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Radiation Oncology AT WORLD CLASS HOSPITALS IN INDIA

The latest available Radiotherapy Machines at our affiliated hospitals

Highly skilled team of Radiation Oncologists, many of whom are educated and trained abroad at leading hospitals and have gained valuable knowledge, skills and experience to deliver clinical outcomes at par with global standards.

NABH and JCI accredited world class hospitals having state of the art facilities.

CyberKnife Vsi

The CyberKnife Robotic Radiosurgery System is a non-invasive alternative to Onco-surgery for the treatment of both malignant and non-malignant tumors anywhere in the body, including the prostate, lung, brain, spine, liver, pancreas and kidney. The treatment delivers beams of high dose radiation to tumors with extreme accuracy.

Gamma Knife

Gamma Knife is an advanced radiation treatment for small to medium brain tumors, abnormal blood vessel formations called arteriovenous malformations, epilepsy, trigeminal neuralgia, a nerve condition that causes chronic pain, and other neurological conditions.

IGRT (Image guided Radiation Therapy)

Image-guided radiation therapy or IGRT is the process providing radiation treatment  while taking  frequent two and three-dimensional images during the course, in order to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

IMRT (Intensity Modulated Radiation Therapy)

Intensity-modulated radiation therapy IMRT is an advanced radiation technique used to treat cancerous and noncancerous tumors. IMRT uses advanced technology to manipulate photon and proton beams of radiation to conform to the shape of a tumor.

Radiation Therapy

Radiation Therapy

Radiotherapy or Radiation therapy is the treatment of cancer by directing radiation from radioactive materials to the affected area. It can be used as a curative or palliative treatment of cancer. Radiotherapy may be used separately or in conjunction with chemotherapy and surgical treatments of cancer.  Sometimes, even benign tumors can be treated by radiation oncology. As mostly it is used with other treatments, oncologists work in a team to provide holistic approach to treatment. The biggest benefit of radiation therapy is our ability to direct it at specific areas of the body. This reduces the bad effects of radiation and protects the neighbouring normal cells in the body from damage. To do this a mould of the patient’s affected body part is made to keep him/her still for those 2-3 minutes of radiation therapy everyday. Radiation is given in parts and the time a patient is exposed to is defined by the radiation oncologist as prolonged exposure has its own side effects.

 

In case of IGRT or IMRT the sessions required may number upto 30. Each day the patient visits the centre and receives his dose of radiation at the designated area of the body for a designated amount of time. The entire process takes roughly half hour every day. Patients in most cases receive the dose from Monday-Friday and are given two days rest before starting again next week.

 

Cyberknife and Gammaknife are much more accurate and precise being the latest forms of radiation therapy. They require less no. of sessions in comparison to IGRT/IMRT because of their ability to direct radiation at larger area in one go and hence being able to take care of larger tumors as well.

Our centers have trained team of expert oncologists, who figure out the exact type of treatment required by the patient. Once determined, the perfect combination or individual treatment is given to him. This makes us one of the best destinations for cancer treatment in the world.

COMPREHENSIVE RANGE OF ADVANCED SERVICES OFFERED BY HEALTH & HOLIDAYS

Our staff is sensitive to the needs of the patients and stand with you every step of the way.  They are capable to deliver assistance 24*7 in case of emergencies.

  • Pre-arrival, no-obligation free quote for your medical condition along with consultations and selection of best doctor/hospital

  • At H&H, all our assistance services are complimentary and you are not charged extra at the hospital if you go through us or go directly. Rather we have the capability of getting you the best prices.

  • Dedicated case manager as one-point contact for all your needs while you are here with us,also responsible to help you get the best price for your procedure

  • Complimentary Airport Pick-up/Drop, Translation,Interpretation services and assistance in choosing the best accommodation.

  • Complete assistance in making the right decisions when choosing the best procedure and full support during your stay at the hospital

  • When you’re back in your home country, we are always a click/call away for your regular follow-up, your visit was just the beginning of our relationship

Pre – Radiation

A cancer patient when he arrives at our centre is thoroughly examined and investigated by our team of specialists. He/she shall undergo various scans including PET-CT, CT, MRI, etc as need be along with other necessary investigations. These are done to assess the current status of the disease in the patients body. Once all the investigations results are collated, the doctor chooses and advises the best approach for the treatment of cancer (Surgical, Radiation or Chemotherapy/hormonal therapy). If the patient is advised Radiotherapy, he/she is referred to a radiation oncologist and a treatment plan is prepared. He/she is explained the course of the Radiotherapy with the no. of sessions required. Once all details are explained and patient accepts them, a date of admission is given to the patient. For the first dose a patient is admitted and further sessions are done on an outpatients basis. The patient visits the centre for 30 mins each day a session is scheduled.

