Radiation Oncology
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The Centre of Excellence in Radiation Oncology is located at Lower Ground Floor at Amrita Hospital and Research Center, Faridabad. Our multidisciplinary clinics and tumor boards enable us to provide a comprehensive care plan to each patient entrusted in us with his care. We work in close collaboration with Surgical Oncologists, Medical Oncologists, Pediatric Oncologists, Neurosurgeons, Pathologists, Nuclear medicine physicians, and Radiologists to ensure that every patient gets an individualized treatment plan for his ailment.
We are committed to a high degree of clinical expertise and are equipped with latest technologies for the same. Each member of the team including Radiation Oncologists, Medical physicists, Radiation Technologists and Oncology nurses are involved in providing highest standard of patient care and safety. We take extra care to treat cancer cells while sparing normal tissues wherever possible and ensure patient comfort with thorough pre-treatment planning and counselling before treatment. Multiple safety checks at every step including patient positioning, motion management, radiation planning and quality assurance ensure accurate and effective treatment delivery.
The Department of Radiation Oncology at Amrita Hospital Faridabad, combines clinical expertise, compassionate care, and advanced radiation therapies to deliver the safest, most effective treatments for cancer and benign tumors.
Mission statement
The Department of Radiation Oncology at Amrita Hospital Faridabad's aim is to provide excellence in patient care by administering the highest level of quality in a safe and caring environment. We aspire to inspire, educate, motivate, teach, and mentor a diverse team of physicians, physicists, and radiation therapists to become exceptional care takers, create techniques to improve community outcomes, and become future leaders in academic medicine and/or healthcare delivery. We are active players, not bystanders, in the life science revolution that will mark the first half of this century as a period of reduced human suffering.
Our mission is
Vision
We envision the Department becoming a globally preeminent academic radiation oncology department; recognized for exceptional clinical care, quality radiation delivery, the conduct and reporting of important research and the practice of effective teaching and healing.
Core Values
Tumor Board- MDT
A Tumor Board is a multidisciplinary team of specialists who collaboratively review and discuss cancer cases to develop an optimal treatment plan for each patient. Members typically include medical, surgical, and radiation oncologists, pathologists, Nuclear medicine physicians, radiologists, geneticists, nurse practitioners, social workers, and other medical specialists relevant to the patient's care.
All patients undergoing Cancer treatment at our hospital are discussed in the tumor board and an individualized treatment plan is generated before the first cancer treatment.
This is done to ensure that the first cancer treatment received by you is the best cancer treatment you can get.
During tumor board meetings, each case is thoroughly discussed, examining diagnostic information, medical history, pathology reports, imaging studies, previous treatments and other pertinent information. The team deliberates on the most suitable treatment options, considering factors such as the type and stage of cancer, patient's overall health, and their personal preferences. This collective decision-making approach ensures comprehensive, individualized care, enhancing treatment outcomes and patient satisfaction.
High Precision Radiation Oncology
High Precision Radiation Oncology represents the cutting-edge of cancer treatment, utilizing precise targeting and high-dose radiation to eradicate cancer cells while minimizing damage to healthy tissues. This approach often integrates advanced imaging techniques such as CT, MRI, and PET, to create a comprehensive treatment plan. With the advent of technology like stereotactic radiosurgery and intensity-modulated radiation therapy, this field has revolutionized non-invasive cancer treatment, improving patient outcomes and reducing side effects. High Precision Radiation Oncology is a significant advancement towards personalized cancer care.
Individualized and Personalised radiotherapy
Individualized and Personalized Radiotherapy is a transformative approach in cancer care, tailoring treatment to each patient's unique tumor characteristics and genetic makeup. This method allows for a more efficient and effective treatment strategy, increasing therapeutic ratio by maximizing the dose to the tumor while sparing surrounding normal tissues. It employs advanced imaging, molecular profiling, and big data analytics to provide precise radiation delivery. This customized approach can lead to improved patient outcomes, lower toxicity, and better quality of life during and after treatment. As such, Individualized and Personalized Radiotherapy embodies the future of cancer care.
