We are pleased to announce that effective July 27, 2015, Dr. Sachdeva will be seeing patients in Emeryville, California. To schedule an appointment constact:
Gopal Sachdeva, MD
Epic Care Cancer Center Emeryville
Department of Radiation Oncology
1480 64th Street
Emeryville, CA 94608
Tel: (510) 629-6682
Fax: (510) 830-3316 More Information on Rescheduling
Stereotactic Ablative Radiotherapy (SABR)
Sterotactic Ablative Radiotherapy (SABR) pronounced “SABER” involves the administration of very focused radiation doses to an isolated tumor or tumors within the body, with the goal of complete tumor cell kill in the treated area. SBRT is an image-based treatment using a high dose of radiotherapy with pinpoint accuracy in three to five sessions.
Our new SABR systems image, localize and shape radiation for small to moderate-sized tumors. SBRT also uses highly enhanced CT image guidance preceding each treatment to provide optimal treatment accuracy. In some cases, SABR reduces treatment duration from thirty visits to as few as one to five.
NOW AVAILABLE AT: Alta Bates Summit Medical Center Oakland, CA Dr. Salzman, Dr. Uhl, Dr. Sachdeva
Breast Intraoperative Radiation Therapy (IORT) delivers a high dose of radiation focused on the remaining breast tissue surrounding a tumor that has been removed after a lumpectomy surgery while the patient is still in the operating room. This thereby limits the exposure of distant breast tissue to radiation. IORT is also able to shield underlying organs like the heart and lungs from radiation. IORT reduces the number of radiation days/weeks that are needed to treat breast cancer.
EXCLUSIVELY AVAILABLE AT: Alta Bates Summit Medical Center Oakland, CA Dr. Salzman, Dr. Uhl, Dr. Sachdeva
Tomotherapy has revolutionized the delivery of radiation in patients with cancer. It is the most precise, accurate and advanced, and sophisticated radiation treatment machine of its kind. Tomotherapy uses Imaged Guided Intensity Modulated Radiation Therapy to shape radiation more precisely than was ever possible before. The makers of Tomotherapy are so confident in the accuracy of technology that they have challenged all other radiation treatment machines to try to beat the accuracy of their radiation treatments. Tomotherapy is EXCLUSIVELY available at our office at Alta Bates Summit Medical Center in Oakland, CA and we proudly serve the entire San Francisco Bay Area with this amazing technological innovation.
Superficial Radiation Therapy (SRT) for Skin Cancers
Superficial Radiation Therapy (SRT) for Skin Cancers is a treatment option for certain patients with skin cancers (Squamous Cell Carcinoma, Basal Cell Carcinoma, Melanoma and Kaposi’s sarcoma) The procedure is painless, non-invasive and less expensive than traditional treatments.
It uses a low energy radiation beam (X-ray) which only penetrates the top surface layer of the skin, avoiding deep tissue damage which minimizes scarring, particularly around the face.
For High-Dose Rate (HDR) Brachytherapy, thin catheters or an applicator is placed in or around a tumor. These are then connected to a machine called an HDR afterloader. This machine contains a single highly radioactive iridium source at the end of a wire. The source is pushed into each of the catheters one by one under computer control. Radiation is then delivered precisely to the tumor. HDR Brachytherapy is used for prostate cancer, endometrial cancer, cervical cancer and skin cancers.
Cyberknifeis a new treatment that is being used to treat localized tumors. This system uses a miniature radiation machine and a robotic arm that moves around the patient while delivering small doses of radiation from hundreds of directions. During treatment a computer analyzes hundreds of images and adjusts for slight movements by the patient. Only the tumor receives the high doses of radiation and healthy tissue is spared.
Traditionally radiation includes a small portion of the heart in the radiation field when treating left sided breast cancers. The use of a simple inspiratory maneuver – taking a deep breath and holding it for a few seconds is called Breast Inspiratory Breath Hold Radiothearpy (IBH). For selected patients, this significantly decreases the heart and lung volume that gets radiation.
