Radiotherapy Centers of Kentuckiana was founded in 1994 with the goal of delivering comprehensive radiation therapy services in a patient centered, supportive and caring environment.
Our team sets the highest expectations for quality of treatment and patient satisfaction. Our centers have two Board Certified Radiation Oncologists, who collectively offer over 40 years of experience. In addition, our physicians have provided high quality, compassionate care to over ten thousand Kentucky and Southern Indiana patients for more than 20 years. Our philosophy is to focus on our patients and their specific needs, to do whatever it takes to make their difficult diagnoses and treatments easier for them and their family.
Our Cancer Care Specialists
Dr. David Musich
David Musich, MD is the current Chair of the Clark Memorial Hospital Cancer Committee, as well as a past Cancer Registry QA Coordinator at Clark Memorial Hospital. Dr. Musich is board certified and fellowship-trained. In addition to the many cancer screening programs that he participates in, Dr. Musich is a regular speaker at community events and offers presentations to Hosparus and VistaCare.
Dr. Lawrence Hochman
Lawrence Hochman DO, is a board certified Radiation Oncologist who maintains his certification through the American Board of Radiology. He completed his master’s degree in Health Services Administration in 2016 and is a Fellow of the American College of Radiation Oncology. Dr. Hochman has a wide range of experience that includes all aspects of radiotherapy. His training allowed him to be part of the team that treated the very first IMRT patients in the world. He has extensive brachytherapy experience and has performed over 1000 prostate “seed” implants as well as radioactive implant procedures for many other types of cancer . He is licensed to handle radioactive injectables and incorporates this in his practice for selected patients. He is one of the few physicians recognized by the American Board of Radiology for Focused Practice in Brachytherapy. Before moving to Louisville in 2018, he practiced in Florida for over twenty years and helped develop three community based Cancer Centers. While there, he was honored to serve on the Florida Cancer Control and Research Advisory Council as well as the Florida Radiation Physics Advisory Board, reporting to the Governor and State Legislature. Dr. Hochman has a special interest in Dupuytren’s disease of the hand and related conditions. Patients from around the country have sought out Dr. Hochman’s expertise in the use of radiation therapy as an alternative to surgery for these non-cancerous conditions. Outside of work, Dr. Hochman enjoys photography, music and skiing. He lives in Louisville with his wife.
- Board Certification: Board-Certified Radiation Oncologist
Dr. Matthew Forsthoefel
Matthew Forsthoefel, MD attended the University of Louisville School of Medicine where he earned his Doctor of Medicine. He then went on to complete his internship in internal medicine at George Washington University Hospital in Washington, DC, and then on to MedStar Georgetown University Hospital in Washington, DC to finish his residency in Radiation Oncology. Dr. Forsthoefel is a member of several committees and professional memberships, including the American Society for Radiation Oncology, American Society of Clinical Oncology, and the American College of Radiology. He has contributed to numerous peer reviewed publications, as well as delivered several presentations.
Dr. Forsthoefel treats a wide variety of cancers, and he is committed to providing quality, personalized care to all his patients. Outside of work, he enjoys hiking through the Daniel Boone National Forest and Red River Gorge, cooking a wide variety of different cuisines, and playing different board games. He currently resides in Louisville, KY with his fiancée.
- Residency: Residency in Radiation Oncology & Internal Medicine - MedStar Georgetown University Hospital, Washington, DC
- Medical School: University of Louisville School of Medicine, Louisville, KY
Our Cancer Care Technologies
3-D 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.
Computer Tomography (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.
Your First Appointment
3920 B Dupont Square, Suite B, Louisville, KY 40207
Phone. (502) 409-9701 Fax. (502) 409-9717
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.