HCG Apex Oncology Hospital in Borivali, Mumbai, is a state-of-the-art, eco-friendly facility with 200 beds and advanced treatment options like radiation oncology and transplants. It features cutting-edge technology, including Elekta's Versa HD linear accelerator for precise cancer treatment and a Hexapod Evo system for accurate patient positioning. The hospital offers comprehensive daily checks, ensuring operational efficiency and adherence to safety protocols.

1. HCG APEXONCOLOGY HOSPITAL LLP
BORIVALI MUMBAI
SUNIL MURALI MAURYA
PUTTING ON/OFF PROCEDUREOFVERSAAND IMAGINGVERIFICATIONS , DAILY CHECK UP,
TROUBLE SHOOTS

2. HCG Apex Oncology Hospital - with NABH & JCI compliance.
It’s a Green Building (Eco Friendly Gold to Platinum rating) Hospital
•200 Beds Centrally A.C. hospital in Borivali, Mumbai
•Facilities of 2 Linear Accelerator for Radiation Oncology , Brachy Therapy, PET CT, Gamma Rays Machine
& Bone Marrow Transplant & Liver Transplant Facilities
•This is being first Private Cancer Hospital in Mumbai, Maharashtra

3. • DEPARTMENT OF RADIATION ONCOLOGY
• MEDICAL LINEAR ACCLERATOR –
ELEKTAVERSA HD with
APEX tm MLC (2.5mm).
Hexapod evo (hexapod couch)

4. • VERSA HD (ELEKTA)
conformal beam-shaping technology and High Dose rate mode delivery,Versa HD is designed to
provide the precision and speed necessary to deliver advanced stereotactic radiotherapy (SRT)
and stereotactic radiosurgery (SRS), techniques that demand the maximum accuracy in tumor
targeting and protection of critical structures.
• Reduce treatment times with rapid leaf speeds and high dose delivery
• Provide the potential to deliver SBRT/SRS in a standard time slot
• Lower non-therapeutic doses to protect organs-at-risk and potentially reduce the risk of
secondary cancer
• Exploit the full potential of high doses for advanced therapies by eliminating previous leaf
speed limitations
• Provide custom configurations for unique clinical needs
• Utilize the latest imaging technology to allow soft tissue visualization during treatment

5. Hexapod evo :
• The Hexapod evo RT System is guided by an infrared-camera that enables sub-millimeter patient
positioning accuracy in six degrees of freedom – correcting translational errors (x, y, z) and rotational
errors (roll, pitch, yaw).The result is improved clinical workflow and increased clinical confidence.
Accurate and remote geometric corrections of any misalignments detected by state-of-the-art image
guidance systems are enabled by the Hexapod evo RT System, yielding precise corrections in six
coordinates for IMRT, IGRT,VMAT and SRT tumor targeting.
• Improved patient access with lower loading and unloading height
• Computer-controlled robotic treatment couch top
• Six degrees of freedom (x, y, z, roll, pitch, yaw)
• Remote positioning correction
• Achieves sub-millimeter positioning accuracy with no additional manual corrections
zero fiddle factor
• IGUIDE graphical user interface is easy to use and self-explanatory
• Specifically designed for IMRT, IGRT, SRT and volumetric modulated arc therapy (VMAT

6. APEX DMLC:
Apex DMLC brings additional versatility to treatments on an Elekta linear accelerator. Apex
facilitates practice expansion into stereotactic treatments while enabling a range of additional
clinical applications.
2.5mm high resolution beam shaping ideal for small fields
• Uniform low transmission and small linear penumbra
• Sharp dose gradients reduce unwanted dose, enabling dose escalation
• Easy attach and release mechanism
• Largest treatment aperture of 12 cm x 14 cm with interdigitation

7. • Switching on theTREATMENT CONTROL SYSTEM
To switch onTCS.
1 Set the mains isolator for the digital accelerator to ON.
2 Make sure that the coolant system is on (chiller system).
3 UPS supply is ON state
4 Temperature and humidity level maintained in treatment room
5 Switch on theTCS monitor.
6 Press the reset and power button on the BMDM
7 Make sure that the console start window appears,
8 system test on the database andTCS are completed
9

8. 1 Logon to “Integrity” then system is ready for logon in clinical as well as
For service mode , by selecting “username” & “password” it will redirect
To the screen mode with closed state.
WhenTCS switch on then the digital accelerator is in closed state

9. 1 Simultaneously MOSAIQ system is also booted and XVI SYSTEM & IVIEWGT SYSTEM is
also turned to on state,
2 And application for all three i.e. mosaiq , xvi, iviewgt is also launched with authorized “
username” and “password”.
3 Mosaiq console iviewgt console xvi console

10. 1 IMAGEVERIFICATION INVERSA HD (EKELTA)
Image verification inVERSA HD can be done in 2 modalities
i.e XVI (x-rays volume imaging) & IVIEWGT (electronic portal imaging device)
• XVI (x-rays volume imaging):
it’s a cone beam computed tomography acquired by the arms situated 90’ to gantry head along
with image detector on opposite side.
• kV source and kV imaging panel at 90º to treatment line
• used for three imaging modes: planar, fluoro, CBCT
• mounted on arms that are motorized to varying degrees.

11. • XVI console: Comprises of
• Contranst& brightness adjusting pannel.
• Patients details
• Treatment site
• Field ( SITE DRR)
• Images ( series of accquired images with dates)
• Inhibits
• Kv acquisition mode

12. IviewGT: EPID ( electronic portal imaging device)
electronic system for radiotherapy imaging i.e. captures portal images which it displays for
viewing and stores for later reference & comparison
FUNTIONS:
• Image detection: by means of scintillator plate attached to an amorphous silicon
detector
• Image acquisition: detector transmit the images via. Digital cable to computer frame
grabber.
• Image processing: systems offers range of option for superimposed graphics, multiple
exposure and selectively enlarged images through high speed analysis
• Image display: high resolution tft monitor for display

13. iviewGT console: like XVI console IVIEW GT Comprises of
• Contranst& brightness adjusting pannel.
• Patients details
• Treatment site
• Field ( SITE DRR)
• Images ( series of accquired images with dates)
• Inhibits
• Mv acquisition mode

14. DAILY CHEKUPS AND TROUBLE SHOOTS:
The temperature and humidity level maintained in treatment machine
room.
Machine warmup process with all energy’s along with all safety
interlock’s (inhibits).
Daily laser and iviewGT checkups & alignments test has been perform
with QA phantom (quasar penta-guide)
Daily log files of machine warmups and all major inhibits has been noted.