Image-guided brachytherapy and Interventional radiotherapy
Image-Guided Brachytherapy (IGBT) and Interventional Radiotherapy are advanced methods in the field of oncology. IGBT is a high-precision form of radiotherapy where radioactive implants are placed directly into or near the tumor, providing a high dose of radiation while sparing surrounding tissues. Advanced imaging techniques, such as ultrasound, CT, or MRI, guide the precise placement of these implants, enhancing treatment accuracy.
Interventional Radiotherapy, also known as brachytherapy, involves the direct placement of radioactive sources into the tumor or body cavities. This method allows for an intense radiation dose delivery to the tumor while minimizing exposure to surrounding healthy tissues. Both techniques represent significant advancements in targeted cancer treatment.
Personalized Quality assurance and Medical Physics
Personalized Quality Assurance (QA) in Medical Physics is a pivotal aspect of patient safety and treatment effectiveness in radiation oncology. It ensures the precise and accurate delivery of radiation doses, tailored to each individual's specific treatment plan. This involves rigorous testing and calibration of radiotherapy equipment, meticulous verification of treatment plans, and ongoing monitoring during treatment sessions.
Medical Physics plays a crucial role in this process, applying principles of physics to medicine, particularly in diagnostic imaging and radiotherapy. This interdisciplinary field is integral in developing and implementing QA protocols, conducting research to improve treatment efficacy, and ensuring optimal performance of medical devices. Personalized QA in Medical Physics thus enhances the safety and effectiveness of individualized radiotherapy
Processes for Quality Assurance
There is a thorough QA and chart review procedure before each patient begins therapy to verify the patient's treatment plan is ready for treatment. Furthermore, once therapy begins, there is a continuous sequence of inspections and double checks to ensure that treatment is provided safely and accurately. Our physicians and representatives from each functional area meet weekly for a peer review to discuss and enhance treatment strategies. Our therapists perform daily inspections on all equipment, and our physicists perform monthly and annual tests to verify its safety and accuracy.
Breast Cancer Treatment Programmes
The Breast Programme in the Department of Radiation Oncology is staffed by top radiation-therapy experts who provide compassionate, cutting-edge care to breast cancer patients.
Program for the Central Nervous System
Some of the world's leading experts in using radiation therapies to treat tumours of the brain, spine, and peripheral nervous system work in the Department of Radiation Oncology's Central Nervous System Programme.
Program for the Gastrointestinal Tract
The Gastrointestinal Programme in the Department of Radiation Oncology uses cutting-edge radiation therapies to treat all types of GI cancers, including difficult-to-treat, advanced-stage pancreatic cancer and liver cancer.
Program for Genitourinary Health
Specialists in the Department of Radiation Oncology's Genitourinary Programme are well-known for their expertise in using advanced radiation therapies to treat cancers of the urinary tract (males and females) and the reproductive tract (males).
Gynecologic Treatment
Our team of dedicated radiation oncologists treats a wide range of gynecologic malignancies using cutting-edge technology such as intensity modulated radiation therapy, intraoperative radiation, and Image guided brachytherapy.
Program for the Head and Neck
The Head-and-Neck Programme at the Department of Radiation Oncology specialises in providing cutting-edge radiation therapy to patients with head-and-neck cancers, including complex forms of these diseases.
The Haematology Program
The Hematologic Programme in the Department of Radiation Oncology specialises in using advanced radiation therapies to treat lymphoma, myeloma, leukaemia, and other blood disorders.
Melanoma and Skin Cancer Program
Leading experts in the Department of Radiation Oncology treat melanoma and other malignant skin tumours with advanced radiation therapy techniques.
Program for Ocular Melanoma and Eye Tumours
The Department of Radiation Oncology's Ocular Melanoma and Eye Tumour Programme specialises in cutting-edge radiation therapy for patients with malignant and benign eye tumours.
Paediatric Radiation Oncology
The Department of Radiation Oncology at Amrita Faridabad uses cutting-edge technology to treat a wide range of tumours in children.
