaptive approach reduced rectal dose by 17% and bladder dose by 11%, without compromising target coverage — a direct translation of adaptive capability into fewer bowel and urinary side effects. [doi.org/10.1016/j.ijrobp.2014.06.046](https://doi.org/10.1016/j.ijrobp.2014.06.046) ### Sibolt et al.: AI-driven CBCT adaptive RT is clinically feasible This multi-center study implemented AI-driven online adaptive radiotherapy using CBCT in the pelvic region and demonstrated consistent plan quality across patients — with mean treatment times that fit within standard clinical workflows. The study validated the clinical feasibility of the approach at scale. [doi.org/10.1016/j.phro.2020.12.004](https://doi.org/10.1016/j.phro.2020.12.004) ### RetroEMBRACE: image-guided adaptive brachytherapy improves pelvic control and survival The RetroEMBRACE multicenter cohort study demonstrated that image-guided adaptive brachytherapy — planned to the actual tumor volume at the time of boost — achieved significantly improved pelvic control and overall survival for locally advanced cervical cancer compared to historical outcomes. The underlying principle — adapting to current anatomy — directly extends to external beam adaptive RT in the initial treatment phase. [doi.org/10.1016/j.radonc.2016.03.011](https://doi.org/10.1016/j.radonc.2016.03.011) At 5D Cancer Services ## Your treatment workflow At 5D Cancer Services, gynecologic cancer adaptive radiotherapy follows a protocol designed to minimize pelvic organ variability and protect the bladder, rectum, and bone marrow at every session. 01 ### Simulation CT with bladder preparation A planning CT is acquired with standardized bladder filling (typically comfortably full) and rectal preparation. The radiation oncologist contours the GTV, CTV, pelvic lymphatics, bladder, rectum, sigmoid, small bowel, and bone marrow. 02 ### IMRT or VMAT treatment planning An intensity-modulated plan is optimized to cover the cervix/uterus and nodal regions while minimizing dose to the bladder wall, rectum, sigmoid, and pelvic bone marrow. Constraints follow QUANTEC and EMBRACE guidelines. 03 ### Daily CBCT imaging and adaptation Before each session, a CBCT is acquired. The Gemini 360 re-localizes the target and surrounding organs in today's anatomy and adapts the plan to minimize dose to the organs at risk. Each session takes approximately 30–60 minutes. 04 ### Concurrent chemotherapy and brachytherapy coordination For locally advanced cervical cancer, weekly cisplatin chemotherapy is typically given concurrently with external beam radiation. After external beam completion, intracavitary brachytherapy delivers the final tumor-focused dose. Our team coordinates the full treatment timeline. Comparison ## Adaptive vs. conventional radiation Factor Adaptive RT (Gemini 360) Conventional Radiation Total sessions5–25 depending on stage and cancer type25–28 sessions over 5–6 weeks Daily imagingCBCT at every sessionPeriodic imaging Plan adaptationRe-optimized to today's bladder/bowel fillingFixed plan regardless of anatomy changes Rectal doseReduced by ~17% vs. fixed IMRTHigher with standard margins Bladder doseReduced by ~11% vs. fixed IMRTHigher with standard margins Bone marrow sparingImproved with tighter marginsLimited with fixed margins Questions & Answers ## Frequently asked questions ### What types of gynecologic cancer can be treated with adaptive radiotherapy? Adaptive radiotherapy on the Gemini 360 can treat cervical cancer, uterine (endometrial) cancer, vaginal cancer, and vulvar cancer. The adaptive benefit is greatest for cervical and uterine cancers, where daily bladder and bowel variation most significantly affects target position. ### Does our team have specific experience with gynecologic cancers? Yes. Our medical director has over 30 years of radiation oncology experience with a specific focus on gynecologic malignancies. This depth of specialization informs every aspect of treatment planning and delivery for cervical, uterine, and other pelvic cancers. ### Can adaptive radiotherapy be used with chemotherapy? Yes. For locally advanced cervical cancer, adaptive external beam radiotherapy is typically delivered concurrently with weekly cisplatin chemotherapy, following national guidelines. The adaptive approach does not interfere with concurrent systemic therapy. ### What side effects should I expect from pelvic radiation? With online adaptive radiotherapy, bladder and bowel side effects are reduced compared to conventional fixed-plan radiation. Some patients experience mild urinary frequency, loose stools, or fatigue during treatment. These symptoms are usually temporary and resolve within a few weeks after completing radiation. Educational information — not medical advice The content on this page is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this site. If you think you may have a medical emergency, call your doctor or 911 immediately. ## References - 1.Heijkoop ST, Langerak TR, Quint S, et al. Clinical Implementation of an Online Adaptive Plan-of-the-Day Protocol for Nonrigid Motion Management in Locally Advanced Cervical Cancer IMRT. Int J Radiat Oncol Biol Phys. 2014;90(3):673–679. doi.org/10.1016/j.ijrobp.2014.06.046 - 2.Sibolt P, Andersson LM, Calmels L, et al. Clinical implementation of artificial intelligence-driven cone-beam computed tomography-guided online adaptive radiotherapy in the pelvic region. Phys Imaging Radiat Oncol. 2021;17:1–7. doi.org/10.1016/j.phro.2020.12.004 - 3.Sturdza A, Pötter R, Fokdal LU, et al. Image guided brachytherapy in locally advanced cervical cancer: Improved pelvic control and survival in RetroEMBRACE, a multicenter cohort study. Radiother Oncol. 2016;120(3):428–433. doi.org/10.1016/j.radonc.2016.03.011 Also see: Adaptive RT by cancer type [Prostate Cancer](/adaptive-radiotherapy/prostate)[Lung Cancer](/adaptive-radiotherapy/lung)[Liver Cancer](/adaptive-radiotherapy/liver)[Pancreatic Cancer](/adaptive-radiotherapy/pancreatic) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## Learn More About Your Care [### What Is Adaptive Radiotherapy? The complete evidence-based guide to adaptive radiotherapy — how it works, online vs offline workflows, imaging modalities, and clinical outcomes. Learn more](/adaptive-radiotherapy) [### Gynecologic Cancer — Condition Overview Symptoms, benefits of adaptive treatment, and what to expect during your gynecologic cancer care at 5D Cancer Services. Learn more](/conditions/gynecologic-cancer) [### Our Technology — Akesis Gemini 360 How the Gemini 360 delivers adaptive radiotherapy with onboard CBCT imaging, AI-assisted contouring, and per-fraction replanning. Learn more](/technology) [### Clinical Data & Case Studies Peer-reviewed evidence and real-world case studies demonstrating the Gemini 360's advantages across cancer types. Learn more](/clinical-data) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive radiotherapy and conventional, statically-planned radiation. Learn more](/compare/adaptive-vs-conventional-radiotherapy) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Daily pelvic adaptation on the Gemini 360 reduces bladder and bowel dose. 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Precise dose delivery near the stomach, duodenum, and kidneys with the Akesis Gemini 360. Serving St. George, UT, Nevada, and Arizona. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Adaptive Radiotherapy - Pancreatic CancerQuick summaryAdaptive SBRT for pancreatic cancer at 5D Cancer Services re-images the abdomen at every session and recalculates the plan around the daily positions of the stomach, duodenum, and bowel — the dose-limiting structures that prevent conventional radiation from reaching therapeutic levels. This adaptive approach enables ablative doses to be delivered safely, with applications in borderline resectable, locally advanced, and metastatic pancreatic disease. - Pancreas surrounded by stomach, duodenum, kidneys, bowel — all shift daily - Adaptive SBRT enables dose escalation previously impossible with conventional radiation - Herman et al. 2015 (JCO): BED ≥70 Gy correlated with improved survival in LAPC - Ablative dose SBRT can convert borderline resectable tumors to surgical candidates - 5–15 sessions depending on disease extent and treatment goal - Delivered at 5D Cancer Services, St. George, Utah — serving UT, NV, AZLast reviewed: 2026-06-08 Medically reviewed by Ritchie Stevens, MD, Radiation Oncologist on June 8, 2026. Adaptive Radiotherapy # Adaptive radiotherapy for pancreatic cancer The pancreas sits in one of the most challenging neighborhoods in the body — surrounded by the stomach, duodenum, kidneys, and major blood vessels, all of which shift daily based on digestive contents and body positioning. Conventional radiation must use wide margins to account for this uncertainty, limiting the dose that can be safely delivered. Adaptive SBRT on the Akesis Gemini 360 re-images and re-plans at every session, enabling ablative doses that were previously impossible to deliver safely. [Call (435) 900-7060](tel:+14359007060)[Pancreatic Cancer overview](/conditions/pancreatic-cancer) 5–15 sessions depending on stage — outpatient, no hospital stay Why adaptive RT? ## Why Pancreatic Cancer needs more than a fixed plan Pancreatic cancer is one of the most challenging cancers to irradiate precisely. These three factors explain why dose escalation — which improves outcomes — requires adaptive technology to achieve safely. ### Crowded anatomical neighborhood The stomach, duodenum, small bowel, kidneys, and spinal cord lie within millimeters of most pancreatic tumors. These are among the most radiation-sensitive structures in the body. Conventional plans must treat wide margins to compensate for daily position uncertainty — but those margins contain these critical organs. ### Daily organ position variability The stomach and bowel change filling continuously. On any given treatment day, the duodenum may be in a very different position relative to the tumor than it was at simulation — meaning a fixed plan may deliver high dose to the duodenum even when it has shifted away from the target. ### Dose limits constrain tumor coverage Without adaptation, radiation oncologists must keep the total dose low enough to protect the surrounding organs at worst-case positions. This dose compromise limits local control. Adaptive replanning allows dose constraints to be applied to today's anatomy — where the bowel actually is — enabling safe dose escalation. Clinical Evidence ## What the evidence shows Evidence for SBRT and dose escalation in pancreatic cancer continues to mature, with key studies establishing the relationship between biologically effective dose and survival. ### Herman et al.: BED ≥70 Gy improves survival in locally advanced disease This multi-institutional study of SBRT for locally advanced pancreatic cancer (LAPC) found that delivering a biologically effective dose of ≥70 Gy was associated with improved local control and overall survival. Achieving these dose levels safely requires the kind of adaptive precision the Gemini 360 provides. [doi.org/10.1002/cncr.29161](https://doi.org/10.1002/cncr.29161) ### SBRT enables conversion to resectability Multiple prospective studies have demonstrated that ablative SBRT or chemoradiation can convert borderline resectable pancreatic cancer to surgical candidates in a subset of patients. Patients who proceed to R0 resection after neoadjuvant radiation have significantly better survival than those who receive radiation alone. [doi.org/10.1371/journal.pmed.1000267](https://doi.org/10.1371/journal.pmed.1000267) ### Reyngold et al.: ablative radiation doses improve survival in inoperable pancreatic cancer This institutional series from Memorial Sloan Kettering found that ablative radiation therapy (dose-escalated SBRT delivering high biologically effective doses) was associated with significantly improved overall survival compared to standard-dose radiation for patients with inoperable pancreatic cancer. Delivering these ablative doses safely requires the kind of per-fraction adaptive replanning the Gemini 360 provides — adapting each plan around the actual position of the stomach and bowel on that day. [doi.org/10.1001/jamaoncol.2021.0057](https://doi.org/10.1001/jamaoncol.2021.0057) At 5D Cancer Services ## Your treatment workflow At 5D Cancer Services, pancreatic adaptive SBRT is planned and delivered with meticulous attention to adjacent organ-at-risk positions — which are re-evaluated at every session before treatment is delivered. 01 ### Simulation CT with fasting and bowel preparation A planning CT is acquired after standardized fasting (typically 2–4 hours). Contrast helps delineate tumor from surrounding vasculature. The radiation oncologist contours the GTV, CTV, and all adjacent organs at risk — stomach, duodenum, small bowel, kidneys, spinal cord, and liver. 02 ### Plan optimization with strict OAR constraints The SBRT plan is optimized to deliver ablative dose to the tumor while maintaining published tolerances for all surrounding structures. OAR constraints are applied as absolute volume limits to prevent duodenal and gastric toxicity. 03 ### Daily CBCT imaging and adaptation (sessions 1–5 or more) Before each session, a CBCT is acquired with the patient in the same fasted state. The Gemini 360 evaluates today's bowel and stomach positions. If a critical organ has shifted into a high-dose region, the plan is adapted to protect it before treatment is delivered. 04 ### Surgical reassessment and systemic therapy coordination For borderline resectable patients, imaging restaging occurs 4–6 weeks after SBRT to assess resectability. The radiation oncology team works closely with surgical oncology to coordinate the neoadjuvant pathway. For locally advanced patients, systemic therapy typically continues after radiation. Comparison ## Adaptive vs. conventional radiation Factor Adaptive RT (Gemini 360) Conventional Radiation Total sessions5–15 sessions over 1–3 weeks25–28 sessions over 5–6 weeks Daily imagingCBCT at every sessionPeriodic imaging only Bowel position managementRe-planned around today's actual positionFixed plan — worst-case margins assumed Achievable tumor dose (BED)Ablative doses possible (BED ≥70 Gy)Dose limited by fixed bowel margins Duodenal toxicity riskReduced via adaptive OAR protectionHigher with static margins Resectability conversionPossible with ablative dosesLimited with subtherapeutic doses Questions & Answers ## Frequently asked questions ### Can adaptive SBRT treat inoperable pancreatic cancer? Yes. Adaptive SBRT is a primary treatment option for locally advanced pancreatic cancer (LAPC) — tumors that surround major blood vessels and cannot be safely resected. The adaptive approach allows delivery of higher, more effective doses than conventional radiation, which may improve local control and in some cases convert the tumor to a resectable state. ### Can adaptive radiotherapy help before surgery for borderline resectable disease? Yes. Neoadjuvant adaptive SBRT — radiation given before attempted surgery — can shrink borderline resectable tumors and improve the chance of achieving clear surgical margins. Some patients who undergo SBRT and then surgery achieve long-term remission. Your multidisciplinary team will review imaging to determine whether neoadjuvant radiation is appropriate. ### Why is pancreatic cancer so hard to treat with conventional radiation? The pancreas is surrounded by the stomach, duodenum, and small bowel — all radiation-sensitive structures that shift position daily. Conventional radiation must keep total dose low to protect these organs at their worst-case positions. Adaptive replanning allows constraints to be applied to where the bowel actually is on that day, enabling safe dose escalation. ### What gastrointestinal side effects should I expect? With adaptive radiotherapy, gastrointestinal side effects are typically milder than with conventional radiation. Some patients experience mild nausea, fatigue, or appetite changes during treatment. Because the Gemini 360 adapts each session's plan around the actual positions of the stomach and bowel, the dose delivered to these structures is minimized. Educational information — not medical advice The content on this page is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this site. If you think you may have a medical emergency, call your doctor or 911 immediately. ## References - 1.Herman JM, Chang DT, Goodman KA, et al. Phase 2 multi-institutional trial evaluating gemcitabine and stereotactic body radiotherapy for patients with locally advanced unresectable pancreatic adenocarcinoma. Cancer. 2015;121(7):1128–1137. doi.org/10.1002/cncr.29161 - 2.Gillen S, Schuster T, Meyer Zum Büschenfelde C, et al. Preoperative/neoadjuvant therapy in pancreatic cancer: a systematic review and meta-analysis of response and resection percentages. PLoS Med. 2010;7(4):e1000267. doi.org/10.1371/journal.pmed.1000267 - 3.Reyngold M, O'Reilly EM, Varghese AM, et al. Association of Ablative Radiation Therapy With Survival Among Patients With Inoperable Pancreatic Cancer. JAMA Oncol. 