Physics Yamankhwala

Dipatimentiyi imapereka chithandizo chapamwamba kwambiri, chotsimikizirika bwino kuti akwaniritse zolinga zosiyanasiyana kuti apeze matenda olondola komanso otetezeka, olondola komanso ogwira mtima a odwala pogwiritsa ntchito ma radiation.

Dipatimentiyi idapangidwa kuti ipereke chithandizo chapadera, chogwirizana ndi zosowa za wodwala aliyense, kudzera munjira yasayansi yozikidwa paumboni, ndondomeko zokhazikitsidwa, maphunziro ndi kafukufuku wamakono. Dipatimentiyi imayang'anira kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe kake.

Kupereka chithandizo chamankhwala kumaphatikizapo: chemotherapy, mankhwala a mahomoni, chithandizo chamankhwala, biological therapy ndi immunotherapy. Amagwiritsidwa ntchito makamaka muzochitika zotsatirazi:

• Othandizirana nawo pa radiotherapy kuti awonjezere mphamvu ya ma radiation.
• Neoadjuvant therapy: Amaperekedwa asanalandire chithandizo chotsimikizika chomwe chitha kukhala chemo-radiotherapy kapena opaleshoni. Izi zimaperekedwanso kuti apange khansa yosagwira ntchito
  zogwira ntchito pochepetsa kukula kwa odwala ena.
• Chithandizo cha Adjuvant: Izi zimaperekedwa pambuyo pa opaleshoni kuti achepetse chiopsezo chobwereza.
• Palliative Therapy: Kuwongolera makhansa apamwamba (khansa yomwe yafalikira kupitilira komwe idachokera) kapena khansa yapagulu komwe sikungathe kuchitidwa opaleshoni kapena radiotherapy.

Kupadera kwa dipatimenti

Gulu loyamba ku South-East-Asia kuti litumize malo opangira ma pensulo apamwamba kwambiri a proton. Gululi lagwiritsa ntchito bwino njira zamakono zochizira proton m'malo osiyanasiyana azachipatala kuphatikiza milandu yovuta kwambiri.

Mphamvu ya dipatimentiyi ili ndi ntchito yogwirizana yomwe imaperekedwa ndi gulu la akatswiri a sayansi ya zamankhwala omwe amadziwika bwino m'madera ena omwe ali ndi cholinga chachikulu chopereka chithandizo chabwino kwambiri kwa wodwala.

Mbiri ya Medical Physicist

Akatswiri azachipatala ndi akatswiri azaumoyo omwe ali ndi maphunziro komanso maphunziro apadera pamalingaliro ndi njira zogwiritsira ntchito sayansi ya zamankhwala. Katswiri wa zamankhwala onse m’gululi awonjezera luso lamankhwala olondola kwambiri a radiation ndi njira zofananira zamitundumitundu, mawonekedwe, kusanja komanso kutsimikizika kwamtundu wamakono a radiotherapy ndi zida zowunikira pogwiritsa ntchito zida zapamwamba zowunikira ma radiation, phantoms ndi zida.

Mamembala a timuyi aphunzira maphunziro apadera a proton beam therapy kuchokera ku masukulu odziwika padziko lonse lapansi.

• Dr. Dayananda Sharma Shamurailatpam, PhD, DipRP, MCMPI - (Mutu, Dipatimenti ya Medical Physics)
• Dr. MP Noufal, PhD, DipRP, MCMPI, MS – (Senior Medical Physicist)
• Bambo 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)
• Bambo Mayur Sawant, M.Sc., DipRP - (Medical Physicist)
• Bambo Suryakant Kaushik, M.Sc., DipRP - (Junior Medical Physicist)

Tekinoloje yamankhwala a Proton ku APCC

Ukadaulo wa chithandizo cha Photon ku APCC

Ntchito Zachipatala

Dipatimentiyi imapereka chithandizo chamankhwala chotsimikizika chamankhwala kuyambira pakuperekedwa koyambirira mpaka ntchito zachipatala zatsiku ndi tsiku komanso kusanthula kofunikira kuzinthu zosiyanasiyana zachipatala makamaka mu Radiation Oncology, Diagnostic radiology ndi Nuclear Medicine.

Kuyambitsa: Makhalidwe a ntchito ya zida zatsopano zopangira ma radiation, mapulogalamu ogwirizana ndi zida zina zimayesedwa ndikuwunikidwa mosamala motsatira miyezo ndi ma protocol osiyanasiyana adziko lonse lapansi. Kuyambitsa bwino kumatsimikizira chilolezo kuchokera ku bungwe lolamulira dziko lonse komanso kugwiritsa ntchito bwino zidazo pochiza odwala. Ku APCC, PROTEUS-PLUS ndi RadiXact-X9 HT system pamodzi ndi RayStation (RaySearch Lab, Sweden) ndi Precision (Accuray, USA) TPS apatsidwa ntchito yochiza odwala pogwiritsa ntchito radiotherapy yolondola kwambiri pogwiritsa ntchito photon ndi proton. Gulu lathu likupitilizabe kupanga njira zatsopano zochizira komanso zomwe zagwiritsidwa ntchito kuchipatala pambuyo potsimikiziridwa kwambiri. Kuphatikiza apo, gululi laperekanso ntchito zida zosiyanasiyana zopangira ma radiation kuphatikiza Aquilion-LB Wide bore CT (Toshiba, Japan) ndi Biograph Vision Digital PET-CT (Siemens, Germany).

