Ahụike Ahụike

Ngalaba ahụ na-enye ọkọlọtọ kachasị elu, ọrụ kwenyesiri ike na ọ dị mma iji mezuo ebumnuche ọtụtụ ịdọ aka ná ntị nke inweta nyocha ziri ezi yana ọgwụgwọ dị mma, nke ziri ezi na dị irè nke onye ọrịa na-eji radieshon.

A haziri ngalaba ahụ iji nye ọrụ pụrụ iche, ahaziri maka mkpa onye ọrịa ọ bụla, site na usoro sayensị dabere na akaebe, ụkpụrụ arụpụtara, agụmakwụkwọ na nyocha ọhụrụ. Ngalaba ahụ na-ahụ maka nnabata usoro iwu maka ojiji ụlọ ọgwụ nke ionizing radieshon gafee ngalaba dị iche iche n'ụlọ ọgwụ.

Usoro ọgwụgwọ ọgwụgwọ gụnyere: kemoterapi, ọgwụgwọ homonụ, ọgwụgwọ ezubere iche, ọgwụgwọ ndu na immunotherapy. A na-eji ya eme ihe n'ụzọ mbụ n'ọnọdụ ndị a:

  • Onye mmekọ na-emekọ ihe ọnụ na redio iji mee ka ọ dịkwuo mma nke radieshon.
  • ọgwụgwọ Neoadjuvant: Enyere ya tupu ọgwụgwọ doro anya nke nwere ike ịbụ chemo-radiotherapy ma ọ bụ ịwa ahụ. A na-enyekwa nke a iji mee ka ọrịa cancer na-adịghị arụ ọrụ
    na-arụ ọrụ site n'ibelata nha na ụfọdụ ndị ọrịa.
  • Usoro ọgwụgwọ adjuvant: A na-enye nke a mgbe ịwachara ahụ iji belata ihe ize ndụ nke nlọghachi.
  • Ọgwụgwọ Palliative: Iji chịkwaa ọrịa kansa dị elu (cancer nke gbasaworo n'ofe ebe a si malite) ma ọ bụ ọrịa kansa dị n'ime obodo enweghị ike ịwa ahụ ma ọ bụ redio.

Pụrụ iche nke ngalaba

Ndị otu mbụ na South-East-Asia nyere ụlọ ọgwụ na-ahụ maka ụlọ ọgwụ pensụl beam scanning proton therapy. Ndị otu a emejuputala usoro ọgwụgwọ proton kachasị ọhụrụ maka saịtị ụlọ ọgwụ dị iche iche gụnyere ikpe kachasị sie ike.

Ike nke ngalaba ahụ dabere na ọrụ njikọta nke otu ndị ọkachamara n'ihe gbasara ahụike ọkachamara na mpaghara ụfọdụ nwere ebumnuche kachasị nke inye ndị ọrịa nlekọta kacha mma.

Profaịlụ ọkachamara ahụike ahụike

Ndị ọkà mmụta sayensị ahụike bụ ndị ọkachamara ahụike nwere agụmakwụkwọ na ọzụzụ pụrụ iche na echiche na usoro nke itinye physics na ọgwụ. Ọkachamara ahụike ahụike niile nọ n'otu ahụ enwetala ahụmịhe na ọgwụgwọ radieshon dị elu yana usoro onyonyo ọtụtụ ụdị, njirimara, nhazi na mmesi obi ike nke usoro redio ọgbara ọhụrụ na akụrụngwa nyocha site na iji ihe nchọpụta radieshon dị elu, phantoms na ngwa.

Ndị otu a enwetala ọzụzụ pụrụ iche na ọgwụgwọ proton beam site na ụlọ akwụkwọ ama ama n'ofe ụwa.

  • Dọkịta Dayananda Sharma Shamurailatpam, PhD, DipRP, MCMPI - (Onye isi, Ngalaba Physics Medical)
  • Dr. MP Noufal, PhD, DipRP, MCMPI, MS - (Senior Medical Physicist)
  • Maazị 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)
  • Mazị Mayur Sawant, M.Sc., DipRP - (Ọkachamara ahụike)
  • Maazị Suryakant Kaushik, M.Sc., DipRP - (Junior Medical Physicist)

