At Texas Radiotherapy, our clinical expertise and advanced radiation delivery systems allow us to effectively treat a wide spectrum of malignancies. Board-certified radiation oncologist Dr. Matthew Cavey brings extensive training and focused experience across complex cancer presentations. If you or a loved one has received a diagnosis, we invite you to connect with our clinical team. Dr. Cavey is available for thorough consultations and second opinions to help determine your optimal treatment path.
Genitourinary (GU): Primary and recurrent malignancies of the prostate, kidneys, and bladder.
Bone and Spine: Targeted management of primary bone neoplasms as well as metastatic spine lesions, utilizing high-precision stereotactic body radiotherapy (SBRT/SABR) for durable local control and rapid pain relief.
Gynecologic: Comprehensive therapy for cervical, uterine (endometrial), vaginal, and vulvar cancers.
Colorectal: Curative and palliative irradiation for primary rectal tumors, locally advanced recurrences, and oligometastatic sites.
Pancreatic: State-of-the-art treatment for primary and metastatic tumors, including ablative SBRT/SABR protocols for medically or surgically inoperable disease, or as targeted focal boosts for positive surgical margins.
Liver: Multidisciplinary treatment for primary hepatocellular carcinoma (HCC) and liver metastases. Dr. Cavey works closely with leading hepatobiliary and transplant surgical teams across Dallas and Fort Worth, frequently applying SBRT/SABR as a definitive “bridge to transplantation” or downstaging modality.
Sarcomas: Specialized radiation planning for soft-tissue and bone sarcomas, including anatomically complex retroperitoneal tumors requiring high sparing of adjacent critical organs.
Cutaneous (Skin): Targeted superficial and deep therapeutic approaches for non-melanoma skin cancers (basal cell and squamous cell carcinomas) and selected advanced cutaneous malignancies.
This section reviews kidney and other cancers that we treat through common questions that we receive.
A kidney cancer diagnosis often prompts immediate discussions about surgery, but for many patients, open or robotic nephrectomy carries significant risks. Historically, renal cell carcinoma was thought to be resistant to older, low-dose radiation methods. Today, advanced stereotactic radiosurgery has fundamentally shifted that standard. At Texas Radiotherapy, Dr. Matthew Cavey combines an engineering background with over two decades of experience and more than 2,000 completed SRS/SBRT cases. This deep expertise allows him to deliver precise, ablative doses directly to kidney tumors while safeguarding essential renal function and surrounding organs.
Below are five essential questions patients and families ask when evaluating radiation options for kidney cancer with Dr. Cavey.
Historically, kidney cancer was labeled “radioresistant” because conventional radiation delivered small daily doses over many weeks that were insufficient to destroy renal cell tumors. Modern Stereotactic Body Radiotherapy (SBRT)—also known as Stereotactic Ablative Radiotherapy (SABR)—completely changes that paradigm. By delivering concentrated, high-dose biological doses in just a few outpatient sessions, SBRT overcomes this resistance, achieving local tumor control rates around 90% or higher without surgical incisions.
While partial or radical nephrectomy is common for operable disease, SBRT is an exceptional, non-invasive alternative in several key scenarios:
The kidney filters blood in close proximity to the bowel, duodenum, stomach, and liver. Sparing healthy tissue requires sub-millimeter precision. Because kidneys naturally move during respiration, Dr. Cavey utilizes 4D-CT motion tracking, real-time image guidance, and steep dose-falloff margins. The ablative dose is tightly sculpted around the tumor volume, ensuring the vast majority of healthy functioning nephrons and neighboring digestive loops receive minimal radiation, thereby preserving overall kidney function.
Unlike traditional multi-week radiation, kidney SBRT is typically completed in 1 to 5 outpatient sessions over one to two weeks. Treatments are completely painless and non-invasive—there are no incisions, anesthesia, or hospital admissions required. Each visit takes roughly 20 to 30 minutes. Patients have zero surgical recovery downtime, meaning you can drive yourself to and from your appointments and resume normal light daily activities immediately.
Kidney cancer management is a multidisciplinary effort. Dr. Cavey communicates directly with your urologist and medical oncologist to ensure radiation fits into your broader care strategy—whether treating a primary tumor non-surgically, coordinating with systemic immunotherapy or targeted oral drugs (TKIs), or managing metastatic sites. Throughout your treatment, you have direct access to Dr. Cavey to review lab work, monitor kidney filtration markers (eGFR), and address any acute symptoms.
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If you are exploring non-surgical options or seeking to protect your kidney function, experience and precision matter. Schedule a comprehensive consultation with Dr. Cavey to review your CT or MRI imaging and determine if stereotactic ablative radiotherapy is right for you.