Image Guided Intensity Modulated Radiation Therapy (IGIMRT, IG-IMRT) represents a significant technological advance and a new paradigm for the radiotherapeutic management of cancer. IMRT is capable of sparing sensitive structures of a high-dose radiation, by shaping the radiation even if only several millimeters away from the tumor. Image Guided Intensity Modulated Radiation Therapy (IGIMRT, IG-IMRT), the latest advancement consists of IMRT combined with Image Guidance. A scan is performed just prior to treatment to adjust for positional or anatomical changes. This allows for the most accurate and precise radiation treatments possible.
For Image Guided Radiation Therapy (IGRT), a scan is performed just prior to treatment to adjust for positional or anatomical changes. When you combine this with Intensity Modulated Radiation Therapy (IMRT) you get the most accurate and precise radiation treatments possible.
SAVI® brachytherapy combines the skin-sparing dosimetry of interstitial brachytherapy with the single-entry ease of balloon brachytherapy. The applicator uses an expandable bundle of catheters placed in the lumpectomy cavity through a single incision. As with the multicatheter and balloon brachytherapy options, the typical treatment schedule is twice daily for 5 days. This hybrid approach is designed to allow more flexible treatment planning, enable better shaping and control of the radiation dose and reduce radiation exposure to the skin and chest wall. SAVI is being evaluated in a separate clinical trial.
The Contura® balloon allows the doctor to fill the empty space left by the lumpectomy. Contura allows refined placement of the radiation source and targets the dose only where needed, sparing healthy breast tissue. The design can offered to some patients who are not candidates for other balloon devices.
MammoSite® brachytherapy uses a single catheter centered inside a balloon and is delivered in 10 treatments over 5 days, with treatments separated by at least 6 hours. MammoSite and interstitial brachytherapy are being compared with whole-breast irradiation in a Phase III clinical study(NSABP B-39/RTOG 0413 trial).
These options offe 5-day treatment brachytherapy alternatives known as accelerated partial breast irradiation (APBI). While conventional radiation therapy after breast-conserving surgery is delivered to the whole breast over a period of 7 weeks, radiation therapy delivered over a much shorter time period and only to the involved portion of the breast. We have pioneered APBI and currently offer patients the opportunity to participate in clinical trials evaluating 5‑day partial breast irradiation. We also treat selected women with APBI off-trial. The treatment options include APBI using balloon devices or catheters.
Radiation therapy plays a strong role in breast cancer treatment – from the earliest stage to the latest stage of the disease. Many patients with breast cancer will benefit from radiation therapy, either as curative or adjuvant therapy, or as a palliative treatment. These patients are typically treated with 3D conformal radiation therapy over a course of seven weeks. Other patients may be candidates for brachytherapy. The term brachytherapy is derived from a Greek word meaning “from a short distance,” and describes the practice of treating cancer by placing radioactive material directly into the cancer or immediately around it.
Stereotactic radiosurgery (Tomotherapy, Cyperknife or Gamma Knife) uses gamma rays or a linear accelerator, to treat certain kinds of brain tumors and some malformations in the brain’s blood vessels. The treatments are painless and bloodless and, unlike conventional brain surgery, there is no danger of infection. These systems use a linear accelerator to deliver the radiation in arcing paths around the patient’s head.
Our prostate cancer patients are treated using external beam radiation therapy with (IMRT) Intensity-Modulated Eadiation Therapy (IMRT) and (IGRT) Image Guided Radiation Therapy (IGRT). Image guidance ensures that the patient is positioned to accommodate normal daily variation of internal organs.
SBRT (Stereotactic Body Radiotherapy) is a method of radiosurgery recently developed for Lung, GI and other tumors. It uses high doses of radiation delivered in fewer fractions than in conventional radiation therapy. An advanced treatment planning system permits precise targeting from many angles. As with other advances in radiation treatment, it allows high doses of radiation to be delivered to tumor tissue while reducing radiation damage to healthy tissue.
