# 5D Cancer Services — Full Site Corpus for LLMs > Generated 2026-04-28. 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. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060No 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 TeamView Clinical StudiesThe problem with traditional radiation99% ## of radiation machines\ncan'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. 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) ### Accepted Insurance Plans Medicare Medicaid Blue Cross Blue Shield Aetna Cigna UnitedHealthcare Humana TRICARE 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) Coming Soon ## Taking Patients Soon We're preparing to welcome our first patients to 5D Cancer Services. If you or a loved one may benefit from the most advanced adaptive radiotherapy available, contact us to learn more or get on our list. Opening in Southern Utah [(435) 900-7060](tel:+14359007060) 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? Schedule a Consultation ## Request an Appointment Take the first step toward advanced cancer treatment. Fill out the form and our team will contact you within one business day to schedule your consultation with our physicians and staff. No referral required Insurance verification included Personalized treatment plan discussion Prefer to speak with someone now? [(435) 900-7060](tel:+14359007060) Full Name * Email * Phone * Preferred Contact TimeNo preferenceMorning (8 AM – 12 PM)Afternoon (12 PM – 3 PM)Late Afternoon (3 PM – 5 PM) Message Send Request 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 – 5:00 PM Saturday – Sunday: Closed ### Phone [(435) 900-7060](tel:+14359007060) [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](https://www.5dcancerservices.com) Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. 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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. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Technology 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. 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) [### 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalDevice", "@id": "https://www.5dcancerservices.com/technology#gemini-360", "name": "Akesis Gemini 360", "model": "Gemini 360", "category": "Linear Accelerator with Adaptive Radiotherapy", "description": "The Akesis Gemini 360 is the first and only adaptive radiotherapy linear accelerator deployed in Utah. It re-images patients on the treatment couch with onboard imaging and recalculates the radiation plan before every fraction, adjusting for daily changes in tumor size, shape, and position. 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Stevens, M.D. (Chief Medical Officer) and Erick Gonzales (CEO, 5D Cancer Services) — radiation oncology and medical-device leadership advancing adaptive radiotherapy in Southern Utah. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Our TeamLeadership # 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) 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). [Book a 15-min call](tel:+14359007060) 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) ## 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "AboutPage", "@id": "https://www.5dcancerservices.com/team#aboutpage", "name": "Our Team — 5D Cancer Services", "url": "https://www.5dcancerservices.com/team", "description": "Meet the leadership team behind 5D Cancer Services: Dr. Ritchie N. 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Our billing team handles verification and pre-authorization. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - 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. 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) 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```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 /conditions URL: https://www.5dcancerservices.com/conditions TYPE: page KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, cancer types, benign conditions, Dupuytren's, plantar fasciitis, keloids ===================================================================== # Conditions Treated with Adaptive Radiotherapy | 5D Cancer Services > We treat prostate, breast, lung, gynecologic, liver, pancreatic, and brain cancers, plus benign conditions like Dupuytren's contractures, plantar fasciitis, keloids, heterotopic ossification, and osteoarthritis. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions Treated 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. ## 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)[### 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) ## Benign Conditions We Treat We use incredibly low doses of radiation to treat non-cancerous 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) ## 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) [### Clinical Data & Real-World Implementation Where adaptation actually changes the dose — case studies and citations across head & neck, cervical, and prostate. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```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": "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": "Conditions Treated", "item": "https://www.5dcancerservices.com/conditions" } ] } ] ``` ===================================================================== # ROUTE /conditions/prostate-cancer URL: https://www.5dcancerservices.com/conditions/prostate-cancer TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, prostate cancer, SBRT prostate, 5 session prostate radiation ===================================================================== # Prostate Cancer Radiation Therapy in St. George, Utah | 5D Cancer Services > Adaptive prostate cancer radiation therapy in as few as 5 sessions. The Akesis Gemini 360 tracks daily prostate movement for precise treatment with fewer side effects. St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Prostate CancerCancer Treatment # Prostate Cancer Prostate cancer is the most common cancer in American men after skin cancer. It develops in the prostate gland, a small walnut-shaped gland that produces seminal fluid. While many prostate cancers grow slowly and may need minimal or no treatment, others are aggressive and can spread quickly. At 5D Cancer Services, we use the Akesis Gemini 360 to deliver adaptive radiotherapy that treats prostate cancer in as few as 5 sessions — compared to the 20–45 treatments required by conventional radiation. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Difficulty urinating or weak urine stream - Blood in urine or semen - Increased urinary frequency - Mild fatigue - Slight stool loosening - Mild burning with urination ## How We Treat Prostate Cancer The prostate shifts position daily due to changes in bladder and rectal filling. Traditional radiation machines cannot account for this movement, so they irradiate a wider area to compensate — exposing the bladder, rectum, and surrounding tissue to unnecessary radiation. The Akesis Gemini 360 re-images and recalculates the treatment plan at every session, tracking exactly where the prostate is that day. This precision allows us to deliver higher, more effective doses per session using adaptive SBRT (Stereotactic Body Radiation Therapy), completing treatment in as few as 5 sessions over 1 week instead of 5–9 weeks of daily visits. ### Treatment Duration As few as 5 sessions over 1–2 weeks ### Benefits of Adaptive Radiotherapy - Marked reduction in treatment time - Daily imaging tracks prostate position changes - Reduced radiation exposure to bladder and rectum - Significantly fewer urinary and bowel side effects - No surgical recovery time — non-invasive treatment - Continue normal daily activities during treatment[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### How does adaptive radiotherapy compare to surgery for prostate cancer? Adaptive radiotherapy with the Gemini 360 is a non-invasive alternative to prostatectomy (surgical removal). Studies show comparable cancer control rates between radiation and surgery for localized prostate cancer. Radiation therapy avoids surgical risks and requires no recovery time. Additionally, patients can maintain normal activities throughout treatment. Our physicians and staff will discuss the best approach for your specific diagnosis during your consultation. ### Will radiation therapy for prostate cancer affect my urinary function? Because the Gemini 360 adapts to daily changes in prostate position, it delivers radiation with millimeter precision — significantly reducing exposure to the bladder and urethra compared to conventional radiation. This means urinary side effects are typically much milder and less frequent. Most patients experience only temporary, mild urinary symptoms that resolve after treatment. ### How many sessions does prostate cancer treatment take with adaptive radiotherapy? While treatment in 2 sessions is being investigated, adaptive SBRT commonly delivers 5 radiation doses over 5–9 days. Traditional radiation therapy for prostate cancer typically requires 20–45 treatments over 5–9 weeks. Our physicians and staff will determine the optimal treatment plan based on your specific cancer stage and characteristics. ## Related Conditions We Treat [### Breast Cancer Breast cancer is one of the most commonly diagnosed cancers worldwide, affecting both women and, less commonly, men. Treatment often involves a combin... Learn more](/conditions/breast-cancer) [### Lung Cancer Lung cancer is the leading cause of cancer death in the United States. Treatment with radiation therapy is particularly challenging because lung tumor... Learn more](/conditions/lung-cancer) [### Gynecologic Cancer Gynecologic cancers — including cervical cancer, uterine (endometrial) cancer, ovarian cancer, vaginal cancer, and vulvar cancer — are treated with ad... Learn more](/conditions/gynecologic-cancer) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Prostate Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Prostate" }, "description": "Prostate cancer is the most common cancer in American men after skin cancer. It develops in the prostate gland, a small walnut-shaped gland that produces seminal fluid. While many prostate cancers grow slowly and may need minimal or no treatment, others are aggressive and can spread quickly. At 5D Cancer Services, we use the Akesis Gemini 360 to deliver adaptive radiotherapy that treats prostate cancer in as few as 5 sessions — compared to the 20–45 treatments required by conventional radiation.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Difficulty urinating or weak urine stream" }, { "@type": "MedicalSignOrSymptom", "name": "Blood in urine or semen" }, { "@type": "MedicalSignOrSymptom", "name": "Increased urinary frequency" }, { "@type": "MedicalSignOrSymptom", "name": "Mild fatigue" }, { "@type": "MedicalSignOrSymptom", "name": "Slight stool loosening" }, { "@type": "MedicalSignOrSymptom", "name": "Mild burning with urination" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic", "howPerformed": "The prostate shifts position daily due to changes in bladder and rectal filling. Traditional radiation machines cannot account for this movement, so they irradiate a wider area to compensate — exposing the bladder, rectum, and surrounding tissue to unnecessary radiation. The Akesis Gemini 360 re-images and recalculates the treatment plan at every session, tracking exactly where the prostate is that day. This precision allows us to deliver higher, more effective doses per session using adaptive SBRT (Stereotactic Body Radiation Therapy), completing treatment in as few as 5 sessions over 1 week instead of 5–9 weeks of daily visits.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "How does adaptive radiotherapy compare to surgery for prostate cancer?", "acceptedAnswer": { "@type": "Answer", "text": "Adaptive radiotherapy with the Gemini 360 is a non-invasive alternative to prostatectomy (surgical removal). Studies show comparable cancer control rates between radiation and surgery for localized prostate cancer. Radiation therapy avoids surgical risks and requires no recovery time. Additionally, patients can maintain normal activities throughout treatment. Our physicians and staff will discuss the best approach for your specific diagnosis during your consultation." } }, { "@type": "Question", "name": "Will radiation therapy for prostate cancer affect my urinary function?", "acceptedAnswer": { "@type": "Answer", "text": "Because the Gemini 360 adapts to daily changes in prostate position, it delivers radiation with millimeter precision — significantly reducing exposure to the bladder and urethra compared to conventional radiation. This means urinary side effects are typically much milder and less frequent. Most patients experience only temporary, mild urinary symptoms that resolve after treatment." } }, { "@type": "Question", "name": "How many sessions does prostate cancer treatment take with adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "While treatment in 2 sessions is being investigated, adaptive SBRT commonly delivers 5 radiation doses over 5–9 days. Traditional radiation therapy for prostate cancer typically requires 20–45 treatments over 5–9 weeks. Our physicians and staff will determine the optimal treatment plan based on your specific cancer stage and characteristics." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Prostate Cancer", "item": "https://www.5dcancerservices.com/conditions/prostate-cancer" } ] } ] ``` ===================================================================== # ROUTE /conditions/breast-cancer URL: https://www.5dcancerservices.com/conditions/breast-cancer TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, breast cancer, left-sided breast, cardiac sparing ===================================================================== # Breast Cancer Radiation Treatment in St. George, Utah | 5D Cancer Services > Adaptive breast cancer radiation therapy with heart and lung protection. The Akesis Gemini 360 adapts to daily anatomy changes for precise treatment. St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Breast CancerCancer Treatment # Breast Cancer Breast cancer is one of the most commonly diagnosed cancers worldwide, affecting both women and, less commonly, men. Treatment often involves a combination of surgery, radiation, and systemic therapy. At 5D Cancer Services, we use the Akesis Gemini 360 to deliver adaptive radiation therapy that precisely targets breast tumor tissue while protecting the heart, lungs, and surrounding healthy tissue — a critical advantage over conventional radiation approaches. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - A new lump or mass in the breast or underarm - Swelling, thickening, or dimpling of breast skin - Nipple discharge other than breast milk - Changes in breast size or shape - Persistent breast or nipple pain ## How We Treat Breast Cancer Breast tissue changes shape and position between treatment sessions due to breathing, body positioning, and post-surgical changes. Traditional radiation uses fixed plans that cannot account for these daily variations, potentially exposing the heart and lungs to unnecessary radiation. The Akesis Gemini 360 re-images and recalculates at every session, adapting the radiation beam to target only the tumor tissue as it exists that day. For left-sided breast cancers, this adaptive approach is particularly important because it minimizes cardiac radiation exposure. ### Treatment Duration Typically 5–15 sessions depending on cancer stage ### Benefits of Adaptive Radiotherapy - Minimizes radiation exposure to the heart and lungs - Adapts to daily changes in breast positioning and anatomy - Particularly beneficial for left-sided breast cancers near the heart - Fewer sessions compared to conventional 25–30 session protocols - Reduced skin irritation and fatigue - Precise targeting of post-surgical tumor bed[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### Is radiation therapy necessary after breast cancer surgery? Radiation therapy after lumpectomy (breast-conserving surgery) significantly reduces the risk of cancer recurrence in the breast. It may also be recommended after mastectomy in certain cases. Our physicians and staff will review your surgical pathology and recommend whether radiation therapy is appropriate for your specific situation. ### How does adaptive radiotherapy protect the heart during breast cancer treatment? For left-sided breast cancers, the heart is close to the treatment area. The Gemini 360 re-images at every session and adjusts the radiation beam to account for breathing motion and positioning changes, minimizing the dose delivered to the heart. This adaptive approach provides significantly better cardiac protection than traditional fixed-plan radiation. ### What side effects should I expect from breast cancer radiation? With adaptive radiotherapy, side effects are typically milder than conventional radiation. Some patients experience temporary skin redness or mild fatigue in the treatment area. Because the Gemini 360 precisely targets the tumor tissue while sparing healthy tissue, the severity and duration of side effects are significantly reduced. ## Related Conditions We Treat [### Prostate Cancer Prostate cancer is the most common cancer in American men after skin cancer. It develops in the prostate gland, a small walnut-shaped gland that produ... Learn more](/conditions/prostate-cancer) [### Lung Cancer Lung cancer is the leading cause of cancer death in the United States. Treatment with radiation therapy is particularly challenging because lung tumor... Learn more](/conditions/lung-cancer) [### Gynecologic Cancer Gynecologic cancers — including cervical cancer, uterine (endometrial) cancer, ovarian cancer, vaginal cancer, and vulvar cancer — are treated with ad... Learn more](/conditions/gynecologic-cancer) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Breast Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Breast" }, "description": "Breast cancer is one of the most commonly diagnosed cancers worldwide, affecting both women and, less commonly, men. Treatment often involves a combination of surgery, radiation, and systemic therapy. At 5D Cancer Services, we use the Akesis Gemini 360 to deliver adaptive radiation therapy that precisely targets breast tumor tissue while protecting the heart, lungs, and surrounding healthy tissue — a critical advantage over conventional radiation approaches.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "A new lump or mass in the breast or underarm" }, { "@type": "MedicalSignOrSymptom", "name": "Swelling, thickening, or dimpling of breast skin" }, { "@type": "MedicalSignOrSymptom", "name": "Nipple discharge other than breast milk" }, { "@type": "MedicalSignOrSymptom", "name": "Changes in breast size or shape" }, { "@type": "MedicalSignOrSymptom", "name": "Persistent breast or nipple pain" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic", "howPerformed": "Breast tissue changes shape and position between treatment sessions due to breathing, body positioning, and post-surgical changes. Traditional radiation uses fixed plans that cannot account for these daily variations, potentially exposing the heart and lungs to unnecessary radiation. The Akesis Gemini 360 re-images and recalculates at every session, adapting the radiation beam to target only the tumor tissue as it exists that day. For left-sided breast cancers, this adaptive approach is particularly important because it minimizes cardiac radiation exposure.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Is radiation therapy necessary after breast cancer surgery?", "acceptedAnswer": { "@type": "Answer", "text": "Radiation therapy after lumpectomy (breast-conserving surgery) significantly reduces the risk of cancer recurrence in the breast. It may also be recommended after mastectomy in certain cases. Our physicians and staff will review your surgical pathology and recommend whether radiation therapy is appropriate for your specific situation." } }, { "@type": "Question", "name": "How does adaptive radiotherapy protect the heart during breast cancer treatment?", "acceptedAnswer": { "@type": "Answer", "text": "For left-sided breast cancers, the heart is close to the treatment area. The Gemini 360 re-images at every session and adjusts the radiation beam to account for breathing motion and positioning changes, minimizing the dose delivered to the heart. This adaptive approach provides significantly better cardiac protection than traditional fixed-plan radiation." } }, { "@type": "Question", "name": "What side effects should I expect from breast cancer radiation?", "acceptedAnswer": { "@type": "Answer", "text": "With adaptive radiotherapy, side effects are typically milder than conventional radiation. Some patients experience temporary skin redness or mild fatigue in the treatment area. Because the Gemini 360 precisely targets the tumor tissue while sparing healthy tissue, the severity and duration of side effects are significantly reduced." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Breast Cancer", "item": "https://www.5dcancerservices.com/conditions/breast-cancer" } ] } ] ``` ===================================================================== # ROUTE /conditions/lung-cancer URL: https://www.5dcancerservices.com/conditions/lung-cancer TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, lung cancer, SBRT lung, breathing motion ===================================================================== # Lung Cancer Radiation Therapy in St. George, Utah | 5D Cancer Services > Adaptive lung cancer radiation therapy with real-time tumor tracking for breathing motion. Precise treatment with reduced side effects at 5D Cancer Services, St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Lung CancerCancer Treatment # Lung Cancer Lung cancer is the leading cause of cancer death in the United States. Treatment with radiation therapy is particularly challenging because lung tumors move significantly with every breath — sometimes shifting several centimeters during a single session. At 5D Cancer Services, the Akesis Gemini 360 addresses this challenge with adaptive radiotherapy that tracks tumor movement in real time, delivering precise radiation to the tumor while protecting healthy lung tissue. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Persistent cough that worsens over time - Coughing up blood or rust-colored sputum - Chest pain that worsens with deep breathing - Shortness of breath or wheezing - Unexplained weight loss and fatigue ## How We Treat Lung Cancer Lung tumors are among the most challenging to treat with conventional radiation because they move with every breath cycle. Traditional machines deliver a fixed plan that treats a large volume of lung tissue to account for this motion, damaging healthy lung and potentially leading to radiation pneumonitis. The Akesis Gemini 360 uses real-time imaging to track the tumor's exact position at each session, recalculating and adjusting the radiation beam to follow the tumor. This precision allows higher, more effective doses per session while protecting the surrounding healthy lung tissue, airways, and heart. ### Treatment Duration Typically 3–5 sessions for early-stage, 15–30 sessions for advanced cases ### Benefits of Adaptive Radiotherapy - Real-time tumor tracking accounts for breathing motion - Reduced risk of radiation pneumonitis - Higher per-session doses for faster treatment completion - Protection of healthy lung tissue and airways - Minimizes cardiac radiation exposure - Effective for both early-stage and locally advanced tumors[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### Can radiation therapy cure early-stage lung cancer? Yes, for patients with early-stage non-small cell lung cancer who cannot undergo surgery, SBRT (Stereotactic Body Radiation Therapy) with the Gemini 360 can achieve cure rates comparable to surgery. The adaptive approach ensures precise targeting despite breathing motion, delivering high-dose treatment in as few as 3–5 sessions. ### How does the Gemini 360 handle lung tumor movement during breathing? The Gemini 360 captures detailed images before each session, tracking the tumor's exact position. It recalculates the treatment plan to account for the tumor's current location, adjusting the radiation beam to follow the tumor precisely. This adaptive approach replaces the conventional method of irradiating a large volume to compensate for breathing motion. ### What is radiation pneumonitis and how is it prevented? Radiation pneumonitis is lung inflammation caused by radiation exposure to healthy lung tissue. Because the Gemini 360 precisely targets only the tumor area and adapts to daily positioning changes, the volume of healthy lung exposed to radiation is significantly reduced, lowering the risk of pneumonitis compared to conventional radiation therapy. ## Related Conditions We Treat [### Brain Cancer Brain tumors — whether primary brain cancers or metastases from other cancer types — require the highest precision in radiation treatment due to the c... Learn more](/conditions/brain-cancer) [### Liver Cancer Liver cancer, including hepatocellular carcinoma (HCC) and liver metastases, presents unique challenges for radiation therapy because the liver moves ... Learn more](/conditions/liver-cancer) [### Pancreatic Cancer Pancreatic cancer is one of the most challenging cancers to treat due to the pancreas's deep location in the abdomen and its proximity to critical org... Learn more](/conditions/pancreatic-cancer) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Lung Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Lung" }, "description": "Lung cancer is the leading cause of cancer death in the United States. Treatment with radiation therapy is particularly challenging because lung tumors move significantly with every breath — sometimes shifting several centimeters during a single session. At 5D Cancer Services, the Akesis Gemini 360 addresses this challenge with adaptive radiotherapy that tracks tumor movement in real time, delivering precise radiation to the tumor while protecting healthy lung tissue.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Persistent cough that worsens over time" }, { "@type": "MedicalSignOrSymptom", "name": "Coughing up blood or rust-colored sputum" }, { "@type": "MedicalSignOrSymptom", "name": "Chest pain that worsens with deep breathing" }, { "@type": "MedicalSignOrSymptom", "name": "Shortness of breath or wheezing" }, { "@type": "MedicalSignOrSymptom", "name": "Unexplained weight loss and fatigue" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic", "howPerformed": "Lung tumors are among the most challenging to treat with conventional radiation because they move with every breath cycle. Traditional machines deliver a fixed plan that treats a large volume of lung tissue to account for this motion, damaging healthy lung and potentially leading to radiation pneumonitis. The Akesis Gemini 360 uses real-time imaging to track the tumor's exact position at each session, recalculating and adjusting the radiation beam to follow the tumor. This precision allows higher, more effective doses per session while protecting the surrounding healthy lung tissue, airways, and heart.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Can radiation therapy cure early-stage lung cancer?", "acceptedAnswer": { "@type": "Answer", "text": "Yes, for patients with early-stage non-small cell lung cancer who cannot undergo surgery, SBRT (Stereotactic Body Radiation Therapy) with the Gemini 360 can achieve cure rates comparable to surgery. The adaptive approach ensures precise targeting despite breathing motion, delivering high-dose treatment in as few as 3–5 sessions." } }, { "@type": "Question", "name": "How does the Gemini 360 handle lung tumor movement during breathing?", "acceptedAnswer": { "@type": "Answer", "text": "The Gemini 360 captures detailed images before each session, tracking the tumor's exact position. It recalculates the treatment plan to account for the tumor's current location, adjusting the radiation beam to follow the tumor precisely. This adaptive approach replaces the conventional method of irradiating a large volume to compensate for breathing motion." } }, { "@type": "Question", "name": "What is radiation pneumonitis and how is it prevented?", "acceptedAnswer": { "@type": "Answer", "text": "Radiation pneumonitis is lung inflammation caused by radiation exposure to healthy lung tissue. Because the Gemini 360 precisely targets only the tumor area and adapts to daily positioning changes, the volume of healthy lung exposed to radiation is significantly reduced, lowering the risk of pneumonitis compared to conventional radiation therapy." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Lung Cancer", "item": "https://www.5dcancerservices.com/conditions/lung-cancer" } ] } ] ``` ===================================================================== # ROUTE /conditions/brain-cancer URL: https://www.5dcancerservices.com/conditions/brain-cancer TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, brain cancer, brain metastasis, SRS, frameless ===================================================================== # Brain Cancer & Brain Tumor Radiation Treatment in St. George, Utah | 5D Cancer Services > Adaptive brain tumor radiation therapy with 0.3mm precision. Frameless SRS for primary brain cancers and metastases at 5D Cancer Services in St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Brain CancerCancer Treatment # Brain Cancer Brain tumors — whether primary brain cancers or metastases from other cancer types — require the highest precision in radiation treatment due to the critical nature of surrounding brain structures. At 5D Cancer Services, the Akesis Gemini 360 delivers adaptive radiotherapy that re-images and recalculates at every session, accounting for treatment-related changes like swelling or tumor shrinkage to maintain sub-millimeter accuracy throughout the course of therapy. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - New or worsening headaches - Seizures in someone without a seizure history - Vision changes or speech difficulties - Balance problems or difficulty walking - Personality or cognitive changes ## How We Treat Brain Cancer Brain tumors require extreme precision because even small deviations can expose critical brain structures to radiation. As treatment progresses, the tumor may shrink and surrounding tissue may swell, changing the anatomy from the original planning scan. Traditional machines cannot detect or adapt to these changes. The Akesis Gemini 360 re-images before every session and recalculates the treatment plan to account for any anatomical changes, ensuring the radiation beam is precisely aligned to the current tumor size and shape. The system achieves 0.3mm targeting precision — the width of a few human hairs. ### Treatment Duration Typically 1–5 sessions for SRS, 10–30 sessions for larger tumors ### Benefits of Adaptive Radiotherapy - Sub-millimeter (0.3mm) targeting precision - Adapts to treatment-related tumor shrinkage and swelling - Protects critical brain structures with daily re-imaging - Effective for both primary tumors and brain metastases - Single-session treatment possible for small tumors (SRS) - Frameless approach — no head frame bolted to skull[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### What is the difference between SRS and conventional brain radiation? Stereotactic Radiosurgery (SRS) delivers a high dose of precisely focused radiation in 1–5 sessions, compared to conventional brain radiation which may require 10–30 sessions. The Gemini 360's adaptive approach and sub-millimeter precision make it ideal for SRS, treating small to medium brain tumors with remarkable accuracy while protecting surrounding brain tissue. ### Can brain metastases from other cancers be treated with the Gemini 360? Yes, brain metastases — cancer that has spread to the brain from another part of the body — are commonly treated with stereotactic radiosurgery. The Gemini 360 can precisely target multiple brain metastases in a single treatment course, adapting to each lesion's position and size at every session. ### Is a head frame required for brain radiation with the Gemini 360? No. Unlike older radiosurgery systems that require a metal frame bolted to the skull, the Gemini 360 uses a frameless, mask-based immobilization approach combined with real-time imaging. This is more comfortable for patients while maintaining sub-millimeter precision. ## Related Conditions We Treat [### Lung Cancer Lung cancer is the leading cause of cancer death in the United States. Treatment with radiation therapy is particularly challenging because lung tumor... Learn more](/conditions/lung-cancer) [### Breast Cancer Breast cancer is one of the most commonly diagnosed cancers worldwide, affecting both women and, less commonly, men. Treatment often involves a combin... Learn more](/conditions/breast-cancer) [### Liver Cancer Liver cancer, including hepatocellular carcinoma (HCC) and liver metastases, presents unique challenges for radiation therapy because the liver moves ... Learn more](/conditions/liver-cancer) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Brain Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Brain" }, "description": "Brain tumors — whether primary brain cancers or metastases from other cancer types — require the highest precision in radiation treatment due to the critical nature of surrounding brain structures. At 5D Cancer Services, the Akesis Gemini 360 delivers adaptive radiotherapy that re-images and recalculates at every session, accounting for treatment-related changes like swelling or tumor shrinkage to maintain sub-millimeter accuracy throughout the course of therapy.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "New or worsening headaches" }, { "@type": "MedicalSignOrSymptom", "name": "Seizures in someone without a seizure history" }, { "@type": "MedicalSignOrSymptom", "name": "Vision changes or speech difficulties" }, { "@type": "MedicalSignOrSymptom", "name": "Balance problems or difficulty walking" }, { "@type": "MedicalSignOrSymptom", "name": "Personality or cognitive changes" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic", "howPerformed": "Brain tumors require extreme precision because even small deviations can expose critical brain structures to radiation. As treatment progresses, the tumor may shrink and surrounding tissue may swell, changing the anatomy from the original planning scan. Traditional machines cannot detect or adapt to these changes. The Akesis Gemini 360 re-images before every session and recalculates the treatment plan to account for any anatomical changes, ensuring the radiation beam is precisely aligned to the current tumor size and shape. The system achieves 0.3mm targeting precision — the width of a few human hairs.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "What is the difference between SRS and conventional brain radiation?", "acceptedAnswer": { "@type": "Answer", "text": "Stereotactic Radiosurgery (SRS) delivers a high dose of precisely focused radiation in 1–5 sessions, compared to conventional brain radiation which may require 10–30 sessions. The Gemini 360's adaptive approach and sub-millimeter precision make it ideal for SRS, treating small to medium brain tumors with remarkable accuracy while protecting surrounding brain tissue." } }, { "@type": "Question", "name": "Can brain metastases from other cancers be treated with the Gemini 360?", "acceptedAnswer": { "@type": "Answer", "text": "Yes, brain metastases — cancer that has spread to the brain from another part of the body — are commonly treated with stereotactic radiosurgery. The Gemini 360 can precisely target multiple brain metastases in a single treatment course, adapting to each lesion's position and size at every session." } }, { "@type": "Question", "name": "Is a head frame required for brain radiation with the Gemini 360?", "acceptedAnswer": { "@type": "Answer", "text": "No. Unlike older radiosurgery systems that require a metal frame bolted to the skull, the Gemini 360 uses a frameless, mask-based immobilization approach combined with real-time imaging. This is more comfortable for patients while maintaining sub-millimeter precision." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Brain Cancer", "item": "https://www.5dcancerservices.com/conditions/brain-cancer" } ] } ] ``` ===================================================================== # ROUTE /conditions/liver-cancer URL: https://www.5dcancerservices.com/conditions/liver-cancer TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, liver cancer, hepatocellular carcinoma, SBRT liver ===================================================================== # Liver Cancer Radiation Therapy in St. George, Utah | 5D Cancer Services > Adaptive liver cancer radiation therapy that tracks breathing motion for precise tumor targeting. SBRT in 3–5 sessions at 5D Cancer Services, St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Liver CancerCancer Treatment # Liver Cancer Liver cancer, including hepatocellular carcinoma (HCC) and liver metastases, presents unique challenges for radiation therapy because the liver moves significantly with breathing — often shifting several centimeters during each respiratory cycle. At 5D Cancer Services, the Akesis Gemini 360 addresses this challenge with adaptive radiotherapy that tracks liver position in real time, delivering precise radiation to the tumor while preserving healthy liver tissue critical for organ function. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Unintentional weight loss and loss of appetite - Upper abdominal pain or swelling - Jaundice (yellowing of skin and eyes) - Nausea and vomiting - Fatigue and general weakness ## How We Treat Liver Cancer The liver is one of the most mobile organs in the body, moving 1–3 centimeters with every breath. Traditional radiation machines cannot track this motion, so they treat a large volume to account for potential liver position — damaging healthy liver tissue that the patient needs for survival. The Akesis Gemini 360 re-images at every session, detecting exactly where the liver tumor is and recalculating the radiation delivery path in real time. This adaptive approach enables SBRT delivery with tight margins, maximizing the radiation dose to the tumor while preserving the maximum amount of functional liver tissue. ### Treatment Duration Typically 3–5 sessions over 1–2 weeks ### Benefits of Adaptive Radiotherapy - Tracks liver movement caused by breathing - Preserves maximum functional liver tissue - SBRT delivery in as few as 3–5 sessions - Effective for both primary liver cancer and liver metastases - Reduced risk of radiation-induced liver disease - Non-invasive alternative when surgery is not an option[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### Can liver cancer be treated with radiation when surgery isn't possible? Yes. For patients who are not surgical candidates due to tumor location, liver function concerns, or other medical conditions, adaptive SBRT with the Gemini 360 offers an effective non-invasive treatment option. The adaptive approach allows precise tumor targeting while preserving the maximum amount of healthy liver tissue. ### How does the Gemini 360 handle liver movement during breathing? The Gemini 360 captures detailed images before each session, tracking the liver's exact position. It recalculates the treatment plan based on the liver's current location, adjusting the radiation beam to precisely target the tumor regardless of breathing-related motion. This eliminates the need for the large treatment margins used in conventional radiation. ### Can liver metastases from other cancers be treated? Yes, the Gemini 360 can effectively treat liver metastases — cancer that has spread to the liver from other primary sites such as colon, breast, or lung cancer. Adaptive SBRT can target individual liver lesions with high precision while preserving surrounding healthy liver tissue. ## Related Conditions We Treat [### Pancreatic Cancer Pancreatic cancer is one of the most challenging cancers to treat due to the pancreas's deep location in the abdomen and its proximity to critical org... Learn more](/conditions/pancreatic-cancer) [### Lung Cancer Lung cancer is the leading cause of cancer death in the United States. Treatment with radiation therapy is particularly challenging because lung tumor... Learn more](/conditions/lung-cancer) [### Brain Cancer Brain tumors — whether primary brain cancers or metastases from other cancer types — require the highest precision in radiation treatment due to the c... Learn more](/conditions/brain-cancer) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Liver Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Liver" }, "description": "Liver cancer, including hepatocellular carcinoma (HCC) and liver metastases, presents unique challenges for radiation therapy because the liver moves significantly with breathing — often shifting several centimeters during each respiratory cycle. At 5D Cancer Services, the Akesis Gemini 360 addresses this challenge with adaptive radiotherapy that tracks liver position in real time, delivering precise radiation to the tumor while preserving healthy liver tissue critical for organ function.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Unintentional weight loss and loss of appetite" }, { "@type": "MedicalSignOrSymptom", "name": "Upper abdominal pain or swelling" }, { "@type": "MedicalSignOrSymptom", "name": "Jaundice (yellowing of skin and eyes)" }, { "@type": "MedicalSignOrSymptom", "name": "Nausea and vomiting" }, { "@type": "MedicalSignOrSymptom", "name": "Fatigue and general weakness" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic", "howPerformed": "The liver is one of the most mobile organs in the body, moving 1–3 centimeters with every breath. Traditional radiation machines cannot track this motion, so they treat a large volume to account for potential liver position — damaging healthy liver tissue that the patient needs for survival. The Akesis Gemini 360 re-images at every session, detecting exactly where the liver tumor is and recalculating the radiation delivery path in real time. This adaptive approach enables SBRT delivery with tight margins, maximizing the radiation dose to the tumor while preserving the maximum amount of functional liver tissue.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Can liver cancer be treated with radiation when surgery isn't possible?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. For patients who are not surgical candidates due to tumor location, liver function concerns, or other medical conditions, adaptive SBRT with the Gemini 360 offers an effective non-invasive treatment option. The adaptive approach allows precise tumor targeting while preserving the maximum amount of healthy liver tissue." } }, { "@type": "Question", "name": "How does the Gemini 360 handle liver movement during breathing?", "acceptedAnswer": { "@type": "Answer", "text": "The Gemini 360 captures detailed images before each session, tracking the liver's exact position. It recalculates the treatment plan based on the liver's current location, adjusting the radiation beam to precisely target the tumor regardless of breathing-related motion. This eliminates the need for the large treatment margins used in conventional radiation." } }, { "@type": "Question", "name": "Can liver metastases from other cancers be treated?", "acceptedAnswer": { "@type": "Answer", "text": "Yes, the Gemini 360 can effectively treat liver metastases — cancer that has spread to the liver from other primary sites such as colon, breast, or lung cancer. Adaptive SBRT can target individual liver lesions with high precision while preserving surrounding healthy liver tissue." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Liver Cancer", "item": "https://www.5dcancerservices.com/conditions/liver-cancer" } ] } ] ``` ===================================================================== # ROUTE /conditions/pancreatic-cancer URL: https://www.5dcancerservices.com/conditions/pancreatic-cancer TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, pancreatic cancer, SBRT pancreas ===================================================================== # Pancreatic Cancer Radiation Therapy in St. George, Utah | 5D Cancer Services > Adaptive pancreatic cancer radiation therapy with precision targeting near critical organs. Fewer side effects with the Akesis Gemini 360 at 5D Cancer Services, St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Pancreatic CancerCancer Treatment # Pancreatic Cancer Pancreatic cancer is one of the most challenging cancers to treat due to the pancreas's deep location in the abdomen and its proximity to critical organs including the stomach, small intestine, kidneys, and major blood vessels. At 5D Cancer Services, the Akesis Gemini 360 delivers adaptive radiotherapy that accounts for the daily shifting of these nearby organs, enabling precise tumor targeting that conventional machines simply cannot achieve. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Jaundice (yellowing of skin and eyes) - Upper abdominal pain radiating to the back - Unexplained weight loss and decreased appetite - New-onset diabetes or worsening blood sugar control - Blood clots or digestive problems ## How We Treat Pancreatic Cancer The pancreas sits in a complex anatomical neighborhood where the stomach, duodenum, kidneys, and major blood vessels shift position daily based on digestive contents, gas, and body positioning. Traditional radiation must use wide margins to account for this uncertainty, which limits the dose that can be safely delivered and increases damage to surrounding structures. The Akesis Gemini 360 re-images and recalculates at every session, precisely locating the tumor relative to surrounding structures and adjusting the radiation beam accordingly. This adaptive approach allows delivery of ablative radiation doses while protecting the critical organs that surround the pancreas. ### Treatment Duration Typically 5–15 sessions depending on tumor stage and location ### Benefits of Adaptive Radiotherapy - Precise targeting near critical organs (stomach, kidneys, intestines) - Adapts to daily organ position changes - Higher effective doses compared to conventional radiation - Reduced gastrointestinal side effects - Can be used as neoadjuvant therapy before surgery - Non-invasive treatment option for inoperable tumors[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### Can adaptive radiotherapy treat inoperable pancreatic cancer? Yes. For patients with locally advanced pancreatic cancer that cannot be surgically removed, adaptive radiotherapy with the Gemini 360 can deliver high-dose radiation to the tumor while protecting surrounding organs. In some cases, this treatment can shrink the tumor enough to make surgery possible (neoadjuvant or conversion therapy). ### Why is pancreatic cancer especially challenging for radiation therapy? The pancreas is surrounded by radiation-sensitive organs — the stomach, duodenum, kidneys, and spinal cord. These organs shift position daily, making it difficult for conventional machines to target the pancreas without damaging nearby structures. The Gemini 360 solves this by re-imaging and recalculating at every session, adapting to the current positions of all surrounding organs. ### What gastrointestinal side effects can I expect? Because the Gemini 360 adapts to daily organ positions and delivers radiation with high precision, gastrointestinal side effects are typically reduced compared to conventional radiation. Some patients may experience mild nausea or appetite changes during treatment, but these are usually manageable and temporary. ## Related Conditions We Treat [### Liver Cancer Liver cancer, including hepatocellular carcinoma (HCC) and liver metastases, presents unique challenges for radiation therapy because the liver moves ... Learn more](/conditions/liver-cancer) [### Lung Cancer Lung cancer is the leading cause of cancer death in the United States. Treatment with radiation therapy is particularly challenging because lung tumor... Learn more](/conditions/lung-cancer) [### Gynecologic Cancer Gynecologic cancers — including cervical cancer, uterine (endometrial) cancer, ovarian cancer, vaginal cancer, and vulvar cancer — are treated with ad... Learn more](/conditions/gynecologic-cancer) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Pancreatic Cancer", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Pancreas" }, "description": "Pancreatic cancer is one of the most challenging cancers to treat due to the pancreas's deep location in the abdomen and its proximity to critical organs including the stomach, small intestine, kidneys, and major blood vessels. At 5D Cancer Services, the Akesis Gemini 360 delivers adaptive radiotherapy that accounts for the daily shifting of these nearby organs, enabling precise tumor targeting that conventional machines simply cannot achieve.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Jaundice (yellowing of skin and eyes)" }, { "@type": "MedicalSignOrSymptom", "name": "Upper abdominal pain radiating to the back" }, { "@type": "MedicalSignOrSymptom", "name": "Unexplained weight loss and decreased appetite" }, { "@type": "MedicalSignOrSymptom", "name": "New-onset diabetes or worsening blood sugar control" }, { "@type": "MedicalSignOrSymptom", "name": "Blood clots or digestive problems" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic", "howPerformed": "The pancreas sits in a complex anatomical neighborhood where the stomach, duodenum, kidneys, and major blood vessels shift position daily based on digestive contents, gas, and body positioning. Traditional radiation must use wide margins to account for this uncertainty, which limits the dose that can be safely delivered and increases damage to surrounding structures. The Akesis Gemini 360 re-images and recalculates at every session, precisely locating the tumor relative to surrounding structures and adjusting the radiation beam accordingly. This adaptive approach allows delivery of ablative radiation doses while protecting the critical organs that surround the pancreas.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Can adaptive radiotherapy treat inoperable pancreatic cancer?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. For patients with locally advanced pancreatic cancer that cannot be surgically removed, adaptive radiotherapy with the Gemini 360 can deliver high-dose radiation to the tumor while protecting surrounding organs. In some cases, this treatment can shrink the tumor enough to make surgery possible (neoadjuvant or conversion therapy)." } }, { "@type": "Question", "name": "Why is pancreatic cancer especially challenging for radiation therapy?", "acceptedAnswer": { "@type": "Answer", "text": "The pancreas is surrounded by radiation-sensitive organs — the stomach, duodenum, kidneys, and spinal cord. These organs shift position daily, making it difficult for conventional machines to target the pancreas without damaging nearby structures. The Gemini 360 solves this by re-imaging and recalculating at every session, adapting to the current positions of all surrounding organs." } }, { "@type": "Question", "name": "What gastrointestinal side effects can I expect?", "acceptedAnswer": { "@type": "Answer", "text": "Because the Gemini 360 adapts to daily organ positions and delivers radiation with high precision, gastrointestinal side effects are typically reduced compared to conventional radiation. Some patients may experience mild nausea or appetite changes during treatment, but these are usually manageable and temporary." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Pancreatic Cancer", "item": "https://www.5dcancerservices.com/conditions/pancreatic-cancer" } ] } ] ``` ===================================================================== # ROUTE /conditions/gynecologic-cancer URL: https://www.5dcancerservices.com/conditions/gynecologic-cancer TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, gynecologic cancer, cervical cancer, uterine cancer, ovarian cancer ===================================================================== # Gynecologic Cancer Radiation Therapy in St. George, Utah | 5D Cancer Services > Adaptive radiation therapy for cervical, uterine, ovarian, and other gynecologic cancers. Our physicians and staff specialize in gynecologic malignancies. 5D Cancer Services, St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Gynecologic CancerCancer Treatment # Gynecologic Cancer Gynecologic cancers — including cervical cancer, uterine (endometrial) cancer, ovarian cancer, vaginal cancer, and vulvar cancer — are treated with adaptive radiotherapy at 5D Cancer Services. These cancers present unique challenges for radiation therapy because pelvic organs change position daily due to variations in bladder and bowel filling. The Akesis Gemini 360 adapts to these daily changes, delivering precise treatment that conventional machines cannot match. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Abnormal vaginal bleeding or discharge - Pelvic pain or pressure - Pain during intercourse - Changes in bowel or bladder habits - Unexplained weight loss or bloating ## How We Treat Gynecologic Cancer In the pelvis, the uterus, cervix, bladder, and rectum shift position daily based on how full the bladder and bowel are. A tumor that was in one position during the planning scan may have shifted by the time treatment begins. Traditional radiation uses wide margins to account for this uncertainty, exposing more of the bladder, rectum, and bone marrow to radiation. The Akesis Gemini 360 re-images at every session, locating the tumor and surrounding organs precisely and recalculating the radiation plan. This adaptive approach is particularly valuable for cervical and uterine cancers where organ motion is most pronounced. Our physicians and staff bring over 30 years of specialization in gynecologic malignancies. ### Treatment Duration Typically 5–25 sessions depending on cancer type and stage ### Benefits of Adaptive Radiotherapy - Adapts to daily bladder and bowel filling changes - Reduced radiation exposure to bladder and rectum - Minimizes bone marrow suppression - Our physicians and staff specialize in gynecologic malignancies - Effective for cervical, uterine, ovarian, vaginal, and vulvar cancers - Can be combined with chemotherapy when indicated[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### What types of gynecologic cancers can be treated with adaptive radiotherapy? The Gemini 360 can treat all major gynecologic cancers including cervical cancer, uterine (endometrial) cancer, ovarian cancer, vaginal cancer, and vulvar cancer. The adaptive approach is particularly beneficial for cervical and uterine cancers where daily organ motion in the pelvis significantly affects treatment accuracy. ### Does our team have experience with gynecologic cancers? Yes. Our physicians and staff bring over 30 years of experience in radiation oncology, with specific specialization in gynecologic malignancies. Their expertise in treating these cancers, combined with the Gemini 360's adaptive technology, provides patients with the highest level of care available. ### Can radiation be used alongside chemotherapy for gynecologic cancers? Yes, concurrent chemoradiation (radiation therapy given alongside chemotherapy) is a standard treatment approach for many gynecologic cancers, particularly cervical cancer. The Gemini 360's adaptive precision helps reduce side effects from the combined treatment by minimizing radiation exposure to healthy tissue. ## Related Conditions We Treat [### Prostate Cancer Prostate cancer is the most common cancer in American men after skin cancer. It develops in the prostate gland, a small walnut-shaped gland that produ... Learn more](/conditions/prostate-cancer) [### Breast Cancer Breast cancer is one of the most commonly diagnosed cancers worldwide, affecting both women and, less commonly, men. Treatment often involves a combin... Learn more](/conditions/breast-cancer) [### Pancreatic Cancer Pancreatic cancer is one of the most challenging cancers to treat due to the pancreas's deep location in the abdomen and its proximity to critical org... Learn more](/conditions/pancreatic-cancer) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Gynecologic Cancer", "description": "Gynecologic cancers — including cervical cancer, uterine (endometrial) cancer, ovarian cancer, vaginal cancer, and vulvar cancer — are treated with adaptive radiotherapy at 5D Cancer Services. These cancers present unique challenges for radiation therapy because pelvic organs change position daily due to variations in bladder and bowel filling. The Akesis Gemini 360 adapts to these daily changes, delivering precise treatment that conventional machines cannot match.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Abnormal vaginal bleeding or discharge" }, { "@type": "MedicalSignOrSymptom", "name": "Pelvic pain or pressure" }, { "@type": "MedicalSignOrSymptom", "name": "Pain during intercourse" }, { "@type": "MedicalSignOrSymptom", "name": "Changes in bowel or bladder habits" }, { "@type": "MedicalSignOrSymptom", "name": "Unexplained weight loss or bloating" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Adaptive Radiotherapy", "procedureType": "Therapeutic", "howPerformed": "In the pelvis, the uterus, cervix, bladder, and rectum shift position daily based on how full the bladder and bowel are. A tumor that was in one position during the planning scan may have shifted by the time treatment begins. Traditional radiation uses wide margins to account for this uncertainty, exposing more of the bladder, rectum, and bone marrow to radiation. The Akesis Gemini 360 re-images at every session, locating the tumor and surrounding organs precisely and recalculating the radiation plan. This adaptive approach is particularly valuable for cervical and uterine cancers where organ motion is most pronounced. Our physicians and staff bring over 30 years of specialization in gynecologic malignancies.