2021;7(5):735–738. doi.org/10.1001/jamaoncol.2021.0057 Also see: Adaptive RT by cancer type [Prostate Cancer](/adaptive-radiotherapy/prostate)[Lung Cancer](/adaptive-radiotherapy/lung)[Liver Cancer](/adaptive-radiotherapy/liver)[Gynecologic Cancer](/adaptive-radiotherapy/gynecologic) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## Learn More About Your Care [### What Is Adaptive Radiotherapy? The complete evidence-based guide to adaptive radiotherapy — how it works, online vs offline workflows, imaging modalities, and clinical outcomes. Learn more](/adaptive-radiotherapy) [### Pancreatic Cancer — Condition Overview Symptoms, benefits of adaptive treatment, and what to expect during your pancreatic cancer care at 5D Cancer Services. Learn more](/conditions/pancreatic-cancer) [### Our Technology — Akesis Gemini 360 How the Gemini 360 delivers adaptive radiotherapy with onboard CBCT imaging, AI-assisted contouring, and per-fraction replanning. Learn more](/technology) [### Clinical Data & Case Studies Peer-reviewed evidence and real-world case studies demonstrating the Gemini 360's advantages across cancer types. Learn more](/clinical-data) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive radiotherapy and conventional, statically-planned radiation. Learn more](/compare/adaptive-vs-conventional-radiotherapy) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Serving St. George, UT, Nevada, and Arizona.", "url": "https://www.5dcancerservices.com/adaptive-radiotherapy/pancreatic", "inLanguage": "en-US", "about": { "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/pancreatic#procedure" }, "audience": { "@type": "MedicalAudience", "audienceType": "Patient" }, "lastReviewed": "2026-06-08", "publisher": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" } }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy/pancreatic#procedure", "name": "Adaptive Radiotherapy for Pancreatic Cancer", "alternateName": [ "Adaptive SBRT", "Online Adaptive Radiotherapy", "ART" ], "procedureType": "Therapeutic", "bodyLocation": "Pancreas", "status": "https://schema.org/EBMedicineHigh", "relevantSpecialty": "Radiation Oncology", "url": "https://www.5dcancerservices.com/adaptive-radiotherapy/pancreatic", "performer": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" } }, { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "main h1", "main h2", "main p" ] }, "mainEntity": [ { "@type": "Question", "name": "Can adaptive SBRT treat inoperable pancreatic cancer?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Adaptive SBRT is a primary treatment option for locally advanced pancreatic cancer (LAPC) — tumors that surround major blood vessels and cannot be safely resected. The adaptive approach allows delivery of higher, more effective doses than conventional radiation, which may improve local control and in some cases convert the tumor to a resectable state." } }, { "@type": "Question", "name": "Can adaptive radiotherapy help before surgery for borderline resectable disease?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Neoadjuvant adaptive SBRT — radiation given before attempted surgery — can shrink borderline resectable tumors and improve the chance of achieving clear surgical margins. Some patients who undergo SBRT and then surgery achieve long-term remission. Your multidisciplinary team will review imaging to determine whether neoadjuvant radiation is appropriate." } }, { "@type": "Question", "name": "Why is pancreatic cancer so hard to treat with conventional radiation?", "acceptedAnswer": { "@type": "Answer", "text": "The pancreas is surrounded by the stomach, duodenum, and small bowel — all radiation-sensitive structures that shift position daily. Conventional radiation must keep total dose low to protect these organs at their worst-case positions. Adaptive replanning allows constraints to be applied to where the bowel actually is on that day, enabling safe dose escalation." } }, { "@type": "Question", "name": "What gastrointestinal side effects should I expect?", "acceptedAnswer": { "@type": "Answer", "text": "With adaptive radiotherapy, gastrointestinal side effects are typically milder than with conventional radiation. Some patients experience mild nausea, fatigue, or appetite changes during treatment. Because the Gemini 360 adapts each session's plan around the actual positions of the stomach and bowel, the dose delivered to these structures is minimized." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Adaptive Radiotherapy", "item": "https://www.5dcancerservices.com/adaptive-radiotherapy" }, { "@type": "ListItem", "position": 3, "name": "Pancreatic Cancer", "item": "https://www.5dcancerservices.com/adaptive-radiotherapy/pancreatic" } ] } ] ``` ===================================================================== # ROUTE /treatments URL: https://www.5dcancerservices.com/treatments TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, treatments, SBRT, SRS, SFRT, LATTICE, hypofractionation, prostate adaptive workflow, low-dose radiation ===================================================================== # Treatments — Adaptive Radiotherapy, SBRT, SRS, SFRT | 5D Cancer Services > Browse the radiation treatments delivered on the Akesis Gemini 360 at 5D Cancer Services in St. George, Utah: adaptive radiotherapy, SBRT, brain SRS, hypofractionated radiation, spatially fractionated radiotherapy, and low-dose radiation for benign conditions. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments # Treatments Every treatment at 5D Cancer Services is delivered on the Akesis Gemini 360 adaptive radiotherapy platform — a single FDA-cleared linear accelerator that re-images and re-plans each session. The same machine supports the full spectrum of radiation oncology techniques below. Quick summary5D Cancer Services delivers four core radiation techniques on the Gemini 360: adaptive SBRT, brain SRS, spatially fractionated radiotherapy (SFRT/LATTICE), hypofractionated radiation, and low-dose radiation for benign conditions. Most cancer courses finish in 5–15 sessions instead of 20–45. - Platform: Akesis Gemini 360 (FDA-cleared, image-guided, daily-adapted) - SBRT: 5 sessions for prostate, lung, liver, pancreatic, oligometastases - SRS: 1–5 sessions for brain metastases and select benign lesions - Hypofractionation: 5–15 sessions in place of 20–45 conventional visits - Prostate adaptive workflow: 5-session SBRT with daily plan adaptation - SFRT/LATTICE: heterogeneous high-dose lattice for bulky / radioresistant tumors - Low-dose RT: ~6 short sessions over 2–3 weeks for benign conditions - All treatments planned and supervised by board-certified radiation oncologistsLast reviewed: 2026-05-12 [## Stereotactic Body Radiation Therapy (SBRT) 5-session high-dose adaptive treatment for prostate, lung, liver, pancreatic, and oligometastatic disease. Learn more](/treatments/sbrt) [## Stereotactic Radiosurgery (SRS) for Brain Single- or few-session, sub-millimeter radiosurgery for brain metastases and select benign brain lesions. Learn more](/treatments/srs) [## Hypofractionation Fewer, higher-dose adaptive radiation sessions — typically 5–15 visits instead of 20–45. Learn more](/treatments/hypofractionation) [## Prostate Cancer Adaptive Workflow End-to-end workflow for adaptive prostate SBRT — consultation, fiducials, simulation, daily imaging, and follow-up. Learn more](/treatments/prostate-adaptive-workflow) [## Spatially Fractionated Radiation Therapy (SFRT / LATTICE) Heterogeneous high-dose lattice for bulky, previously-treated, or radioresistant tumors. Learn more](/treatments/sfrt) [## Low-Dose Radiation Therapy for Benign Conditions Short course of low-dose radiation for Dupuytren's contracture, plantar fasciitis, keloids, and heterotopic ossification. Learn more](/treatments/low-dose-rt) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "CollectionPage", "name": "Treatments at 5D Cancer Services", "url": "https://www.5dcancerservices.com/treatments", "about": [ { "@type": "MedicalProcedure", "name": "Stereotactic Body Radiation Therapy (SBRT)", "url": "https://www.5dcancerservices.com/treatments/sbrt" }, { "@type": "MedicalProcedure", "name": "Stereotactic Radiosurgery (SRS) for Brain", "url": "https://www.5dcancerservices.com/treatments/srs" }, { "@type": "MedicalProcedure", "name": "Hypofractionation", "url": "https://www.5dcancerservices.com/treatments/hypofractionation" }, { "@type": "MedicalProcedure", "name": "Prostate Cancer Adaptive Workflow", "url": "https://www.5dcancerservices.com/treatments/prostate-adaptive-workflow" }, { "@type": "MedicalProcedure", "name": "Spatially Fractionated Radiation Therapy (SFRT / LATTICE)", "url": "https://www.5dcancerservices.com/treatments/sfrt" }, { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy for Benign Conditions", "url": "https://www.5dcancerservices.com/treatments/low-dose-rt" } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" } ] } ] ``` ===================================================================== # ROUTE /treatments/sbrt URL: https://www.5dcancerservices.com/treatments/sbrt TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, SBRT, stereotactic body radiation therapy, 5-fraction SBRT, prostate SBRT, lung SBRT ===================================================================== # SBRT Radiation Therapy in St. George, Utah > High-dose targeted SBRT radiation for prostate, lung, liver and pancreatic cancer - completed in as few as 5 sessions. St. George, Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - SBRTTreatment # Stereotactic Body Radiation Therapy (SBRT) SBRT delivers a high, precisely-targeted dose of radiation to a tumor in a small number of treatment sessions — typically five or fewer. On the Akesis Gemini 360, every SBRT session is re-imaged and re-planned to account for daily anatomical changes. Quick summaryAdaptive SBRT at 5D Cancer Services concentrates a high biological dose into 5 (or fewer) sessions for select cancers, with the Gemini 360 verifying tumor position and reshaping the plan at every visit. - Sessions: typically 5 (range 1–5) over 1–2 weeks - Indications: prostate, early-stage lung, liver, pancreatic, oligometastatic, spine metastases - Daily image guidance + plan adaptation on the Akesis Gemini 360 - Outpatient, painless, ~30–60 minutes per session - Most patients return to normal activity the same day - Covered by Medicare, Medicaid, and major commercial insuranceLast reviewed: 2026-05-12 ## What is SBRT? Stereotactic Body Radiation Therapy (SBRT) is an advanced radiation technique that delivers a much higher dose per session than conventional radiotherapy — usually completed in five or fewer visits instead of 20–45. Because the dose per session is high, SBRT requires sub-millimeter targeting, daily imaging, and tight margins to spare healthy tissue. The Akesis Gemini 360 re-images and re-plans the treatment at every session so the dose continues to land exactly where it should, even as the body changes day to day. ## Conditions commonly treated with SBRT - Localized prostate cancer (5-fraction protocols) - Early-stage non-small-cell lung cancer (medically inoperable) - Hepatocellular carcinoma and liver metastases - Borderline-resectable and locally-advanced pancreatic cancer - Oligometastatic disease (1–5 metastatic sites) - Spinal and bone metastases - Adrenal and kidney tumors in select cases ## What to expect After consultation and a CT simulation, the radiation oncology team builds an SBRT plan tailored to your anatomy. Each treatment session takes about 30–60 minutes; the dose itself is delivered in only a few minutes. SBRT is painless and outpatient — most patients return to work or normal activity the same day. ## How adaptive SBRT differs from conventional radiation Conventional radiation typically locks in a single plan at the start of treatment and delivers it 20–45 times. Adaptive SBRT on the Gemini 360 re-images and re-plans before every session, so the high dose still lands precisely on target even after weight loss, bowel/bladder filling, or tumor shrinkage. See the side-by-side comparison on /compare/adaptive-vs-conventional-radiotherapy. ## Learn More [### Stereotactic Radiosurgery (SRS) Sub-millimeter brain radiosurgery on the same platform. Learn more](/treatments/srs) [### What Is Adaptive Radiotherapy? How daily re-imaging and re-planning works. Learn more](/adaptive-radiotherapy) [### Adaptive vs. Conventional Radiation Side-by-side comparison of the two approaches. Learn more](/compare/adaptive-vs-conventional-radiotherapy) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" }, { "@type": "ListItem", "position": 3, "name": "SBRT", "item": "https://www.5dcancerservices.com/treatments/sbrt" } ] }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "@id": "https://www.5dcancerservices.com/treatments/sbrt#procedure", "name": "Stereotactic Body Radiation Therapy (SBRT)", "alternateName": [ "SBRT", "Stereotactic Ablative Radiotherapy", "SABR" ], "procedureType": "Therapeutic", "bodyLocation": [ "Prostate", "Lung", "Liver", "Pancreas", "Spine" ], "howPerformed": "High-dose radiation is delivered in 5 or fewer sessions on the Akesis Gemini 360 with daily image guidance and adaptive re-planning.", "preparation": "A simulation CT (and often MRI/PET fusion) is acquired so the radiation oncologist can contour the target and surrounding organs at risk.", "followup": "Imaging follow-up (CT/MRI/PSA) at 3-month intervals during the first year, then annually.", "status": "https://schema.org/EBMedicineHigh", "relevantSpecialty": "Radiation Oncology", "url": "https://www.5dcancerservices.com/treatments/sbrt" }, { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "main h1", "main h2", "main p" ] }, "mainEntity": [ { "@type": "Question", "name": "How many SBRT sessions will I need?", "acceptedAnswer": { "@type": "Answer", "text": "Most SBRT courses at 5D Cancer Services are completed in 5 or fewer sessions over 1–2 weeks. Your radiation oncologist will recommend a specific schedule based on cancer type, location, and your overall health." } }, { "@type": "Question", "name": "Is SBRT painful?", "acceptedAnswer": { "@type": "Answer", "text": "No. SBRT is delivered externally and you will not feel the radiation itself. Each session is outpatient, and most patients return to normal activity the same day." } }, { "@type": "Question", "name": "Is SBRT covered by insurance?