Post – Radiation

Radiotherapy is the treatment of cancer by directing radiation from radioactive materials to the affected area, which has its own minor side-effects. One of the vital roles of a radiation oncologist is to manage these post-radiotherapy side effects. Patient is kept under regular follow-up during the course of the treatment. While the patient is undergoing treatment, various drugs are provided to manage expected complications like nausea. Patient’s blood counts are kept under a check and if need be various growth factor injections or supportive treatments are given to reduce the side effects. One of the primary things to notice for a post-chemotherapy patient is occurrence of fever or diarrhoea. The patient is also prescribed some drugs on the last day of radiation although he/she is fit-to-fly immediately after the last dose.

Brachytherapy

What does Brachytherapy mean? 
Brachytherapy  is also known as Radioactive seeds. Brachytherapy is a kind of radiation therapy used in cancer treatment. In radiation therapy, ionizing radiation is used to abolish cancer cells and reduce tumors. But in  brachytherapy, radioactive material is put directly on the tumor. 

Brachytherapy that includes using the radioactive seeds is called Permanent Brachytherapy. The radioactive seeds are placed in or near the tumor and are left there permanently. After several months, the radioactivity level of the implant reduces to nil. The seeds are inactive and remain in the patient’s body without any lasting effect. 

Brachytherapy is used to treat cancers of the uterus,  cervix, head and neck, skin, prostate, breast, gallbladder, vagina, lung, rectum, and eye. 

How Permanent Brachytherapy is performed:- 

  • A needle containing radioactive seeds is placed into the tumor.
  • Other imaging tests may also be performed after the seeds been implanted to verify the placement of the radioactive seeds.
  • The physician may use X-rays and CT scans to position the seeds in the correct place.
  • The needle is removed and the radioactive seeds are inserted inside the patient’s body.


How to prepare for Permanent Brachytherapy? 
The patient may require to do some of the following preparations:

  • Blood tests
  • Chest X-rays
  • Pre-treatment ultrasound, CT scan or MRI
  • Electrocardiogram
  • Bowel preparation

 


Side effects: 
Side effects of brachytherapy differ according to the location of the tumor. 

Acute side effects that last for a few days consist of the following:

  • Localized bruising
  • Bleeding
  • Swelling
  • Discomfort or discharge at the implant site
  • Fatigue


Acute side effects of brachytherapy related to cervical or prostate cancer are:

  • Urinary incontinence
  • Urinary retention
  • Diarrhea
  • Painful urination
  • Minor rectal bleeding
  • Constipation
  • Rare chance of seeds migrating outside the treatment site and into the bladder and passed in the urine


Acute side effects of brachytherapy related to skin cancer are:

  • Shedding of the skin’s outer layer
  • Ulceration

Days admitted :A few days of hospital stay may be required after a permanent brachytherapy, depending on the dose and location of the implant. 
As the radiation becomes less day by day, the patient gets discharged from the hospital.

Anesthesia :General anesthesia may be managed while the implants are inserted into the patient’s body.

Recovery :Most patients are able to return to regular activities within a few weeks after brachytherapy.

Risks :Long-term risks of brachytherapy may result from damage of tissues and organs. 
These include:
– Erectile dysfunction in cases of prostate cancer
– Scar tissue and fat necrosis in cases of breast cancer

– Urinary and digestive problems in case of cervical and prostate cancer

After care :– The patient should follow the aftercare command very carefully.
– The level of radiation is very low and affects only tissues that are around a few millimeters of the tumor. As a precautionary measure, patients are advised not to hold infants and small children. They should also avoid being too close to women who are pregnant

 

Intensity Modulated Radiation Therapy (IMRT)

Intensity Modulated Radiation Therapy (IMRT)

Intensity Modulated Radiation Therapy (IMRT) is an advanced radiation therapy that utilizes high precision techniques for reducing the damage to healthy tissues. A computerized plan is organized by the doctor to control the accurate amount of radiation to be pointed at the cancer growth. The computer helps in controlling the exact location, size, and shape of the cancer in order to control the amount of radiation required to eliminate the cancer cells. A high dose of radiation is used on the cancer cells, while radiation to the healthy cells is minimized.

Since effective and high radiation can be delivered to cancer tumors without causing harm to normal tissues, the side effects of IMRT are minimized compared to conventional radiotherapy methods.

What types of cancer are treated by IMRT?

