Kho Mob Kuaj Mob

Lub tuam tsev muab cov txheej txheem siab tshaj plaws, cov kev pabcuam zoo tshaj plaws kom ua tiav ntau lub hom phiaj ntawm kev ua tiav kev kuaj mob kom raug thiab muaj kev nyab xeeb, meej thiab kev kho mob zoo ntawm tus neeg mob siv hluav taws xob.

Lub tuam tsev yog tsim los muab kev pabcuam tshwj xeeb, haum rau tus neeg mob xav tau, los ntawm cov pov thawj raws li kev tshawb fawb, tsim cov txheej txheem, kev kawm thiab kev tshawb fawb tshiab. Lub tuam tsev saib xyuas kev tswj xyuas kev ua raws cai rau kev siv tshuaj ionizing hluav taws xob thoob plaws ntau lub tuam tsev hauv tsev kho mob.

Kev kho mob kev kho mob muaj xws li: chemotherapy, hormonal therapy, targeted therapy, biological therapy thiab immunotherapy. Nws yog siv feem ntau hauv cov xwm txheej hauv qab no:

• Concurrent khub rau radiotherapy kom ua tau zoo ntawm hluav taws xob.
• Kev kho mob Neoadjuvant: Muab ua ntej kev kho mob uas yuav yog chemo-radiotherapy lossis phais. Qhov no kuj tau muab los ua cov qog nqaij hlav tsis tuaj yeem
  ua haujlwm los ntawm kev txo qhov loj hauv qee cov neeg mob.
• Adjuvant Therapy: Qhov no yog muab tom qab kev phais kom txo tau qhov kev pheej hmoo ntawm rov tshwm sim dua.
• Palliative Therapy: Txhawm rau tswj kev mob qog noj ntshav siab (mob qog noj ntshav uas tau kis dhau qhov chaw ntawm lub hauv paus chiv keeb) lossis mob qog noj ntshav hauv zos uas tsis tuaj yeem ua rau kev phais lossis kev kho hluav taws xob.

Uniqueness ntawm lub department

Thawj pab pawg hauv South-East-Asia rau kev kho mob hauv xeev-of-the-art mem hluav beam scanning proton therapy facility. Pab neeg no tau ua tiav cov txheej txheem kho proton tam sim no rau ntau qhov chaw kho mob nrog rau cov teeb meem nyuaj tshaj plaws.

Lub zog ntawm lub tuam tsev yog nrog cov kev pabcuam sib koom ua ke los ntawm ib pab pawg kws kho mob tshwj xeeb hauv cov chaw tshwj xeeb nrog lub hom phiaj kawg ntawm kev muab kev saib xyuas zoo tshaj plaws rau tus neeg mob.

Kev Kho Mob Physicist Profile

Cov kws kho mob physicists yog cov kws kho mob nrog kev kawm thiab kev cob qhia tshwj xeeb hauv cov tswv yim thiab cov tswv yim ntawm kev siv physics hauv tshuaj. Txhua tus kws kho mob physicist hauv pab pawg tau ua kom muaj kev paub dhau los hauv kev kho hluav taws xob siab tshaj plaws thiab ntau hom kev yees duab cov tswv yim, kev ua yam ntxwv, kev ntsuas thiab kev lees paub zoo ntawm cov khoom siv hluav taws xob hauv lub xeev tshiab thiab cov cuab yeej kuaj mob siv cov cuab yeej hluav taws xob siab, phantoms thiab cov cuab yeej.

Cov neeg koom tes tau txais kev cob qhia tshwj xeeb hauv kev kho cov kab hluav taws xob proton los ntawm cov koom haum muaj npe nrov thoob plaws ntiaj teb.

