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ANNUALREPORT20139PreciseTargetingNavigationalbronchoscopyusesGPS-likecomputerizedtechnologytoprovidedoctorswithalessinvasivemethodtoreachandperformbiopsiesonsmallgrowthsornodulesinthelungthatpreviouslymighthaverequiredsurgerybecausetheycouldnotbereachedthroughatraditionalbronchoscope.Navigationalbronchoscopyalsoenablesdoctorstoplacemarkersaroundtheselesionstohelpradiationoncologistspreciselytargetradiationtreatments.LessInvasiveEndoBronchialUltraSoundEBUSallowsdoctorstobiopsyortakesamplesfromlymphnodesaroundtheairwayinthecenterofthechest.WithEBUSdoctorsareabletoseethroughthewallofapatientsairwaytolocatethelymphnodesenablingthemtopreciselyobtainsamplesinanareasurroundedbymajorbloodvessels.EBUSprovidesalessinvasivealternativeforsamplingtheselymphnodesthantheusualsurgicalprocedurecalledamediastinoscopy.FewerSideEectsStereotacticBodyRadiationTherapySBRTallowsradiationoncologiststopreciselypinpointcanceroustumorsandtargetthemwithmuchhigherdosesofradiationthanintraditionaltreatment.Thekeyistobeabletofocusmanybeamsoflowradiationthroughthebodytothetumorwheretheireectiscompoundeddeliveringamuchhigherdosetothetarget.Theresultisfewertreatmentsfewersideeectslessdamagetohealthytissueandagreaterchanceofsurvivalforpatientswhocannotwithstandsurgerybecauseofothermedicalconditions.WhatmakesusdierentOurpatientscanseethesamefaceseverydayhelpingthemfeelliketheyarepartofacommunityinsteadofgoingsomewhereelsebeingtreatedandleaving.G.DarbyPopeMDFACSConcordHospitalMedicalGroupCardiothoracicSurgeryShownLeftAnnieSiThoracicNurseNavigatorConcordHospitalPaysonCenterforCancerCareShownRightAdvancedtechnologybenetsCollaborationsAconsistentexperiencedteamofdedicatedpulmonologiststhoracicsurgeonsoncologistsandnurses.PersonalizedSupportTheprogramsThoracicNurseNavigatorprovidespatientsupportadvocacyandeducationfrompre-diagnosistodiagnosistreatmentsupportservicesandbeyondincludingend-of-lifecare.