RADIATION ONCOLOGY

Together with the nursing and supporting staff, we offer in-patient services to those who need intensive care during or after Radiation Therapy. Services are also provided to patients who wish for hospital stay during the course of treatment or those who require Chemotherapy.We also have 24x7 Oncology ICU service for those who need critical care with highly trained ICU nursing and supportive staff.

Highly precise technique that allows delivery of high dose radiation to conform to small tumors in a very short period of time.

Treats both benign and malignant brain and spine tumors.

To treat tumors in chest, abdomen or pelvis that cannot be removed surgically or treated with conventional Radiation Therapy.

It involves using very secure immobilization of the head or body as well as using techniques that allow the radiation beam to account for organ motion during treatment.

Our first SBRT to the Liver was successfully done in January 2023 .

External beam radiation therapy that can be completed in 1 to 5 treatments, with extreme accuracy, minimizing the effect on adjacent critical organs. 

Suitable for small-well defined tumors.

Advanced imaging modalities with in-room imaging facilities to adjust for tumor motion or patient setup accuracy between treatments. This allows for more accurate delivery of radiation. We use 2D based kV and MV imaging or 3D based Cone Beam CT. This technique is used for prostate, lung, breast malignancies as well as SRS, SBRT. 

Advanced radiotherapy technique which uses inverse planning and dose calculation while delivering highly conformal radiation. The radiation beam is broken up into many beamlets and the intensity of each beamlet can be adjusted individually. It safely allows a higher dose of radiation for improved tumor control with significant sparing of organs at risk. 

Successful treatment outcome in radiation oncology is based on irradiation of tumor-bearing tissues to adequate, or curative doses; and the sparing of normal, or uninvolved, tissues from unnecessary radiation. The radiation beams can be precisely tailored to the size and shape of the tumor using MLCs. 

Time-tested and reliable radiation technique; cost-effective.

Most often used for palliative intent Radiotherapy .

Management of primary malignant bone tumors of the extremity has changed dramatically over the last few decades. Amputation has been replaced by limb-conservation therapy. One approach for limb reconstruction is reimplantation of the tumor bearing bone following extracorporeal irradiation. Here the tumor bearing bone segment is resected, treated with a single fraction of radiation therapy extracorporeally and re-implanted with fixation devices. ECI is done in collaboration with the Department of Orthopaedics.

As part of conditioning regimens for acute leukemia and to deliver organ spared targeted Radiotherapy in those undergoing Hematopoietic cell transplantation 

More targeted forms of Radiotherapy which have the potential to decrease toxicity and escalate the dose to the entire body bone marrow

Radio-active source (Iridium-192) is placed within the body cavity or tissue using applicators and radiation is delivered.

Brachytherapy is suggested for Endometrial Malignancies as day care procedure. The treatment takes about 5-15 minutes. 

Brachytherapy for cervical malignancies are done under short GA, for whom IP services are provided. The treatment schedule which includes 3 applications is completed in 1 week time. 

Majority of the cases dealt by the Radiation department at Amala IMS are Endometrial, Cervical and Vaginal Malignancies. Our physicians also have expertise in Endobronchial Brachytherapy. 

 PG Training

 MD program was started in 2017. The department has an annual intake of one PG resident for the course of MD Radiation Oncology (duration 3 years). As per NMC regulations,  patient-oriented course with experience in outpatient and inpatient care, planning and execution of treatment, Brachytherapy and chemotherapy training, is offered. Academic training sessions include Radiation Oncology lectures, Radiation Physics classes, regular journal clubs, case presentations and discussions. PGs are also posted in various departments such as Nuclear medicine, Radiology, Medical Oncology, Surgical Oncology, Pain and Palliative Care, ENT and Pathology. 

 UG Training

As per curriculum, UG residents are posted for a 1 week period during their 2nd year of MBBS and internship. They are offered training in basic knowledge in Oncology, along with OP and IP care. End posting exams, which include case presentations and discussions and role play are conducted on a regular basis.   

DRT Training, M.SC. Oncology

 Regular classes, hands on experience and training are provided on patient care, Radiotherapy treatment techniques, with regular exams being conducted.