Intensity Modulated Radiation Therapy (IMRT) is a type of conformal therapy that shapes high doses of radiation to the targeted tumor while restricting the dose to surrounding tissues. In the past, conformal radiation therapy has been limited to the use of radiation beams of uniformed intensity. In IMRT, the intensity of radiation beams is varied across the treatment field. This is accomplished through the use of multiple small beams with varied intensity instead of a single, large beam. Physicians “cross fire” the tumor with these small beams to deliver high-dose radiation to the targeted site while minimizing damage to the surrounding areas.
IMRT is particularly useful in cases where tumors are not well separated from vital organs. If a tumor is wrapped around a nearby organ, uniform intensity beams often cannot safely target radiation without the risk of damage to organ tissue. In these circumstances, adding intensity modulation allows for high-dose treatment of the tumor while protecting the organ from harmful radiation.
Three-Dimensional Conformal Radiation Therapy (3DCRT) uses the most advanced technology to tailor radiation to fit the shape of the treatment area by using small leaves (a multileaf collimator (MLC)) and a varying number of radiation beams. When the treatment volume conforms to the shape of the tumor, the radiation dose to surrounding healthy tissues is reduced, allowing a higher dose of radiation to be delivered to the tumor. Because the radiation beams are precisely focused, nearby normal tissue is spared. 3DCRT is delivered using a linear accelerator while the patient is positioned on a treatment table. This technique is being used to treat breast cancer, prostate cancer, lung cancer, certain brain tumors and other other cancers.
My experience with radiation treatments for breast cancer under the supervision of Dr. Sachdeva, was much easier than I would have ever imagined. From my very first meeting with Dr. Sachveda, through all the treatments, I always felt cared for and respected. I am so appreciative of the effieciency, competence, friendliness, and good humor of the entire staff. Would you believe that the experience was actually pleasant!!! I am grateful to Dr. Sachveda and all the staff members and highly recommend them for those that need radiation treatment.
No one ever expects a deadly diagnosis. No one deserves it. But to share your journey with a compassionate, and naturally brave sole, is a rare find. To have someone you trust and believe in, and believe in their knowledgeto do what seemingly must be done. To better protect your future life, there is not better qualified nor personable and personally supportive, in my experience, with cancer, than Valery Uhl. It is easy to accept surgery and feel free, but to have to undergo radiation e and side-effects is much more difficult to swallow. Therefore, a find of a radiation doctor you can abide with and abide with the process, geared to cure you beyond your surgery, this is a special find. I am grateful to my friend who had the bad fortune of getting breast cancer, but who had the good fortune of finding Dr. Uhl for herself, and thus, I too, benefitted. Blessings and health, as we need you, Dr. Uhl, in sickness and in health or whatever comes. And we will always be there for you too.
As a breast cancer patient I was a regular visitor 5 days a week for 7 weeks. Dr. Sachdeva is a caring, spiritual, kind, professional perfectly suited to the career he has choosen. The staff as a whole were equally perfect in their kind administration of the job they perform in an atmosphere that is not always uplifting as they deal with patients with serious health problems. The team work was outstanding. I will always be grateful for the quality of care I received and for the positive interaction with everyone involved.
Dr. Sachdeva is a sweet and caring doctor. He is always approachable and answered all of my questions and my sisters questions. I enjoyed meeting with him every week. His staff is just as wonderful.
I listened to the other women getting chemo during my chemo sessions and kept hearing Dr. Uhl’s name repeated again and again as a great doctor. I asked for a referral to her and had a detailed consultation session that put all of my breast cancer details together in a way I could understand.S he is the BEST!
I didn’t know that I could receive just excellent compassionate care relating to my breast cancer until I came to Dr. Sachdeva’s clinic. He helped me work out a treatment plan that was according to my schedule,I actually came first. His staff(including the valet parking attendants) , office clerical and nurses and technicians were friendly, always greeted me by my first name and made me feel that for my time there I was the most important person to them. They made me laugh which diffused the intensity of the situation . They put up with my routine of blindfold and music selections. When issues arose related to my tolerance of radiation and pain post surgery they were immediately reactive and supportive. Dr. Sachdeva was always patient and eager to listen. I am grateful that my journey brought me to Dr. Sachdeva.