• Dr. Dayananda Sharma Shamurailatpam, PhD, DipRP, MCMPI - (Lub taub hau, Department of Medical Physics)
• Dr. MP Noufal, PhD, DipRP, MCMPI, MS - (Senior Medical Physicist)
• Kartikeswar Patro, M.Sc., DipRP – (Senior Medical Physicist)
• Dr. K. Ganapathy, PhD - Senior Medical Physicist
• Dr. A. Manikandan, PhD, DipRP - Senior Medical Physicist
• Dr. T. Rajesh, PhD, MCMPI - Senior Medical Physicist
• Mayur Sawant, M.Sc., DipRP – (Tus kws kho mob Physicist)
• Mr. Suryakant Kaushik, M.Sc., DipRP – (Junior Medical Physicist)

Proton kho technology ntawm APCC

Photon kho tshuab ntawm APCC

Cov Kev Pab Kho Mob

Lub tuam tsev muab cov kev pabcuam kho mob uas muaj kev ruaj ntseg zoo txij li qhov pib ua haujlwm mus rau cov kev pabcuam khomob txhua hnub thiab kev tshuaj xyuas tseem ceeb rau ntau yam tshwj xeeb hauv tsev kho mob feem ntau hauv Radiation Oncology, Diagnostic radiology thiab Nuclear Medicine.

Kev Ua Haujlwm: Cov yam ntxwv ntawm kev ua haujlwm ntawm cov khoom siv hluav taws xob tshiab, cov software cuam tshuam thiab cov khoom siv pabcuam raug ntsuas thiab soj ntsuam zoo raws li ntau yam qauv thiab cov txheej txheem hauv tebchaws thiab thoob ntiaj teb. Kev ua haujlwm zoo ua kom ntseeg tau tias muaj kev pom zoo los ntawm lub koom haum tswj hwm hauv tebchaws thiab kev siv cov khoom siv rau kev kho mob rau tus neeg mob kom muaj kev nyab xeeb. Ntawm APCC, PROTEUS-PLUS thiab RadiXact-X9 HT system nrog rau RayStation (RaySearch Lab, Sweden) thiab Precision (Accuray, USA) TPS tau raug xaiv los kho cov neeg mob siv cov tshuaj kho mob siab siv photon thiab proton. Peb pab neeg txuas ntxiv tsim cov txheej txheem kho mob tshiab thiab kev siv kho mob tom qab kev lees paub ntau yam. Tsis tas li ntawd, pab neeg kuj tau xaiv ntau yam khoom siv hluav taws xob suav nrog Aquilion-LB Wide bore CT (Toshiba, Nyiv) thiab Biograph Vision Digital PET-CT (Siemens, Lub Tebchaws Yelemees).

Kev Ntsuas: Cov Kws Kho Mob Lub Cev ntsuas thiab ntsuas qhov kev xa tawm ntawm cov tshuaj tua hluav taws xob los ntawm cov khoom siv tsim hluav taws xob sib txawv raws li kev cai thoob ntiaj teb thiab xyuas kom meej tias nws taug qab mus txog tus qauv tseem ceeb.

Kev Ruaj Ntseg Zoo: Txhawm rau kom ntseeg tau tias kev xa cov tshuaj tua kab mob raws li tau teev tseg rau tus neeg mob kom muaj kev nyab xeeb thiab raug, lub chaw haujlwm ua ntau qhov kev kuaj xyuas kev ruaj ntseg zoo ntawm cov tshuab xa tshuaj (PROTEUS-PLUS thiab RadiXact-X9 HT) thiab cov khoom cuam tshuam txhua hnub, txhua lub lim tiam, txhua hli thiab txhua xyoo. Lub chaw haujlwm kuj tseem ua kom cov khoom siv thaij duab uas tau teeb tsa rau hauv lub tshuab kho mob proton/photon ua haujlwm zoo (rau kev txheeb xyuas ua ntej kev kho mob ntawm tus neeg mob qhov chaw) thiab lwm lub tshuab kuaj mob.

