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Radiotherapy, surgery, chemotherapy, hormone therapy, immunotherapy and brachytherapy are cancer treatment options provided at Behgal's cancer hospital and radiation research institute. The institute has a radiation training institute, cancer center, and provides free standing radiation oncology services using modern linear accelerators and brachytherapy techniques. Advanced technologies like PET-CT fusion, IMRT, IGRT and stereotactic radiosurgery allow for precise targeted radiation treatment of tumors. Early detection and the latest technologies can help cure cancer or control advanced disease.
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- 1. RADIOTHERAPY SURGICAL ONCOLOGY MEDICAL ONCOLOGY DR BEHGALK S MD(AIIMS),DNB DR KANWALJIT CHAHL MS, MRCS,TMH ,RGCI
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- 4. Behgal‘s cancer hospitaland radiation research institute 1.1. Behgal’s RadiationBehgal’s Radiation Training Institute secTraining Institute sec 91 mohali91 mohali(2012) 2.2. Behgal cancer centreBehgal cancer centre ph 5 mohaliph 5 mohali((20072007) 3. FREE STANDING RADIATIONFREE STANDING RADIATION ONCOLOGYONCOLOGY STAFF:..1 RAD ONCOLOGIST ……………2 RSO physicist ……………1 dosimetrist ……………6 technicians
- 5. Behgal‘s cancer hospitaland radiation research institute 1.1. Behgal’s Radiation TrainingBehgal’s Radiation Training Institute sec 91Institute sec 91 mohalimohali(2012) 2.2. Behgal cancer centre ph 5Behgal cancer centre ph 5 mohalimohali((20072007) FREE STANDING RADIATIONFREE STANDING RADIATION ONCOLOGYONCOLOGY STAFF:..1 RAD ONCOLOGIST ……………2 RSO physicist ……………1 dosimetrist ……………6 technicians
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- 12. Then computers are used tohelp plan the best route for each beam
- 13. Sensitive areas such as theeyes and spinal cord must be avoided. brain eyes tumour
- 14. "isocenter."center of thearc of rotation of the linear accelerator "collimators” The dose plan is developed on the computer,
- 15. Radiotherapy machines arelarge and expensive Patients need to travel to a main regional hospital for treatment
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- 20. Your Title Here RTPLANNINGWITH VMAT ,ONCENTRA ,.....PET -CT-MRI FUSION ANALYTIC TARGET DESIGNATION..........A PLEASURE WORKING ON SUCH TECHNOLOGY...WITH OUR NEW ACQUISITIONS
- 22. Overview 3 DCRT3 DCRT RadiationTherapyRadiation Therapy TeletherapyTeletherapy BrachytherapyBrachytherapy IMRTIMRT IGRTIGRT DARTDART Electronic BrachytherapyElectronic Brachytherapy TomotherapyTomotherapy Image Assisted BrachytherpyImage Assisted Brachytherpy Stereotactic radiotherapyStereotactic radiotherapy Gamma KnifeGamma Knife LINAC basedLINAC based CyberknifeCyberknife
- 24. HYPERBARIC OXYGEN THERAPY Hyperbaric oxygen therapy (HBO) is a form of treatment in which a patient breathes 100% oxygen while inside a special treatment chamber. The pressure in this treatment chamber is increased to higher than normal atmospheric pressure and the patient then breathes oxygen at this higher pressure. Most treatment is carried out at twice the atmospheric pressure and no significant side effects are documented. With continuing growth all over the world Hyperbaric medicine has found a distinct role in the modern era of evidence-based medicine
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- 26. Types of RadioisotopesdependingTypes of Radioisotopes depending upon type of emissionupon type of emission γγ emitters :emitters : 226226 Ra,Ra,222222 Rn,Rn,6060 Co,Co,137137 Cs,Cs,192192 Ir,Ir,198198 Au,Au, 125125 I,I,103103 Pd,Pd,169169 Yb,Yb,145145 Sm,Sm,241241 Am.Am. ββ emitters :emitters : 3232 P,P,9090 Sr,Sr,9090 Y,Y,106106 Ru,Ru,4949 Va,Va,166166 Ho,Ho,144144 PrPr
- 27. External radiotherapy… COBALT LINEAR ACCELERATOR Brachytherapy Radiosurgery IMRT IGRT Xknife srs/sbrt Therapeutic nuclear medicine
- 28. Tumor definition inradiotherapy Process based on Computed Tomography (CT)
- 29. PET-CT-MRI FUSION TECHNOLOGY ONLY4 SUCH FACILITIES IN INDIA
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- 31. BASAL CELL CARCINOMA 56Gy------30GY(5,10,22MeV electrons)+26Gy 6mv Xrays
- 33. LONG STANDING BORDERLINE MALIGNANT ODONTOGENICTUMOR EXCISED ,INTRA OPERATIVE ELECTRON IRRADIATION WITH PRIMARY CLOSURE.......CAME TODAY 20TH DAY POSTOP AND HAPPY WITH THE COSMESIS
- 34. Multileaf Collimators Thedegree of conformity between the planned field boundary and the boundary created by the MLC depends upon: Projected leaf width. Shape of target volume. Angle of collimator rotation. RCI = Treated Volume (inside 95% isodose curve) / PTV The direction of motion of the leaves should be parallel with the direction in which the target volume has the smallest cross-section.
