Radiation Oncology

Cancer Center of North Dakota is committed to providing the latest in radiation treatments to their patients in a stress reducing, healing environment. Our state of the art technology features:

Precision: On-board imaging helps pinpoint and treat tumors to within a millimeter using either stereotactic imaging or cone beam CT imaging.

Effectiveness: On-board imaging allows for image-guided radiotherapy which treats the cancer and ensures visualization of the adjacent normal tissue, minimizing damage to normal healthy tissues. This means fewer side effects enabling you to keep up with their normal daily life.

Intuitiveness: Our technology includes respiratory gating which accounts for your breathing and shuts the beam off if the tumor moves out of range. 

Cancer Center of North Dakota’s staff and team have an unwavering commitment to compassionate, caring and comprehensive care and to restoring your health.


On-Board Imager

Linear Accelerator with On-Board Imager™

  • Cancer Center of North Dakota offer fully automated image guided radiotherapy

  • On-Board Imager is mounted on the linear accelerator via robotically controlled arms which operate along three axes of motion, so it can be positioned optimally for the best view of the tumor, without ever having to move the patient.

  • Takes high-resolution X-ray images to pinpoint tumor site, adjust patient positioning, and complete the treatment in a standard treatment time slot.

  • Yields digital images via an amorphous silicon flat-panel X-ray image detector showing internal anatomic landmarks with a high degree of precision, treatment can then be delivered from virtually any angle.

  • Incorporates a Respiratory Gating system that monitors and compensates for tumor motion during the radiation treatment – if tumor moves out of the pre-set treatment guidelines, the radiation beam shuts itself off, virtually ignoring the healthy surrounding tissue.

Varian Linear Accelerator

SmartBeam™ IMRT — Intensity Modulated Radiation Therapy

  • Delivers high doses of radiation directly to cancer cells while sparing more of the adjacent healthy tissue.

  • Used to treat tumors that may have been considered “untreatable” due to close proximity of vital organs and structures.

  • Utilizes a computerized tool called a multileaf collimator that shapes the beam of radiation in accordance with the treatment plan — no longer confined to a single, large, uniform beam that may unnecessarily treat the healthy tissue near tumor.

  • The multileaf collimator eliminates the need for clinicians to enter and leave the treatment room numerous times to insert and remove lead beam-shaping blocks.

  • The patient is positioned once per session, rather than multiple times.

  • SmartBeam IMRT can be a non-invasive alternative to surgery in some cases.

  • With early detection, SmartBeam IMRT can eradicate tumors before the cancer spreads.

Portal Imaging

  • Allows doctors to verify the accuracy of the treatment plan before any prescribed dose of radiation is delivered to the patient.

  • PortalVision™ allows doctors to image the patient during treatment, thus allowing accurate positioning without increased dose to the patient.

  • Eliminates the need for clinicians to enter and leave the treatment room to wait for a film to be processed and analyzed, thereby decreasing the time of the treatment process.


  • 3D High-Dose Radiation (HDR) Brachytherapy

  • Only cancer center in the region that offers a nucletron remote after-loading brachytherapy and nucletron simulator with digital imaging which provides the most precise visualization of treatment set-up.

  • Will utilize high dose rate (HDR) brachytherapy in order to place a radioactive source in close proximity to the tumor, in an outpatient setting. This procedure avoids unnecessarily long hospitalization of a patient and any additional treatments.

  • Uses patient’s CT scan to optimize the radiation dose to the exact target, minimizing damage done to surrounding, healthy tissues.

  • Will allow for the expansion of treatment options for every patient.

Varian VariSeed treatment for prostate cancer

  • Provides “real-time” treatment planning during a prostate brachytherapy procedure.

  • As “seeds” are placed into the prostate, the “real-time” plan adjusts and determines how the placement of the seeds will affect the radiation dose to the prostate and rectum, which optimizes treatment and minimizes dose to healthy tissues.

  • Historically, the dose was determined after the procedure via a CT scan and additional computer planning was necessary, which did not allow for any changes during the procedure.

Computer Treatment Planning

  • Administers 3D conformal radiation treatments.

  • Implements IMRT radiation treatments.

  • Provides 3D and 3D HDR brachytherapy.

  • Supplies paperless records.