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Radiation therapy of oral cancers

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Kidwai Memorial Institute of Oncology, Bangalore
Kidwai Memorial Institute of Oncology, Bangalore
Health & MedicineTechnology
1 of 41
Radiation Therapy of Oral Cancers Dr. V. Lokesh M.D Professor & Head of Unit Department of Radiation Oncology, Kidwai Memorial Institute of Oncology, Bangalore
[object Object]
Introduction ,[object Object],[object Object],[object Object],Transmission Attenuation Scatter Absorption Rad / Grey / cGy
Cancer Cell & Ionizing Radiation ,[object Object],[object Object],[object Object]
RT is a Double Edge Sword
↑ RT Dose ↓ RT Dose ↑ T – Control ↓ T – Control ↑ Normal Tissue Toxicitites ↓ Normal Tissue Toxicitites
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Kilovoltage X-Ray 1920
Telecobalt 1970s
Linear Accelerator ,[object Object],[object Object]
True Beam
Brachytherapy
RT in Oral Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RT Combinations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications for RT in Oral Ca ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIOTHERAPY DOSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
pre- radiotherapy Dental Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RT Techniques ,[object Object],[object Object]
Mould Room ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Simulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conventional 2D Planning
 
 
3D CRT / IMRT
Laser setup
Virtual Simulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
PLANNING : ECLIPSE / HELIOS
CONTOURING
Fusion ,[object Object],[object Object],[object Object],[object Object]
IMRT: FIELD
IMRT : PLAN
Neck node Coverage
Acute side effects ,[object Object],[object Object],[object Object],[object Object],[object Object]
5 YR SURVIVAL STAGE 1 STAGE II STAGEIII STAGEIV T 3/4 Lip 90% <60-30% 30% Anterior Tongue 69% 41% 25% S+R - 35% 15% 33-60% Buccal Mucosa 77% 65% 27% 18% 33-67% Floor of the Mouth 97% 72% 51% 20% 33-67% Lower Gingiva Retromolar Trigone 70% 50-30% 30% 30-50% Upper Gingiva Hard Palate 75% 46% 36% 115
During radiotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
After radiotherapy ,[object Object],[object Object],[object Object]
Follow-up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Salvage treatment for recurrent disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thanking you

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