I was a patient of Dr. Sachdeva for nearly 3 months, and there are not enough positive words to describe the wonderful treatment I received from him and the radiology/oncology staff. Receiving radiation treatment everyday for months can be a frightening proposal, but Dr. Sachdeva and his staff relieved all my fears. I was always greeted by a warm and smiling staff that made my appointments a very pleasant experience for me. Dr. Sachdeva was kind and caring in his approach with me, and really listened to my questions and concerns and gave me complete answers. I will be eternally grateful to Dr. Sachdeva and his staff for helping me through my cancer.
As a very healthy senior lady who worked for 40+ years in the medical community in West Los Angeles/Santa Monica, I moved to San Leandro and shortly thereafter was diagnosed with breast cancer on routine annual mammogram. Panic! My first impulse was to head back to my comfort zone and the excellent physicians I knew well. I am extremely fussy. I worked with the best, and I expect the best. After a referral to Alta Bates, and eventually surgery, I was referred to Doctor Sachdeva for radiation therapy.
From the first I felt very comfortable in the care of this physician, and his radiation support team is top notch. They are caring, upbeat, sensitive professionals. I observed, not just how they handled my medical care, but also the care of patients who were critically ill and frightened. Doctor Sachdeva and his medical team are right up there with the best.
I had 7 weeks of Radiation with Dr. Sachdeva. I enjoyed seeing him every week in Oakland. I did commute 30 minutes every day to see him and his staff but it was worth it. I will always have a special place for him and his staff in my heart. Everyone including my surgeon at Alta Bates were top notch and saved my life. I have now been a survivor for 2 years.
Dr. Sachdeva is a great doctor. I was referred to Dr. Sachdeva by my surgeon. Dr. Sachdeva made my treatment a “walk in the park” and is one of the most pleasant doctors I have ever met. He is always smiling and knows me by name. Everyone in his department did everything to ensure that i was comfortable on every single visit.
I was referred to Dr. Sachdeva and the Radiation Oncology techinicans for 7 weeks of radiation. I didn’t know if I would be treated as just another patient in line for treatment. Would I sit for long periods without explaination? Would they understand my concerns? Would they care?
Well I can’t say enough good things about Dr. Sachdeva and the care I received. All questions, concerns or care were answered and always with encouragment. What a pleasure to have a carring physician. If you’re in need of a good Radiation Oncology you don’t need to look futher.
Cancer sucks! – but here is one of the few doctors in oncology who don’t! Dr. Valery Uhl (pronounced Yule) is a top notch radiation oncologist practicing in Oakland CA (Alta Bates Summit) You can’t get anyone better or nicer. Dr. Uhl is on the Tumor Board, plus teaches at UCSF, attends the conferences, donates wine to breast cancer awareness and fundraising, gives public talks, and has many fans among her patients. You are not rushed or crowded or treated like cattle as is the case elsewhere. So, if your surgeon wants to recommend you elsewhere for radiation, to get a second opinion, or if you are not completely confident or satisfied or comfortable with the radiation oncologist you are referred to, do yourself a big favor and ask your doctor to call Dr. Uhl’s office.
I was treated by Dr. Sachdeva in Berkeley for my breast cancer. I commuted from Fremont everyday but i did not mind the commute for the level of care he and his staff provided. I am now in remission for 5 years and am thankful for being referred to Alta Bates.
I just completed a couple of months radiation therapy at Alta Bates Summit Medical Center, Oakland under the supervision of Dr. Gopal. I was so reluctant and scared at the beginning that Dr. Sachdeva took his time explaining all the different options and clearly described the process which convinced me that I was in good hands right at the get go. Even more impressive was how the Radiation Therapists were passionate about the care. They made me feel that they were there for me at all times. They listened to my feelings and cared as if I was the only patient. Everything went smoothly, from the parking attendant to the reception and finally to the treatment that never missed or delayed the scheduled appointment time. I will forever be grateful for having Adrian, Lily and all the Radiation Treatment Team. This is what I call PATIENT CARE.
