Chiremba Chiremba

Dhipatimendi rinopa chiyero chepamusoro, chemhando yepamusoro masevhisi kuzadzisa zvinangwa zvakasiyana-siyana zvekuwana kuongororwa kwakachengeteka, kwakaringana uye kunoshanda kurapwa kwemurwere achishandisa radiation.

Dhipatimendi rakarongedzerwa kuti ripe rakasiyana sevhisi, rinoenderana nezvinodiwa nemurwere mumwe nemumwe, kuburikidza nehumbowo hwakavakirwa pasainzi nzira, yakasimbiswa maprotocol, dzidzo uye tsvagiridzo itsva. Dhipatimendi rinotarisira kuteedzera kutevedza kwekiriniki kushandiswa kweionizing radiation mumadhipatimendi akasiyana muchipatara.

Kuendeswa kwekurapa kurapwa kunosanganisira: chemotherapy, hormone therapy, yakanangwa kurapa, biological therapy uye immunotherapy. Inoshandiswa kunyanya muzviitiko zvinotevera:

• Kubatana mudiwa kune radiotherapy kuwedzera kushanda kwemwaranzi.
• Neoadjuvant therapy: Yakapihwa isati yanyatso kurapa iyo inogona kunge iri chemo-radiotherapy kana kuvhiyiwa. Izvi zvinopihwawo kugadzira magomarara asingashande
  inoshanda nekudzikisa saizi mune vamwe varwere.
• Adjuvant Therapy: Izvi zvinopihwa mushure mekuvhiyiwa kuti kuderedze njodzi yekudzokazve.
• Palliative Therapy: Kudzora magomarara epamusoro (gomarara rakapararira kupfuura nzvimbo yaakabva) kana gomarara repamhepo remunharaunda risingagone kuvhiyiwa kana radiotherapy.

Kusiyana kwedhipatimendi

Chikwata chekutanga muSouth-East-Asia kuenda kukiriniki kutumidzira nyika-ye-iyo-penzura danda rekuongorora proton therapy nzvimbo. Chikwata ichi chakabudirira kuita zvemazuva ano proton therapy matekiniki enzvimbo dzakasiyana siyana dzekiriniki dzinosanganisira nyaya dzakanyanya kunetsa.

Simba redhipatimendi rinogara nebasa rakabatana rinounzwa neboka remafizikisi ezvokurapa akasarudzika munzvimbo dzakananga nechinangwa chekupedzisira chekupa tarisiro yakanakisa kumurwere.

Medical Physicist Profile

Vanachiremba vefizikisi inyanzvi dzehutano dzine dzidzo uye kudzidziswa kwakasarudzika mune pfungwa uye matekiniki ekushandisa fizikisi mukurapa. Vese varapi vefizikisi muchikwata vakapfumisa ruzivo rwepamusoro-chaiyo radiation kurapwa uye akawanda-modality imaging matekiniki, hunhu, calibration uye kuvimbiswa kwemhando yeazvino-ye-art radiotherapy uye michina yekuongorora vachishandisa epamusoro radiation detectors, phantoms uye zviridzwa.

Nhengo dzechikwata dzakawana kudzidziswa kwakasarudzika muproton beam therapy kubva kumasangano ane mukurumbira pasi rese.

• Dr. Dayananda Sharma Shamurailatpam, PhD, DipRP, MCMPI - (Musoro, Dhipatimendi reKurapwa Fizikisi)
• Dr. MP Noufal, PhD, DipRP, MCMPI, MS - (Senior Medical Physicist)
• Mr. 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)
• VaMayur Sawant, M.Sc., DipRP - (Medical Physicist)
• Mr. Suryakant Kaushik, M.Sc., DipRP - (Junior Medical Physicist)

Proton kurapwa tekinoroji kuAPCC

Photon kurapwa tekinoroji paAPCC

Clinical Services

Dhipatimendi rinopa zvemhando yepamusoro zvekurapa fizikisi masevhisi kubva pakutanga kutumwa kusvika kuzuva nezuva masevhisi ekiriniki uye kuongororwa kwakakosha kune akasiyana hunyanzvi mukati mechipatara kunyanya muRadiation Oncology, Diagnostic radiology uye Nuclear Medicine.

Kushanda: Hunhu hwekushanda kwemidziyo mitsva inogadzira mwaranzi, software inoenderana nayo uye michina yekuwedzera inoyerwa uye inoongororwa zvakanyatsonaka zvichitevera mitemo yakasiyana-siyana yenyika nepasi rose. Kushanda zvakanaka kunovimbisa mvumo kubva kusangano renyika rinotonga uye kushandiswa kwakachengeteka kwemidziyo pakurapa varwere. KuAPCC, PROTEUS-PLUS neRadiXact-X9 HT system pamwe chete neRayStation (RaySearch Lab, Sweden) nePrecision (Accuray, USA) TPS dzakapihwa basa rekurapa varwere vachishandisa radiotherapy ine manyuko epamusoro vachishandisa photon neproton. Chikwata chedu chinoramba chichigadzira matekiniki matsva ekurapa uye kliniki inoshandiswa mushure mekusimbiswa kwakakura. Kunze kweizvozvo, chikwata chakapawo mabasa ekugadzira mifananidzo akasiyana-siyana anosanganisira Aquilion-LB Wide bore CT (Toshiba, Japan) uye Biograph Vision Digital PET-CT (Siemens, Germany).