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. SBRT is covered by Medicare, Medicare Advantage, Tricare, and most major commercial plans. Our billing team verifies benefits and obtains prior authorization before treatment begins." } } ] } ] ``` ===================================================================== # ROUTE /treatments/srs URL: https://www.5dcancerservices.com/treatments/srs TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, SRS, stereotactic radiosurgery, brain metastases, acoustic neuroma, meningioma ===================================================================== # Stereotactic Radiosurgery (SRS) for Brain Metastases | 5D Cancer Services > Single- and few-session stereotactic radiosurgery (SRS) for brain metastases and select benign intracranial lesions, delivered on the Akesis Gemini 360 in St. George, Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - SRSTreatment # Stereotactic Radiosurgery (SRS) for the Brain Stereotactic radiosurgery (SRS) is an extremely precise, high-dose form of radiation aimed at small targets inside the brain. On the Akesis Gemini 360, SRS is delivered non-invasively in one to five sessions with sub-millimeter accuracy. Quick summaryBrain SRS at 5D Cancer Services treats brain metastases and select benign intracranial lesions in 1–5 painless, outpatient sessions. There are no incisions, no anesthesia, and most patients leave the same day. - Sessions: 1 (single-fraction SRS) to 5 (fractionated SRS / SRT) - Indications: brain metastases, acoustic neuroma, meningioma, AVM (select) - Sub-millimeter targeting on the Akesis Gemini 360 - Non-invasive — no frame, no anesthesia, no overnight stay - Painless; most patients return to normal activity within 24 hours - Multidisciplinary review with neurosurgery and medical oncology when indicatedLast reviewed: 2026-05-12 ## What is brain SRS? Stereotactic radiosurgery is not actually surgery — there is no incision. It is a highly focused radiation treatment that delivers an ablative dose to a small intracranial target in one (single-fraction SRS) to five (fractionated SRT) sessions. The Akesis Gemini 360 uses thin-slice imaging and a custom thermoplastic mask to immobilize the head, then delivers each treatment with sub-millimeter precision while sparing healthy brain tissue around the target. ## What SRS is used for - Brain metastases (single, oligometastatic, or multiple lesions) - Acoustic neuroma (vestibular schwannoma) - Meningioma — including small or surgically inaccessible cases - Pituitary adenoma - Trigeminal neuralgia (select cases) - Arteriovenous malformations (AVM) in collaboration with neurosurgery ## What to expect on a treatment day You'll be fitted into your custom mask, positioned on the treatment table, and imaged so the system can confirm sub-millimeter alignment. The radiation itself is silent and painless and takes only a few minutes; the full appointment is typically 45–60 minutes. Most patients drive themselves home and return to normal activity within 24 hours. ## Coordination with your other doctors Brain SRS decisions are made jointly with your neurosurgeon and medical oncologist. We share imaging and treatment summaries securely so your full care team stays aligned. ## Learn More [### SBRT Adaptive 5-session radiation for body sites. Learn more](/treatments/sbrt) [### Conditions Treated Full list of cancers and benign conditions. Learn more](/conditions) [### Meet the Team The radiation oncologists overseeing your care. Learn more](/team) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" }, { "@type": "ListItem", "position": 3, "name": "SRS", "item": "https://www.5dcancerservices.com/treatments/srs" } ] }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "@id": "https://www.5dcancerservices.com/treatments/srs#procedure", "name": "Stereotactic Radiosurgery (SRS)", "alternateName": [ "SRS", "Stereotactic Radiotherapy", "SRT" ], "procedureType": "Therapeutic", "bodyLocation": [ "Brain" ], "howPerformed": "A high dose of radiation is delivered to small intracranial targets in 1–5 sessions on the Akesis Gemini 360 using image guidance and millimeter-scale plan adaptation.", "preparation": "Thin-slice CT and MRI are acquired and fused for treatment planning; a custom thermoplastic mask is built for immobilization.", "followup": "Brain MRI follow-up at 2–3 month intervals for the first year, then every 6 months thereafter, coordinated with your neuro-oncology team.", "status": "https://schema.org/EBMedicineHigh", "relevantSpecialty": "Radiation Oncology", "url": "https://www.5dcancerservices.com/treatments/srs" }, { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "main h1", "main h2", "main p" ] }, "mainEntity": [ { "@type": "Question", "name": "Is brain SRS the same as brain surgery?", "acceptedAnswer": { "@type": "Answer", "text": "No. Despite the name, stereotactic radiosurgery is non-invasive — there is no incision and no anesthesia. A custom mask holds your head steady while radiation is delivered with sub-millimeter accuracy." } }, { "@type": "Question", "name": "How many sessions does brain SRS take?", "acceptedAnswer": { "@type": "Answer", "text": "Most brain SRS courses are completed in 1–5 sessions, depending on lesion size, location, and number of targets." } }, { "@type": "Question", "name": "Will I lose my hair?", "acceptedAnswer": { "@type": "Answer", "text": "Because the radiation is highly focused on a small target, most patients undergoing brain SRS have minimal or no hair loss. Your radiation oncologist will explain what to expect for your specific case." } } ] } ] ``` ===================================================================== # ROUTE /treatments/hypofractionation URL: https://www.5dcancerservices.com/treatments/hypofractionation TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, hypofractionation, hypofractionated radiotherapy, 5-fraction, shorter radiation course ===================================================================== # Hypofractionation: Fewer, Higher-Dose Radiation Sessions | 5D Cancer Services > Hypofractionated radiation therapy delivers a higher dose per treatment in fewer sessions. Adaptive hypofractionation on the Akesis Gemini 360 in St. George, Utah finishes most courses in 5–15 visits instead of 20–45. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - HypofractionationTreatment # Hypofractionation: Fewer, Higher-Dose Treatments Hypofractionation means delivering a higher dose of radiation per session so the entire course can be completed in far fewer visits. Adaptive hypofractionation on the Akesis Gemini 360 lets us do that safely by re-imaging and re-planning every day. Quick summaryHypofractionation is radiation therapy delivered in fewer, larger doses than conventional treatment. At 5D Cancer Services, adaptive hypofractionation on the Gemini 360 typically finishes a course in 5–15 sessions instead of the 20–45 sessions that older techniques required, with comparable or better outcomes for many cancers. - Conventional radiation: 20–45 daily sessions over 4–9 weeks - Adaptive hypofractionation: typically 5–15 sessions over 1–3 weeks - Higher dose per session is delivered with sub-millimeter targeting - Daily imaging + plan adaptation protects healthy tissue - Strong evidence base in prostate, breast, lung, liver, and bone metastases - Available in St. George, Utah on the only Akesis Gemini 360 in the stateLast reviewed: 2026-05-12 ## Why fewer sessions can be safer For decades, radiation was delivered in small daily doses over many weeks because the imaging could not confirm exactly where the tumor was each day. Modern image guidance and adaptive planning have changed that: when we can see the tumor in 3D every visit and re-optimize the plan around it, we can safely give a much larger dose each time. The total biological dose to the tumor is similar — or higher — but the patient finishes treatment in a fraction of the visits. ## Where hypofractionation has the strongest evidence Randomized trials and large registry studies support hypofractionation in early-stage prostate cancer (5–20 sessions), early breast cancer (5–15 sessions), early-stage non–small-cell lung cancer (3–8 sessions), liver and pancreatic tumors (5 sessions), and bone metastases (1–5 sessions). Your radiation oncologist will recommend a fractionation schedule based on the cancer type, location, your overall health, and your goals. ## What the patient experience looks like A typical hypofractionated visit at 5D Cancer Services takes 30–45 minutes door to door. Most of that time is spent on imaging and plan adaptation; the radiation beam itself is on for only a few minutes per session. There is no anesthesia, no IV, and no overnight stay. Because the course is short, side effects tend to be more compressed but also resolve faster. Most patients continue working and driving themselves to treatment throughout the course. ## Learn More [### Adaptive SBRT 5-session high-dose body radiation. Learn more](/treatments/sbrt) [### What is Adaptive Radiotherapy? How daily re-planning works. Learn more](/adaptive-radiotherapy) [### Adaptive vs. Conventional Side-by-side comparison. Learn more](/compare/adaptive-vs-conventional-radiotherapy) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" }, { "@type": "ListItem", "position": 3, "name": "Hypofractionation", "item": "https://www.5dcancerservices.com/treatments/hypofractionation" } ] }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "name": "Adaptive Hypofractionated Radiation Therapy", "alternateName": [ "Hypofractionation", "Hypofractionated Radiotherapy" ], "procedureType": "Therapeutic", "howPerformed": "A higher dose of external-beam radiation is delivered per session over fewer total sessions than conventional fractionation. 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Hypofractionation can be especially beneficial for older patients or those who would have difficulty traveling to many appointments, because the entire course can finish in 1–3 weeks." } } ] } ] ``` ===================================================================== # ROUTE /treatments/prostate-adaptive-workflow URL: https://www.5dcancerservices.com/treatments/prostate-adaptive-workflow TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, prostate cancer, prostate SBRT, adaptive prostate radiation, 5-fraction prostate, fiducials ===================================================================== # Prostate Cancer Adaptive Radiotherapy Workflow | 5D Cancer Services > Step-by-step workflow for prostate cancer adaptive radiation therapy at 5D Cancer Services in St. George, Utah: consultation, simulation, fiducials, daily imaging on the Akesis Gemini 360, and follow-up. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - Prostate Adaptive WorkflowTreatment Workflow # Prostate Cancer Adaptive Radiotherapy Workflow Prostate radiation is one of the strongest applications of adaptive radiotherapy. Daily bladder and rectal filling change the position of the prostate by several millimeters — exactly the kind of variation the Akesis Gemini 360 corrects for at every visit. Quick summaryAt 5D Cancer Services, prostate cancer patients typically complete adaptive SBRT in 5 sessions over about 2 weeks. The workflow starts with consultation and staging review, followed by fiducial placement and CT/MRI simulation. On treatment days the Gemini 360 acquires daily imaging, the team re-contours the prostate and nearby organs, and the plan is re-optimized before each beam-on. - Typical course: 5 SBRT sessions over ~2 weeks - Most patients are candidates for adaptive workflows regardless of risk group - Daily plan adaptation accounts for bladder/rectal filling shifts - Fiducial markers and/or hydrogel spacer may be recommended - PSA follow-up at 3, 6, 12 months, then every 6–12 months - Available in St. George, UT — the only Akesis Gemini 360 in UtahLast reviewed: 2026-05-12 ## Why adaptive radiation matters for the prostate The prostate sits between the bladder and the rectum and shifts position based on how full each one is on a given day. Conventional radiation accounts for this by adding margin around the prostate, which means more radiation reaches the bladder and rectum than is strictly needed. Adaptive radiotherapy on the Gemini 360 sees the prostate, bladder, and rectum on each visit and re-optimizes the plan accordingly. The high dose still lands on the prostate, but the dose to surrounding organs is consistently minimized. ## What patients can expect Most prostate patients complete the entire course in 5 visits over about 2 weeks. Each appointment takes 30–45 minutes. Typical preparation is a comfortably full bladder and an empty rectum; the team will give you a simple drink and bowel-prep schedule. Common short-term side effects include mild urinary urgency, fatigue, and occasional rectal irritation. These usually peak within a couple of weeks of finishing treatment and then improve. Long-term side effects are uncommon when adaptive techniques and a hydrogel spacer are used. ## Insurance and referrals Adaptive SBRT for prostate cancer is covered by Medicare and most commercial insurance plans. Our team will obtain prior authorization before treatment begins and will work directly with your urologist or medical oncologist to coordinate care. ## Learn More [### SBRT 5-session high-dose adaptive body radiation. Learn more](/treatments/sbrt) [### Prostate cancer Condition overview and treatment options. Learn more](/conditions/prostate-cancer) [### Insurance and cost How coverage and out-of-pocket cost work. Learn more](/patient-journey/insurance-and-cost) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" }, { "@type": "ListItem", "position": 3, "name": "Prostate Adaptive Workflow", "item": "https://www.5dcancerservices.com/treatments/prostate-adaptive-workflow" } ] }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "name": "Prostate Cancer Adaptive Radiation Therapy", "procedureType": "Therapeutic", "bodyLocation": "Prostate", "howPerformed": "Five sessions of adaptive stereotactic body radiation are delivered on the Akesis Gemini 360. 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Your radiation oncologist will recommend these based on your anatomy and risk group." } }, { "@type": "Question", "name": "Is prostate adaptive radiation covered by insurance?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Adaptive prostate SBRT is covered by Medicare and most commercial plans. Our billing team will obtain prior authorization before treatment begins." } } ] } ] ``` ===================================================================== # ROUTE /treatments/sfrt URL: https://www.5dcancerservices.com/treatments/sfrt TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, SFRT, LATTICE radiotherapy, GRID therapy, bulky tumor, re-irradiation ===================================================================== # Spatially Fractionated Radiation Therapy (SFRT / LATTICE) | 5D Cancer Services > Spatially fractionated radiation therapy (SFRT / LATTICE) delivers a heterogeneous high-dose lattice into bulky, radioresistant, or previously irradiated tumors. Delivered on the Akesis Gemini 360 in St. George, Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - SFRTTreatment # Spatially Fractionated Radiation Therapy (SFRT / LATTICE) Spatially fractionated radiation therapy — sometimes called LATTICE radiotherapy — deposits a 3D lattice of high-dose 'peaks' inside a tumor while keeping the surrounding rim at a safer dose. It is most commonly used for bulky, radioresistant, or previously-treated tumors. Quick summarySFRT (LATTICE) is a specialized adaptive technique that places a heterogeneous pattern of high-dose vertices inside a bulky tumor. It is used at 5D Cancer Services for select bulky, radioresistant, or re-irradiation cases on the Akesis Gemini 360. - Most useful for tumors ≥ ~6 cm or those resistant to standard radiation - Delivers a 3D lattice of high-dose 'vertices' separated by lower-dose valleys - Often combined with conventional fractionated radiation as a 'boost' - Considered for select re-irradiation cases when standard re-treatment isn't safe - Plan reviewed jointly by radiation oncology, medical physics, and dosimetry - Decision is highly individualized — eligibility determined at consultationLast reviewed: 2026-05-12 ## What is SFRT? Spatially fractionated radiation therapy intentionally creates a non-uniform dose inside a tumor: small high-dose 'vertices' (peaks) are arranged in a 3D lattice, separated by lower-dose 'valleys.' This pattern produces a strong tumoricidal and immune-stimulatory effect at the peaks while the lower-dose valleys help limit damage to nearby healthy tissue. SFRT is sometimes referred to historically as GRID therapy (its 2D predecessor) or LATTICE radiotherapy (the modern 3D variant). ## Who SFRT is considered for - Large, bulky tumors (commonly ≥ 6 cm in greatest dimension) - Sarcomas and other radioresistant histologies - Tumors that have not responded to prior radiation - Select re-irradiation cases where conventional retreatment exceeds tolerance - Symptomatic, debulking-style palliation when surgery isn't an option ## What to expect SFRT is typically delivered as a single high-dose treatment combined with a follow-on course of conventional fractionated radiation. Each treatment session is painless and outpatient. Because SFRT is highly individualized, the radiation oncologist will walk through whether your case is appropriate and what the expected dose distribution will look like. ## Important considerations SFRT is a specialized technique and is not appropriate for every tumor. The decision to use SFRT is made jointly by radiation oncology, medical physics, and your broader oncology team. If you've been told a tumor is 'too large' or 'radioresistant' elsewhere, ask whether SFRT might be an option for you here. ## Learn More [### SBRT 5-session adaptive treatment for smaller targets. Learn more](/treatments/sbrt) [### Conditions Treated Cancers and benign conditions we treat. Learn more](/conditions) [### Clinical Data Evidence behind adaptive radiotherapy. Learn more](/clinical-data) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" }, { "@type": "ListItem", "position": 3, "name": "SFRT", "item": "https://www.5dcancerservices.com/treatments/sfrt" } ] }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "@id": "https://www.5dcancerservices.com/treatments/sfrt#procedure", "name": "Spatially Fractionated Radiation Therapy (SFRT)", "alternateName": [ "LATTICE Radiotherapy", "GRID Therapy", "SFRT" ], "procedureType": "Therapeutic", "howPerformed": "A heterogeneous 3D dose lattice is planned and delivered on the Akesis Gemini 360, typically as a single high-dose treatment combined with a conventional fractionated course.", "url": "https://www.5dcancerservices.com/treatments/sfrt" } ] ``` ===================================================================== # ROUTE /treatments/low-dose-rt URL: https://www.5dcancerservices.com/treatments/low-dose-rt TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, low-dose radiation, Dupuytren's contracture, plantar fasciitis, keloid, heterotopic ossification ===================================================================== # Low-Dose Radiation Therapy for Benign Conditions | 5D Cancer Services > Low-dose radiation therapy for non-cancerous conditions — Dupuytren's contracture, plantar fasciitis, keloids, and heterotopic ossification — delivered in approximately 6 short outpatient sessions in St. George, Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - Low-Dose Radiation TherapyTreatment # Low-Dose Radiation Therapy for Benign Conditions Not every patient who benefits from radiation has cancer. Low-dose radiation therapy uses a small fraction of the dose used for cancer to quiet down inflammation, fibrosis, and abnormal tissue growth in conditions like Dupuytren's contracture, plantar fasciitis, and keloids. Quick summary5D Cancer Services offers low-dose radiation therapy for benign conditions in approximately 6 short outpatient sessions over 2–3 weeks. Common indications include Dupuytren's contracture, plantar fasciitis, keloid prevention/treatment, and heterotopic ossification prevention. - Typical course: ~6 sessions, each 10–15 minutes, over 2–3 weeks - Indications: Dupuytren's contracture, plantar fasciitis, keloids, heterotopic ossification - Dose per session is a small fraction of what's used for cancer - Painless, outpatient — no anesthesia, no recovery time - Most insurance plans (incl. Medicare) cover medically-indicated benign RT - May be paired with surgery (e.g. keloid excision + post-op RT, hip surgery + HO prevention)Last reviewed: 2026-05-12 ## How low-dose radiation works for benign conditions For non-cancerous conditions, the goal is not to kill cells but to calm overactive ones — fibroblasts, inflammatory cells, or bone-forming cells. Even small radiation doses are remarkably effective at this and have decades of clinical use behind them, especially in Europe. Treatment is delivered on the Akesis Gemini 360 with the same image guidance used for cancer treatment, just at a much lower dose per session. ## Conditions commonly treated - Dupuytren's contracture and Ledderhose disease (plantar fibromatosis) - Plantar fasciitis (when conservative therapy has failed) - Keloid prevention or treatment after surgical excision - Heterotopic ossification prophylaxis (e.g., after hip surgery) - Painful osteoarthritis in select joints (insurance-dependent) - Pigmented villonodular synovitis (PVNS) in select cases ## What a typical course looks like Most benign-condition courses are around 6 short sessions, scheduled 2–3 times per week over 2–3 weeks. Each appointment is roughly 10–15 minutes door-to-door; the radiation itself takes about a minute. There is no anesthesia, no recovery, and you can drive yourself home and return to normal activity immediately. ## Insurance and referrals Most major insurance plans (including Medicare) cover medically-indicated low-dose radiation therapy for benign conditions. Our billing team will verify coverage and obtain pre-authorization. A formal referral is helpful but not required — see /insurance for details, or call (435) 900-7060 to discuss your case. ## Learn More [### Dupuytren's Contracture Detailed condition page. Learn more](/conditions/dupuytrens-contracture) [### Plantar Fasciitis Detailed condition page. Learn more](/conditions/plantar-fasciitis) [### Insurance & Coverage Plans we accept and verification process. Learn more](/insurance) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" }, { "@type": "ListItem", "position": 3, "name": "Low-Dose Radiation Therapy", "item": "https://www.5dcancerservices.com/treatments/low-dose-rt" } ] }, { "@context": "https://schema.org", "@type": "MedicalProcedure", "@id": "https://www.5dcancerservices.com/treatments/low-dose-rt#procedure", "name": "Low-Dose Radiation Therapy for Benign Conditions", "procedureType": "Therapeutic", "howPerformed": "A small dose of radiation is delivered across approximately 6 short outpatient sessions on the Akesis Gemini 360, targeted to the affected area.", "url": "https://www.5dcancerservices.com/treatments/low-dose-rt" } ] ``` ===================================================================== # ROUTE /compare/adaptive-vs-conventional-radiotherapy URL: https://www.5dcancerservices.com/compare/adaptive-vs-conventional-radiotherapy TYPE: article KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, adaptive vs conventional radiation, comparison, fewer sessions, daily adaptation ===================================================================== # Adaptive Radiotherapy vs. Conventional Radiation: A Side-by-Side Comparison | 5D Cancer Services > How adaptive radiotherapy on the Akesis Gemini 360 compares to conventional radiation: number of sessions, daily plan adaptation, image guidance, side effects, and patient experience. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - Adaptive vs. Conventional RadiationComparison # Adaptive Radiotherapy vs. Conventional Radiation Most radiation in the United States is still delivered with a single plan locked in at the start of treatment and repeated 20–45 times. Adaptive radiotherapy re-images and re-plans every session — and often finishes in a fraction of the visits. Quick summaryAdaptive radiotherapy on the Gemini 360 differs from conventional radiation in three ways: (1) plan is recalculated every session, (2) most cancers can be treated in 5 sessions instead of 20–45, and (3) tighter targeting typically reduces side effects. - Sessions: adaptive RT is typically 5; conventional is 20–45 - Plan: adaptive RT is re-planned daily; conventional uses one plan throughout - Imaging: adaptive RT re-images at every session for sub-millimeter alignment - Margins: adaptive RT can shrink safety margins because it adapts to anatomy - Side effects: tighter targeting typically means fewer / milder side effects - Cost / coverage: both are covered by Medicare, Medicaid, and major commercial plansLast reviewed: 2026-05-12 ## How treatment planning differs Conventional external beam radiation builds a single treatment plan from a CT scan acquired at the start of care. That plan is then delivered, unchanged, every weekday for 4–9 weeks. The body, however, doesn't stay still: tumors shrink, organs shift with bowel and bladder filling, and patients lose weight. The original plan is no longer the optimal plan by week three. Adaptive radiotherapy on the Gemini 360 acquires fresh imaging before every session, lets the radiation oncology team confirm or update contours, and re-optimizes the plan to match the anatomy of the day. The dose still goes where it should — and not where it shouldn't. ## Number of sessions Because each adaptive treatment is delivered with very tight margins, a much higher dose can be safely delivered per session. That allows many cancers to be treated in 5 sessions over 1–2 weeks instead of 20–45 sessions over 4–9 weeks. For many patients this is the difference between continuing to work during treatment versus rearranging an entire summer. ## Side effects and quality of life When the plan is updated daily and margins are tight, less healthy tissue receives a high dose. In published series of adaptive prostate, lung, and pancreatic SBRT, both acute and late toxicity rates trend lower than historical conventional courses. Individual results vary — your radiation oncologist will discuss what to expect for your specific case. ## When conventional radiation is still the right choice - Very large treatment volumes that cannot be safely treated in 5 sessions - Concurrent chemoradiation regimens that prescribe a specific conventional schedule - Pediatric protocols with conventional fractionation for proven safety - Some palliative regimens where a 1–10 session conventional course is already standard ## Bottom line Adaptive radiotherapy is not a marketing label — it's a different way of practicing radiation oncology, made possible by re-imaging and re-planning at every session. For most modern indications it is the more precise option, completed in fewer visits, with typically gentler side effects. ## Learn More [### What Is Adaptive Radiotherapy? A deeper explanation of how it works. Learn more](/adaptive-radiotherapy) [### Adaptive SBRT 5-session high-dose body radiation. Learn more](/treatments/sbrt) [### Gemini 360 vs. Traditional Linac How the Gemini 360 differs from a conventional linear accelerator. Learn more](/compare/gemini360-vs-traditional-linac) [### Gemini 360 vs. MR-Linac How the Gemini 360 differs from MR-Linac systems. Learn more](/compare/gemini360-vs-mr-linac) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Your radiation oncologist will recommend the best approach for your specific case." } }, { "@type": "Question", "name": "Will my insurance cover adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Adaptive SBRT and conventional radiation are both covered by Medicare, Medicaid, Tricare, and most major commercial plans. Our billing team verifies benefits and obtains prior authorization before treatment begins." } }, { "@type": "Question", "name": "How many fewer visits will I need with adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Conventional courses typically run 20–45 sessions over 4–9 weeks. Most adaptive courses on the Akesis Gemini 360 finish in 5 sessions over 1–2 weeks." } } ] } ] ``` ===================================================================== # ROUTE /compare/gemini360-vs-traditional-linac URL: https://www.5dcancerservices.com/compare/gemini360-vs-traditional-linac TYPE: article KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, Gemini 360 vs traditional linac, linac comparison, adaptive vs static plans, image-guided radiotherapy ===================================================================== # Akesis Gemini 360 vs. Traditional Linac: How They Compare | 5D Cancer Services > How the Akesis Gemini 360 adaptive radiotherapy platform compares to a traditional linear accelerator: imaging modality, daily plan adaptation, treatment time, indications, and patient experience. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Treatments - Gemini 360 vs. Traditional LinacComparison # Akesis Gemini 360 vs. Traditional Linac A traditional linear accelerator (linac) delivers radiation according to a single plan created at the start of treatment. The Akesis Gemini 360 re-images and re-plans at every session, allowing many cancers to be treated in as few as 5 sessions instead of 20–45. Quick summaryA traditional linac uses one static plan for the entire course of radiation. The Akesis Gemini 360 is an adaptive platform that re-images and recalculates the plan at every session, which typically shortens the course of treatment, improves precision as anatomy changes, and reduces dose to surrounding healthy tissue. - Imaging: traditional linac uses pre-treatment CT + occasional CBCT; Gemini 360 captures full daily 3D imaging - Plan adaptation: traditional linac uses one plan for the whole course; Gemini 360 re-plans every session - Course length: traditional linac often 20–45 sessions; Gemini 360 as few as 5 sessions for many cancers - Margins: traditional linac requires larger safety margins; Gemini 360 can use tighter margins because it images daily - Side effects: smaller margins and daily adaptation typically reduce dose to healthy tissueLast reviewed: 2026-05-12 Watch: Gemini 360 vs. a traditional linac ## What a traditional linac does A traditional linear accelerator delivers external-beam radiation according to a treatment plan created from a single planning CT taken at the beginning of treatment. The same plan is then used for every session — typically 20 to 45 daily visits over several weeks. Traditional linacs may use cone-beam CT (CBCT) for positioning checks, but the underlying plan does not change as your anatomy changes day to day. ## What the Gemini 360 does differently - Captures a full 3D image of the tumor at every session, not just at the start of treatment - Recalculates the radiation plan in real time so the dose matches your anatomy today - Uses tighter safety margins because the system knows where the tumor is each day - Delivers the full course in as few as 5 sessions for many cancers - Supports SBRT, SRS, hypofractionation, and low-dose benign RT on a single platform ## Side-by-side comparison - Plan adaptation — Traditional linac: one plan for the entire course. Gemini 360: re-planned every session. - Imaging — Traditional linac: planning CT + occasional CBCT. Gemini 360: full 3D imaging at every session. - Margins — Traditional linac: larger safety margins to account for daily anatomy variation. Gemini 360: tighter margins because the system images daily. - Course length — Traditional linac: 20–45 sessions. Gemini 360: as few as 5 sessions for many cancers. - Healthy-tissue dose — Traditional linac: more spillover to surrounding tissue. Gemini 360: typically less, due to tighter margins and daily adaptation. ## What this means for patients For patients, the practical difference is fewer trips to the clinic, less total time off work and away from family, and typically fewer side effects than a long course on a traditional linac. For some diagnoses, a traditional linac may still be the right choice, and we will tell you when that is the case. Talk through the trade-offs for your specific diagnosis: call (435) 900-7060 or visit /faq for our most common patient questions. ## Learn More [### Akesis Gemini 360 About the technology we use. Learn more](/technology) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive and conventional radiation therapy. Learn more](/compare/adaptive-vs-conventional-radiotherapy) [### Clinical Data Evidence behind adaptive radiotherapy. Learn more](/clinical-data) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Treatments", "item": "https://www.5dcancerservices.com/treatments" }, { "@type": "ListItem", "position": 3, "name": "Gemini 360 vs. Traditional Linac", "item": "https://www.5dcancerservices.com/compare/gemini360-vs-traditional-linac" } ] }, { "@context": "https://schema.org", "@type": "Article", "headline": "Akesis Gemini 360 vs. Traditional Linac", "url": "https://www.5dcancerservices.com/compare/gemini360-vs-traditional-linac", "author": { "@type": "Organization", "name": "5D Cancer Services" }, "publisher": { "@id": "https://www.5dcancerservices.com#organization" }, "datePublished": "2026-05-12", "dateModified": "2026-05-12" }, { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "main h1", "main h2", "main p" ] }, "mainEntity": [ { "@type": "Question", "name": "What is the main difference between the Gemini 360 and a traditional linac?", "acceptedAnswer": { "@type": "Answer", "text": "A traditional linac delivers a single plan that was created at the start of treatment. The Gemini 360 captures a full 3D image at every session and recalculates the plan in real time so the radiation matches your anatomy that day, not weeks ago." } }, { "@type": "Question", "name": "Does the Gemini 360 take longer than a traditional linac?", "acceptedAnswer": { "@type": "Answer", "text": "Each individual session on the Gemini 360 may run a few minutes longer than a session on a traditional linac because of the daily adaptive workflow, but the total course finishes in roughly one quarter of the visits — often 5 sessions instead of 20–45." } }, { "@type": "Question", "name": "Is the Gemini 360 safer than a traditional linac?", "acceptedAnswer": { "@type": "Answer", "text": "Daily imaging and plan adaptation let the Gemini 360 use tighter margins around the tumor than a traditional linac, which typically reduces dose to surrounding healthy tissue and can lower the risk of side effects." } } ] } ] ``` ===================================================================== # ROUTE /compare/gemini360-vs-mr-linac URL: https://www.5dcancerservices.com/compare/gemini360-vs-mr-linac TYPE: article KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, Gemini 360 vs MR-Linac, MRIdian, Elekta Unity, adaptive radiotherapy comparison ===================================================================== # Akesis Gemini 360 vs. MR-Linac: How They Compare | 5D Cancer Services > How the Akesis Gemini 360 adaptive radiotherapy platform compares to MR-Linac systems (MRIdian, Elekta Unity): imaging modality, daily adaptation, treatment time, indications, and patient experience. