Radiation Oncology Department offers the most modern high-precision radiation treatments supported by a team of experienced doctors, physicists, technologists, radiation nurses, etc. Radiotherapy may be applied for curative purposes, to treat the patient, or for palliative reasons, to treat metastases, especially in the brain, or to relieve pain from bone metastases. It is sometimes used alone, for example, to treat some brain, lung, or gynecological tumors that cannot be removed surgically. It is also regularly used in combination with surgery and drug treatments as part of a multidisciplinary approach. Radiotherapy can often help avoid disfiguring surgery and thus save the affected organ (breast, rectum, ENT organs).
Types of Radiations
- External radiotherapy is the most frequent form. It involves delivering an electron, photon, or proton beam (proton therapy) via a particle accelerator into the volume of the tumor.
- Brachytherapy involves putting radioactive sources in contact with or inside tumors, for more targeted treatment. It can be prescribed for certain prostate, gynecological, anal canal, and eye cancers.
The main biological effect of ionizing radiation is to break the DNA strands of the tumor cells – either directly or through the formation of free radicals – which leads to the death of these cells.
Every radiation treatment requires a period of preparation, during which the specialist makes a precise calculation of the volumes to be irradiated based on scans performed in the treatment position, sometimes merged with MRI or PET-scan images. These images also make it possible to locate the healthy organs adjacent to the treated volume and to draw up a personalized treatment plan for each patient.
The precision of the treatment’s delivery and the quality controls implemented are crucial to ensuring the most effective results possible.
The estimated dosimetry is prepared by dosimetrists, checked by medical physicists, and validated by radiotherapy oncologists. The treatment plan’s parameters are verified by the radiophysicist.
The positioning of the patient on the treatment table is carefully checked every day. The dose actually received is systematically measured and compared to the planned dose. Throughout treatment, a weekly medical consultation provides for strict medical follow-up.
Radiotherapy at MVRCCRI
- A Multi-disciplinary Tumour Board comprising doctors from all specialties discusses the treatment plan for every patient. Then a Radiation Oncologist counsels and informs the patient about the detailed plan.
- We have a unique program called ‘Chart Rounds’ that bring together all the doctors collectively to review all the plans and make corrections, wherever necessary.
- Two modern LINACs or Linear Accelerators (Elekta Versa HD with add-on Apex Dynamic 2.5 mm MLC and 6 D Couch) for treatments like Sterotactic Radiosurgery, Sterotactic Body Radiotherapy, Image Guided Radiotherapy, Arc based therapies, Intensity Modulated procedures as well as Cone beam CT verification.
- Montecarlo-based planning systems and a unique Dolphin System for quality assurance.
- Nucleotron Microselectron – An 18 channel HDR brachytherapy machine with an Oncentra Planning System which is used currently for various procedures including Intracavitary brachytherapy for Gynecological malignancies, MUPIT (Martienz Universal Perineal Interstitial Template) based interstitial brachytherapy, catheter-based brachytherapy for soft-tissue sarcomas, and intraluminal brachytherapy for esophagus, endobronchial brachytherapy for lung, endobiliary brachytherapy etc..
Respectfully called MVR, the late MV Raghavan was one of the revolutionary leaders of the Communist movement in Kerala. Born in an ordinary family in Pappinissery, Kannur, his political life began in his early teens. He served two terms as Minister of Co-operation and Ports in Kerala during 1991-1996 and 2001-2006. MVR revolutionized the co-operative sector by taking the people-powered movement to healthcare and education in the State. MV Raghavan realized the role of the co-operative movement in social development and job creation and he was instrumental in setting up various institutions in the state.