Kulinganiza: Akatswiri a Fizikiki azachipatala amayesa ndikuwongolera kuchuluka kwa ma radiation omwe amaperekedwa ndi zida zosiyanasiyana zopangira ma radiation motsatira malamulo apadziko lonse lapansi ndikuwonetsetsa kuti akutsatira muyezo woyamba.

Chitsimikizo cha Ubwino: Kuti atsimikizire kuti mlingo wa radiation woperekedwa kwa wodwala waperekedwa molondola komanso mosamala, dipatimentiyi imachita kafukufuku wambiri wotsimikizira ubwino wa makina operekera chithandizo (PROTEUS-PLUS ndi RadiXact-X9 HT) ndi zinthu zina zogwirizana nazo tsiku lililonse, sabata iliyonse, mwezi uliwonse komanso pachaka. Dipatimentiyi imaonetsetsanso kuti zida zojambulira zithunzi zomwe zayikidwa mu makina ochiritsira a proton/photon zikugwira ntchito bwino (kuti zitsimikizire kuti wodwalayo ali pamalo oyenera) komanso makina ena oyezera matenda.

Kukonzekera chithandizo: Odwala omwe adalembetsa mtundu uliwonse wa chithandizo cha radiation ayenera kuphunzitsidwa bwino asanalandire chithandizo pambuyo pa SOP ya dipatimenti. Imayamba ndi kukonzekera zida zodzitetezera zomwe zakonzedwa kale, kenako ndikujambula ziwalo zofunika kwambiri pogwiritsa ntchito zithunzi za multi-modality volumetric (CT, MRI, PET). Chithandizo chomwe chikukonzekera chimayesedwa pa TPS pogwiritsa ntchito chitsanzo cha wodwala ndi makina. Kugawa kwa mlingo mkati mwa wodwalayo kumawerengedwa pogwiritsa ntchito njira zamakono komanso zolondola za Monte-Carlo/convolution superposition. Dongosolo la chithandizo lomwe lapangidwa limayesedwa ndi gulu la Radiation oncologist ndi Medical Physicist kuti atsimikizire kukwaniritsa cholinga chachipatala chomwe chidafotokozedwa kale.

Kukonzekera Chithandizo cha Proton: Kupita patsogolo kwa ukadaulo kwa PROTEUS-PLUS kumatithandiza kukonzekera ndikuchiza odwala athu ndi njira yapamwamba kwambiri ya Intensity Modulated Proton Therapy (IMPT). Kukonzekera chithandizo cha IMPT kumachitika mu RayStation TPS. Kumaphatikizapo kukonza kobwerezabwereza kwa mphamvu zambiri za proton staking ndi madontho ambirimbiri a proton, malo awo, malo awo ndi kulemera kuti tipeze mlingo wofanana kwambiri ndi chotupa ndikusunga minofu yoyandikana nayo. Timagwiritsa ntchito SFO, MFO, Hybrid ndi Robust optimization kutengera zovuta ndi zofunikira pa nkhani yachipatala. Kukonza kolimba kwa 4D, Layer ndi volumetric re-painting IMPT imagwiritsidwa ntchito pa chotupa chosinthasintha. Adaptive IMPT imachitika nthawi zonse m'malo owonetsera matenda.

Kukonzekera chithandizo cha Photon/High Energy X-ray: Mapulani a chithandizo cha Photon radiation therapy amachitidwa pa Precision TPS pogwiritsa ntchito helical intensity modulated radiotherapy (IMRT) m'malo onse azachipatala. SBRT, frameless SRS, SRT ndi adaptive radiotherapy zimagwiritsidwanso ntchito nthawi zonse pamilandu yomwe yatchulidwa. Kupatula kuchiza malo ambiri ovuta azachipatala, tayambanso Total marrow irradiation (TMI)/Total marrow and lymphoid irradiation (TMLI) koyamba ku India.

Research

Dipatimenti ya Medical Physics ku APCC ikugwira ntchito mwachangu ndi kafukufuku wokhudzana ndi kuyerekeza kwamitundu yambiri komanso njira yolondola kwambiri ya radiotherapy pogwiritsa ntchito proton ndi photon.

Zomwe timakonda pa kafukufukuyu zikuphatikiza, kukonza mapulogalamu amkati, kufufuza njira zatsopano zochizira, luntha lochita kupanga ndi kuphunzira pamakina, kafukufuku wa in-vivo ndi in-vitro cell-line, kuthana ndi mafunso omwe sanayankhidwe, data yayikulu kuchokera pamafayilo a log-makina etc.

Dipatimentiyi ili ndi mapulojekiti ambiri opitilira muyeso komanso ntchito zogwirira ntchito limodzi ndi mabungwe odziwika ku India ndi kunja. Dipatimentiyi ikugwiranso ntchito m'mayesero a zachipatala ndi ntchito zofufuza zomwe zikuyang'ana momwe ma radiation a ionizing ndi osayanika amachitira odwala pofuna kufufuza ndi kuchiza.

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