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "What types of gynecologic cancers can be treated with adaptive radiotherapy?", "acceptedAnswer": { "@type": "Answer", "text": "The Gemini 360 can treat all major gynecologic cancers including cervical cancer, uterine (endometrial) cancer, ovarian cancer, vaginal cancer, and vulvar cancer. The adaptive approach is particularly beneficial for cervical and uterine cancers where daily organ motion in the pelvis significantly affects treatment accuracy." } }, { "@type": "Question", "name": "Does our team have experience with gynecologic cancers?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Our physicians and staff bring over 30 years of experience in radiation oncology, with specific specialization in gynecologic malignancies. Their expertise in treating these cancers, combined with the Gemini 360's adaptive technology, provides patients with the highest level of care available." } }, { "@type": "Question", "name": "Can radiation be used alongside chemotherapy for gynecologic cancers?", "acceptedAnswer": { "@type": "Answer", "text": "Yes, concurrent chemoradiation (radiation therapy given alongside chemotherapy) is a standard treatment approach for many gynecologic cancers, particularly cervical cancer. The Gemini 360's adaptive precision helps reduce side effects from the combined treatment by minimizing radiation exposure to healthy tissue." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Gynecologic Cancer", "item": "https://www.5dcancerservices.com/conditions/gynecologic-cancer" } ] } ] ``` ===================================================================== # ROUTE /conditions/dupuytrens-contracture URL: https://www.5dcancerservices.com/conditions/dupuytrens-contracture TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, Dupuytren's contracture, low-dose radiation, non-surgical ===================================================================== # Dupuytren's Contracture Radiation Treatment in St. George, Utah | 5D Cancer Services > Non-surgical Dupuytren's contracture treatment with low-dose radiation therapy. 6 one-minute sessions over 2–3 weeks to halt disease progression. St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Dupuytren's ContractureBenign Condition Treatment # Dupuytren's Contracture Dupuytren's contracture is a condition where connective tissue (fascia) in the palm of the hand gradually thickens and tightens, forming nodules and cords that can pull one or more fingers toward the palm. In early stages, low-dose radiation therapy can slow or halt disease progression, helping preserve hand function without surgery. At 5D Cancer Services, we treat early-stage Dupuytren's with just 6 one-minute sessions over 2–3 weeks. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Firm lumps or nodules in the palm of the hand - Thickening of the skin on the palm - Fingers gradually bending toward the palm - Difficulty fully extending one or more fingers - Reduced grip strength or hand function ## How We Treat Dupuytren's Contracture Low-dose radiation therapy targets the thickened connective tissue in the palm, reducing inflammation and slowing the cellular processes that cause the fascia to contract. When treated in the early stages (Tubiana stage N–II), radiation therapy has been shown to prevent progression in the majority of patients, often avoiding the need for surgical intervention. Treatment is delivered in 6 brief sessions, each lasting about one minute, spread over 2–3 weeks. The radiation dose is very low — far less than cancer treatment doses — and is specifically calibrated to halt fibroblast proliferation without damaging surrounding tissue. ### Treatment Duration 6 one-minute sessions over 2–3 weeks ### Benefits of Low-Dose Radiation Therapy - Non-surgical treatment — no incision or recovery time - Only 6 brief sessions, each lasting about one minute - Can prevent disease progression in early stages - Preserves hand function and grip strength - Minimal side effects — mild skin redness at most - Treatment completed in 2–3 weeks[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### When is radiation therapy most effective for Dupuytren's contracture? Radiation therapy is most effective in the early stages of Dupuytren's contracture (Tubiana stage N–II), when nodules and mild cords are present but fingers have not yet bent significantly. In these early stages, radiation can halt or slow progression, potentially avoiding the need for surgery. If fingers have already contracted significantly, surgical options may be more appropriate. ### How many radiation sessions are needed for Dupuytren's contracture? Treatment typically involves 6 sessions spread over 2–3 weeks. Each session lasts about one minute. The radiation dose is very low — far less than what is used for cancer treatment — and is specifically calibrated to stop the thickening process in the palm's connective tissue. ### Are there side effects from Dupuytren's radiation treatment? Side effects are typically very mild. Some patients experience temporary skin dryness or redness in the palm, which resolves within a few weeks. The low radiation dose used for Dupuytren's treatment is well-tolerated, and most patients have no significant side effects. ## Related Conditions We Treat [### Plantar Fasciitis Plantar fasciitis is one of the most common causes of heel pain, affecting millions of Americans each year. It occurs when the plantar fascia — a thic... Learn more](/conditions/plantar-fasciitis) [### Keloid Scars Keloids are raised, thickened scars that extend beyond the original wound boundary. They occur when the body overproduces collagen during the healing ... Learn more](/conditions/keloids) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Dupuytren's Contracture", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Hand" }, "description": "Dupuytren's contracture is a condition where connective tissue (fascia) in the palm of the hand gradually thickens and tightens, forming nodules and cords that can pull one or more fingers toward the palm. In early stages, low-dose radiation therapy can slow or halt disease progression, helping preserve hand function without surgery. At 5D Cancer Services, we treat early-stage Dupuytren's with just 6 one-minute sessions over 2–3 weeks.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Firm lumps or nodules in the palm of the hand" }, { "@type": "MedicalSignOrSymptom", "name": "Thickening of the skin on the palm" }, { "@type": "MedicalSignOrSymptom", "name": "Fingers gradually bending toward the palm" }, { "@type": "MedicalSignOrSymptom", "name": "Difficulty fully extending one or more fingers" }, { "@type": "MedicalSignOrSymptom", "name": "Reduced grip strength or hand function" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic", "howPerformed": "Low-dose radiation therapy targets the thickened connective tissue in the palm, reducing inflammation and slowing the cellular processes that cause the fascia to contract. When treated in the early stages (Tubiana stage N–II), radiation therapy has been shown to prevent progression in the majority of patients, often avoiding the need for surgical intervention. Treatment is delivered in 6 brief sessions, each lasting about one minute, spread over 2–3 weeks. The radiation dose is very low — far less than cancer treatment doses — and is specifically calibrated to halt fibroblast proliferation without damaging surrounding tissue.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "When is radiation therapy most effective for Dupuytren's contracture?", "acceptedAnswer": { "@type": "Answer", "text": "Radiation therapy is most effective in the early stages of Dupuytren's contracture (Tubiana stage N–II), when nodules and mild cords are present but fingers have not yet bent significantly. In these early stages, radiation can halt or slow progression, potentially avoiding the need for surgery. If fingers have already contracted significantly, surgical options may be more appropriate." } }, { "@type": "Question", "name": "How many radiation sessions are needed for Dupuytren's contracture?", "acceptedAnswer": { "@type": "Answer", "text": "Treatment typically involves 6 sessions spread over 2–3 weeks. Each session lasts about one minute. The radiation dose is very low — far less than what is used for cancer treatment — and is specifically calibrated to stop the thickening process in the palm's connective tissue." } }, { "@type": "Question", "name": "Are there side effects from Dupuytren's radiation treatment?", "acceptedAnswer": { "@type": "Answer", "text": "Side effects are typically very mild. Some patients experience temporary skin dryness or redness in the palm, which resolves within a few weeks. The low radiation dose used for Dupuytren's treatment is well-tolerated, and most patients have no significant side effects." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Dupuytren's Contracture", "item": "https://www.5dcancerservices.com/conditions/dupuytrens-contracture" } ] } ] ``` ===================================================================== # ROUTE /conditions/plantar-fasciitis URL: https://www.5dcancerservices.com/conditions/plantar-fasciitis TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, plantar fasciitis, heel pain, low-dose radiation ===================================================================== # Plantar Fasciitis Radiation Treatment in St. George, Utah | 5D Cancer Services > Low-dose radiation therapy for chronic plantar fasciitis when other treatments have failed. 6 one-minute sessions over 2–3 weeks. 5D Cancer Services, St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Plantar FasciitisBenign Condition Treatment # Plantar Fasciitis Plantar fasciitis is one of the most common causes of heel pain, affecting millions of Americans each year. It occurs when the plantar fascia — a thick band of tissue connecting the heel bone to the toes — becomes inflamed. When conventional treatments like physical therapy, orthotics, and injections have not provided lasting relief, low-dose radiation therapy offers a proven alternative. At 5D Cancer Services, we treat chronic plantar fasciitis with just 6 one-minute sessions over 2–3 weeks. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Sharp stabbing pain in the heel, especially with first steps in the morning - Pain that worsens after prolonged standing or walking - Heel tenderness or stiffness - Pain that increases after exercise (not during) - Gradual onset of pain over weeks or months ## How We Treat Plantar Fasciitis Low-dose radiation therapy works by modulating the inflammatory response in the plantar fascia. It reduces the activity of inflammatory cells and promotes the body's natural anti-inflammatory processes, providing long-term pain relief where other treatments have failed. Treatment is delivered in 6 brief sessions, each lasting about one minute, spread over 2–3 weeks. The radiation dose is very low and specifically targets the inflamed tissue in the heel area. Multiple clinical studies have demonstrated that low-dose radiation therapy provides significant pain relief in 60–80% of patients with chronic plantar fasciitis who have not responded to conventional treatments. ### Treatment Duration 6 one-minute sessions over 2–3 weeks ### Benefits of Low-Dose Radiation Therapy - Proven effective when other treatments have failed - Only 6 brief sessions, each lasting about one minute - Non-invasive — no injections or surgery required - 60–80% of patients experience significant pain relief - Long-lasting results with low recurrence rates - Minimal side effects — no downtime required[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### When should I consider radiation therapy for plantar fasciitis? Low-dose radiation therapy is typically recommended when conservative treatments — including physical therapy, stretching exercises, orthotics, anti-inflammatory medications, and corticosteroid injections — have not provided adequate relief after several months. It is a well-established treatment option for chronic, resistant plantar fasciitis. ### How long does it take to feel relief after plantar fasciitis radiation treatment? Many patients begin to notice improvement within 4–6 weeks after completing treatment. Maximum benefit is typically achieved within 3–6 months. The anti-inflammatory effects of low-dose radiation continue to work after the treatment sessions are completed. ### Is radiation therapy for plantar fasciitis safe? Yes. The radiation dose used for plantar fasciitis is extremely low — far less than cancer treatment doses. Multiple clinical studies involving thousands of patients have confirmed the safety and effectiveness of this approach. Side effects are rare and typically limited to mild, temporary skin redness. ## Related Conditions We Treat [### Dupuytren's Contracture Dupuytren's contracture is a condition where connective tissue (fascia) in the palm of the hand gradually thickens and tightens, forming nodules and c... Learn more](/conditions/dupuytrens-contracture) [### Keloid Scars Keloids are raised, thickened scars that extend beyond the original wound boundary. They occur when the body overproduces collagen during the healing ... Learn more](/conditions/keloids) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Plantar Fasciitis", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Foot" }, "description": "Plantar fasciitis is one of the most common causes of heel pain, affecting millions of Americans each year. It occurs when the plantar fascia — a thick band of tissue connecting the heel bone to the toes — becomes inflamed. When conventional treatments like physical therapy, orthotics, and injections have not provided lasting relief, low-dose radiation therapy offers a proven alternative. At 5D Cancer Services, we treat chronic plantar fasciitis with just 6 one-minute sessions over 2–3 weeks.