Sarcoma Treatment Program
The Sarcoma Programme in the Department of Radiation Oncology employs cutting-edge radiation therapies to treat both malignant and benign soft tissue and bone tumours.
Program for Thoracic Surgery
The Thoracic Radiation Oncology Programme uses high-precision radiation therapy to treat patients with lung cancer and other cancers of the chest, intending to cause few or no side effects.
Program for Benign Diseases
Our department has excellent expertise in the treatment of Benign diseases with radiation therapy. Radiation has long been used in the treatment of benign diseases and the indications are still expanding. Currently, we have the expertise to treat benign diseases of the CNS like, Trigeminal Neuralgia, AVM, adenomas, meningiomas, schwannoma, Movement disorders etc. We also treat Ventricular Tachycardia with Radiation, Orthopedic ailments like Heterotrophic ossificans, Dermatological conditions like Madura foot are also treated in our department
Our department uses technology in the most effective way possible that delivers the maximum dose to the tumor and the least possible dose to the organs at risk so that you can resume your daily activities with the least toxicity possible.
Radixact with Synchrony: The helical design of the Radixact System (non-invasive) is a treatment option that is designed to target the tumors accurately and results in a sharp dose fall off as it conforms radiation dose precisely to the tumor and spares the healthy tissues maximally. As the patient table moves there is continuous 360-degree radiation dose delivery. This system features a fully integrated MVCT which helps us in daily imaging. This imaging technology seamlessly can see the shape and location of your tumor anywhere in the body and in real-time before each treatment session. It is integrated with new features of Accuray’s unique Synchrony® real-time motion synchronization technology. It helps to correct the tumor's movement because of respiration and digestion without discomfort to the patient. Synchrony uses image guidance during radiation delivery to automatically adapt the movement of the radiation beam in synchronization with the movement of the tumor.
Complex IGRT for all cancer sites
PreciseART® Online Adaptive Solution
Adequate dose coverage to the target area and dose sparing of organs at risk (OAR) can be compromised due to interfraction variations during an individual patient’s radiation therapy regimen. These variations include translational shifts (e.g., x, y, and z), rotations, and anatomic changes (e.g., yaw, pitch, and roll; organ deformation, weight loss). Adaptive radiation therapy (ART) is introduced to fully address any interfraction variations which are not possible in conventional treatment. ART is a state-of-the-art approach that uses a feedback process to account for patient-specific anatomic or biological changes during the treatment, thus delivering highly individualized radiation therapy for cancer patients.
TrueBeam with HyperArc and Virtual Cone
Only Third Centre in the world to commission the Virtual Cone for Trubeam LINAC for Stereotactic Radiosurgery
This machine is flexible enough to meet all clinical needs. It provides a variety of advanced treatment techniques such as HyperArc and RapidArc.
HyperArc high-definition radiotherapy (HDRT) is a solution for frameless, MLC-based, non-coplanar stereotactic radiosurgery (SRS). A defined workflow, including simulation guidelines, patient immobilization for imaging and treatment delivery, treatment setup, intra-fraction imaging, and a pre-determined delivery sequence, enables a one-click delivery of non-coplanar SRS. Truebeam has advanced imaging techniques like Respiration-synchronized MV/kV radiographs, 4D CBCT, Iterative CBCT, Triggered Imaging, and more. Trubeam is equipped with 4D Delivery, Gating, and Deep Inspiratory Breath Hold(DIBH).
Brachytherapy and other operative procedures
Imaging for Radiation Simulation
Treatment Planning System and OIS
Intraop MRI and RT Suite- Coming Soon
The Radiation Oncology Department at Amrita Faridabad will house India's first dedicated 3T MRI. The Intra op MRI RT suite will be capable of intraoperative MRI that guides tumor resection in Neurosurgery. It is capable of MR thermography, which is required to monitor the heating of the tissues during HIFU or hyperthermia. The same suite is also utilized for Intra op MR Brachytherapy and MR RT simulations for MR Assisted radiotherapy.