Teknụzụ ọgwụgwọ Proton na APCC

  • PROTEUS-PLUS sitere na IBA, Belgium: usoro ọgwụgwọ proton na-enyocha pensụl kachasị ọhụrụ
  • Proton osooso: Isochronous cyclotron
  • Ike proton: 70-226 meV
  • Ụlọ ọgwụgwọ atọ; Abụọ kwadebere ya gantry na otu nwere oghere kwụ ọtọ
  • Usoro nnyefe ọgwụgwọ: Intensity modulated proton therapy (IMPT) iji
    1. a) SFO, MFO na ngwakọ
    2. b) Usoro ntugharị oyi akwa ma ọ bụ volumetric
  • Ntuzi onyonyo volumetric dị elu site na iji cone beam CT (CBCT) maka nhazi ebumnuche ziri ezi tupu ọgwụgwọ
  • Ike nnyefe ọgwụgwọ gated maka etuto ahụ na-akpụ akpụ
  • Ihe ndina nke Leoni Robotic maka idobe onye ọrịa nke ọma yana nhazi tumor na 6-Dimension
  • Ọhụụ RT n'elu na-eduzi ọgwụgwọ radieshon (SGRT) maka nkwenye ọnọdụ na njikwa ngagharị intra-iribiri

Teknụzụ ọgwụgwọ Photon na APCC

  • RadiXact-X9 Helical Tomotherapy sitere na Accuray, USA
  • 6MV FFF Ike X-ray/Foto dị elu
  • nnyefe Helical na agba dị ike
  • Ọnụọgụ ọgwụ dị elu nke 1000 MU/min
  • Ntuziaka foto volumetric MVCT
  • Usoro nnyefe ọgwụgwọ
    1. a) Helical IMRT/Tomo Direct
    2. b) SBRT/SRS/SRT
    3. c) TMI/TMLI

Ọrụ Ọgwụ

Ngalaba ahụ na-enye ọrụ physics ahụike siri ike sitere na mbido mbụ ruo ọrụ ụlọ ọgwụ kwa ụbọchị yana nyocha dị oke egwu na ọpụrụiche dị iche iche n'ime ụlọ ọgwụ bụ isi na Radiation Oncology, Diagnostic radiology na Nuclear Medicine.

Ọrụ: A na-atụ ma na-enyocha njirimara arụmọrụ nke akụrụngwa mmepụta radieshọn ọhụrụ ọ bụla, ngwanrọ ejikọtara ya na ngwaọrụ ndị ọzọ nke ọma site na iji ụkpụrụ na usoro mba na nke mba ụwa dị iche iche. Ọrụ ahụ na-aga nke ọma na-eme ka a na-enyocha ya site n'aka ndị na-ahụ maka iwu mba na iji akụrụngwa ahụ eme ihe n'enweghị nsogbu maka ọgwụgwọ ndị ọrịa. Na APCC, enyerela usoro PROTEUS-PLUS na RadiXact-X9 HT yana RayStation (RaySearch Lab, Sweden) na Precision (Accuray, USA) ọrụ TPS iji gwọọ ndị ọrịa site na iji rediotherapy dị elu na-eji photon na proton. Ndị otu anyị na-emepụta usoro ọgwụgwọ ọhụrụ na-aga n'ihu na-eme ihe n'ụlọ ọgwụ mgbe emechara nkwenye sara mbara. E wezụga nke ahụ, ndị otu ahụ enyela ọrụ dị iche iche nke ngwaọrụ onyonyo na-emepụta radieshọn gụnyere Aquilion-LB Wide bore CT (Toshiba, Japan) na Biograph Vision Digital PET-CT (Siemens, Germany).

Nhazi: Ndị ọkachamara ahụike na-enyocha ma na-ahazi nnyefe radieshọn site na ngwa dị iche iche na-emepụta radieshọn dịka iwu mba ụwa siri dị ma hụ na enwere ike ịchọpụta ya ruo na ọkọlọtọ mbụ.

Nkwanye Ùgwù: Iji hụ na e nyefere ọgwụ radieshọn enyere onye ọrịa n'ụzọ dị mma ma zie ezi, ngalaba ahụ na-eme ọtụtụ nyocha ogo dị iche iche nke igwe nnyefe ọgwụgwọ (PROTEUS-PLUS na RadiXact-X9 HT) na ihe ndị metụtara ya kwa ụbọchị, kwa izu, kwa ọnwa na kwa afọ. Ngalaba ahụ na-ahụkwa na akụrụngwa onyonyo arụnyere na igwe ọgwụgwọ proton/photon (maka nkwenye tupu ọgwụgwọ) na igwe nchọpụta ndị ọzọ na-arụ ọrụ nke ọma.

