The treatment planning system conforms to the 3D shape of the tumor using multi-leaf collimators that shapes the beam. This delivers very precise and optimal dose to the tumor and spares the surrounding normal tissues to the maximum.

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3DCRT: 3-Dimensional Conformal Radiation Therapy

The treatment planning system conforms to the 3D shape of the tumor using multi-leaf collimators that shapes the beam. This delivers very precise and optimal dose to the tumor and spares the surrounding normal tissues to the maximum.

IMRT: Intensity-Modulated Radiation Therapy

This is a specialized form of 3D CRT, where each radiation beam is subdivided into many tiny ‘beamlets’. The intensity of each of them can be varied individually, thereby effectively delivering the radiation dose more precisely to the target while further limiting the dose to the surrounding normal tissues.

IGRT: Image-Guided Radiation Therapy

This refers to the use of sophisticated imaging technologies to guide the delivery of Radiation Therapy more precisely. Tumors can move during treatment and between treatments. For dynamic targeting IGRT, the LINAC is outfitted with sophisticated imaging devices. It helps in targeting the tumor more precisely sparing surrounding normal tissues and allows for dose escalation to the target, improving chances of cure.

Rapid Arc

Volumetric Arc Therapy (VMAT) or Rapid Arc® Radiotherapy Technology is an advanced form of Intensity Modulated Radiation Therapy (IMRT) that delivers a precisely-sculpted 3-Dimension dose distribution with a 360-degree rotation of the gantry in a single or multi-arc treatment.

Stereotactic Radio Surgery/ Radiation Therapy (SRS / SRT) (Intra-cranial / Extra-cranial)

SRS / SRT is a highly specialized non-surgical procedure that uses highly focused X-ray (also called- X-knife) beams to converge on the tumor/ abnormality with very high level of precision and accuracy (with the help of micro-MLC) to deliver a high dose of radiation. It can be done with a localization frame fixed to the skull or can be frameless (intra-cranial) or even with a Stereotactic body-frame (SBF) device (extra-cranial). SRS delivers a very high radiation dose in a single session, while SRT is delivered in multiple sessions. In SBFRT again a relatively higher dose of radiation is delivered per fraction for a few sessions spaced out in time. Many benign lesions/ tumors of brain, cranial metastatic lesions, arteriovenous malformations (AVMs) are treated with SRS/ SRT. Metastatic lesions in various organs (like lungs, liver, very close or involving spinal cord etc), and even some locally advanced inoperable primary tumors can be treated with SBFRT. Difficult to treat lesions lying very close to critical structures such as spinal cord, brainstem, optic apparatus can be treated with Intensity- Modulated Radio surgery (IMRS).

Stereotactic Body Radiation Therapy (SBRT)

Stereotactic Body Radiation Therapy (SBRT) is a advanced treatment option for treating cancers in the lung, head and neck, prostate, liver and other disease sites outside the Central Nervous System. SBRT is a non-invasive treatment procedure similar to SRS, except that it deals with tumours outside the central nervous system (CNS).

The objective of SBRT is to escalate the dose to the target lesion and thus to increase local control while limiting dose to nearby critical structures and normal tissue. Some requirements of SBRT program may include precise localization of the target lesion in the treatment planning process; account for tumor motion due to respiration or other changes in the body; highly conformal dose distribution to the target volume including a steep dose gradient to minimize dose to surrounding healthy tissue sparing; and image-guidance at the time of dose delivery for verification and adjustment of the target localization.

Brachytherapy Facility

We have the most advanced Micro Selectron HDR (Elekta®). It is an 18 channel High Dose Rate (HDR) Brachytherapy Machine with the latest planning software Oncentra

  • The procedure involves the placement of sealed radioactive sources through applicators / needles / catheters, introduced either within or at close proximity to a tumor
  • Using Brachytherapy doctors can irradiate the tumor, minimizing the radiation exposure to nearby normal tissues.
  • All forms of Brachytherapy treatments – Intravaginal / Intracavitary / Intraluminal / Interstitial Implants / Surface moulds
  • 3 Dimensional Conformal Brachytherapy treatment
  • Digital treatment delivery

Palliative Care

Palliative care is an important part of cancer care that focusses on helping patients deal with the physical and mental strain that accompanies cancer. It is aimed at improving the quality of life of terminal patients and ensuring that they remain as comfortable as possible. It is believed that almost 50-60% of all patients require pain and palliative care management at some point of their oncology

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