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Compare - Gemini 360 vs. MR-LinacComparison # Akesis Gemini 360 vs. MR-Linac Both the Akesis Gemini 360 and MR-Linac systems (such as the ViewRay MRIdian and Elekta Unity) are 'adaptive' linear accelerators — they re-image and re-plan during a course of radiation. The two platforms reach that goal in different ways. Quick summaryThe Akesis Gemini 360 uses high-quality CT-based image guidance with AI-assisted daily adaptation, while MR-Linac systems combine an MRI scanner with a linear accelerator. Both are adaptive; the Gemini 360 is faster per session and treats a broader range of indications, while MR-Linac excels at real-time imaging of soft-tissue motion. - Imaging: Gemini 360 uses on-board CT-based imaging; MR-Linac uses real-time MRI - Adaptation: both re-plan during the course; Gemini 360 adapts via AI-assisted CT-driven workflow - Session time: Gemini 360 is typically faster (~30–45 min) vs. MR-Linac (~45–90 min) - Fiducials / contrast: Gemini 360 typically does not require gadolinium contrast - Indications: Gemini 360 covers the full spectrum (SBRT, SRS, SFRT, benign RT) on one platform - Availability: 5D Cancer Services is the only Gemini 360 site in UtahLast reviewed: 2026-05-12 ## What both platforms have in common Both the Gemini 360 and MR-Linac are linear accelerators with on-board imaging that allow for adaptive radiotherapy: imaging at every session, with the option to re-plan based on anatomy of the day. Both can deliver SBRT, both are FDA-cleared, and both are used at major academic centers around the world. Both also represent a meaningful step beyond traditional radiation systems that lock a single plan in at the start of treatment and never update it. ## How they differ - Imaging modality: Gemini 360 uses on-board CT-based image guidance; MR-Linac uses real-time MRI - Daily workflow: Gemini 360 uses an AI-assisted CT-driven adaptive workflow; MR-Linac uses MRI-based on-table re-planning - Session time: Gemini 360 sessions are typically 30–45 minutes; MR-Linac sessions often 45–90 minutes - Magnetic-field considerations: MR-Linac patients must be MRI-compatible (no certain implants, no claustrophobia issues); Gemini 360 has no such restriction - Contrast: Gemini 360 imaging does not typically require gadolinium contrast - Range of indications on one platform: Gemini 360 supports SBRT, SRS, SFRT, and low-dose benign RT ## Where MR-Linac shines MR-Linac platforms have an advantage when soft-tissue motion needs to be visualized in real time during the radiation beam — for example, gating around respiratory motion in some upper-abdomen cases. Centers that have invested in MR-Linac often use it for difficult pancreatic and liver cases. ## Where the Gemini 360 shines The Gemini 360 is designed around speed, breadth, and a clean adaptive workflow. Sessions are shorter, the platform supports the full spectrum of techniques (SBRT, SRS, SFRT, low-dose benign RT) on a single machine, and patients with implants or claustrophobia who can't tolerate an MR-Linac can still receive adaptive treatment. ## Which is right for me? For the vast majority of indications either modern adaptive platform delivers excellent results. The right answer depends on your diagnosis, anatomy, prior treatment, implants, comfort with MRI, and travel logistics. We're happy to talk through the trade-offs in your specific case — call (435) 900-7060 or visit /faq for our most common patient questions. ## Learn More [### Akesis Gemini 360 About the technology we use. Learn more](/technology) [### Adaptive vs. Conventional Radiation Side-by-side comparison of adaptive and conventional radiation therapy. Learn more](/compare/adaptive-vs-conventional-radiotherapy) [### Clinical Data Evidence behind adaptive radiotherapy. Learn more](/clinical-data) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Compare" }, { "@type": "ListItem", "position": 3, "name": "Gemini 360 vs. MR-Linac", "item": "https://www.5dcancerservices.com/compare/gemini360-vs-mr-linac" } ] }, { "@context": "https://schema.org", "@type": "Article", "headline": "Akesis Gemini 360 vs. MR-Linac", "url": "https://www.5dcancerservices.com/compare/gemini360-vs-mr-linac", "author": { "@type": "Organization", "name": "5D Cancer Services" }, "publisher": { "@id": "https://www.5dcancerservices.com#organization" }, "datePublished": "2026-05-12", "dateModified": "2026-05-12" } ] ``` ===================================================================== # ROUTE /patient-journey/what-to-expect-day-1 URL: https://www.5dcancerservices.com/patient-journey/what-to-expect-day-1 TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, first visit, consultation, what to expect, patient journey, day 1 ===================================================================== # What to Expect on Day 1: Your First Visit | 5D Cancer Services > A step-by-step guide to your first consultation at 5D Cancer Services in St. George, Utah — what to bring, who you'll meet, how long it takes, and what happens next. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - FAQ - Patient Journey - First VisitPatient Journey # What to expect at your first visit Your first appointment at 5D Cancer Services is a consultation, not a treatment. The goal is to listen, review your records, walk through your options, and answer every question you have before any decisions are made. Quick summaryThe first visit at 5D Cancer Services takes about an hour. You'll meet your radiation oncologist, review your imaging and pathology, tour the Gemini 360, and discuss whether adaptive radiotherapy is appropriate for your case. No treatment is delivered on the first visit. - Duration: approximately 60 minutes - What to bring: photo ID, insurance card, list of medications, prior imaging on disc if available - Who you'll meet: your radiation oncologist plus a member of the patient navigation team - Bring a support person — a partner, family member, or friend is encouraged - No needles, no scans, and no radiation are delivered at the first visit - Next steps and any planning imaging are scheduled before you leaveLast reviewed: 2026-05-12 ## Before you arrive Once your visit is scheduled, our patient navigation team will reach out to confirm logistics and ask for any imaging, pathology, or prior radiation records we don't already have. If your provider has not sent records, no problem — we'll coordinate that for you. Plan to arrive about 15 minutes early for paperwork. Parking is free at our 1308 E 900 South, Unit B location in St. George. ## What to bring - Photo ID and insurance card(s) - List of current medications and dosages - Names and phone numbers of your other treating physicians - Any imaging on CD (CT, MRI, PET) and copies of pathology reports if you have them - A notebook or your phone — you'll want to take notes - A trusted support person, if at all possible ## What happens during the appointment Your radiation oncologist will review your history, examine you as needed, look through your imaging and pathology with you, and walk through whether adaptive radiotherapy is appropriate for your case. You'll have time to see the Gemini 360 and ask anything you want. Plan for about an hour, though some complex cases run longer. There are no scans, no needles, and no radiation delivered at this visit — it is purely a conversation about your care. ## What you'll leave with - A clear understanding of whether adaptive radiotherapy is recommended - An estimated number of sessions and timeline - Information about how your insurance is expected to handle the treatment - Written or printed summary of what was discussed - Direct contact information for the patient navigation team - Scheduled date for planning imaging (CT simulation), if treatment is recommended ## Common questions before the first visit Most patients ask the same handful of questions: How long will this take? Will I lose my hair? Can I keep working? Will my insurance cover it? You'll find detailed answers on /faq, and your radiation oncologist will go through each of them in person. ## Learn More [### Insurance and Cost How coverage and out-of-pocket cost work. Learn more](/patient-journey/insurance-and-cost) [### A Day of Treatment What a typical treatment session looks like. Learn more](/patient-journey/treatment-day) [### Insurance & Coverage Plans we accept and how verification works. Learn more](/insurance) [### FAQ Detailed answers to common patient questions. Learn more](/faq) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "FAQ", "item": "https://www.5dcancerservices.com/faq" }, { "@type": "ListItem", "position": 3, "name": "Patient Journey" }, { "@type": "ListItem", "position": 4, "name": "First Visit", "item": "https://www.5dcancerservices.com/patient-journey/first-visit" } ] }, { "@context": "https://schema.org", "@type": "HowTo", "name": "How to prepare for your first visit at 5D Cancer Services", "description": "Step-by-step guide to a first consultation at 5D Cancer Services.", "step": [ { "@type": "HowToStep", "position": 1, "name": "Schedule the visit", "text": "Call (435) 900-7060 or have your provider fax records. Most consultations are scheduled within 1–2 business days." }, { "@type": "HowToStep", "position": 2, "name": "Gather your records", "text": "Bring photo ID, insurance card, a list of current medications, and any prior imaging on CD if available." }, { "@type": "HowToStep", "position": 3, "name": "Bring a support person", "text": "A partner, family member, or friend is welcome and encouraged — they often catch details you may miss." }, { "@type": "HowToStep", "position": 4, "name": "Meet your team", "text": "You'll meet your radiation oncologist and a member of the patient navigation team for about an hour." }, { "@type": "HowToStep", "position": 5, "name": "Plan next steps", "text": "Before you leave, you'll know your options, your insurance pathway, and the date of any planning imaging or follow-up." } ] }, { "@context": "https://schema.org", "@type": "FAQPage", "speakable": { "@type": "SpeakableSpecification", "cssSelector": [ "main h1", "main h2", "main p" ] }, "mainEntity": [ { "@type": "Question", "name": "How long is the first visit?", "acceptedAnswer": { "@type": "Answer", "text": "Plan on about an hour. You'll meet your radiation oncologist and a member of the patient navigation team, review your records and imaging together, and discuss treatment options before you leave." } }, { "@type": "Question", "name": "Do I need a referral?", "acceptedAnswer": { "@type": "Answer", "text": "Most patients are referred by their primary-care provider, urologist, oncologist, or surgeon, but a referral is not strictly required. Call (435) 900-7060 and our patient navigation team will help coordinate." } }, { "@type": "Question", "name": "What should I bring to my first visit?", "acceptedAnswer": { "@type": "Answer", "text": "Bring photo ID, insurance card(s), a list of current medications, names and phone numbers of your other treating physicians, and any imaging on CD or pathology reports if you have them. A trusted support person is always welcome." } } ] } ] ``` ===================================================================== # ROUTE /patient-journey/insurance-and-cost URL: https://www.5dcancerservices.com/patient-journey/insurance-and-cost TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, insurance, coverage, cost, Medicare, prior authorization, financial assistance ===================================================================== # Insurance, Coverage and Cost of Adaptive Radiotherapy | 5D Cancer Services > How insurance coverage and out-of-pocket cost work for adaptive radiotherapy at 5D Cancer Services in St. George, Utah: Medicare, commercial plans, prior authorization, payment plans, and financial assistance. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - FAQ - Insurance and CostPatient Journey # Insurance, Coverage, and Out-of-Pocket Cost Adaptive radiotherapy is covered by Medicare and most commercial insurance plans. This page explains how coverage works, what to expect for prior authorization, and the financial-support options 5D Cancer Services offers patients across Utah, Nevada, and Arizona. Quick summaryAdaptive radiotherapy at 5D Cancer Services is covered by Medicare, Medicare Advantage, Tricare, and most major commercial insurance plans. Our billing team verifies benefits and obtains prior authorization before treatment begins. Out-of-pocket cost depends on your plan's deductible and coinsurance; payment plans and financial assistance are available for qualifying patients. - Covered by Medicare, Medicare Advantage, and most commercial plans - Tricare and many union/employer plans are accepted - Our team verifies benefits and obtains prior authorization - Out-of-pocket depends on deductible, coinsurance, and out-of-pocket maximum - Payment plans and financial assistance available for qualifying patients - No balance billing surprises — we provide a written cost estimate before treatmentLast reviewed: 2026-05-12 ## Plans we accept 5D Cancer Services is in-network with Medicare, Medicare Advantage, Tricare, and most major commercial plans (including Blue Cross Blue Shield, Aetna, Cigna, UnitedHealthcare, SelectHealth, PEHP, and Humana). If your plan is not listed, please call us — many out-of-network plans still cover treatment with prior authorization. ## Prior authorization, simply explained Most insurance plans require approval — called prior authorization — before they will pay for radiation therapy. Our billing team submits the request with your physician's notes and treatment plan. Approvals typically come back in 5–10 business days. We will not begin treatment until authorization is in hand and you have a written cost estimate. ## What you'll actually pay Your out-of-pocket cost depends on three things from your insurance plan: the deductible (what you pay before insurance starts paying), the coinsurance (the percentage you pay after that), and the annual out-of-pocket maximum (the most you'll pay all year). Most patients hit their out-of-pocket maximum during a course of radiation, which means follow-up imaging and visits later in the year are often fully covered. We provide a written cost estimate based on your plan benefits before treatment begins, so there are no surprises. ## Financial assistance We offer interest-free payment plans for any patient who needs one, and a financial-assistance program for patients who meet income guidelines. Our financial counselor will walk you through the options at your consultation — no one is turned away from care because of cost concerns. ## Learn More [### Insurance and billing Plans accepted and contact information. Learn more](/insurance) [### Your First Visit What to expect at consultation. Learn more](/patient-journey/first-visit) [### Patient FAQ Common questions answered. Learn more](/faq) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "FAQ", "item": "https://www.5dcancerservices.com/faq" }, { "@type": "ListItem", "position": 3, "name": "Insurance and Cost", "item": "https://www.5dcancerservices.com/patient-journey/insurance-and-cost" } ] }, { "@context": "https://schema.org", "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Does insurance cover adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Medicare, Medicare Advantage, Tricare, and most major commercial insurance plans cover adaptive radiation therapy. Our billing team will verify your specific benefits before treatment begins." } }, { "@type": "Question", "name": "Will I need prior authorization?", "acceptedAnswer": { "@type": "Answer", "text": "Most plans require prior authorization for radiation therapy. Our team handles the paperwork directly with your insurance and lets you know once authorization has been approved." } }, { "@type": "Question", "name": "What will my out-of-pocket cost be?", "acceptedAnswer": { "@type": "Answer", "text": "Out-of-pocket cost depends on your plan's deductible, coinsurance, and annual out-of-pocket maximum. We provide a written cost estimate before treatment begins so there are no surprises." } }, { "@type": "Question", "name": "Do you offer payment plans or financial assistance?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. We offer interest-free payment plans and a financial-assistance program for qualifying patients. Ask our financial counselor at your consultation." } } ] } ] ``` ===================================================================== # ROUTE /patient-journey/treatment-day URL: https://www.5dcancerservices.com/patient-journey/treatment-day TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, treatment day, what to expect, patient journey, radiation session ===================================================================== # What a Day of Adaptive Radiation Treatment Looks Like | 5D Cancer Services > Walk through a typical adaptive radiotherapy treatment day at 5D Cancer Services in St. George, Utah — from check-in and imaging to plan adaptation, beam-on, and going home. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - FAQ - Patient Journey - A Day of TreatmentPatient Journey # A day of adaptive radiation treatment A typical adaptive radiotherapy session at 5D Cancer Services takes about 30–45 minutes, door to door. Most of that time is spent on imaging and plan adaptation; the radiation beam itself is on for only a few minutes. Quick summaryAn adaptive radiotherapy session takes ~30–45 minutes total. About 5 minutes for check-in and gowning, 10–15 minutes for imaging and plan adaptation on the Gemini 360, ~5 minutes of beam-on, and ~10 minutes for safety checks and recovery. Most patients drive home and resume normal activity the same day. - Total appointment: approximately 30–45 minutes - Beam-on time: typically only a few minutes per session - Painless — you won't feel the radiation - No anesthesia, no IVs, no overnight stay - Most patients drive themselves home and return to normal activity the same day - Wear comfortable clothing; certain treatment sites may require gowningLast reviewed: 2026-05-12 ## Arriving for your appointment Most patients arrive 10–15 minutes before their appointment, check in at the front desk, and change into a gown if their treatment site requires it. Comfortable, loose clothing makes life easier. Bring whatever helps you feel calm — many patients listen to music, podcasts, or audiobooks during the imaging portion of the session. ## On the treatment couch Radiation therapists will help you onto the treatment couch and position you exactly the way you were positioned at your CT simulation. If you have a custom immobilization device — a thermoplastic mask for head/neck or brain treatments, a body cradle, or a breast board — that's used to keep you in the same position to within a millimeter. The room is climate-controlled and the table is padded. The therapists will explain everything they're doing as they go. ## Imaging and plan adaptation Once you're positioned, the Gemini 360 acquires fresh imaging in 3D. This is the part that makes adaptive radiotherapy 'adaptive': the radiation oncology team reviews today's images, confirms or adjusts the contours of your tumor and surrounding organs, and re-optimizes the treatment plan so the dose still goes exactly where it should. This step typically takes 10–15 minutes. You stay still on the table while the team works. ## Beam-on Once the plan is finalized, the radiation itself is delivered. This is the part most people imagine when they hear 'radiation,' and it's typically the shortest part of the visit — just a few minutes. You won't feel anything; the machine moves around you and is silent except for a faint hum. The therapists are watching you on cameras the entire time and can hear you through a two-way intercom. If you ever feel uncomfortable, you can speak up and they will pause immediately. ## Going home After the beam is off, the therapists will help you off the table and walk you back to the dressing area. Most patients drive themselves home and resume normal activity the same day. You may feel mild fatigue, especially toward the end of a course; your team will go over what to expect for your specific treatment site. ## Learn More [### Your First Visit What to expect at consultation. Learn more](/patient-journey/first-visit) [### SBRT 5-session adaptive treatment for body sites. Learn more](/treatments/sbrt) [### FAQ Common patient questions answered. Learn more](/faq) Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "FAQ", "item": "https://www.5dcancerservices.com/faq" }, { "@type": "ListItem", "position": 3, "name": "Patient Journey" }, { "@type": "ListItem", "position": 4, "name": "A Day of Treatment", "item": "https://www.5dcancerservices.com/patient-journey/treatment-day" } ] }, { "@context": "https://schema.org", "@type": "HowTo", "name": "What happens during a single adaptive radiotherapy session", "step": [ { "@type": "HowToStep", "position": 1, "name": "Check in and gown", "text": "Arrive ~10 minutes early, check in, and change into a gown if your treatment site requires it." }, { "@type": "HowToStep", "position": 2, "name": "Positioning and immobilization", "text": "Therapists position you on the treatment couch using your custom immobilization device (mask, mold, or board)." }, { "@type": "HowToStep", "position": 3, "name": "Daily imaging", "text": "The Gemini 360 acquires fresh imaging so the team can see today's anatomy in 3D." }, { "@type": "HowToStep", "position": 4, "name": "Plan adaptation", "text": "The radiation oncology team confirms or updates contours and re-optimizes the plan to match today's anatomy." }, { "@type": "HowToStep", "position": 5, "name": "Treatment delivery", "text": "The beam is delivered for a few minutes while the system continues to monitor your position." }, { "@type": "HowToStep", "position": 6, "name": "Going home", "text": "Therapists help you off the table; most patients drive themselves home and resume normal activity the same day." } ] } ] ``` ===================================================================== # ROUTE /blog URL: https://www.5dcancerservices.com/blog TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, blog, articles, patient education ===================================================================== # Blog | 5D Cancer Services > Articles, updates, and insights from the 5D Cancer Services team on adaptive radiotherapy, cancer treatment, and patient care in Southern Utah. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Blog # Blog News, updates, and patient-friendly explainers from the 5D Cancer Services team. ## No posts yet Check back soon — we're working on our first articles. Take the next step ## There is no time for cancer. You deserve the most advanced care available. Schedule a consultation with our physicians and staff today to discuss your treatment options. 1308 E 900 South, Unit B, St. George, UT 84790 [Call (435) 900-7060](tel:+14359007060)[Request Consultation](tel:+14359007060) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "Blog", "name": "5D Cancer Services Blog", "url": "https://www.5dcancerservices.com/blog", "publisher": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" }, "blogPost": [] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Blog", "item": "https://www.5dcancerservices.com/blog" } ] } ] ``` ===================================================================== # ROUTE /privacy-policy URL: https://www.5dcancerservices.com/privacy-policy TYPE: legal KEYWORDS: privacy policy, PHI, HIPAA, cookies, analytics ===================================================================== # Privacy Policy | 5D Cancer Services > How 5D Cancer Services collects, uses, protects, and shares information from visitors to 5dcancerservices.com, including HIPAA-related practices for protected health information (PHI), cookies, analytics, and your privacy rights. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Privacy PolicyLegal # Privacy Policy Effective Date: April 16, 2026 · Last Updated: April 16, 2026 5D Cancer Services ("5D Cancer Services," "we," "us," or "our") respects your privacy. This Privacy Policy explains how we collect, use, disclose, and safeguard information when you visit [www.5dcancerservices.com](https://www.5dcancerservices.com) (the "Site") or otherwise interact with us online. Information you share with us as a patient is also governed by our [HIPAA Notice of Privacy Practices](/hipaa-notice), which controls in any conflict relating to Protected Health Information ("PHI"). ## Important Notice This Privacy Policy is provided in good faith for transparency and informational purposes. It is not legal advice and should be reviewed by qualified legal counsel before being relied upon for compliance with HIPAA, state privacy laws, or other regulations applicable to your use of our services. If you are seeking immediate medical care, please call [(435) 900-7060](tel:+14359007060) or, in an emergency, dial 911. ### Contents - 1. Introduction - 2. Scope of This Policy - 3. Information We Collect - 4. How We Use Your Information - 5. Protected Health Information & HIPAA - 6. Cookies, Pixels & Analytics - 7. Third-Party Services & Service Providers - 8. How We Share Information - 9. Data Retention - 10. Information Security - 11. Your Privacy Rights - 12. State-Specific Rights (CA, VA, CO, CT, UT) - 13. International Visitors (GDPR/UK) - 14. Children's Privacy - 15. Do Not Track & Global Privacy Controls - 16. Links to Third-Party Websites - 17. Accessibility - 18. Changes to This Policy - 19. How to Contact Us ## 1. Introduction 5D Cancer Services is a radiation-oncology practice located in St. George, Utah, providing adaptive radiotherapy and related medical services. We operate the Site to share information about our practice, our clinicians, the Akesis Gemini 360 adaptive radiotherapy system, the conditions we treat, insurance, and patient education resources. This Privacy Policy describes our online information practices and is intended to be read alongside our [HIPAA Notice of Privacy Practices](/hipaa-notice) and our [Terms of Service](/terms-of-service). ## 2. Scope of This Policy This Policy applies to information collected through the Site and related digital channels, including telephone calls initiated through the Site, email correspondence, and analytics or advertising activity tied to the Site. We do not collect appointment requests or other personal information through any form on this Site. It does not cover: - Information collected in person at our clinic, which is governed by our HIPAA Notice of Privacy Practices. - Information collected by third-party websites linked from our Site (those sites have their own policies). - Employer/employee or vendor data collected outside the public-facing Site. ## 3. Information We Collect We collect information in three broad ways: ### 3.1 Information You Provide Directly - Email correspondence and call notes when you contact us by phone at (435) 900-7060 or by email at info@5dcancerservices.com — including any name, contact details, insurance information, or medical history you voluntarily share. We do not collect this information through any form on this Site. ### 3.2 Information Collected Automatically - Device & technical data: IP address, browser type and version, operating system, screen size, language, time zone, referring URL. - Usage data: pages viewed, links clicked, time on page, scroll depth, and the path you take through the Site. - Approximate location: derived from your IP address (typically city/region level, not GPS). - Cookies and similar technologies as described in Section 6. ### 3.3 Information from Third Parties - Referring physicians or hospitals who share your contact details to coordinate your care. - Advertising and analytics partners that may report aggregated audience data back to us. - Public sources (such as Google Business Profile reviews you choose to publish about our practice). ## 4. How We Use Your Information We use the information described above for the following purposes: - Responding to phone calls, emails, questions, or other communications you initiate. - Coordinating treatment, scheduling, and follow-up with you and your referring providers. - Verifying insurance coverage and obtaining pre-authorization where applicable. - Improving the Site, our clinical content, and the patient experience. - Administering, securing, and troubleshooting the Site. - Complying with applicable federal and state law, accreditation standards, and our legal obligations. - Detecting, investigating, and preventing fraud, abuse, or violations of our Terms of Service. ## 5. Protected Health Information & HIPAA When information you share with us by phone or email is "individually identifiable health information" that we receive, create, maintain, or transmit as a HIPAA-covered health-care provider, it is "Protected Health Information" (PHI) and is subject to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), as amended by the HITECH Act, and their implementing regulations at 45 C.F.R. Parts 160 and 164. Our use and disclosure of PHI is described in our [Notice of Privacy Practices (NPP)](/hipaa-notice). In the event of a conflict between this Privacy Policy and the NPP with respect to PHI, the NPP controls. Standard internet email is not fully secure; please do not include sensitive medical details in email messages unless you are willing to accept the inherent transmission risk. If you would like to share PHI securely, please call us at [(435) 900-7060](tel:+14359007060) to arrange a secure channel. Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## 6. Cookies, Pixels & Analytics We and our service providers use cookies, web beacons, pixels, and similar technologies ("cookies") to operate the Site and understand how it is used. We use the following categories: - Strictly necessary – required for the Site to function (security, load balancing, form submission). - Performance & analytics – measure traffic, page popularity, errors, and conversion (e.g., privacy-respecting analytics tools). - Functional – remember preferences such as locale, accessibility settings, or whether a notice has been dismissed. - Advertising/marketing – measure the effectiveness of awareness campaigns; we do not use cookies to advertise based on a person's diagnosis or specific condition information.You may control cookies through your browser settings, your device settings, or our cookie preferences interface where available. Blocking some cookies may limit the functionality of the Site. ## 7. Third-Party Services & Service Providers We engage third-party service providers to help us operate the Site and our practice — for example, web hosting, analytics, email delivery, electronic medical records, scheduling systems, telephone systems, cloud storage, billing, payment processors, and IT security. These providers are contractually limited to using information only to provide their services to us, and where they create, receive, maintain, or transmit PHI on our behalf, they sign HIPAA Business Associate Agreements. ## 8. How We Share Information We may share information in the following circumstances: - With your providers and care team to coordinate diagnosis, treatment, and follow-up. - With our service providers and Business Associates to operate the Site and our practice. - With your insurer or payor to obtain authorization or process claims. - To comply with law, respond to lawful requests from regulators or law-enforcement agencies, or as otherwise required by HIPAA or state law. - To protect rights, safety, and property, including investigating violations of our Terms of Service. - In connection with a corporate transaction (e.g., merger, acquisition, or sale of assets), subject to applicable law. - With your consent for any other purpose disclosed at the time of collection.We do not sell your personal information for monetary consideration, and we do not knowingly use or disclose PHI for marketing purposes that would require an authorization under HIPAA without first obtaining that authorization. ## 9. Data Retention We retain personal information for as long as necessary to fulfill the purposes described in this Policy, to comply with our legal, regulatory, and accreditation obligations (including the medical-records retention requirements under Utah law), to resolve disputes, and to enforce our agreements. Medical records are typically retained for the period required by Utah law and applicable federal regulations. After the applicable retention period expires, information is securely destroyed, deleted, or de-identified. ## 10. Information Security We maintain administrative, physical, and technical safeguards designed to protect personal information and PHI against accidental or unlawful destruction, loss, alteration, unauthorized disclosure, or access — consistent with the HIPAA Security Rule (45 C.F.R. Part 164, Subpart C) where PHI is involved. Examples include: encryption in transit (TLS), access controls and role-based permissions, audit logging, workforce training, multi-factor authentication for sensitive systems, secure backup procedures, and incident-response planning. No method of transmission over the internet or method of electronic storage is 100% secure, and we cannot guarantee absolute security. ## 11. Your Privacy Rights Subject to applicable law and to our HIPAA obligations, you may have the right to: - Request access to the personal information we hold about you. - Request correction of inaccurate or incomplete personal information. - Request deletion of personal information, subject to legal retention obligations (note: we generally cannot delete PHI required to be retained by law). - Object to or restrict certain processing. - Request portability of certain information. - Withdraw consent where processing is based on consent. - Lodge a complaint with a regulator (see Section 19).Patients also have specific rights under HIPAA — see our [Notice of Privacy Practices](/hipaa-notice). ## 12. State-Specific Rights Residents of certain U.S. states (including California, Virginia, Colorado, Connecticut, and Utah) may have additional rights under their state privacy laws — for example, the California Consumer Privacy Act (CCPA/CPRA), the Virginia Consumer Data Protection Act (VCDPA), the Colorado Privacy Act (CPA), the Connecticut Data Privacy Act (CTDPA), and the Utah Consumer Privacy Act (UCPA). PHI handled by a HIPAA-covered entity is generally exempt from these statutes, but information collected through the Site that is not PHI may be covered. To exercise state-law rights, contact us using the information in