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Oligometastatic Disease & Metastasis-Directed Therapy (MDT)

Oligometastatic disease refers to a cancer state where disease has spread to a limited number of sites but has not yet become widespread.

Highly Precise – Non-Invasive – Non-Surgical – No Anesthesia – 1 to 5 Outpatient Visits

Capital Radiosurgery Centers (CRC) provides highly precise, non-invasive treatment for oligometastatic cancer using advanced radiation technologies such as stereotactic radiosurgery (SRS), stereotactic body radiation therapy (SBRT), and intensity-modulated radiation therapy (IMRT). Treatment is carefully planned based on clinical appropriateness and delivered by experienced, board-certified radiation oncology professionals and a fully integrated care team.

These therapies precisely target metastatic tumors located in the spine, lung, bone, brain, or other areas of the body while minimizing exposure to healthy tissue. Care is delivered in an independent outpatient setting, allowing patients to receive advanced cancer treatment close to home without surgery or hospitalization.


The Facts That Matter

What the Clinical Evidence Shows

  • Large randomized trials (such as STAMPEDE) have demonstrated that radiation to the primary tumor can improve overall survival in patients with low-volume metastatic prostate cancer
  • These findings support the concept that local treatment matters in selected metastatic settings
  • While randomized trials specifically evaluating SBRT to synchronous oligometastatic sites are still evolving, MDT is increasingly used in practice based on: Favorable disease control, low toxicity, and the ability to delay escalation of systemic therapy

Patient Experience & Quality of Life

  • Targeted treatment of known metastatic sites
  • High local control of treated lesions
  • Low risk of long-term effects
  • Preservation of quality of life
  • Potential delay in disease progression or added systemic therapy

Treatment Duration

  • Up to 5 visits: 1-week or less
  • Traditional Radiation: several weeks

Treatment Duration & Conditions Commonly Treated

High-does radiation with sub-millimeter accuracy; 1-5 visits: 1-week or less

  • Prostate cancer with limited metastatic spread – 3-5 visits
  • Lung cancer oligometastases – 3-5 visits
  • Bone or spine metastases – 1-5 visits
  • Other solid tumors with limited metastatic burden
  • Lymph node–only metastatic disease

What to Expect

Before Treatment

• Consultation
• Imaging Review (CT + PET Scan)
•  Personalized Treatment Planning

During Treatment

• Painless, non-invasive sessions
• Typically, 1-5 visits, up to 1 week

After Treatment

• No recovery downtime
• Follow-up imaging to monitor response to treatment
• Ongoing coordination with your care team

Guideline Supported Care

Treatment planning follows nationally recognized clinical guidelines (including ASTRO and NCCN, where applicable). Final treatment decisions are made by the treating physician based on each patient’s unique clinical situation.

Why Patients & Physicians Choose CRC

15,000+ SBRT/SRS Treatments Delivered

20+ Years Physician Experience

Advanced CyberKnife® & TrueBeam® Technology

Regional Referral Center for Complex Cases

Outpatient Cancer Care – No Hospitalization

Board-certified Radiation Oncologists

What Is IMRT?

IMRT delivers precisely shaped radiation doses that conform to a tumor’s three-dimensional shape while minimizing exposure to surrounding healthy tissue. IMRT is commonly used when tumors are near critical structures or require a high degree of dose precision—protecting healthy tissue and helping patients maintain their daily routines.

Key Benefits

Fewer Treatments

Treatment is typically completed in 1–5 sessions.

Minimized Side Effects

Precision targeting reduces damage to healthy tissue.

Proven Outcomes

Long-term cancer control supported by extensive clinical research.

Faster Return to Life

Most patients resume normal activities immediately.

Explore Conditions We Treat

Treatment recommendations are individualized based on diagnosis and clinical factors. For appropriately selected patients, CRC treats a range of cancer diagnoses, including:

Care That Goes Beyond Treatment

Fully Integrated Care & Support

Coordinated care from nurses, care coordinators, and the full clinical team.

Ride Coordination

Our Care Concierge schedules and tracks rides, with real-time updates for patients, drivers, and caregivers.

Lodging Support

We help patients traveling from out of town find and coordinate accommodations for multi-day treatment visits.

Need-Based, Subsidized Services

Transportation and lodging support is available for patients based on need, reducing financial and logistical barriers.

Care All in One Place

Technology is only part of the equation. At CRC, every step—nursing, care coordination, therapy, dosimetry, and oncology—is handled in-house, creating a seamless, patient-centered experience from consultation to treatment completion.

What to Expect

See what to expect during treatment and how we guide you every step of the way.