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Sharp stabbing pain in the heel, especially with first steps in the morning" }, { "@type": "MedicalSignOrSymptom", "name": "Pain that worsens after prolonged standing or walking" }, { "@type": "MedicalSignOrSymptom", "name": "Heel tenderness or stiffness" }, { "@type": "MedicalSignOrSymptom", "name": "Pain that increases after exercise (not during)" }, { "@type": "MedicalSignOrSymptom", "name": "Gradual onset of pain over weeks or months" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic", "howPerformed": "Low-dose radiation therapy works by modulating the inflammatory response in the plantar fascia. It reduces the activity of inflammatory cells and promotes the body's natural anti-inflammatory processes, providing long-term pain relief where other treatments have failed. Treatment is delivered in 6 brief sessions, each lasting about one minute, spread over 2–3 weeks. The radiation dose is very low and specifically targets the inflamed tissue in the heel area. Multiple clinical studies have demonstrated that low-dose radiation therapy provides significant pain relief in 60–80% of patients with chronic plantar fasciitis who have not responded to conventional treatments.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "When should I consider radiation therapy for plantar fasciitis?", "acceptedAnswer": { "@type": "Answer", "text": "Low-dose radiation therapy is typically recommended when conservative treatments — including physical therapy, stretching exercises, orthotics, anti-inflammatory medications, and corticosteroid injections — have not provided adequate relief after several months. It is a well-established treatment option for chronic, resistant plantar fasciitis." } }, { "@type": "Question", "name": "How long does it take to feel relief after plantar fasciitis radiation treatment?", "acceptedAnswer": { "@type": "Answer", "text": "Many patients begin to notice improvement within 4–6 weeks after completing treatment. Maximum benefit is typically achieved within 3–6 months. The anti-inflammatory effects of low-dose radiation continue to work after the treatment sessions are completed." } }, { "@type": "Question", "name": "Is radiation therapy for plantar fasciitis safe?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. The radiation dose used for plantar fasciitis is extremely low — far less than cancer treatment doses. Multiple clinical studies involving thousands of patients have confirmed the safety and effectiveness of this approach. Side effects are rare and typically limited to mild, temporary skin redness." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Plantar Fasciitis", "item": "https://www.5dcancerservices.com/conditions/plantar-fasciitis" } ] } ] ``` ===================================================================== # ROUTE /conditions/keloids URL: https://www.5dcancerservices.com/conditions/keloids TYPE: condition KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, keloid scars, post-surgical radiation, recurrence prevention ===================================================================== # Keloid Scar Radiation Treatment in St. George, Utah | 5D Cancer Services > Low-dose radiation therapy for keloid scars with 70–90% recurrence prevention after surgical removal. 6 sessions over 2–3 weeks. 5D Cancer Services, St. George, UT. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Conditions - Keloid ScarsBenign Condition Treatment # Keloid Scars Keloids are raised, thickened scars that extend beyond the original wound boundary. They occur when the body overproduces collagen during the healing process, creating firm, rubbery growths that can be painful, itchy, and cosmetically distressing. Low-dose radiation therapy is one of the most effective treatments for preventing keloid recurrence after surgical removal, with success rates of 70–90% when radiation is started within 24–72 hours of surgery. [Schedule a Consultation](tel:+14359007060)[Learn About Our Technology](/technology) ## Possible Symptoms If you are experiencing any of these symptoms, consult with your doctor about evaluation and treatment options. - Raised, firm scar tissue extending beyond the original wound - Pink, red, or darker coloring compared to surrounding skin - Itching, tenderness, or pain in the scar area - Continued growth of the scar over time - Restriction of movement if located near a joint ## How We Treat Keloid Scars Low-dose radiation therapy for keloids works in two ways. First, post-surgical radiation (given within 24–72 hours after keloid excision) prevents recurrence by reducing the overactive healing response that causes keloid formation. This is the most common and effective approach, with recurrence prevention rates of 70–90%. Second, radiation can be used to shrink and flatten existing keloids without surgery, reducing pain, itching, and cosmetic concerns. Treatment is delivered in 6 brief sessions over 2–3 weeks, using carefully calibrated low doses that target the keloid tissue without damaging surrounding healthy skin. ### Treatment Duration 6 one-minute sessions over 2–3 weeks (post-surgical radiation starts within 24–72 hours) ### Benefits of Low-Dose Radiation Therapy - 70–90% recurrence prevention rate after surgical excision - Can shrink existing keloids without surgery - Only 6 brief sessions, each about one minute - Reduces pain, itching, and cosmetic concerns - Well-established treatment with decades of clinical evidence - Minimal side effects — mild skin redness at most[Check insurance coverage](/insurance)[Meet our physicians and staff](/team#dr-stevens) ## Frequently Asked Questions ### How soon after keloid removal should radiation start? For maximum effectiveness, post-excision radiation therapy should begin within 24–72 hours after surgical keloid removal. This early timing is critical because it targets the healing wound before the keloid-forming process can restart. Studies show that starting radiation within this window achieves the highest recurrence prevention rates (70–90%). ### Can radiation therapy treat keloids without surgery? Yes. Low-dose radiation therapy can be used as a standalone treatment to shrink and flatten existing keloids, reducing pain, itching, and cosmetic concerns. However, the most effective approach for larger keloids is typically surgical excision followed by immediate radiation therapy to prevent recurrence. ### Is keloid radiation therapy safe for all skin types? Yes. Keloid radiation therapy is safe and effective for all skin types. In fact, keloids are more common in people with darker skin tones, and radiation therapy has been extensively studied and proven effective across all demographics. The low doses used are well-tolerated with minimal side effects. ## Related Conditions We Treat [### Dupuytren's Contracture Dupuytren's contracture is a condition where connective tissue (fascia) in the palm of the hand gradually thickens and tightens, forming nodules and c... Learn more](/conditions/dupuytrens-contracture) [### Plantar Fasciitis Plantar fasciitis is one of the most common causes of heel pain, affecting millions of Americans each year. It occurs when the plantar fascia — a thic... Learn more](/conditions/plantar-fasciitis) ## Learn More About Your Care [### The Akesis Gemini 360 How adaptive radiotherapy delivers precise, image-guided treatment in as few as 5 sessions. Learn more](/technology) [### Meet our physicians and staff Board-certified radiation oncology team with over 30 years of experience leading 5D Cancer Services. Learn more](/team#dr-stevens) [### Insurance Coverage Most major plans cover adaptive radiotherapy. Our team handles verification for you. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalCondition", "name": "Keloid Scars", "associatedAnatomy": { "@type": "AnatomicalStructure", "name": "Skin" }, "description": "Keloids are raised, thickened scars that extend beyond the original wound boundary. They occur when the body overproduces collagen during the healing process, creating firm, rubbery growths that can be painful, itchy, and cosmetically distressing. Low-dose radiation therapy is one of the most effective treatments for preventing keloid recurrence after surgical removal, with success rates of 70–90% when radiation is started within 24–72 hours of surgery.", "signOrSymptom": [ { "@type": "MedicalSignOrSymptom", "name": "Raised, firm scar tissue extending beyond the original wound" }, { "@type": "MedicalSignOrSymptom", "name": "Pink, red, or darker coloring compared to surrounding skin" }, { "@type": "MedicalSignOrSymptom", "name": "Itching, tenderness, or pain in the scar area" }, { "@type": "MedicalSignOrSymptom", "name": "Continued growth of the scar over time" }, { "@type": "MedicalSignOrSymptom", "name": "Restriction of movement if located near a joint" } ], "possibleTreatment": { "@type": "MedicalProcedure", "name": "Low-Dose Radiation Therapy", "procedureType": "Therapeutic", "howPerformed": "Low-dose radiation therapy for keloids works in two ways. First, post-surgical radiation (given within 24–72 hours after keloid excision) prevents recurrence by reducing the overactive healing response that causes keloid formation. This is the most common and effective approach, with recurrence prevention rates of 70–90%. Second, radiation can be used to shrink and flatten existing keloids without surgery, reducing pain, itching, and cosmetic concerns. Treatment is delivered in 6 brief sessions over 2–3 weeks, using carefully calibrated low doses that target the keloid tissue without damaging surrounding healthy skin.", "performer": { "@type": "Physician", "name": "Dr. Ritchie N. Stevens", "medicalSpecialty": "Radiation Oncology" }, "availableService": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com", "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": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "How soon after keloid removal should radiation start?", "acceptedAnswer": { "@type": "Answer", "text": "For maximum effectiveness, post-excision radiation therapy should begin within 24–72 hours after surgical keloid removal. This early timing is critical because it targets the healing wound before the keloid-forming process can restart. Studies show that starting radiation within this window achieves the highest recurrence prevention rates (70–90%)." } }, { "@type": "Question", "name": "Can radiation therapy treat keloids without surgery?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Low-dose radiation therapy can be used as a standalone treatment to shrink and flatten existing keloids, reducing pain, itching, and cosmetic concerns. However, the most effective approach for larger keloids is typically surgical excision followed by immediate radiation therapy to prevent recurrence." } }, { "@type": "Question", "name": "Is keloid radiation therapy safe for all skin types?", "acceptedAnswer": { "@type": "Answer", "text": "Yes. Keloid radiation therapy is safe and effective for all skin types. In fact, keloids are more common in people with darker skin tones, and radiation therapy has been extensively studied and proven effective across all demographics. The low doses used are well-tolerated with minimal side effects." } } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Conditions", "item": "https://www.5dcancerservices.com/conditions" }, { "@type": "ListItem", "position": 3, "name": "Keloid Scars", "item": "https://www.5dcancerservices.com/conditions/keloids" } ] } ] ``` ===================================================================== # 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 ===================================================================== # Frequently Asked Questions — Adaptive Radiotherapy | 5D Cancer Services > Get answers to common questions about adaptive radiotherapy, treatment duration, insurance coverage, side effects, and what to expect at 5D Cancer Services in St. George, Utah. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - FAQCommon 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. ## 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) ## 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```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. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - 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](https://www.5dcancerservices.com) Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. 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[Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalStudy", "name": "Gemini 360 Clinical Value — Case Studies", "description": "Clinical case studies demonstrating the value of the Akesis Gemini 360 for adaptive cancer treatment including SFRT, liver cancer, and brain metastasis.", "studySubject": { "@type": "MedicalCondition", "name": "Cancer" }, "sponsor": { "@type": "Organization", "name": "Akesis" }, "status": "Active", "healthCondition": [ { "@type": "MedicalCondition", "name": "Breast cancer metastasis" }, { "@type": "MedicalCondition", "name": "Liver cancer" }, { "@type": "MedicalCondition", "name": "Brain metastasis of lung cancer" } ], "availableAt": { "@type": "MedicalOrganization", "name": "5D Cancer Services", "url": "https://www.5dcancerservices.com" } }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Clinical Data", "item": "https://www.5dcancerservices.com/clinical-data" } ] } ] ``` ===================================================================== # ROUTE /adaptive-radiotherapy URL: https://www.5dcancerservices.com/adaptive-radiotherapy TYPE: article KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, what is adaptive radiotherapy, ART, online adaptive, offline adaptive, CBCT, image-guided radiation, hypofractionation, AI contouring, plan adaptation ===================================================================== # What Is Adaptive Radiotherapy? An Evidence-Based Guide | 5D Cancer Services > A plain-language, evidence-based explainer on adaptive radiotherapy (ART): why static radiation plans fall short, online vs offline workflows, CT/CBCT/MRI imaging trade-offs, AI-assisted replanning, and the published outcomes behind shorter hypofractionated courses. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Adaptive Radiotherapy 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. 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. 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. [Request a consultation](/#appointment)[(435) 900-7060](tel:+14359007060) [How our Gemini360RT works](/technology)[See real-world clinical data](/clinical-data) ## 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) [### 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](https://www.5dcancerservices.com) Bringing the most advanced Adaptive Radiotherapy to Southern Utah. No time for cancer. 