You have the choice of which doctors will treat you. It’s your life! It is your duty to find the best doctor for you. Don’t let anyone force you to accept treatment from someone who won’t answer your questions, or appears not to careabout you as a unique individual whose life is important. You are worthy. You need the best care. Dr. Uhl provides that and is a smart, wonderful, caring person.
Dr. Uhl took care of my breast cancer and always had plenty of time for me. She loves to teach so you can ask lots of questions. i always look forward to our follow up visits and have recommended her to my two friends that also got breast cancer. They are also extremely pleased with their care at Summit Medical Center with Dr. Uhl. All of us think she is an exceptional doctor and feel so lucky she is on our cancer team.
Dr. Sachdeva was my dad’s cancer doctor when he was diagnosed with prostate cancer. He has an amazing bedside manner and took excellent care of my dad. We were treated in the Oakland office and the staff was just as amazing. Thank you!
My mom received excellent care from Dr Sachdeva and his team. I feel that she had the very best outcome possible because of Dr. Sachdeva’s prescribed therapy. I recommend him highly as a radiation oncologist – and he always makes my mom smile.
It was a long road to recovery for my mom with her cancer treatment. Dr. Sachdeva made a big difference and we will never forget it.
I was quite happy with his (Dr. Sachdeva’s) care and treatment, as also with the facilities. I never had to wait and went for five weeks every day for radiation. Everybody was nice and even our parking was validated. I have no complaints and I was happily surprised when told that they had the latest equipment.
My mother was a patient of Dr. Sachdeva for a month long radiation treatment. Dr. Sachdeva is an extraordinary professional who cares about his patients and follows through on things. During the last 4 treatment my mother wanted to give up but Dr. Sachdeva gave her a lot of encouragement and she was unable to finish the whole treat. Great job, Dr. Sachdeva.
The care that my mom received from Dr. Sachdeva and his team was absolutely stellar!
Without a doubt, visiting a Radiology Oncologist can be an intimidating and frightening experience, but with Dr. Sachdeva, it was totally the opposite. The patience and care that he offered was endless. He was readily available for any and all concerns that we had. Every step of the way, everything was explained in a very clear, comprehensible manner.
The team of nurses and technicians all work together in a manner that exudes the confidence and upbeat attitude that a patient needs to get through one of the most difficult times in a patient’s life. I truly believe that my mom wouldn’t have been able to complete her radiation treatment, had it not been for the unique relationships she formed with each and every person in Dr. Sachdeva’s office.
We are pleased to announce that effective July 27, 2015, Dr. Sachdeva will be seeing patients in Emeryville, California. Gopal Sachdeva, M.D. Epic Care Cancer Center Emeryville Department of Radiation Oncology 1480 64th Street Suite 100 Emeryville, CA 94608 Tel: (510) 629-6682 Fax: (510) 830-3316
Adding chemotherapy to radiation doubles survival time for some brain tumor patients The addition of chemotherapy to radiation therapy nearly doubled median survival time for patients with anaplastic oligodendroglioma, a rare type of brain tumor, containing a genetic abnormality known as the 1p19q co-deletion. The finding, from a phase III …
Interesting WSJ on Accelerated Partial Breast Irradiation. Assessment: Only head-to-head comparison of breast radiation techniques compared in the setting of randomized clinical trials will shed light on their relative effectiveness. In the interim, there is no current evidence that the 5-day alternative is inferior. The quoted studies have severe limitations …
This is another news clip from the East Coast talking about Tomotherapy and how it is the most precise, most advanced, most sophisticated and most accurate radiation treatment machine of its kind to treat cancers such as Prostate Cancer, Breast Cancer, Lung Cancer and Head and Neck Cancers, Stomach Cancer, …