Schedule a Kidney Cancer Consultation or call our Fort Worth clinic directly at 817-796-6400
A pancreatic cancer diagnosis requires swift, coordinated action and immense clinical precision. Because the pancreas is nestled deeply beside radiosensitive organs like the stomach, duodenum, and major abdominal blood vessels, radiation must be executed with millimeter accuracy. At Texas Radiotherapy, Dr. Matthew Cavey brings over two decades of stereotactic radiosurgery (SBRT) expertise and an engineering background to deliver high-impact radiation that targets tumors while actively protecting delicate gastrointestinal anatomy.
Below are five essential questions patients and families ask when evaluating radiation therapy with Dr. Cavey.
The role of radiation depends on whether your tumor is borderline resectable, locally advanced, or recurrent:
The pancreas sits directly adjacent to the duodenum, small intestine, stomach, and liver—tissues that cannot tolerate high radiation doses. Dr. Cavey utilizes Stereotactic Body Radiotherapy (SBRT) and highly conformal IMRT/IGRT platforms. With advanced real-time image guidance and respiratory motion management, we account for abdominal motion from breathing and digestion. By shaping steep dose gradients, we deliver an ablative, concentrated dose directly into the tumor while radiation drops off sharply just millimeters away, sparing the intestinal lining and minimizing ulceration or bleeding risks.
Unlike conventional radiation protocols that require 5 to 6 weeks of daily treatments, eligible pancreatic cancer patients at Texas Radiotherapy frequently undergo Stereotactic Body Radiotherapy (SBRT).
Pancreatic cancer care requires close multidisciplinary teamwork. Dr. Cavey coordinates directly with your medical oncologist and hepatobiliary/surgical oncology team to determine the precise window for radiation—often timed immediately following an initial course of chemotherapy (such as FOLFIRINOX or Gemcitabine/Nab-paclitaxel). After your radiation is complete, follow-up imaging (CT, MRI, or PET) is shared collaboratively to reassess surgical resectability or establish maintenance systemic therapy.
Because treatment targets the upper abdomen, potential acute side effects include nausea, fatigue, decreased appetite, or loose stools. Before your first fraction begins, Dr. Cavey prescribes proactive supportive medications, including targeted anti-nausea drugs, acid reducers, and dietary guidance to keep your digestive tract calm and protect your nutritional intake. You have direct access to Dr. Cavey and our clinical team throughout treatment to adjust medications immediately so symptoms remain well controlled.
Consult Directly with Dr. Cavey
Navigating pancreatic cancer demands precision, experienced radiosurgery, and clear answers. Schedule a personalized consultation to review your scans and determine if targeted stereotactic radiation fits into your multidisciplinary care plan.
Schedule a Pancreatic Cancer Consultation or call our Fort Worth clinic directly at 817-796-6400
When treating non-melanoma skin cancers (such as basal cell carcinoma and squamous cell carcinoma) or recurrent lesions, patients often weigh surgical removal against non-surgical radiation. Locations on the face—such as the nose, eyelids, lips, and ears—demand exceptional cosmetic and structural preservation. At Texas Radiotherapy, Dr. Matthew Cavey combines specialized engineering precision with advanced image-guided external beam and superficial delivery techniques to eradicate skin cancers with high cure rates while preserving your natural appearance.
Below are five essential questions patients ask when considering radiation therapy for skin cancer with Dr. Cavey.
While surgery is a common initial approach, radiation therapy is a premier, non-invasive alternative in key clinical situations:
Treatment is completely painless and non-invasive—there are no needles, incisions, or anesthesia required. We use custom lead shielding and customized superficial/orthovoltage or targeted electron/photon beams shaped precisely to match the dimensions of your lesion. The radiation acts strictly at the skin surface and immediate sub-surface, penetrating only deep enough to clear malignant cells while shielding underlying cartilage, bone, and deeper healthy tissues.
Because radiation eliminates cancer cells layer by layer without cutting or stitching, it avoids the surgical scarring, pulling, or tissue depression that often accompanies wide local excisions. Over the months following therapy, the treated skin typically heals smoothly, closely matching the color and texture of the surrounding skin. This makes radiation especially advantageous for patients seeking to preserve facial aesthetics and natural facial contours.
Skin radiation is typically divided into short, gentle fractions to maximize cancer control while giving normal skin cells time to repair between doses. A standard course ranges from 3 to 5 weeks of brief daily visits, though select localized regimens may be shorter. Each daily visit takes roughly 10 to 15 minutes from arrival to departure. There is zero post-procedure downtime, meaning you can drive yourself to appointments and continue your normal work and social activities immediately.