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[Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "MedicalWebPage", "@id": "https://www.5dcancerservices.com/adaptive-radiotherapy#page", "name": "What Is Adaptive Radiotherapy? 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Treat prostate, breast, lung, brain and other cancers in as few as 5 sessions with the Akesis Gemini 360. Free on-site parking. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Service Areas - St. George, UTServing St. George, Utah # Adaptive Radiotherapy Near St. George 5D Cancer Services is located right in St. George — at 1308 E 900 South, Unit B — making us the only adaptive radiotherapy clinic serving Washington County, Utah. St. George patients drive less than five minutes to access the Akesis Gemini 360, the only adaptive radiotherapy machine in the state. Drive time 5 minutes Distance 2 mi Population ~100,000 Sessions As few as 5 [Call (435) 900-7060](tel:+14359007060)[Get Directions](https://www.google.com/maps/dir/?api=1&destination=1308%20E%20900%20South%20Unit%20B%2C%20St.%20George%2C%20UT%2084790&origin=St.%20George%2C%20Utah) ## Why St. George chooses 5D Cancer Services Living in St. George should not mean traveling out of state for advanced cancer treatment. For decades, residents diagnosed with prostate, breast, lung, gynecologic, brain, liver, or pancreatic cancer were sent to Salt Lake City, Las Vegas, or even further to access modern, image-guided radiation therapy. Today, that journey is unnecessary. At 5D Cancer Services in St. George, you can complete an entire course of adaptive Stereotactic Body Radiation Therapy (SBRT) in as few as five sessions — most patients drive home after each visit and resume normal activities the same day. St. George is the regional medical hub of Southern Utah, serving Washington, Iron, and Kane counties. Our central location near the I-15 corridor and Bluff Street makes 5D Cancer Services easy to reach from any neighborhood — Bloomington, Little Valley, Green Valley, Dixie Downs, Sun River, and the historic St. George downtown are all under fifteen minutes away. Free, ground-level parking sits directly outside the clinic entrance, with no parking garages, no shuttles, and no long walks for patients managing fatigue or mobility challenges. Our physicians and staff lead every treatment plan personally. As a board-certified radiation oncology team with over thirty years of combined clinical experience — including residency training at institutions such as UC Irvine and the City of Hope Medical Center — we chose to bring this technology to St. George specifically because Southern Utah deserves the same standard of care as any major metropolitan cancer center. We coordinate directly with Intermountain St. George Regional Hospital, Dixie Regional, and community oncology practices throughout Washington County so your existing care team stays involved every step of the way. 2 miles / 5 minutes from downtown St. George Free on-site parking Direct coordination with Intermountain St. George Regional Hospital Serves all of Washington County ## Conditions St. George patients commonly travel for [Prostate Cancer](/conditions/prostate-cancer)[Breast Cancer](/conditions/breast-cancer)[Lung Cancer](/conditions/lung-cancer)[Brain Cancer](/conditions/brain-cancer) 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 – 5:00 PM Saturday – Sunday: Closed ### Phone [(435) 900-7060](tel:+14359007060) [Get Directions](https://www.google.com/maps/search/?api=1&query=1308%20E%20900%20South%2C%20Unit%20B%2C%20St.%20George%2C%20UT%2084790) ## Learn More [### The Akesis Gemini 360 The first and only adaptive radiotherapy machine in Utah, available right here in St. George. Learn more](/technology) [### Conditions We Treat Prostate, breast, lung, brain cancer and more — plus benign conditions like plantar fasciitis and Dupuytren's. Learn more](/conditions) [### Insurance Coverage Most major insurance plans — including Medicare, Medicaid, BCBS, and TRICARE — cover adaptive radiotherapy. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "LocalBusiness", "@id": "https://www.5dcancerservices.com/locations/st-george-utah#localbusiness", "name": "5D Cancer Services — Serving St. George, UT", "image": "https://www.5dcancerservices.com/opengraph.jpg", "url": "https://www.5dcancerservices.com/locations/st-george-utah", "telephone": "+1-435-900-7060", "priceRange": "$", "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": "City", "name": "St. George", "containedInPlace": { "@type": "State", "name": "Utah" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.0965, "longitude": -113.5684 } }, "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Service Areas" }, { "@type": "ListItem", "position": 3, "name": "St. George, UT", "item": "https://www.5dcancerservices.com/locations/st-george-utah" } ] } ] ``` ===================================================================== # ROUTE /locations/cedar-city-utah URL: https://www.5dcancerservices.com/locations/cedar-city-utah TYPE: location KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, Cedar City Utah, Iron County, adaptive radiotherapy near me ===================================================================== # Cancer Radiation Therapy Near Cedar City, Utah | 5D Cancer Services > Cedar City patients are just 55 minutes from the only adaptive radiotherapy clinic in Utah. Complete cancer treatment in 5 days at 5D Cancer Services in St. George. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Service Areas - Cedar City, UTServing Cedar City, Utah # Adaptive Radiotherapy Near Cedar City Cedar City patients drive about 55 minutes south on I-15 to reach 5D Cancer Services in St. George — and that single drive replaces what was previously an eight-week course of conventional radiation. With adaptive SBRT on the Akesis Gemini 360, many cancers can be treated in as few as five sessions over a single week. Drive time 55 minutes Distance 53 mi Population ~37,000 Sessions As few as 5 [Call (435) 900-7060](tel:+14359007060)[Get Directions](https://www.google.com/maps/dir/?api=1&destination=1308%20E%20900%20South%20Unit%20B%2C%20St.%20George%2C%20UT%2084790&origin=Cedar%20City%2C%20Utah) ## Why Cedar City chooses 5D Cancer Services Cedar City sits at the northern edge of our Southern Utah service area. Historically, Iron County residents diagnosed with cancer faced the unenviable choice between five-to-nine weeks of daily radiation in Salt Lake City — three hours away — or skipping radiation altogether and accepting a more invasive surgical option. Adaptive radiotherapy at 5D Cancer Services changes that calculation. Most Cedar City patients now drive down to St. George for one short week of treatment, often staying with family or in a nearby short-term rental, and return home cancer-free. The drive is an easy 55 minutes south on I-15 — the same drive most Cedar City residents already make for shopping, the airport, or specialist appointments at Intermountain St. George Regional. We work directly with Cedar City Hospital, Southwest Family Medicine, and primary care providers throughout Iron County to make the referral and intake process seamless. Our billing team handles your insurance pre-authorization before treatment begins, so there are no surprise bills. Our physicians and staff regularly treat Cedar City residents for prostate cancer, breast cancer, lung cancer, brain metastases, and benign conditions like Dupuytren's contracture and plantar fasciitis. If five days of treatment is not feasible, we can arrange longer fractionation schedules and coordinate with home health services in Iron County. Call (435) 900-7060 to discuss whether a single short trip to St. George might replace weeks of conventional radiation. 55 minutes south of Cedar City via I-15 Treatment completed in 1 week instead of 8 Coordination with Cedar City Hospital Serves Iron County residents ## Conditions Cedar City patients commonly travel for [Prostate Cancer](/conditions/prostate-cancer)[Breast Cancer](/conditions/breast-cancer)[Lung Cancer](/conditions/lung-cancer)[Dupuytren's Contracture](/conditions/dupuytrens-contracture) 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 – 5:00 PM Saturday – Sunday: Closed ### Phone [(435) 900-7060](tel:+14359007060) [Get Directions](https://www.google.com/maps/search/?api=1&query=1308%20E%20900%20South%2C%20Unit%20B%2C%20St.%20George%2C%20UT%2084790) ## Learn More [### The Akesis Gemini 360 The first and only adaptive radiotherapy machine in Utah, available right here in St. George. Learn more](/technology) [### Conditions We Treat Prostate, breast, lung, brain cancer and more — plus benign conditions like plantar fasciitis and Dupuytren's. Learn more](/conditions) [### Insurance Coverage Most major insurance plans — including Medicare, Medicaid, BCBS, and TRICARE — cover adaptive radiotherapy. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "LocalBusiness", "@id": "https://www.5dcancerservices.com/locations/cedar-city-utah#localbusiness", "name": "5D Cancer Services — Serving Cedar City, UT", "image": "https://www.5dcancerservices.com/opengraph.jpg", "url": "https://www.5dcancerservices.com/locations/cedar-city-utah", "telephone": "+1-435-900-7060", "priceRange": "$", "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": "City", "name": "Cedar City", "containedInPlace": { "@type": "State", "name": "Utah" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.6775, "longitude": -113.0619 } }, "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Service Areas" }, { "@type": "ListItem", "position": 3, "name": "Cedar City, UT", "item": "https://www.5dcancerservices.com/locations/cedar-city-utah" } ] } ] ``` ===================================================================== # ROUTE /locations/hurricane-utah URL: https://www.5dcancerservices.com/locations/hurricane-utah TYPE: location KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, Hurricane Utah, La Verkin, Sand Hollow, near me ===================================================================== # Adaptive Radiotherapy Near Hurricane, Utah | 5D Cancer Services > Hurricane, La Verkin, and east Washington County patients are 20 minutes from 5D Cancer Services. Adaptive SBRT cancer treatment in 5 sessions. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Service Areas - Hurricane, UTServing Hurricane, Utah # Adaptive Radiotherapy Near Hurricane Hurricane and La Verkin patients are just 20 minutes from 5D Cancer Services on State Route 9. For families in Washington County's east side — including Sand Hollow, Sky Ranch, and Apple Valley — a five-day adaptive SBRT course on the Akesis Gemini 360 means cancer treatment without uprooting your life. Drive time 20 minutes Distance 17 mi Population ~22,000 Sessions As few as 5 [Call (435) 900-7060](tel:+14359007060)[Get Directions](https://www.google.com/maps/dir/?api=1&destination=1308%20E%20900%20South%20Unit%20B%2C%20St.%20George%2C%20UT%2084790&origin=Hurricane%2C%20Utah) ## Why Hurricane chooses 5D Cancer Services Hurricane has grown into one of Washington County's largest communities, and with that growth has come a real need for advanced cancer care close to home. Driving to Salt Lake City or Las Vegas for daily radiation simply is not realistic for most Hurricane families — the time, fuel, and missed work add up to weeks of disruption on top of the diagnosis itself. 5D Cancer Services solves that. The drive from Hurricane to our St. George clinic is about 17 miles down State Route 9 to I-15, taking 20 to 25 minutes outside of rush hour. Most Hurricane patients are in and out of the clinic in under an hour, including check-in, daily imaging on the Gemini 360, plan adaptation, and treatment delivery. Because we treat many cancers — including prostate, breast, lung, brain, liver, and pancreatic — in as few as five sessions, the entire course often takes just one week of mid-morning appointments. Our physicians and staff can also coordinate scheduling around work, ranching, or family obligations common in Hurricane and the surrounding farming communities. We work closely with Hurricane Valley Family Practice, Intermountain InstaCare, and primary care providers throughout the eastern Washington County corridor. If you have a recent biopsy, imaging study, or oncology consult and are unsure whether adaptive radiotherapy is appropriate for you, call (435) 900-7060 for a consultation — there is no referral required. 20 minutes via SR-9 and I-15 Serves Hurricane, La Verkin, Apple Valley, Sand Hollow No referral required 5-day SBRT for many cancers ## Conditions Hurricane patients commonly travel for [Prostate Cancer](/conditions/prostate-cancer)[Lung Cancer](/conditions/lung-cancer)[Breast Cancer](/conditions/breast-cancer)[Plantar Fasciitis](/conditions/plantar-fasciitis) 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 – 5:00 PM Saturday – Sunday: Closed ### Phone [(435) 900-7060](tel:+14359007060) [Get Directions](https://www.google.com/maps/search/?api=1&query=1308%20E%20900%20South%2C%20Unit%20B%2C%20St.%20George%2C%20UT%2084790) ## Learn More [### The Akesis Gemini 360 The first and only adaptive radiotherapy machine in Utah, available right here in St. George. Learn more](/technology) [### Conditions We Treat Prostate, breast, lung, brain cancer and more — plus benign conditions like plantar fasciitis and Dupuytren's. Learn more](/conditions) [### Insurance Coverage Most major insurance plans — including Medicare, Medicaid, BCBS, and TRICARE — cover adaptive radiotherapy. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "LocalBusiness", "@id": "https://www.5dcancerservices.com/locations/hurricane-utah#localbusiness", "name": "5D Cancer Services — Serving Hurricane, UT", "image": "https://www.5dcancerservices.com/opengraph.jpg", "url": "https://www.5dcancerservices.com/locations/hurricane-utah", "telephone": "+1-435-900-7060", "priceRange": "$", "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": "City", "name": "Hurricane", "containedInPlace": { "@type": "State", "name": "Utah" }, "geo": { "@type": "GeoCoordinates", "latitude": 37.1753, "longitude": -113.2899 } }, "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Service Areas" }, { "@type": "ListItem", "position": 3, "name": "Hurricane, UT", "item": "https://www.5dcancerservices.com/locations/hurricane-utah" } ] } ] ``` ===================================================================== # ROUTE /locations/mesquite-nevada URL: https://www.5dcancerservices.com/locations/mesquite-nevada TYPE: location KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, Mesquite Nevada, Bunkerville, Virgin River Valley ===================================================================== # Cancer Radiation Therapy Near Mesquite, Nevada | 5D Cancer Services > Mesquite, NV patients are 40 minutes from the Akesis Gemini 360 — the only adaptive radiotherapy machine in the region. Complete treatment in 5 sessions at 5D Cancer Services. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Service Areas - Mesquite, NVServing Mesquite, Nevada # Adaptive Radiotherapy Near Mesquite Mesquite, Nevada residents are 40 minutes south on I-15 from the only adaptive radiotherapy clinic in the region. Instead of driving 90 minutes into Las Vegas every weekday for six to nine weeks, Mesquite patients can complete cancer treatment in as few as five short visits to St. George. Drive time 40 minutes Distance 39 mi Population ~22,000 Sessions As few as 5 [Call (435) 900-7060](tel:+14359007060)[Get Directions](https://www.google.com/maps/dir/?api=1&destination=1308%20E%20900%20South%20Unit%20B%2C%20St.%20George%2C%20UT%2084790&origin=Mesquite%2C%20Nevada) ## Why Mesquite chooses 5D Cancer Services Mesquite straddles the Nevada–Arizona border in the Virgin River Valley, and historically its cancer patients have had two unappealing options for radiation therapy: a long drive south to a Las Vegas hospital, often through downtown traffic, or a similarly long trip into Salt Lake City. Both options mean six to nine weeks of daily round trips. 5D Cancer Services in St. George — just 40 minutes north on I-15 — replaces that with as few as five total visits using adaptive SBRT on the Akesis Gemini 360. We work with patients from Mesquite, Bunkerville, Beaver Dam, Littlefield, and the Moapa Valley. Many travel up to St. George with a family member, complete the imaging-and-treatment session in under an hour, and are back home before lunch. Because Nevada Medicaid, Medicare, and most major Nevada commercial insurance plans (BCBS, UnitedHealthcare, Aetna, Cigna, Humana, TRICARE) cover adaptive radiotherapy as standard of care, the financial side is straightforward — our team verifies your coverage in advance. Our team has spent more than three decades practicing radiation oncology in Southern Nevada and Southern Utah, so we understand the practical realities of getting world-class treatment to small Nevada communities. Mesquite patients can call (435) 900-7060 directly — or ask their oncologist or primary care provider for a referral — to schedule a consultation. 40 minutes north on I-15 Avoids the 90-minute Las Vegas trip Nevada Medicaid, Medicare, BCBS, TRICARE accepted Serves Mesquite, Bunkerville, Beaver Dam ## Conditions Mesquite patients commonly travel for [Prostate Cancer](/conditions/prostate-cancer)[Breast Cancer](/conditions/breast-cancer)[Lung Cancer](/conditions/lung-cancer)[Keloid Scars](/conditions/keloids) 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 – 5:00 PM Saturday – Sunday: Closed ### Phone [(435) 900-7060](tel:+14359007060) [Get Directions](https://www.google.com/maps/search/?api=1&query=1308%20E%20900%20South%2C%20Unit%20B%2C%20St.%20George%2C%20UT%2084790) ## Learn More [### The Akesis Gemini 360 The first and only adaptive radiotherapy machine in Utah, available right here in St. George. Learn more](/technology) [### Conditions We Treat Prostate, breast, lung, brain cancer and more — plus benign conditions like plantar fasciitis and Dupuytren's. Learn more](/conditions) [### Insurance Coverage Most major insurance plans — including Medicare, Medicaid, BCBS, and TRICARE — cover adaptive radiotherapy. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "LocalBusiness", "@id": "https://www.5dcancerservices.com/locations/mesquite-nevada#localbusiness", "name": "5D Cancer Services — Serving Mesquite, NV", "image": "https://www.5dcancerservices.com/opengraph.jpg", "url": "https://www.5dcancerservices.com/locations/mesquite-nevada", "telephone": "+1-435-900-7060", "priceRange": "$", "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": "City", "name": "Mesquite", "containedInPlace": { "@type": "State", "name": "Nevada" }, "geo": { "@type": "GeoCoordinates", "latitude": 36.8055, "longitude": -114.0672 } }, "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Service Areas" }, { "@type": "ListItem", "position": 3, "name": "Mesquite, NV", "item": "https://www.5dcancerservices.com/locations/mesquite-nevada" } ] } ] ``` ===================================================================== # ROUTE /locations/kingman-arizona URL: https://www.5dcancerservices.com/locations/kingman-arizona TYPE: location KEYWORDS: adaptive radiotherapy, Akesis Gemini 360, 5D Cancer Services, St. George Utah, radiation oncology, Kingman Arizona, Mohave County, Arizona Strip ===================================================================== # Cancer Radiation Therapy Near Kingman, Arizona | 5D Cancer Services > Kingman, AZ and Mohave County patients can complete adaptive radiotherapy in 5 sessions at 5D Cancer Services in St. George — a single week-long trip instead of months of daily radiation. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - Service Areas - Kingman, AZServing Kingman, Arizona # Adaptive Radiotherapy Near Kingman Kingman, Arizona patients drive about 2 hours and 15 minutes north on US-93 and I-15 to reach 5D Cancer Services. For many Mohave County families, a single week-long trip to St. George replaces what would otherwise be a multi-month relocation to Phoenix or Las Vegas for daily conventional radiation. Drive time 2 hours 15 minutes Distance 130 mi Population ~33,000 Sessions As few as 5 [Call (435) 900-7060](tel:+14359007060)[Get Directions](https://www.google.com/maps/dir/?api=1&destination=1308%20E%20900%20South%20Unit%20B%2C%20St.%20George%2C%20UT%2084790&origin=Kingman%2C%20Arizona) ## Why Kingman chooses 5D Cancer Services Kingman and the broader Mohave County region are medically underserved when it comes to advanced radiation therapy. The closest legacy radiation centers in Las Vegas, Phoenix, or Flagstaff all require hours of driving each direction — a logistical impossibility for the 25-to-45 daily sessions conventional radiation typically demands. Adaptive radiotherapy on the Akesis Gemini 360 changes the math entirely. Because many cancers can be treated in as few as five sessions, Kingman patients can travel to St. George once, stay locally for a single week, and return home with treatment complete. St. George is the closest major medical hub to Kingman, with hotels, vacation rentals, and Airbnbs available from $80–$150 per night within five minutes of the clinic. Our team can recommend lodging, coordinate scheduling around your travel days, and align imaging and treatment appointments to minimize the time you spend away from home. We also work with patients from Bullhead City, Lake Havasu City, Fredonia, Colorado City, and the Hualapai Reservation — anywhere in northern Mohave County or the Arizona Strip. Most Arizona insurance plans — including Arizona Medicaid (AHCCCS), Medicare, BCBS of Arizona, UnitedHealthcare, Aetna, Cigna, and TRICARE — cover adaptive radiotherapy as standard of care. Our billing team verifies your coverage and obtains pre-authorization before you ever leave Kingman, so there are no surprises. Call (435) 900-7060 to discuss whether a single week-long trip to St. George might replace months of treatment elsewhere. 2h15m north via US-93 and I-15 Serves Mohave County and the Arizona Strip Lodging available from $80/night near the clinic Arizona Medicaid (AHCCCS), Medicare, TRICARE accepted ## Conditions Kingman patients commonly travel for [Prostate Cancer](/conditions/prostate-cancer)[Lung Cancer](/conditions/lung-cancer)[Breast Cancer](/conditions/breast-cancer)[Brain Cancer](/conditions/brain-cancer) 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 – 5:00 PM Saturday – Sunday: Closed ### Phone [(435) 900-7060](tel:+14359007060) [Get Directions](https://www.google.com/maps/search/?api=1&query=1308%20E%20900%20South%2C%20Unit%20B%2C%20St.%20George%2C%20UT%2084790) ## Learn More [### The Akesis Gemini 360 The first and only adaptive radiotherapy machine in Utah, available right here in St. George. Learn more](/technology) [### Conditions We Treat Prostate, breast, lung, brain cancer and more — plus benign conditions like plantar fasciitis and Dupuytren's. Learn more](/conditions) [### Insurance Coverage Most major insurance plans — including Medicare, Medicaid, BCBS, and TRICARE — cover adaptive radiotherapy. 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "LocalBusiness", "@id": "https://www.5dcancerservices.com/locations/kingman-arizona#localbusiness", "name": "5D Cancer Services — Serving Kingman, AZ", "image": "https://www.5dcancerservices.com/opengraph.jpg", "url": "https://www.5dcancerservices.com/locations/kingman-arizona", "telephone": "+1-435-900-7060", "priceRange": "$", "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": "City", "name": "Kingman", "containedInPlace": { "@type": "State", "name": "Arizona" }, "geo": { "@type": "GeoCoordinates", "latitude": 35.1894, "longitude": -114.053 } }, "openingHoursSpecification": [ { "@type": "OpeningHoursSpecification", "dayOfWeek": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday" ], "opens": "08:00", "closes": "17:00" } ] }, { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Service Areas" }, { "@type": "ListItem", "position": 3, "name": "Kingman, AZ", "item": "https://www.5dcancerservices.com/locations/kingman-arizona" } ] } ] ``` ===================================================================== # 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. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - 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](https://www.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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```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. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - 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 online appointment requests, contact forms, telephone calls initiated through the Site, email correspondence, and analytics or advertising activity tied to the 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 - Contact & appointment requests: name, email address, telephone number, ZIP/postal code, preferred appointment date/time, referring physician, and any free-text message you choose to share (which may include health information). - Insurance information: if you choose to share it during an online intake step (insurance carrier, plan name, member/group ID). - Medical history details: diagnoses, prior treatments, imaging notes, or symptoms you voluntarily include in a message. - Email correspondence and call notes when you communicate with our team. ### 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 appointment requests, questions, or other communications. - 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 submit through the Site 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 and unencrypted web forms are not fully secure; please do not include sensitive medical details in messages submitted through the Site 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. ## 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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Privacy Policy", "item": "https://www.5dcancerservices.com/privacy-policy" } ] }, { "@context": "https://schema.org", "@type": "WebPage", "name": "Privacy Policy", "url": "https://www.5dcancerservices.com/privacy-policy", "datePublished": "2026-04-16", "dateModified": "2026-04-16", "publisher": { "@type": "MedicalOrganization", "name": "5D Cancer Services" } } ] ``` ===================================================================== # ROUTE /hipaa-notice URL: https://www.5dcancerservices.com/hipaa-notice TYPE: legal KEYWORDS: HIPAA, Notice of Privacy Practices, PHI, patient rights ===================================================================== # HIPAA Notice of Privacy Practices | 5D Cancer Services > Our Notice of Privacy Practices describes how Protected Health Information (PHI) about you may be used and disclosed and how you can get access to this information, in accordance with the HIPAA Privacy Rule (45 CFR § 164.520). - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - 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) 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) 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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```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. - HomeTechnologyAdaptive RTClinical DataConditionsInsuranceOur TeamFAQ (435) 900-7060Home - 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. Online Appointment Requests - 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 submitting an appointment request or sending us a message, 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 submit a contact form or email 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. Online Appointment Requests Submitting an appointment-request form is a request for our team to contact you. It does not confirm an appointment. Confirmation will be made by phone or other direct communication. Please do not submit medical information that you would not be comfortable transmitting via standard internet email — call us at [(435) 900-7060](tel:+14359007060) if you wish to share sensitive information through a more 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 - Conditions - Insurance - FAQ - Blog - Request Appointment #### Resources - Sitemap (XML) - llms.txt - llms-full.txt - Site Index (Markdown) #### 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) © 2026 5D Cancer Services. All rights reserved. [Privacy Policy](/privacy-policy)[HIPAA Notice](/hipaa-notice)[Terms of Service](/terms-of-service)[Powered by Infuse AI](https://infuseai.agency)Sign in ## Structured data (JSON-LD) ```json [ { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.5dcancerservices.com/" }, { "@type": "ListItem", "position": 2, "name": "Terms of Service", "item": "https://www.5dcancerservices.com/terms-of-service" } ] }, { "@context": "https://schema.org", "@type": "WebPage", "name": "Terms of Service", "url": "https://www.5dcancerservices.com/terms-of-service", "datePublished": "2026-04-16", "dateModified": "2026-04-16", "publisher": { "@type": "MedicalOrganization", "name": "5D Cancer Services" } } ] ```