Our Cancer Care Specialists
- College: Gannon University
- Medical School: Pennsylvania State University
- Internship: Shadyside Hospital
- Residency: UPMC Presbyterian & Albert Einstein Medical Center
- Board Certification: American Board of Radiology
Dr. Robert Piroli, MD, is a Board Certified Radiation Oncologist at Columbus Prostate Cancer Center. He has more than 34 years of diverse experience. As a highly-trained oncologist, Dr. Piroli works together with other specialists to create a unique treatment plan for every patient. We are by your side every step of the way from your diagnosis to recovery and work closely with you and your referring physician to ensure the best possible outcome.
Our Cancer Care Technologies
3D Conformal Radiation Therapy
Three-dimensional conformal radiation therapy (3D-CRT) uses computers, CT scans and MRI scans to create detailed, three-dimensional representations of the tumor and surrounding organs. The treatment team uses these images to shape the radiation beams to match the size and shape of the tumor. The tools used to shape the radiation beams are multileaf collimators or custom fabricated heavy metal blocks inserted between the beam and the patient. Nearby normal tissue receives less radiation exposure because the radiation beams are targeted directly at the tumor.
CT Scanning & Simulation
Computer Tomography (CT) Scanning & Simulation allows the cancer specialists to design a treatment plan specifically for the patient based on the size, location, and shape of the tumor. The patient will have three-dimensional images (CT Scans) taken. These are used with the treatment planning software that helps determine how to best deliver the radiation beams while reducing damage to surrounding areas. In some cases, it may be necessary to mark the patient’s skin with a tiny marker so that the patient is perfectly realigned in the correct position for every session of radiation therapy. The need for a temporary or permanent marker will be discussed with the patient before the simulation.
Image-Guided Radiation Therapy (IGRT)
Image-Guided Radiation Therapy (IGRT) combines three-dimensional images, such as CT scans, with the precise technology of either 3-D or intensity-modulated radiation therapy (IMRT) to pinpoint and treat cancerous tumors. The images allow the cancer specialists to precisely localize the tumor each time radiation therapy is administered. This improves both accuracy of delivery and safety by reducing radiation exposure to other areas of the body including nearby tissue and organs. IGRT is used to treat tumors in areas of the body that are prone to movement, such as the lungs, liver, and prostate gland, as well as tumors located close to critical organs and tissues.
Intensity-Modulated Radiation Therapy (IMRT)
Intensity-modulated radiation therapy (IMRT) is an advanced form of external radiation treatment that allows precise targeting of tumor cells. The CT simulator localization scan or other three-dimensional images provide the radiation oncologist with an understanding of the shape and location of the tumor. With 3D planning, the radiation oncologist specifies the dose from various beams and sums up those doses to calculate the dose to tumor and normal tissue (forward planning). With IMRT, the radiation oncologist specifies the dose desired to give the tumor and the doses acceptable to the normal tissues (as low as possible). Then the computer system provides millions of alternative beam positions and the varying intensities of each beam, comparing one plan to the next until the best plan is identified. This is called inverse planning. Since each beam is broken up into many sub-beams of varying intensity the process is called intensity-modulated radiation.
Our board-certified radiation oncologist and cancer specialists offer patients a compassionate team approach with ongoing follow-up care. Patients who are treated at our center are cared for like family. We ensure each member of our care team is empathetic to the needs of patients and make the well-being of each patient a priority. We proactively share information with other specialists, ensuring our referral sources are part of the process, fully understand the prescribed treatment, and are continuously updated on the status of their patients. We believe that a successful approach to patient care requires all medical disciplines and encourage second opinions in order to come together for the good of the patient.
Columbus Prostate Cancer Center is part of The US Oncology Network (“The Network”), a community of more than 1,400 affiliated physicians with expertise in medical oncology, hematology, radiation oncology, gynecologic oncology, urology, oncology surgery and other specialties. We believe local cancer care is better care. Practices in The Network deliver advanced integrated cancer care supported by a network of independent physicians who share expertise and resources to provide quality, value-based care close to home. The Network practices have more than 400 sites of care in over 25 states and treat over 850,000 patients annually. The Network is supported by McKesson Specialty Health, an industry leader in solutions that empower the community patient care delivery system to advance the science, technology and quality of care.
Your First Appointment
620 Morrison Rd, Suite B, Gahanna, OH 43230
Phone. (614) 944-4770 Fax. (614) 944-4771
Please arrive 15 minutes prior to your scheduled appointment and bring the following:
- Other doctor’s names and phone numbers
- Insurance cards
- Medical history
- List of medications you are currently taking
- Driver’s license, military ID or passport for photo identification
We provide assistance with insurance including pre-authorization, pre-certification for services, and assistance determining benefits. Please call if you have any questions.
The patient portal allows patients to manage their personal health information electronically at their own convenience.