- 35. Radiotherapy can destroysmall lung tumors while avoiding the toxicity of thoracotomy PET-GUIDEDRadiation Therapy in NSCLC Pre-RT 2 Weeks Post-RT 6 Months Post-RT
- 37. PET-CT-MRI FUSION TECHNOLOGY ONLY4 SUCH FACILITIES IN INDIA
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- 40. Infield FailureInfield Failure Allinfield failures were located in GTV or CTV.All infield failures were located in GTV or CTV.
- 41. Why Brachytherapy? 3-Fields ExternalBeam AP-PA External Beam Brachytherapy Highly conformal
- 42. Treatments by Location Intracavitary techniques (i.e. Vaginal, Rectum) Intraluminal techniques (i.e. Lung) Interstitial techniques (i.e. Breast, Prostate) Surface applications (i.e. Skin)
- 43. Pre-radiation 6 monthspost- radiation Radiographic Response
- 44. GALL BLADDER CA. 24gyXKNIFE Stereotactic RADIOSURGERY24gy XKNIFE Stereotactic RADIOSURGERY
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- 50. Your Title Here LIMBSALVAGE
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- 53. Your Title Here YOURSUBTITLE HERE NEVER EVER LOSE HOPE ……..JUST COUNSEL PROPERLY
- 54. Your Title Here YOURSUBTITLE HERE DAY 1 DAY6 MOULD BRACHYTHERAPY
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- 64. IMAGE GUIDED TELEAND BRACHYTHERAPY IN GYNAE
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- 68. GALL BLADDER CA.GALLBLADDER CA. • OBSTRUCTIVE JAUNDICE • 60Y F • MULTIPLE LIVER METS
- 69. GALL BLADDER CA. 24gy XKNIFE Stereotactic RADIOSURGERY
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- 79. TRUS Guided NeedlesInsertion
- 80. MammoSite MammoSite is Inflatedto Position the Tissue to Receive Radiation Therapy Design allows the 192 Ir Source to be Centrally Positioned within the Applicator The192 Ir Source is Delivered Into the MammoSite and Radiation Therapy is Delivered Per the Treatment Plan
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- 83. Behgal cancer centre”snew IGRT equipment – trubeam XVI Imager Multi-leaf collimator ARTISTE ARTISTE is the world’s first linear accelerator to feature integrated 3D-volume imaging. This allows imaging of the tumor site with CT-like quality to be acquired and reconstructed immediately before treatment, with the patient already set-up in the treatment position.
- 84. Behgal cancer centre”snew IGRT equipment – VARIAN UNIQUE IGRT &IGRS
- 85. RADIATION Techniques IMRT Intensity-modulated radiationtherapy structures the dose to spare healthy tissue. RapidArc two minutes or less. IGRT Image-guided radiation therapy pinpoints a moving target. DARTdynamic adaptive radiation therapy IGBTImage-guided brachytherapy implants radiation quickly and precisely.
- 86. ORAL CANCERORAL CANCER ALL SQUAMOUS CANCERS are irritatingly resistant toALL SQUAMOUS CANCERS are irritatingly resistant to chemochemo Surgery and /or radiation remain the mainstaySurgery and /or radiation remain the mainstay With very very good resultsWith very very good results At very very low costAt very very low cost
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- 90. Example of treatment frontallobe metastasisfrontal lobe metastasis several months after radiosurgeryseveral months after radiosurgery
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- 92. Aut omat ic Image Fusi on f or crani al Anat omy
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- 96. Superior vena cavaobstruction 5gy….single fraction
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- 98. Intra operative brachytherapyfor renal cell cc
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- 102. GOOD SURGERY NORT …GIVEN ONLY BRACHY…AS SALVAGE
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- 104. Malignant Melanoma ofthe Uvea
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- 110. Your Title Here RTplanningwith VMAT ,ONCENTRA ,.....PET -CT-MRI FUSION ANALYTIC TARGET DESIGNATION..........a pleasure working on such technology...with our new acquisitions
- 111. CANCER IS CURABLEIF DETECTED EARLY AND EVEN IF ADVANCED THE LATEST TECHNOLOGY CAN ONLY HELP Thanks
Editor's Notes
- #41 All Local failures occurred usually occurred within GTV or CTV.