Medical Dosimetrists: Making Precision Possible

When you are undergoing proton therapy, there is a whole team of experts supporting you—some you will meet face to face, and others work diligently behind the scenes. One of the most vital (yet often unseen) members of that team is the medical dosimetrist.

At the New York Proton Center (NYPC), our dosimetrists play a crucial role in planning your care. Working hand-in-hand with radiation oncologists and medical physicists, they design highly precise treatment plans that deliver radiation exactly where it is needed, targeting tumors while sparing healthy tissues and organs.

Precision Meets Compassion

The work of a dosimetrist is where science meets heart. It is a job that requires deep technical expertise and unwavering attention to detail, but also compassion and empathy.

At NYPC, our 12 dosimetrists create treatment plans for a wide range of adult and pediatric cancers. It is a responsibility that brings great personal reward. Two members of our Dosimetry team, Julie Moreau and Jehvaney Robinson, both Certified Medical Dosimetrists, shared what brought them to this field and why it means so much to them.

From X-Rays to Proton Plans: Jehvaney Robinson’s Journey

Jehvaney joined NYPC in 2023 after graduating from Thomas Jefferson University’s dosimetry program. But his journey in radiology began five years earlier, working as an X-ray and CT-scan technologist.

“I loved imaging, but I wanted a deeper connection with patients,” he explains. “With X-rays, you take the image and that is it—the patients return to the ER or their doctor. In dosimetry, you follow the patient’s story.”

Now, Jehvaney helps develop treatment plans and tracks patient progress over time. “You start to see the tumor shrink. You hear that they are feeling better. That means everything.”

Working with our pediatric patients has left a profound impact on him. “These children are just starting their lives. To help them heal—to watch them get better—that hits differently.”

From Astronomy to Oncology: Julie Moreau’s Path to Dosimetry

Julie had always been drawn to science and majored in physics and astronomy at Boston University. However, her career plans took a turn during her senior year, when she decided to pursue a different career direction. An opportunity to shadow a dosimetrist at Massachusetts General Hospital opened her eyes to a new path.

She enrolled in the first class of Suffolk University’s graduate dosimetry program, and after working in Massachusetts and Maryland in proton therapy, she joined NYPC in 2019 as a Senior Dosimetrist. Now, she helps lead patients’ treatment planning from the very beginning.

The process begins with a CT simulation, where Julie and her colleagues work with the radiation therapy team to position patients for treatment. Then comes contouring, a highly detailed process of mapping out the tumor and nearby organs to protect. Next comes treatment plan optimization. The proton treatment plan is created by using a very specialized computer system in partnership with physicians and physicists. During this process, the team will determine how much radiation will be delivered to the tumor and how to position and optimize the proton beam to maximize normal organ sparing. “Every patient is assigned a dosimetrist,” Julie says. “We collaborate with physicians, medical physicists, and radiation therapists to ensure every proton treatment is as safe and effective as possible.”

Behind the Scenes—but Never Out of Sight

While you may not see a dosimetrist every day, their impact on your treatment is immense. From crafting your radiation plan to protecting your quality of life, they are vital players on your care team.

For Jehvaney, Julie, and the entire dosimetry team, the reward lies in the teamwork—and the transformation. Jehvaney said, “You are part of something bigger than yourself. We are all working toward the same goal: helping patients and their families through some of the hardest days of their lives.”

At NYPC, our dosimetrists are more than planners—they are partners in your healing.

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The Sound of Victory: How NYPC’s Compassionate Care Led Irene to Ring the Bell

This week is Patient Experience Week, with this year’s theme: Building the Foundations of Experience. At the New York Proton Center (NYPC), thousands of pediatric and adult patients from the tri-state area and around the world have been treated by the dedicated doctors, nurses, radiation therapists and other staff who are passionate about caring for and transforming lives through compassionate, supportive care.

One of those patients is Irene Hong.

After a long battle with breast cancer, Irene rang the end-of-treatment bell on March 26, 2025 — a powerful symbol of resilience and hope.

When first diagnosed with stage 1 invasive ductal carcinoma (IDC) at the age of 36, Irene underwent surgery. But when her cancer disease extent was updated to stage 2, she knew from her treatment team that radiation therapy would be a next step.

“I kept thinking – we’ve been told to stay away from radiation our entire lives. It just didn’t make sense,” said Hong. “I had so many questions, and I was terrified of any potential long-term risks since I was under 40 years old.”