At Texas Radiotherapy, you have direct physician oversight throughout your care. Dr. Cavey collaborates closely with your referring dermatologist or Mohs surgeon, reviewing biopsy reports and clinical photos to confirm margins and staging before treatment begins. During your treatment course, Dr. Cavey sees you directly for weekly skin evaluations to monitor the reaction, ensure rapid healing, and prescribe targeted topical regimens to prevent irritation, ensuring your skin recovers cleanly and comfortably.
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You don’t have to compromise your appearance to successfully treat skin cancer. Schedule a consultation with Dr. Cavey to review your biopsy results, discuss non-surgical radiation options, and choose an individualized plan tailored to your health and cosmetic priorities.
Schedule a Skin Cancer Consultation or call our Fort Worth clinic directly at 817-796-6400
When cancer spreads to the bones or spine—or when dealing with primary spinal tumors—rapid pain relief, structural stability, and neurological protection become urgent priorities. Treating the spine demands extreme accuracy because the delicate spinal cord and exiting nerve roots sit just millimeters away from the bone. At Texas Radiotherapy, Dr. Matthew Cavey applies an engineering-level approach and over two decades of stereotactic experience (having treated over 2,000 radiosurgery cases) to target bone and spinal tumors with sub-millimeter precision, providing durable relief and protecting mobility.
Below are five essential questions patients and families ask when evaluating bone and spine radiation with Dr. Cavey.
Spine radiosurgery is an advanced, non-invasive outpatient technique that delivers highly concentrated, ablative radiation to a spinal vertebra while sparing the adjacent spinal cord. Using sophisticated 3D image-guided beam sculpting (such as helical IMRT and real-time positioning), Dr. Cavey shapes the radiation beam into a tight “donut” or crescent around the tumor. The dose drops off dramatically within just one or two millimeters, allowing high-dose tumor control while keeping exposure to the spinal cord and nerve roots well below safety thresholds to prevent paralysis or nerve damage.
Radiation is one of the most reliable and proven methods for relieving bone metastasis pain. By eliminating cancer cells and suppressing bone-degrading inflammatory signals, radiation takes the pressure off sensitive nerve fibers within the periosteum (bone covering). Many patients begin feeling meaningful pain reduction within 1 to 2 weeks after completing treatment, with maximum relief taking effect over 4 to 6 weeks. High-dose stereotactic delivery (SBRT) provides especially durable local control, often preventing pain from recurring in that specific bone.
Yes, in many cases. Historically, re-radiating an area of the spine was considered unsafe because of the cumulative dose to the spinal cord. However, with the sub-millimeter precision of modern Spine SBRT, Dr. Cavey can often perform “re-irradiation” safely. By mapping your previous radiation records and fusing high-resolution MRI and CT scans, we sculpt the new dose exclusively around the recurrent tumor, shielding the spinal cord tissue that was previously treated.
Your treatment schedule depends on whether the goal is rapid palliation or targeted radiosurgery:
For patients whose spine is mechanically stable and has no acute, severe spinal cord compression requiring mechanical decompression, radiosurgery serves as an effective, non-invasive alternative to major spinal surgery, avoiding hospitalization, general anesthesia, and lengthy surgical recovery.
Treating bone and spine tumors requires integrated care. Dr. Cavey collaborates directly with your neurosurgeon, orthopedic spine surgeon, and medical oncologist. If a vertebra requires structural stabilization (such as kyphoplasty/vertebroplasty to inject bone cement, or surgical hardware placement), we carefully time radiation before or after the procedure for optimal healing. Furthermore, treatment is synchronized around your systemic therapies (like immunotherapy, bisphosphonates, or chemotherapy) to keep your cancer plan moving forward without interruption.
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Protecting your mobility, easing pain, and halting bone tumors requires deep radiosurgical expertise. Schedule a comprehensive consultation with Dr. Cavey to review your MRI, CT, or PET scans and establish a precision treatment plan.
Schedule a Spine & Bone Consultation or call our Fort Worth clinic directly at 817-796-6400
A gynecologic cancer diagnosis—whether uterine/endometrial, cervical, ovarian, vaginal, or vulvar—brings complex questions about surgery, cure rates, and long-term pelvic health. Because the pelvic anatomy is densely packed, treating these tumors requires exceptional beam-shaping precision to eliminate cancer cells while rigorously sparing the bowel, bladder, and rectum. At Texas Radiotherapy, Dr. Matthew Cavey pairs an engineering background with decades of advanced radiotherapy expertise, utilizing helical IMRT (Radixact/TomoTherapy) and internal radiation techniques to deliver targeted treatment while preserving your daily comfort and quality of life.
Below are five essential questions women ask when evaluating gynecologic radiation therapy with Dr. Cavey.
