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Department of Radiation Oncology

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Page 1: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Department of Radiation Oncology

Page 2: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Facilities Available3 Linear Accelerators Namely

1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating to deliver treatments

with modern techniques: IMRT, Rapid Arc, Etc.Brain lab Accessories to carry out SRS /

SRT / SBRT / IMRS treatments.2. Clinac ix with 2 photon and 5 Electron beems.

OBI and RPM – Gating to carry out Image Guided Rapid Arc treatments.3. Clinac – 600C with 6MV single photon beem4. HDR – Brachytherapy Unit 5. 4D Treatment Planning Systems 6. ARIA Networking Systems

Page 3: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating to deliver treatments with modern techniques: IMRT, Rapid Arc, Etc.Brain lab Accessories to carry out SRS / SRT / SBRT / IMRS treatments.

Page 4: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Clinac ix with 2 photon and 5 Electron beems.OBI and RPM – Gating to carry out Image Guided Rapid Arc treatments.

Page 5: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Clinac – 600C with 6MV single photon beem

Page 6: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

HDR – Brachytherapy Unit

Page 7: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

4D Treatment Planning Systems

Page 8: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

All the above equipment are networked with Varian ARIA networking system.

Page 9: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Facts about Cancer

Cancer World wide – The Global pictureThe report of international agency for Research and Cancer (WHO) syas that.● Cases of Cancer dubled Globally

between 1975 and 2000.● Cancer cases will duble again by 2020● Cancer cases will nearly triple by 2030

Page 10: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

There were an estimated 12 million new cancer diagnoses and more than 7 million deaths world wide this year.

The projected numbers for 2030 are● 20 to 26 millions new cases and● 13 to 17 million deaths

Page 11: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Reasons for the increased rates include Adoption of tobacco use Higher fat diets Demographic changes Pollution and release of carcinogenics in the

environment including population increase by the year 2030

Page 12: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Cancer in INDIACancer has become one of the 3rd leading causes of death in India. It is estimated that

1.5 to 2.0 million cancer cases at any given point of time

Over 7 lakh new cases of Cancer and 3 lakh deaths per year.

Nearly 15 lakh patients require facilities for diagnosis, treatment and fallow up at a given time.

The total cancer burden in India will become double by 2026.

Page 13: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Cancer Scenario in AP● About 1 lakh new cancer cases per year ● About 2 lakh patients require facilities for diagnosis,

treatment and fallow up at any given time ● At present about 200 new cases are diagnosed

every day ● WHO report says that about 100 cancer centres are

needed in Andhra Pradesh.

Page 14: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

The most common cancers in AP are:● Head & Neck, Lung, Rectum, Prostate

and Esophagus cancers etc. in men and ● Cervix, Breast and Ovarian Cancers in

women patients.

Page 15: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Lung

Stomach

Multiple myeloma

Leukaemia

Colon

NHL

Cervix

Breast

Melanoma

Lung

Stomach

Multiple myeloma

Kidney

Colon

Prostate

Bladder

Hodgkin's lymphomaW

om

enM

en

2%6%8%

13%15%

22%34%36%

43%45%48%

52%61%

68%76%79%

83%90%

3%6%7%

12%13%

24%38%

45%45%46%

51%61%

67%71%

78%84%

95%

Five-year relative survival

10-50% survival: 29% of cases diag-

nosed

More than 50% survival:

38% of cases diagnosed

less than 10% survival: 24% of cases diagnosed

More than 50% sur-vival:

50% of cases diag-nosed

10-50% survival: 27% of cases diagnosed

less than 10% survival: 15% of cases diagnosed

Relative five-year survival estimates of cancer cases observed during 2000-2007, by sex and site are as shown below

Page 16: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

The modern and revolutionised innovative treatment techniques have improved the above shown survival rates of the cancer patients.

Presently if the cancer case is diagnosised in early stage it can be treated with modern techniques success fully for its cure and 100% survival of the patient.

Page 17: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Keeping the above facts in view, the KIMS unveils an Advanced World Class and a first of its kind Ultra Modern Cancer Care Facility designed for Accurate Diagnostics and Precise Treatment with an investment of over Rs.100 Crores.

Page 18: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Some of the latest treatment techniques

Available in KIMS Cancer Centre such as Image Guided Rapid Arc and SRS / SRT treatments are shown below to give you an idea of treatment procedures

Page 19: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating
Page 20: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

Brian Lab SRS Treatment

Page 21: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

The patient tracking during the treatment by ExacTrac System of brain lab

Page 22: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

The moving tumors due to breathing can be treated with RPM – Respiratory Gating System

Page 23: Department of Radiation Oncology. Facilities Available 3 Linear Accelerators Namely 1. Novalis Tx with 2 photon and 6 Electron beems. OBI and RPM – Gating

RPM – Respiratory Gating System is a state of art gated radiation delivery for the tumors inside or near the moving organs of the body like lung, breast, and upper abdominal sites. Treatment is planned by using 4D CT images of the patient in conjunction with computerized dose calculations which takes care of the tumor motion in different phases of breathing during the treatment.

Real time Position Management (RPM) – Respiratory Gating System