IMRT is mostly used in the treatment of cancers of the prostate, head and neck, and central nervous system.

Additionally, IMRT is also used in some cases of lung, breast, thyroid, gynecological, and gastrointestinal malignancies along with several kinds of sarcomas.

How to Prepare for IMRT?

  • The patient’s physical appraisal and analysis of medical history will be executed.
  • A treatment simulation session will be managed a week before the IMRT session. During simulation, CT scans will be performed. With this system three-dimensional shape of the tumor and normal tissues are identified.
  • The information derived from the CT scan is used to design the beams used in the IMRT treatment.
  • Some patients may require a special device to help the patient keep an accurate position during the IMRT procedure. For this a treatment development session may be required.
  • Positron Emission Tomography (PET) and Magnetic Resonance Imaging (MRI) may also be required to identify the exact location of the tumor.
  • Colored ink markings are made on the patient’s skin to assist the alignment and target of the IMRT machine.

IMRT is Performed:

  • The patient needs to lie down on the treatment table.
  • Marks made on the patient’s skin will help to determine the location where the treatment is required.
  • Special target may be used to block the machine fromdefined body parts, which help in secure the healthy tissues.
  • The patient is required to stay still during the IMRT to protect the accuracy of the radiation.
  • The radiation machine is controlled from another area near the treatment room.
  • The radiation therapist will observe the patient on a display monitor or through a window.
  • The machine will move around the patient’s body to give radiation from different angles.
  • The patient may need to change the position from time to time during the procedure.

 

Duration of procedure/surgery :Each IMRT session lasts for 10 to 30 minutes.

Number of sessions required :The number of sessions required depends upon the size of the cancer and the common health of the patient.

The sessions are generally done five days a week, for four to eight weeks.

Days admitted :IMRT is completed as an outpatient procedure.

Recovery :– The patient can execute regular activities after the treatment sessions.

– IMRT does not cause a patient to become radioactive, therefore precautionary measures to maintain distance from other people are not required.

Risks :There are early and late side effects. Early side effects occur immediately after the treatment and last for a few weeks.

The early side effects are as follows:

– Fatigue

– Difficulty in eating and digestion

– Nausea and vomiting

– Diarrhea

– Headaches

– Urinary problems

– Swelling and soreness at the treatment site

– Skin sensitivity, redness, irritation or swelling

– Skin dryness, peeling, itching and blistering

– Hair loss

– Problems while swallowing

Late side effects are rare and occur months or years after the IMRT procedure. They are as follows:

– Problems related to the brain, spinal cord, lungs, kidney, colon, rectum, joints and mouth

– Infertility

– Lyphedema

– Secondary cancer

After care :The patient should contact the doctor if the following symptoms occur:

– Pain that does not become less

– Lumps or swelling in the body

– Unusual weight loss

– Fever and cough that does not cure

– Diarrhea, vomiting, nausea and appetite loss

– Rashes and bruises

– Any other symptoms of sickness

 

COST ESTIMATE

Cost Estimate :- Though the cost is dependant on the dose of radiation and no. of times its required below are rough estimates to keep you informed

 

IGRT/IMRT – $ 4000-4500 for 22 doses approximately.

 

Gamma Knife – $ 7000 for 5-7 doses approximately.

 

CyberKnife – $1200-2000 for each dose approximately. We’ve had patients who require only 3 doses of Cyberknife and some have had upto 11. It variates from case to case.

Benefits

Email your Medical Reports to us. Our experts will review your case and then will arrange opinions and affordable treatment cost estimates from top doctors at 2 or 3 leading hospitals in India .

write to us

Please scan and email your medical reports at hospitalindia@gmail.com or help@healthandhospital.com and we shall  get you a Free, No Obligation Opinion from India’s leading Transplant Surgeons/ Specialist Doctors.

our Partners

Medanta – The Medicity BLK Super Speciality Hospital Bourn Hall Clinic Sharp Sight Center Center for Sight Global Hostpitals HCG Oncology Jaypee Hospitals MS Ramaiah Rockland Hospitals Columbia Asia Manipal Hospitals Artemis Health Sciences Primus Super Speciality Hospital Apollo hospital max healthcare Fortis Healthcare Medanta – The Medicity BLK Super Speciality Hospital Bourn Hall Clinic Sharp Sight Center Center for Sight Global Hostpitals HCG Oncology Jaypee Hospitals MS Ramaiah Rockland Hospitals Columbia Asia Manipal Hospitals Artemis Health Sciences Primus Super Speciality Hospital Apollo hospital max healthcare Fortis Healthcare
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