Section 19 and identify your state of residence and the right you wish to exercise. We do not "sell" or "share" personal information for cross-context behavioral advertising as those terms are defined under the CCPA. ## 13. International Visitors (GDPR/UK) Our Site is operated from the United States and is intended for an audience in the United States, particularly Utah and the surrounding region. If you access the Site from outside the U.S., you understand that your information will be transferred to and processed in the U.S., where data-protection laws may differ from those of your home country. To the extent the EU/UK GDPR applies, our legal bases for processing include consent, performance of a contract or pre-contractual steps you request, our legitimate interests in operating the Site, and compliance with legal obligations. ## 14. Children's Privacy The Site is not directed to children under 13, and we do not knowingly collect personal information online from children under 13 (or 16 where local law requires) other than as a parent or legal guardian providing information about a child as part of a treatment request. If you believe a child has provided us information through the Site, please contact us so that we can delete it. ## 15. Do Not Track & Global Privacy Controls Some browsers transmit a "Do Not Track" (DNT) signal. There is currently no industry standard for responding to DNT signals; we do not currently respond to them. Where required by law, we honor opt-out preference signals such as the Global Privacy Control (GPC) for sales/sharing of personal information. ## 16. Links to Third-Party Websites The Site may contain links to third-party websites (for example, the U.S. Food and Drug Administration, the National Cancer Institute, manufacturer pages, or partner organizations). We are not responsible for the privacy practices or content of those sites. We encourage you to review the privacy policy of any third-party site you visit. ## 17. Accessibility We are committed to maintaining a Site that is accessible to people with disabilities, consistent with the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA where reasonably feasible. If you encounter an accessibility barrier, please contact us so we can address it. ## 18. Changes to This Policy We may update this Privacy Policy from time to time to reflect changes in our practices, technology, legal requirements, or other factors. When we make material changes, we will revise the "Last Updated" date at the top of this Policy and, where appropriate, provide a more prominent notice. Your continued use of the Site after such changes become effective constitutes acceptance of the updated Policy. ## 19. How to Contact Us Questions, complaints, or requests regarding this Privacy Policy or your information may be directed to our Privacy Officer: 5D Cancer Services — Attn: Privacy Officer 1308 E 900 South, Unit B St. George, UT 84790 [(435) 900-7060](tel:+14359007060) [privacy@5dcancerservices.com](mailto:privacy@5dcancerservices.com) For HIPAA-specific complaints, you may also file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights — see our [HIPAA Notice of Privacy Practices](/hipaa-notice) for instructions. You will not be retaliated against for filing a complaint. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Standard email is not secure — call us and we will arrange a secure channel.Home - HIPAA Notice of Privacy PracticesPatient Privacy # HIPAA Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Effective Date: April 16, 2026 · Last Updated: April 16, 2026 ## Important Notice This Notice of Privacy Practices is provided in accordance with the federal HIPAA Privacy Rule, 45 C.F.R. § 164.520. It is provided in good faith and reviewed by our Privacy Officer; we recommend that all covered entities have their NPP reviewed by qualified legal counsel before adoption. For information that is not Protected Health Information (PHI), please see our [Privacy Policy](/privacy-policy). ### Contents - Plain-Language Summary - 1. Who This Notice Applies To - 2. What Protected Health Information Is - 3. Uses & Disclosures for Treatment, Payment & Operations - 4. Other Permitted Uses & Disclosures - 5. Uses & Disclosures Requiring Your Authorization - 6. Your Rights Under HIPAA - 7. Our Duties - 8. Breach Notification - 9. Minors & Personal Representatives - 10. State Law (Utah) Where More Protective - 11. Complaints - 12. Changes to This Notice - 13. How to Contact Us ## Plain-Language Summary - We protect your medical information and only use or share it as the law allows. - Your information is used to treat you, get paid, and run our practice safely and lawfully. - You have rights to see, get a copy of, correct, and ask us to limit your records. - We must tell you if there is a breach affecting your unsecured information. - You can file a complaint with us or with the federal Office for Civil Rights — and we will not retaliate. ## 1. Who This Notice Applies To This Notice applies to 5D Cancer Services and to all members of our workforce — including physicians, nurses, technologists, dosimetrists, medical physicists, administrative staff, and contractors — at our facility located at 1308 E 900 South, Unit B, St. George, UT 84790. We are a HIPAA-covered health-care provider. ## 2. What Protected Health Information Is "Protected Health Information" (PHI) is individually identifiable health information that we create, receive, maintain, or transmit — in any form or medium — relating to your past, present, or future physical or mental health, the health-care services we provide to you, or payment for those services. PHI includes demographic information that could identify you (such as name, address, date of birth, and Social Security number) when associated with health information. ## 3. Uses & Disclosures for Treatment, Payment & Health-Care Operations We are permitted by HIPAA to use and disclose your PHI without your authorization for the following core purposes: ### 3.1 Treatment We use and share your PHI with physicians, nurses, technologists, medical physicists, dosimetrists, pharmacists, laboratories, imaging facilities, hospitals, and other clinicians who provide, coordinate, or manage your care. For example, your radiation-oncology treatment plan, simulation imaging, and dose data may be shared with your medical oncologist, surgeon, or referring physician to coordinate your overall cancer care. ### 3.2 Payment We use and share your PHI to obtain payment for the services we provide. This includes verifying eligibility, obtaining prior authorization, submitting claims to insurance carriers, billing you and your responsible party, and pursuing collections where necessary. ### 3.3 Health-Care Operations We use and share your PHI to operate the practice safely and effectively. Examples include quality assessment and improvement, peer review, training of students and clinicians, accreditation activities, audit and compliance reviews, business management, and arranging for legal, accounting, or other professional services. ## 4. Other Permitted & Required Uses & Disclosures HIPAA permits or requires us to use or disclose your PHI without your authorization in additional limited circumstances, including: - As required by law – including reporting to public-health authorities and complying with court orders or subpoenas as the law allows. - Public-health activities – such as reporting communicable diseases, adverse events to the FDA, or vital statistics. - Victims of abuse, neglect, or domestic violence – consistent with applicable law. - Health-oversight activities – audits, investigations, and licensure inspections by government agencies. - Judicial and administrative proceedings – in response to a valid order or qualifying request. - Law enforcement – for limited purposes such as identifying or locating a suspect or reporting certain wounds. - Coroners, medical examiners, and funeral directors – as necessary to perform their duties. - Organ, eye, or tissue donation – when you are an organ donor. - Research – with appropriate IRB or privacy-board approval, or where the information is de-identified. - To avert a serious threat to health or safety. - Specialized government functions – including military, veterans, national security, and protective services for the President. - Workers' compensation – as authorized by and to the extent necessary to comply with workers'-compensation laws. - Business associates – vendors performing services on our behalf under HIPAA-compliant Business Associate Agreements. - Family members and others involved in your care – we may share information directly relevant to that person's involvement in your care, unless you object. - Appointment reminders, treatment alternatives, and health-related benefits and services. ## 5. Uses & Disclosures Requiring Your Written Authorization Other uses and disclosures of your PHI will be made only with your written authorization. In particular, we will obtain your authorization before: - Using or disclosing psychotherapy notes (where applicable). - Using or disclosing PHI for marketing communications, except for face-to-face communications and certain promotional gifts of nominal value. - Selling your PHI. - Most other uses or disclosures not described in this Notice.You may revoke an authorization in writing at any time, except to the extent we have already acted in reliance on it. ## 6. Your Rights Under HIPAA You have the following rights with respect to your PHI: - Right to inspect and copy your PHI in our designated record set, including in electronic form when we maintain it electronically. We may charge a reasonable, cost-based fee. We may deny access in certain limited circumstances and, where you have a right to review the denial, we will provide one. - Right to request an amendment if you believe information in your records is incorrect or incomplete. We may deny your request under certain circumstances and will provide a written explanation; you may submit a written statement of disagreement that will be included with your records. - Right to an accounting of disclosures of your PHI made by us in the six years prior to your request, excluding certain disclosures (such as those for treatment, payment, or operations). - Right to request restrictions on certain uses and disclosures of your PHI for treatment, payment, and health-care operations, and to certain disclosures to family or friends. We are not required to agree, except that we must agree to a request to restrict disclosure of PHI to a health plan if (a) the disclosure is for payment or operations and is not otherwise required by law, and (b) the PHI pertains solely to a health-care item or service for which you (or someone on your behalf, other than the health plan) have paid us in full out-of-pocket. - Right to confidential communications – you may request that we contact you by alternative means or at alternative locations (e.g., only by mail and not by phone) and we will accommodate reasonable requests. - Right to a paper copy of this Notice, even if you have agreed to receive it electronically. - Right to be notified of a breach of unsecured PHI as described in Section 8. - Right to file a complaint as described in Section 11 – without retaliation.Most rights must be exercised in writing. Forms are available from our Privacy Officer. ## 7. Our Duties - We are required by law to maintain the privacy and security of your PHI. - We are required to provide you with this Notice of our legal duties and privacy practices with respect to PHI, and to abide by the terms of the Notice currently in effect. - We must notify you following a breach of unsecured PHI involving you. - We must obtain your written authorization for uses and disclosures other than those described above. - We may not retaliate against you for exercising any right under HIPAA. ## 8. Breach Notification If we discover a breach of unsecured PHI, we will notify affected individuals without unreasonable delay and in no case later than 60 days after discovery, in accordance with 45 C.F.R. §§ 164.400-414. Where a breach involves more than 500 residents of a state or jurisdiction, we will also notify prominent media outlets and the Secretary of the U.S. Department of Health and Human Services. ## 9. Minors & Personal Representatives In general, parents and legal guardians are personal representatives of their unemancipated minor children for purposes of accessing PHI, except where Utah law permits a minor to consent to a service without parental consent — in which case the minor controls access to the related PHI. Personal representatives (such as a court-appointed guardian or an agent under a durable power of attorney for health care) are treated as the individual under HIPAA, except where doing so would endanger the patient. ## 10. State Law (Utah) Where More Protective Some categories of information — including HIV/AIDS status, mental-health information, substance-use treatment information (which may also be subject to 42 C.F.R. Part 2), genetic information, and reproductive-health information — receive heightened protection under federal or Utah state law. Where state or other federal law is more protective than HIPAA, we follow the more protective standard. ## 11. Complaints If you believe your privacy rights have been violated, you may file a complaint: With our practice 5D Cancer Services Attn: Privacy Officer 1308 E 900 South, Unit B St. George, UT 84790 Phone: [(435) 900-7060](tel:+14359007060) Email: [privacy@5dcancerservices.com](mailto:privacy@5dcancerservices.com) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. With the federal government U.S. Department of Health and Human Services Office for Civil Rights 200 Independence Avenue, SW Washington, D.C. 20201 Phone: 1-877-696-6775 Online: [hhs.gov/hipaa/filing-a-complaint](https://www.hhs.gov/hipaa/filing-a-complaint/) We will not retaliate against you in any way for filing a complaint. ## 12. Changes to This Notice We reserve the right to change this Notice at any time and to make the revised Notice effective for all PHI we maintain. The revised Notice will be posted in our facility, made available on request, and posted on this Site. The current Notice's effective date is shown at the top of this page. ## 13. How to Contact Us 5D Cancer Services — Privacy Officer 1308 E 900 South, Unit B St. George, UT 84790 [(435) 900-7060](tel:+14359007060) [privacy@5dcancerservices.com](mailto:privacy@5dcancerservices.com) Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. See also our [Privacy Policy](/privacy-policy) for non-PHI information practices and our [Terms of Service](/terms-of-service) for the rules governing use of this Site. Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. The Akesis Gemini 360 enables image-guided, daily-adapted cancer treatment in as few as 5 sessions for patients across Utah, Nevada, and Arizona.", "telephone": "+14359007060", "email": "info@5dcancerservices.com", "priceRange": "$", "medicalSpecialty": [ "RadiationOncology" ], "address": { "@type": "PostalAddress", "streetAddress": "1308 E 900 South, Unit B", "addressLocality": "St. George", "addressRegion": "UT", "postalCode": "84790", "addressCountry": "US" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 }, "areaServed": [ { "@type": "State", "name": "Utah" }, { "@type": "State", "name": "Nevada" }, { "@type": "State", "name": "Arizona" } ], "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ], "sameAs": [ "https://www.tiktok.com/@5dcancerservices", "https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/", "https://www.facebook.com/profile.php?id=61567576677128", "https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ" ] } ] ``` ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "HIPAA Notice of Privacy Practices", "item": "https://www.5dcancerservices.com/hipaa-notice" } ] }, { "@context": "https://schema.org", "@type": "WebPage", "name": "HIPAA Notice of Privacy Practices", "url": "https://www.5dcancerservices.com/hipaa-notice", "datePublished": "2026-04-16", "dateModified": "2026-04-16", "publisher": { "@type": "MedicalOrganization", "name": "5D Cancer Services" } } ] ``` ===================================================================== # ROUTE /terms-of-service URL: https://www.5dcancerservices.com/terms-of-service TYPE: legal KEYWORDS: terms of service, disclaimers, Utah, limitation of liability ===================================================================== # Terms of Service | 5D Cancer Services > The legal terms governing your use of 5dcancerservices.com, including medical and FDA-clearance disclaimers, intellectual property, governing law (Utah), dispute resolution, and limitation of liability. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - Terms of ServiceLegal # Terms of Service Effective Date: April 16, 2026 · Last Updated: April 16, 2026 These Terms of Service ("Terms") govern your access to and use of [www.5dcancerservices.com](https://www.5dcancerservices.com) and any related online services we provide (collectively, the "Site"). By using the Site you agree to these Terms, our [Privacy Policy](/privacy-policy), and, where applicable, our [HIPAA Notice of Privacy Practices](/hipaa-notice). If you do not agree, please do not use the Site. ## Medical Emergency Notice The Site is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you are experiencing a medical emergency, dial 911 immediately or go to your nearest emergency department. Do not use this Site to seek emergency care, and do not delay seeking it because of something you read here. ## Important Notice These Terms are provided in good faith for transparency. They are not legal advice. We recommend that you have these Terms reviewed by qualified legal counsel before relying on them for any specific purpose. ### Contents - 1. Acceptance of These Terms - 2. Eligibility & Geographic Scope - 3. Informational Purpose Only - 4. No Doctor-Patient Relationship - 5. No Emergency Services - 6. FDA Clearance & Device-Related Statements - 7. Outcomes, Statistics & Results Disclaimer - 8. Requesting an Appointment - 9. Email, Texts & Electronic Communications - 10. Intellectual Property & Trademarks - 11. User Content & Submissions - 12. Acceptable Use - 13. Third-Party Sites & Services - 14. Accessibility - 15. Disclaimer of Warranties - 16. Limitation of Liability - 17. Indemnification - 18. Governing Law & Venue (Utah) - 19. Dispute Resolution & Arbitration - 20. Termination - 21. Severability & Entire Agreement - 22. Changes to These Terms - 23. How to Contact Us ## 1. Acceptance of These Terms By accessing or using the Site you (1) acknowledge that you have read and understood these Terms and (2) agree to be bound by them and by all applicable laws and regulations. These Terms apply to all visitors, users, and others who access or use the Site. ## 2. Eligibility & Geographic Scope The Site is intended for users located in the United States, primarily Utah and the surrounding region. By using the Site you represent that you are at least 18 years old, or that you are using the Site under the supervision of a parent or legal guardian. The Site is not intended to constitute the offering of medical services in any jurisdiction in which 5D Cancer Services is not authorized to do business. ## 3. Informational Purpose Only Information on the Site — including descriptions of conditions we treat, treatment modalities (such as adaptive radiotherapy and SBRT), the Akesis Gemini 360 system, FAQs, statistics, and clinical-data summaries — is provided for general educational purposes only. It is not a substitute for the medical advice, diagnosis, or treatment of a qualified health-care professional. You should always consult a licensed physician about your specific medical condition. ## 4. No Doctor-Patient Relationship Use of the Site, including contacting us by phone or email, does not create a doctor-patient relationship between you and 5D Cancer Services or any individual clinician. A doctor-patient relationship is established only after you are formally accepted as a patient and seen by one of our clinicians, in accordance with applicable Utah law. ## 5. No Emergency Services The Site is not designed to support emergency communications or to deliver urgent care. If you are having a medical emergency, dial 911 or go to your nearest emergency department. Do not call or email us expecting an immediate response in an emergency. ## 6. FDA Clearance & Device-Related Statements References on the Site to the Akesis Gemini 360 describe a medical device manufactured by Akesis, Inc. The system is described as having received U.S. Food and Drug Administration (FDA) clearance — including 510(k) clearance and FDA Breakthrough Device Designation — for the indications cleared by the FDA for that device. FDA clearance is not an endorsement, and clearance does not imply that the device is safe or effective for every patient or every indication. Statements on the Site regarding the device's capabilities, indications, contraindications, warnings, and precautions are based on information made available by the manufacturer and are intended for informational purposes only. Patients should consult our clinicians regarding whether a particular treatment is appropriate for their individual condition. For the most current FDA-cleared labeling and indications for the device, refer to the manufacturer's labeling and the FDA's public databases at [fda.gov](https://www.fda.gov). ## 7. Outcomes, Statistics & Results Disclaimer Any clinical statistics, success rates, treatment durations, side-effect profiles, or patient stories presented on the Site are based on published literature, manufacturer data, or generalized practice experience and are not a guarantee of any particular outcome for you. Individual results vary based on diagnosis, stage, prior treatments, comorbidities, and many other factors that only your clinician can assess. ## 8. Requesting an Appointment We do not accept appointment requests through any form on this Site. To request an appointment or speak with our team, please call us at [(435) 900-7060](tel:+14359007060) or email [info@5dcancerservices.com](mailto:info@5dcancerservices.com). Contacting us does not by itself confirm an appointment — confirmation will be made by phone or other direct communication. Please do not transmit sensitive medical information through standard email; call us if you wish to share that information through a more secure channel. Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. ## 9. Email, Texts & Electronic Communications By providing your phone number or email, you consent to receive transactional and care-coordination communications from us related to your inquiries and care (for example, appointment reminders, consultation follow-up, billing, or treatment-related messages). Standard message and data rates may apply. You may opt out of non-transactional marketing messages at any time by replying STOP to a text message or by contacting us using the information in Section 23. Opting out of marketing does not stop care-related communications you have requested. ## 10. Intellectual Property & Trademarks All content on the Site — including text, graphics, photographs, video, audio, illustrations, logos, page layouts, and software — is owned by 5D Cancer Services or its licensors and is protected by U.S. and international copyright, trademark, trade-dress, and other intellectual-property laws. "5D Cancer Services" and our logo are trademarks of 5D Cancer Services. Third-party marks (including "Akesis," "Gemini 360," and the Akesis logo) are the property of their respective owners. Except as expressly permitted, you may not copy, modify, distribute, sell, lease, publicly display, or create derivative works of any part of the Site without our prior written permission. ## 11. User Content & Submissions Any information, comments, or materials you submit to us through the Site (other than PHI, which is governed by our [HIPAA Notice](/hipaa-notice)) you grant us a non-exclusive, worldwide, royalty-free, perpetual, irrevocable, sublicensable license to use, reproduce, modify, and display for our business purposes, subject to applicable law and our [Privacy Policy](/privacy-policy). You represent that you have the right to grant this license and that your submissions do not infringe the rights of any third party. ## 12. Acceptable Use You agree not to: - Use the Site for any unlawful purpose or in violation of these Terms. - Interfere with or disrupt the Site, its servers, or networks connected to it. - Attempt to gain unauthorized access to any portion of the Site or related systems. - Use any robot, spider, scraper, or other automated means to access the Site for any purpose. - Reverse engineer, decompile, or disassemble any portion of the Site. - Submit content that is unlawful, harassing, defamatory, false, or that infringes another's rights. - Impersonate any person or entity or misrepresent your affiliation with a person or entity. ## 13. Third-Party Sites & Services The Site may contain links to third-party websites or services that are not owned or controlled by us. We have no control over, and assume no responsibility for, the content, privacy policies, or practices of any third-party site. You acknowledge and agree that we are not responsible or liable for any damage or loss caused by or alleged to be caused by your use of any such site. ## 14. Accessibility We strive to make the Site accessible to people with disabilities, consistent with the Web Content Accessibility Guidelines (WCAG) 2.1 Level AA where reasonably feasible. If you experience any difficulty accessing content on the Site, please contact us using the information in Section 23 so that we can assist you and address the issue. ## 15. Disclaimer of Warranties The Site and all content on it are provided on an "AS IS" and "AS AVAILABLE" basis without warranties of any kind, whether express, implied, statutory, or otherwise. To the fullest extent permitted by law, we disclaim all warranties, including the implied warranties of merchantability, fitness for a particular purpose, non-infringement, and any warranties arising from course of dealing or usage of trade. We do not warrant that the Site will be uninterrupted, secure, or error-free, that defects will be corrected, or that the Site is free of viruses or other harmful components. ## 16. Limitation of Liability To the fullest extent permitted by law, in no event shall 5D Cancer Services, its affiliates, or its or their respective directors, officers, employees, contractors, or agents be liable for any indirect, incidental, special, consequential, exemplary, or punitive damages, or for any loss of profits, revenue, data, or goodwill, arising out of or related to your use of, or inability to use, the Site — even if we have been advised of the possibility of such damages. Our aggregate liability for all claims relating to the Site shall not exceed one hundred U.S. dollars ($100). Nothing in these Terms limits our liability for medical malpractice, gross negligence, willful misconduct, or any liability that cannot be limited under applicable law. ## 17. Indemnification You agree to defend, indemnify, and hold harmless 5D Cancer Services and its affiliates and their respective officers, directors, employees, and agents from and against any claims, liabilities, damages, judgments, awards, losses, costs, and expenses (including reasonable attorneys' fees) arising out of or relating to (a) your violation of these Terms, (b) your use of the Site, or (c) your violation of any rights of a third party. ## 18. Governing Law & Venue (Utah) These Terms and any dispute arising out of or relating to them or to the Site are governed by the laws of the State of Utah, without regard to its conflict-of-laws provisions. Subject to Section 19, you and we agree to the exclusive jurisdiction and venue of the state and federal courts located in Washington County, Utah, for any dispute not subject to arbitration. ## 19. Dispute Resolution & Arbitration We hope to resolve any dispute informally — please first contact us using the information in Section 23. If we cannot resolve a dispute informally within sixty (60) days, the dispute shall be finally resolved by binding individual arbitration administered by a recognized arbitration provider in accordance with its rules then in effect, with the seat of arbitration in St. George, Utah, and conducted in English. You and we waive any right to a jury trial. Class actions and class-wide arbitration are not permitted. Notwithstanding the foregoing, either party may bring an individual action in small-claims court for disputes within that court's jurisdiction, and either party may seek injunctive relief in court for intellectual-property infringement. This arbitration provision does not apply to any claim that cannot be arbitrated by law, including any claim of medical malpractice to the extent prohibited by applicable Utah law. ## 20. Termination We may suspend or terminate your access to the Site at any time, with or without cause or notice, including for violation of these Terms. Sections that by their nature should survive termination — including intellectual property, disclaimers, limitations of liability, indemnification, governing law, and dispute resolution — will survive. ## 21. Severability & Entire Agreement If any provision of these Terms is held to be invalid or unenforceable, that provision will be enforced to the maximum extent permissible and the remaining provisions will remain in full force and effect. These Terms, together with our [Privacy Policy](/privacy-policy) and [HIPAA Notice of Privacy Practices](/hipaa-notice), constitute the entire agreement between you and us regarding your use of the Site and supersede any prior or contemporaneous communications regarding the Site. ## 22. Changes to These Terms We may update these Terms from time to time. When we do, we will revise the "Last Updated" date above. Material changes will be communicated through prominent notice on the Site. Your continued use of the Site after the effective date constitutes acceptance of the updated Terms. ## 23. How to Contact Us 5D Cancer Services 1308 E 900 South, Unit B St. George, UT 84790 [(435) 900-7060](tel:+14359007060) [legal@5dcancerservices.com](mailto:legal@5dcancerservices.com) Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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Read our WCAG 2.1 AA conformance statement and how to report barriers. - HomeOur ApproachTreatment TypesFor PatientsOur Team (435) 900-7060Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel.Home - AccessibilityAccessibility # Accessibility Statement 5D Cancer Services is committed to ensuring digital accessibility for people with disabilities. We continually improve the user experience for everyone and apply the relevant accessibility standards. ## Conformance status The Web Content Accessibility Guidelines (WCAG) defines requirements for designers and developers to improve accessibility for people with disabilities. We aim to conform to WCAG 2.1 level AA. Some content may not yet fully conform; we are actively working to address gaps. ## Measures we take - Visible keyboard focus indicators across the site. - A "Skip to main content" link for keyboard and screen-reader users. - Semantic HTML headings, landmarks, and ARIA where appropriate. - Respect for the operating-system reduce-motion preference. - Descriptive alternative text on meaningful images, managed through our content system. - Automated accessibility testing as part of our release process. ## Reporting an accessibility problem If you encounter an accessibility barrier on this site, please let us know. We aim to respond within five business days and will work with you to provide the information or service you need in an alternative format. - Email: info@5dcancerservices.com - Phone: (435) 900-7060 Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. [TikTok](https://www.tiktok.com/@5dcancerservices?lang=en)[LinkedIn](https://www.linkedin.com/in/5d-cancer-services-corporate-bb7990404/)[Facebook](https://www.facebook.com/profile.php?id=61567576677128)[YouTube](https://www.youtube.com/channel/UCO2OmZiBQ4zXfms6XsboNPQ) #### Navigation - Technology - What Is Adaptive RT? - Clinical Data - Our Team - Cancer Treatments - Non-Cancer Treatments - Insurance - FAQ - Blog - Email UsPlease do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) - Blog RSS Feed #### Contact Us 1308 E 900 South, Unit B St. George, UT 84790 [www.5dcancerservices.com](https://www.5dcancerservices.com) [(435) 900-7060 Schedule a consultation](tel:+14359007060)Please do not send Protected Health Information (PHI) by email or voicemail. Standard email is not secure — call us and we will arrange a secure channel. The information on this site is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Accessibility](/accessibility)[Sitemap](/sitemap.xml)[Featured on 435 Locals](https://435locals.com/directory/5d-cancer-services/)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "WebSite", "@id": "https://www.5dcancerservices.com#website", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "inLanguage": "en-US", "publisher": { "@id": "https://www.5dcancerservices.com#organization" } }, { "@context": "https://schema.org", "@type": [ "MedicalOrganization", "LocalBusiness" ], "@id": "https://www.5dcancerservices.com#organization", "name": "5D Cancer Services", "alternateName": "5D Cancer Services — Adaptive Radiotherapy", "url": "https://www.5dcancerservices.com", "logo": "https://www.5dcancerservices.com/opengraph.jpg", "image": "https://www.5dcancerservices.com/opengraph.jpg", "description": "The only adaptive radiotherapy center in Utah. 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