Kev npaj kho mob: Cov neeg mob uas tau sau npe rau txhua hom kev kho mob hluav taws xob yuav tsum tau ua ib kauj ruam zuj zus ua ntej kev kho mob raws li SOP ntawm chav haujlwm. Nws pib nrog kev npaj cov khoom siv immobilization uas tau kho raws li kev txiav txim siab ntawm qog thiab cov kab mob tseem ceeb siv ntau hom duab volumetric (CT, MRI, PET). Kev kho mob uas tau npaj tseg yog simulated ntawm TPS siv tus neeg mob thiab tus qauv tshuab. Kev faib cov koob tshuaj hauv tus neeg mob yog suav los ntawm kev siv cov txheej txheem Monte-Carlo/convolution superposition uas muaj kev txawj ntse thiab raug. Txoj kev npaj kho mob uas tau tsim los no yog ntsuas los ntawm pab pawg kws kho mob hluav taws xob thiab kws kho mob kom ntseeg tau tias ua tiav lub hom phiaj kho mob uas tau teev tseg ua ntej.

Kev npaj kho mob Proton: Kev nce qib ntawm thev naus laus zis ntawm PROTEUS-PLUS ua rau peb npaj thiab kho peb tus neeg mob nrog cov txheej txheem zoo tshaj plaws ntawm Intensity Modulated Proton Therapy (IMPT). Kev npaj kho mob rau IMPT yog ua tiav hauv RayStation TPS. Nws cuam tshuam nrog kev ua kom zoo dua ntawm ntau lub zog proton staking nrog ntau txhiab qhov chaw proton, lawv qhov chaw, qhov sib nrug thiab qhov hnyav kom ua tiav cov koob tshuaj zoo rau lub qog thiab txuag cov ntaub so ntswg ib txwm muaj. Peb txais yuav SFO, MFO, Hybrid thiab Robust optimization nyob ntawm qhov nyuaj thiab qhov xav tau rau cov ntaub ntawv kho mob. 4D robust optimization, Txheej thiab volumetric rov pleev xim IMPT yog siv rau cov qog dynamic. Adaptive IMPT yog ua tiav tas li rau cov chaw kho mob qhia.

Kev npaj kho mob Photon/High Energy X-ray: Cov phiaj xwm kho mob Photon raug ua tiav ntawm Precision TPS siv helical intensity modulated radiotherapy (IMRT) ntawm txhua qhov chaw kho mob. SBRT, frameless SRS, SRT thiab adaptive radiotherapy kuj raug xyaum ua tas li rau cov xwm txheej qhia. Dhau li ntawm kev kho ntau qhov chaw kho mob nyuaj, peb kuj tau pib Total marrow irradiation (TMI) / Total marrow thiab lymphoid irradiation (TMLI) thawj zaug hauv Is Nrias teb.

Kev tshawb fawb

Lub tuam tsev kho mob Physics ntawm APCC tau koom tes nrog cov kev tshawb fawb tshiab uas muaj feem cuam tshuam nrog ntau cov duab kos duab thiab kev siv hluav taws xob siab tshaj plaws uas siv ob qho tib si proton thiab photon beam.

Peb qhov kev xav tau tshawb fawb tam sim no suav nrog, kev tsim kho software hauv tsev, kev tshawb nrhiav cov txheej txheem kho tshiab, kev txawj ntse txawj ntse thiab kev kawm tshuab, kev kawm hauv vivo thiab hauv-vitro cell-line, daws cov lus nug uas tsis tau hais tseg, cov ntaub ntawv loj los ntawm tshuab cav-cov ntaub ntawv thiab lwm yam.

Lub tuam tsev muaj ntau yam kev ua haujlwm tsis tu ncua thiab kev sib koom tes nrog cov koom haum muaj npe hauv Is Nrias teb thiab txawv teb chaws. Lub tuam tsev kuj tseem koom nrog kev sim tshuaj thiab kev tshawb fawb txog kev xa tawm ntawm ionizing thiab tsis-ionizing hluav taws xob rau cov neeg mob rau kev kuaj mob thiab kho lub hom phiaj.

Cov txiaj ntsig ntawm peb txoj kev tshawb fawb txuas ntxiv tshiab muaj nyob rau hauv Cov Ntawv Tshaj Tawm Tsis ntev los no