Depending on your specific diagnosis and stage, treatment may involve one or both approaches:
UT Southwestern Medical Center
Healthy organ preservation depends on advanced computer optimization and image guidance. At Texas Radiotherapy, we utilize helical IMRT (via our Radixact platform), which delivers continuous, 360-degree modulated radiation beams. This helical delivery wraps radiation tightly around complex pelvic contours and lymph nodes while sculpting steep drop-offs away from the rectum, small bowel loops, and bladder. Daily image guidance confirms that organs are safely positioned before any beam is turned on, significantly reducing common concerns like chronic diarrhea, urinary urgency, or rectal bleeding.
This depends on your specific tumor type:
Radiation to the pelvic region can cause vaginal dryness, loss of elasticity, or narrowing (stenosis). We address these issues proactively rather than waiting for them to become permanent. Dr. Cavey and our clinical team discuss sexual health openly and provide personalized rehabilitation plans—including medical-grade moisturizers, non-hormonal lubricants, and guided dilator therapy—to maintain vaginal tissue elasticity, comfort during intimacy, and ease of future gynecologic exams.
Gynecologic cancer care is a collaborative team effort. Dr. Cavey works directly with your gynecologic oncologist and medical oncologist to ensure seamless timing—whether coordinating radiation after surgical recovery or scheduling radiation alongside weekly sensitizing chemotherapy (such as cisplatin). Furthermore, Dr. Cavey sees you directly for weekly clinical visits during your treatment course to evaluate any acute digestive or urinary changes in real time, ensuring you are never left to navigate side effects on your own.
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Navigating a gynecologic cancer diagnosis requires compassionate care and proven precision. Schedule a comprehensive consultation with Dr. Cavey to review your pathology, discuss organ-sparing options, and design a personalized treatment plan.
Schedule a Gynecologic Consultation or call our Fort Worth clinic directly at 817-796-6400
Whether addressing primary liver cancer (such as hepatocellular carcinoma or cholangiocarcinoma) or cancer that has spread to the liver from the colon or elsewhere, treatment requires immense precision. The liver is a vital organ with unique regenerative capacity, but it is also highly sensitive to radiation and shifts position continuously as you breathe. At Texas Radiotherapy, Dr. Matthew Cavey pairs an electrical engineering background with over two decades of stereotactic experience—having treated more than 2,000 SRS/SBRT cases. This technical expertise allows him to deliver powerful, ablative doses directly into liver tumors while aggressively protecting normal liver function and neighboring digestive organs.
Below are five essential questions patients and families ask when considering liver radiation therapy with Dr. Cavey.
The liver is indeed sensitive to widespread radiation, which is why older, whole-organ radiation techniques were rarely used. However, modern Stereotactic Body Radiotherapy (SBRT) has fundamentally changed liver cancer care. Instead of exposing the entire organ, SBRT acts like a non-invasive surgical beam, concentrating an ablative, tumor-destroying dose into the target while sparing the surrounding healthy liver tissue. As long as a critical volume of unaffected liver is preserved, the liver continues to filter blood, metabolize nutrients, and function normally without triggering radiation-induced liver damage.
The liver moves significantly—up to several centimeters—with every inhalation and exhalation. To prevent unnecessary exposure to healthy tissue, Dr. Cavey uses 4D-CT simulation and active respiratory motion management, paired with high-definition image guidance. By tracking the tumor’s exact path throughout your breathing cycle or employing specialized breath-hold techniques, we keep the radiation beam locked strictly onto the lesion. This tight margin protects delicate adjacent structures like the stomach, duodenum, and gallbladder.
Liver SBRT is an effective, non-invasive treatment indicated across several clinical scenarios:
Unlike multi-week conventional radiation schedules, Liver SBRT is completed in just 3 to 5 outpatient sessions, usually delivered over one to two weeks.
Liver cancer care is inherently multidisciplinary. Dr. Cavey works closely with your medical oncologist, surgical oncologist, interventional radiologist, and hepatologist. If you have underlying liver conditions like cirrhosis or hepatitis, we closely monitor baseline liver enzymes, bilirubin, and Child-Pugh scores to customize radiation dosing to your liver’s functional reserve. Throughout your care, Dr. Cavey sees you directly to evaluate symptoms, manage mild fatigue or nausea proactively, and ensure seamless communication across your entire care team.
Consult Directly with Dr. Cavey
Navigating liver tumors requires deep radiosurgical expertise and advanced motion-tracking technology. Schedule a personalized consultation with Dr. Cavey to review your multiphase CT or MRI scans and determine if targeted liver SBRT fits into your care plan.
Schedule a Liver Cancer Consultation or call our Fort Worth clinic directly at 817-796-6400