Her search for answers brought her to Memorial Sloan Kettering Cancer Center (MSK), where she met Dr. Isabelle Choi, a radiation oncologist who specializes in treating breast cancer at MSK and NYPC. Irene asked Dr. Choi what the safest option available was given her young age, wanting to travel and have children one day, and wanting to protect her heart from long-term treatment complications. That conversation led her to proton therapy at NYPC.

“I still had some anxiety,” said Irene, “but Dr. Choi and the nurses were so amazing at soothing my nerves.”

Between personalized nutritional recommendations, daily exercise support, and even personal check-in calls from Dr. Choi, Irene describes her care as “white glove service.”

“I have several friends who went through radiation, and none of them said they had this kind of attention and care,” said Irene. “This white glove service included a list of 20 stretches that the staff gave to me as part of my holistic treatment plan, which I thought was pretty cool. I even gave them to my friends to try.”

Lead Radiation Therapist Jason Pineiro, who has been with NYPC for five years, says that level of care is intentional.

New York Proton Center's Lead Radiation Therapist, Jason Pineiro smiling and standing inside a treatment room.

“Proton therapy can be very intimidating,” said Jason. “But every patient is different, and we cater to each patient as much as we can to make them comfortable. Whether it’s letting them choose their own music, showing movies during treatment for pediatric patients, or adjusting pillows and providing heated blankets—we want to make the experience as warm and inviting as it can be.”

For Irene, that attention made all the difference.

“Am I in a hotel?” she joked. “Everyone knows my name at NYPC – even the staff at the front desk – which is bizarre because I’m always wearing a cap, and somehow, they know it’s me. The women’s waiting room was like a sound bath with virtual forest visuals, and every therapist who treated me was phenomenal.”

The NYPC was designed and built from the ground up with an eye toward improving the patient experience and creating a welcoming and reassuring environment, from the comfort of the physical space to the warmth and sincerity of the clinical staff.

Jason emphasizes the importance of listening to patients to provide not just physical, but also emotional and psychological comfort.

“The number one thing we can do is listen,” he said. “Sometimes, patients just need someone to hear them and say, ‘What can I do to help?’”

Now, Irene is sharing her journey to encourage other cancer patients, especially Asian American women, through her TikTok channel, and educating them on proton therapy.

“I just wish more women, especially younger women, knew proton therapy was an option to treat breast cancer,” she said. “I love the NYPC team. I’m not sad I’m not going in there every week, but I am sad I don’t see the staff anymore. This treatment gave me a better quality of life, and I feel better and more confident every day.”

Ask your doctor if proton therapy might be right for you or for your loved ones. Choosing proton therapy might be the most powerful way to target your tumor and get you back to your life faster and healthier.

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How Proton Therapy Is Transforming Treatment for Recurrent Cancer

There is a long-held belief that you can never receive radiation twice to the same location. However, that is not always true if the radiation treatment involves proton therapy, an advanced form of radiation therapy that can more safely treat recurrent cancers.

Reirradiation of a recurrent tumor is both safer and highly effective with proton therapy. This is true for nearly all types of tumors, including prostate, head and neck, brain, breast, gastrointestinal and lung cancers. With proton therapy, we can treat an area that received prior radiation or an area that is in the vicinity of that original treatment area with extreme precision and with a higher, more effective dose than if using photon radiation.

Focused Treatment, Fewer Side Effects

Protons have special properties that allow them to spare healthy tissues near the previously treated area from potentially damaging radiation, which means fewer side-effects. And, unlike traditional photon (x-ray) radiation, proton particles deposit nearly all of their energy in the targeted tumor. There is virtually no “exit dose” into healthy tissues.

NYPC Radiation Oncologist Irini Yacoub, MD, whose expertise includes treatment of prostate cancer, head and neck cancers, and central nervous system tumors, says that reirradiation with protons can offer patients the potential for a cure. Using the example of prostate cancer, she explains that proton reirradiation may also be an option for men with limited metastatic disease such as spread to lymph nodes or hip bones, leading to fewer complications and potentially delaying the need for systemic therapy.

In addition, some men receiving treatment for recurrent prostate cancer may be candidates for Stereotactic Body Radiation Therapy (SBRT) proton therapy, which is delivered in five sessions over two weeks.

At the New York Proton Center, we treat more patients for recurrent cancer than any other proton center in the world. Learn more about the benefits of treating recurrent cancers with proton therapy.

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