Kuenzanisa: Nyanzvi dzefizikisi dzinoyera uye dzinoongorora huwandu hwemwaranzi hunoshandiswa nemidziyo yakasiyana-siyana inogadzira mwaranzi vachitevera mutemo wepasi rose uye vanoona kuti hunoenderana nezvinodiwa nemutemo wekutanga.

Kuvimbiswa Kwemhando: Kuti murwere apihwe mushonga wemwaranzi wakachengeteka uye wakarurama, dhipatimendi rinoita ongororo dzakawanda dzemhando yemichina yekupa mishonga (PROTEUS-PLUS neRadiXact-X9 HT) nezvimwe zvinhu zvine chekuita nayo panguva dzezuva nezuva, dzevhiki nevhiki, dzemwedzi nemwedzi uye dzegore negore. Dhipatimendi iri rinoonawo kushanda zvakanaka kwemichina yekufungidzira yakaiswa mumuchina weproton/photon therapy (yekusimbisa nzvimbo yemurwere isati yatanga kurapwa) nemimwe michina yekuongorora.

Kuronga Kurapwa: Varwere vakanyoreswa chero rudzi rwekurapa nemwaranzi vanofanira kugadzirira kurapwa kwenguva refu mushure meSOP yebazi. Kunotanga nekugadzirira zvishandiso zvekudzivirira kufamba zvinoteverwa nekutsanangurwa kwebundu nenhengo dzakakosha uchishandisa mifananidzo yakawanda (CT, MRI, PET). Kurapa kwakagadzirirwa kunoedzeswa paTPS uchishandisa modhi yemurwere nemuchina. Kugoverwa kwemushonga mukati memurwere kunoverengerwa uchishandisa maalgorithms eMonte-Carlo/convolution superposition akaomarara uye akarurama. Hurongwa hwekurapa hunogadzirwa hunoongororwa nechikwata cheRadiation oncologist neMedical Physicist kuti vave nechokwadi chekuti chinangwa chekiriniki chazadzikiswa.

Kuronga Kurapa kweProton: Kufambira mberi kwetekinoroji kwePROTEUS-PLUS kunotigonesa kuronga nekurapa murwere wedu nenzira yepamusoro-soro yeIntensity Modulated Proton Therapy (IMPT). Kuronga kurapwa kweIMPT kunoitwa muRayStation TPS. Kunosanganisira kugadzirisa kwakaoma kweproton energy staking yakawanda nezviuru zvemapoinzi eproton, nzvimbo dzawo, nzvimbo uye huremu kuti uwane dose yakafanana nebundu uye kuchengetedza matishu ari pedyo. Isu tinoshandisa SFO, MFO, Hybrid uye Robust optimization zvichienderana nekuomarara uye zvinodiwa pakurapwa. 4D robust optimization, Layer uye volumetric re-painting IMPT zvinoshandiswa pakurapwa kwebundu rine simba. Adaptive IMPT inoitwa nguva dzose panzvimbo dzekiriniki dzinoratidza zviratidzo.

Kuronga Kurapa nePhoton/High Energy X-ray: Zvirongwa zvekurapa nemwaranzi yePhoton zvinoitwa paPrecision TPS uchishandisa helical intensity modulated radiotherapy (IMRT) yenzvimbo dzese dzekiriniki. SBRT, frameless SRS, SRT uye adaptive radiotherapy zvinowanzoitwawo kune vanhu vakataurwa. Kunze kwekurapa nzvimbo dzakawanda dzakaoma dzekiriniki, takatangawo Total marrow irradiation (TMI)/Total marrow and lymphoid irradiation (TMLI) kekutanga muIndia.

tsvakurudzo

Dhipatimendi reMedical Physics kuAPCC rinoshanda nesimba nekuita mabasa ekutsvaga ane chekuita nekufungidzira kwemhando dzakasiyana-siyana uye yakakwirira chaiyo radiotherapy ichishandisa ese proton uye photon beam.

Zvido zvedu zvekutsvaga zvazvino zvinosanganisira, in-house software kuvandudza, kuferefetwa kwehunyanzvi hwekurapa, hungwaru hwekugadzira uye kudzidza muchina, in-vivo uye in-vitro cell-line kudzidza, kugadzirisa mibvunzo isina kupindurwa, hombe-data kubva muchina log-faira nezvimwe.

Dhipatimendi rine akawanda arikuenderera mberi intramural mapurojekiti uye chirongwa chekushandira pamwe neane mukurumbira masangano muIndia nekune dzimwe nyika. Dhipatimendi iri zvakare riri kuita zvechimbichimbi muzviyedzo zvekiriniki uye mapurojekiti ekutsvagisa achiongorora kuendeswa kweiyo ionizing uye isiri-ionizing radiation kuvarwere nekuda kwekuongorora uye kurapa.

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