Nhazi Ọgwụgwọ: Ndị ọrịa debanyere aha maka ụdị ọgwụgwọ radieshon ọ bụla ga-eme nkwadebe zuru oke tupu ọgwụgwọ ahụ emechaa site na SOP ngalaba. Ọ na-amalite site na nkwadebe nke ngwaọrụ immobilization ahaziri ahazi wee depụta etuto ahụ na akụkụ ahụ dị mkpa site na iji ihe onyonyo multi-modality volumetric (CT, MRI, PET). A na-eme ka ọgwụgwọ ebumnuche na TPS dị ka ihe nlereanya onye ọrịa na igwe. A na-agbakọ nkesa dose n'ime onye ọrịa site na iji algọridim Monte-Carlo/convolution superposition dị oke mma ma zie ezi. Ndị otu Radiation oncologist na Medical Physicist na-enyocha atụmatụ ọgwụgwọ a na-emepụta iji hụ na e mezuru ebumnuche ahụike akọwapụtara.

Nhazi Ọgwụgwọ Proton: Ọganihu teknụzụ nke PROTEUS-PLUS na-enye anyị ohere ịhazi ma gwọọ onye ọrịa anyị site na iji usoro kachasị elu nke Intensity Modulated Proton Therapy (IMPT). A na-eme atụmatụ ọgwụgwọ maka IMPT na RayStation TPS. Ọ gụnyere nhazi dị mgbagwoju anya nke ọtụtụ proton ike staking na ọtụtụ puku ntụpọ proton, ọnọdụ ha, oghere na ibu iji nweta oke nha nke etuto ahụ ma chekwaa anụ ahụ nkịtị dị n'akụkụ. Anyị na-anabata SFO, MFO, Hybrid na Robust optimization dabere na mgbagwoju anya na ihe achọrọ maka ikpe ahụike. 4D siri ike optimization, a na-eji IMPT re-selling Layer na volumetric maka etuto ahụ na-agbanwe agbanwe. A na-eme IMPT Adaptive mgbe niile maka ebe ahụike na-egosi.

Nhazi Ọgwụgwọ Foton/High Energy X-ray: A na-eme atụmatụ ọgwụgwọ ọgwụgwọ photon radieshon na Precision TPS site na iji helical intensity modulated radiotherapy (IMRT) nke ebe niile a na-agwọ ọrịa. A na-emekwa SBRT, SRS na-enweghị frame, SRT na rediotherapy adaptive mgbe niile maka ikpe ndị a tụrụ aro. E wezụga ịgwọ ọtụtụ ebe a na-agwọ ọrịa siri ike, anyị amalitekwala Total Rapid Rapid (TMI)/Total Rapid na Lymphoid Radiation (TMLI) maka oge mbụ na India.

Research

Ngalaba Physics Medical na APCC na-arụsi ọrụ ike na-arụ ọrụ nyocha ọhụụ metụtara eserese multi-modality na usoro redio dị elu na-eji ma proton na photon beam.

Ihe gbasara nyocha anyị ugbu a gụnyere, mmepe ngwanrọ n'ime ụlọ, nyocha nke usoro ọgwụgwọ ọhụrụ, ọgụgụ isi na mmụta igwe, ọmụmụ in-vivo na in-vitro cell-line, na-aza ajụjụ ndị a na-azaghị ajụjụ, nnukwu data sitere na faịlụ ndekọ igwe wdg.

Ngalaba ahụ nwere ọtụtụ ọrụ intramural na-aga n'ihu na ọrụ mmekorita ya na ụlọ ọrụ a ma ama na India na mba ọzọ. Ngalaba ahụ na-arụsikwa ọrụ ike na nnwale ụlọ ọgwụ na ọrụ nyocha na-enyocha nnyefe nke radieshon ionizing na ndị na-abụghị ionizing nye ndị ọrịa maka ebumnuche nyocha na ọgwụgwọ.

Nsonaazụ nke nchọpụta ọhụrụ anyị na-aga n'ihu dị na ngalaba mbipụta ọhụrụ

Na-emeri Cancer na Apollo Proton Cancer Center

Ihe ọhụrụ na Nlekọta Ọrịa Kansa! Ibu ọrịa kansa na-eto eto n'ụwa niile na-akọ akụkọ ọjọọ. Iji lụso ihe iyi egwu a na-eto eto ọgụ, Apollo Proton Cancer Centre na-enye ngwọta zuru oke na nke zuru oke. Ebe nlekọta ọrịa kansa aghọwo otu n'ime ihe ndị dị mkpa maka nlekọta ahụike na-eto ngwa ngwa n'ụwa niile, anyị kwenyere na ọ dị oke mkpa ịkọwaghachi ebumnuche anyị, ịmaliteghachi nkwa anyị na-elekwasị anya n'otu uche - ịlụso ọrịa kansa ọgụ, imeri ọrịa kansa! APCC na-eguzo dị ka ìhè nke olileanya maka ọtụtụ nde mmadụ, na-etinye ha n'obi ike iguzo na ilegide ọrịa kansa anya.