{"id":459,"date":"2024-12-18T11:17:55","date_gmt":"2024-12-18T10:17:55","guid":{"rendered":"https:\/\/usz-foundation.com\/projects\/der-optimale-zeitpunkt\/"},"modified":"2026-01-20T16:33:03","modified_gmt":"2026-01-20T15:33:03","slug":"optimal-timing","status":"publish","type":"page","link":"https:\/\/usz-foundation.com\/en\/projects\/optimal-timing\/","title":{"rendered":"Optimal timing"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--link_color: var(--awb-color6);--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:998.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-three\" style=\"--awb-text-color:var(--awb-custom_color_1);\"><h3 class=\"fusion-title-heading title-heading-center\" style=\"font-family:&quot;DM Serif Display&quot;;font-style:italic;font-weight:400;margin:0;\">Optimal timing<\/h3><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-content-alignment:center;--awb-text-color:#333333;\"><p>How to time radiotherapy for brain metastases is a controversial question in oncology circles. A trial at University Hospital Zurich now aims to settle the matter to increase cancer patients\u2019 chances of survival.<\/p>\n<\/div><div class=\"fusion-text fusion-text-2\" style=\"--awb-content-alignment:center;\"><p><a href=\"https:\/\/usz-foundation.com\/en\/donate\">Support this project today \u2192<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-bottom:2%;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:998.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img decoding=\"async\" width=\"960\" height=\"960\" title=\"3b_USZF_Web_960x960_Hirnmetastasen\" src=\"http:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/3b_USZF_Web_960x960_Hirnmetastasen.jpg\" alt class=\"img-responsive wp-image-218\" srcset=\"https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/3b_USZF_Web_960x960_Hirnmetastasen-200x200.jpg 200w, https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/3b_USZF_Web_960x960_Hirnmetastasen-400x400.jpg 400w, https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/3b_USZF_Web_960x960_Hirnmetastasen-600x600.jpg 600w, https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/3b_USZF_Web_960x960_Hirnmetastasen-800x800.jpg 800w, https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/3b_USZF_Web_960x960_Hirnmetastasen.jpg 960w\" sizes=\"(max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:50%;--awb-order-medium:0;--awb-spacing-right-medium:3.84%;--awb-spacing-left-medium:3.84%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\" style=\"--awb-content-alignment:center;--awb-font-size:22px;--awb-text-color:#333333;--awb-text-font-family:&quot;DM Serif Display&quot;;--awb-text-font-style:italic;--awb-text-font-weight:400;\"><p>\u201cMy head feels free again.\u201d<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--link_color: #333333;--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:998.4px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\" style=\"--awb-text-color:#333333;\"><p>They were small but suspicious changes in his brain. Robert Steiner\u2019s* lung cancer metastasized. Fortunately the metastases could be treated. Thanks to advances in medicine, many cancer patients have significantly longer life expectancy. Even so, the longer they survive, the greater the danger of metastasis. Sometimes these are only discovered after years where there was no more sign of the primary tumor.<\/p>\n<p>With some forms of cancer, metastases are particularly likely to form in the brain. Treating these brain metastases is a big challenge. Neurological surgery to remove them is only an option for a minority of patients. Chemotherapy often has little effect. These days there is also growing use of novel treatments such as immunotherapies and targeted cancer therapies for brain metastases.<\/p>\n<p>By far the most common form of treatment for brain metastases is radiotherapy. But the optimal time to irradiate is one of the most controversial questions in oncology. Should it be done as soon as the brain metastasis is diagnosed, or only once another treatment, for example immunotherapy, has failed to produce results? This matter is especially urgent now that optimal ways are being sought of combining radiotherapy with novel therapies for the primary tumor.<\/p>\n<p>To date there has been no randomized study to determine the optimum timing for irradiating brain metastases. But the question is key to patients\u2019 chances of survival. The Comprehensive Cancer Center Zurich (CCCZ) \u2013 the oncology unit at University Hospital Zurich (USZ) \u2013 now intends to find an answer with a randomized clinical trial. Alongside USZ, ten other hospitals in Switzerland, Italy, Great Britain and the Netherlands will take part in the trial. Given that the results will find their way into treatment guidelines for patients with brain metastases all over the world, this has the potential to improve the lives of many people. It will make sure more patients like Robert Steiner get optimal treatment. To make this happen, the USZ Foundation is looking for more supporting partners for the project.<\/p>\n<p>*anonymized\/symbolic image<\/p>\n<\/div><div class=\"fusion-text fusion-text-5 fusion-text-no-margin\" style=\"--awb-margin-top:2vh;--awb-margin-bottom:2vh;\"><div style=\"display: flex; align-items: center; justify-content: center;\"><span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-right: 10px;\">&nbsp;<\/span><br \/>\n<span style=\"color: #dd4118; font-size: 18px;\">Project management<\/span><br \/>\n<span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-left: 10px;\">&nbsp;<\/span><\/div>\n<\/div><div class=\"fusion-image-element sm-text-align-center awb-imageframe-style awb-imageframe-style-below awb-imageframe-style-2\" style=\"--awb-caption-margin-top:2vh;--awb-max-width:200px;--awb-caption-title-font-family:&quot;Poppins&quot;;--awb-caption-title-font-weight:500;--awb-caption-title-font-style:normal;--awb-caption-title-size:var(--body_typography-font-size);--awb-caption-title-transform:var(--body_typography-text-transform);--awb-caption-title-line-height:var(--body_typography-line-height);--awb-caption-title-letter-spacing:var(--body_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\"><img decoding=\"async\" width=\"300\" height=\"300\" title=\"Michael-Weller\" src=\"http:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/Michael-Weller.jpg\" alt class=\"img-responsive wp-image-220\" srcset=\"https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/Michael-Weller-200x200.jpg 200w, https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/Michael-Weller.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 300px\" \/><\/span><div class=\"awb-imageframe-caption-container\"><div class=\"awb-imageframe-caption\"><div class=\"awb-imageframe-caption-title\">Prof. Dr. Michael Weller<\/div><p class=\"awb-imageframe-caption-text\">Department of Neurology<\/p><\/div><\/div><\/div><div class=\"fusion-text fusion-text-6 sm-text-align-center\" style=\"--awb-text-color:#333333;\"><p>Member of the Comprehensive Cancer Center Zurich (CCCZ) board<br \/>\nUniversity Hospital Zurich<\/p>\n<\/div><div class=\"fusion-text fusion-text-7 fusion-text-no-margin\" style=\"--awb-margin-top:2vh;--awb-margin-bottom:2vh;\"><div style=\"display: flex; align-items: center; justify-content: center;\"><span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-right: 10px;\"> <\/span><br \/>\n<span style=\"color: #dd4118; font-size: 18px;\">Collaboration<\/span><br \/>\n<span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-left: 10px;\"> <\/span><\/div>\n<\/div><div class=\"fusion-text fusion-text-8\" style=\"--awb-text-color:#333333;\"><p>Dr. Emilie Le Rhun and Prof. Dr. Luca Regli, Department of Neurosurgery, USZ<br \/>\nProf. Dr. Nicolaus Andratschke and Prof. Dr. Matthias Guckenberger, Department of Radiation Oncology, USZ<br \/>\nPD Dr. Alessandra Curioni and Prof. Dr. Andreas Wicki, Department of Medical Oncology and Haematology, USZ<br \/>\nProf. Dr. Reinhard Dummer, Department of Dermatology, USZ<br \/>\nFive other university hospitals in Switzerland, Sweden, and Denmark<\/p>\n<\/div><div class=\"fusion-text fusion-text-9 fusion-text-no-margin\" style=\"--awb-margin-top:2vh;--awb-margin-bottom:2vh;\"><div style=\"display: flex; align-items: center; justify-content: center;\"><span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-right: 10px;\">&nbsp;<\/span><br \/>\n<span style=\"color: #dd4118; font-size: 18px;\">Supporting partner<\/span><br \/>\n<span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-left: 10px;\">&nbsp;<\/span><\/div>\n<\/div><div class=\"fusion-text fusion-text-10\" style=\"--awb-text-color:#333333;\"><p>Baugarten Stiftung<br \/>\nFondation Chercher et trouver<br \/>\nGiuliana und Giorgio Stefanini Stiftung<br \/>\nLotte &amp; Adolf Hotz-Sprenger Stiftung<br \/>\nMAIORES STIFTUNG<br \/>\nPeter Bockhoff Stiftung<br \/>\nSophien-Stiftung zur F\u00f6rderung der klinischen Krebsforschung<br \/>\nSpendenstiftung Bank Vontobel<br \/>\nStiftung f\u00fcr angewandte Krebsforschung<br \/>\nStiftung zur Krebsbek\u00e4mpfung<br \/>\nTheron Foundation<br \/>\nVSM-Stiftung<\/p>\n<\/div><div class=\"fusion-text fusion-text-11 fusion-text-no-margin\" style=\"--awb-margin-top:2vh;--awb-margin-bottom:2vh;\"><div style=\"display: flex; align-items: center; justify-content: center;\"><span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-right: 10px;\">&nbsp;<\/span><br \/><span style=\"color: #dd4118; font-size: 18px;\">Contact<\/span><br \/><span style=\"flex-grow: 1; height: 1px; background-color: #dd4118; margin-left: 10px;\">&nbsp;<\/span><\/div>\n<\/div><div class=\"fusion-image-element sm-text-align-center awb-imageframe-style awb-imageframe-style-below awb-imageframe-style-3\" style=\"--awb-caption-margin-top:2vh;--awb-max-width:200px;--awb-caption-title-font-family:&quot;Poppins&quot;;--awb-caption-title-font-weight:500;--awb-caption-title-font-style:normal;--awb-caption-title-size:var(--body_typography-font-size);--awb-caption-title-transform:var(--body_typography-text-transform);--awb-caption-title-line-height:var(--body_typography-line-height);--awb-caption-title-letter-spacing:var(--body_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-3 hover-type-none\"><img decoding=\"async\" width=\"300\" height=\"300\" alt=\"Portr\u00e4t Sandra Hagmann\" title=\"2024_Hagmann-Sandra_rund\" src=\"https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/2024_Hagmann-Sandra_rund.jpg\" class=\"img-responsive wp-image-81\" srcset=\"https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/2024_Hagmann-Sandra_rund-200x200.jpg 200w, https:\/\/usz-foundation.com\/wp-content\/uploads\/2024\/12\/2024_Hagmann-Sandra_rund.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 300px\" \/><\/span><div class=\"awb-imageframe-caption-container\"><div class=\"awb-imageframe-caption\"><div class=\"awb-imageframe-caption-title\">Sandra Hagmann<\/div><p class=\"awb-imageframe-caption-text\">Philanthropy | Foundations<\/p><\/div><\/div><\/div><div class=\"fusion-text fusion-text-12 sm-text-align-center\" style=\"--awb-text-color:#333333;\"><p>+41 43 254 55 00<br \/><span style=\"color: var(--awb-text-color); font-family: var(--awb-text-font-family); font-size: var(--awb-font-size); font-style: var(--awb-text-font-style); font-weight: var(--awb-text-font-weight); letter-spacing: var(--awb-letter-spacing); text-align: var(--awb-content-alignment); text-transform: var(--awb-text-transform); background-color: var(--awb-bg-color-hover);\"><a href=\"sandra.hagmann@usz-foundation.com\">sandra.hagmann@usz-foundation.com<\/a><\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":339,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-459","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/pages\/459","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/comments?post=459"}],"version-history":[{"count":13,"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/pages\/459\/revisions"}],"predecessor-version":[{"id":1159,"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/pages\/459\/revisions\/1159"}],"up":[{"embeddable":true,"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/pages\/339"}],"wp:attachment":[{"href":"https:\/\/usz-foundation.com\/en\/wp-json\/wp\/v2\/media?parent=459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}