Choosing us for your radiation therapy means entrusting your care to a team of experts dedicated to providing state-of-the-art, personalized treatments. Our team of certifiedand experienced Radiation oncologists, medical physicists, and radiation therapists use advanced technology to deliver precise radiation doses, minimizing side effects and maximizing treatment effectiveness.
We embrace a multidisciplinary approach, with each patient's case reviewed in detail by our tumor board, ensuring comprehensive, individualized care. Our commitment to personalized quality assurance ensures every treatment is meticulously planned and accurately delivered.
Our focus on patient-centered care goes beyond clinical expertise. We offer a supportive environment, with a dedicated team to help navigate the treatment journey, providing emotional support, and addressing any concerns. We are committed to not just treating your cancer, but supporting you throughout your journey.
External Beam Radiation Therapy (EBRT) is delivered with the following techniques: -
Radiation Services are offered for Both Benign and Malignant cases. Each case and management decision is concurred upon in a multidisciplinary setting, Following which high-end radiation services are offered. The Radiation Oncology Department has the expertise and technology to treat all possible clinical sites with quality and precision.
Our philosophy at the radiation oncology center is rooted in providing compassionate, comprehensive, and cutting-edge care for our patients regardless of religion, caste, and socioeconomic status. We believe that every patient is unique, and as such, we are committed to delivering personalized treatment plans tailored to each individual's specific needs.
We believe in the power of multidisciplinary collaboration, with our dedicated team of specialists working together to ensure the best possible outcome for every patient. Our approach is not just about treating the disease; it's about treating the whole person. This means providing support, education, and resources to address the emotional and psychological aspects of a cancer diagnosis, alongside the physical dimensions.
We are dedicated to continual learning and innovation. Our team actively participates in research and strives to stay abreast of the latest developments in radiation oncology to offer our patients the most advanced treatment options. We are unwavering in our commitment to delivering the highest standard of care, and we consider it a privilege to journey alongside our patients in their fight against cancer.
The current standard of care in Oncology is always envisioned 10 years in the past. We go by this statement and take Research very seriously in our department.
Our Department and the entire Oncology department come under the Hospital-based cancer registry that is funded by the NCDIR, IMCR. All Patients are registered in this prospective cancer registry and all our OPD documents are stored in a structured format, which allows ease of research and allows us to analyse our data more quickly and effectively
Many clinical trials are underway, feel free to reach out to our co-ordinators for more information on the same.
Providing consultations to cancer patients on an outpatient basis, after thorough physical examination and diagnostic tests and advising them on the modality, dosage and duration of radiation therapy as per the international and institutional standard protocol. The patients are also referred to surgical and medical oncologists, if so required.
Radiation Oncology, also called radiation therapy or therapeutic radiology, is a specialty of medicine that uses various forms of ionizing radiation to treat disease, especially various cancers. The aim is to kill the cancer cells with as little risk as possible to the normal cells adjoining the cancer cells in the body. The Radiation Oncology department has the facility of providing both, the external as well as internal radiation therapy.
Radiation therapy uses high-energy particles or waves, such as x-rays, gamma rays, electron beams, or protons, to destroy or damage cancer cells. It's one of the most common treatments for cancer, either used alone or along with other treatments like surgery and chemotherapy.
Radiation therapy works by damaging the DNA of cancer cells, which prevents them from dividing and growing. This can cause the cancer cells to die or slows down the growth of the cancer.
Radiation therapy can be used to treat many types of cancer, including breast, lung, prostate, colon, and brain cancers, among others. The applicability depends on the specific characteristics of the cancer.
No, external beam radiation therapy does not make you radioactive. You can safely be around other people, including children and pregnant women, during your treatment course.
Side effects vary depending on the area of the body being treated and the dose of radiation received. Common side effects include fatigue, skin changes in the treatment area, and loss of appetite. Most side effects are temporary, and there are many ways to manage them.
The treatment itself usually takes only a few minutes, but each session may last 15-30 minutes due to the preparation required.
Most patients receive radiation therapy as outpatients and do not need to stay in the hospital. However, some forms of internal radiation therapy might require a short hospital stay.
The treatment itself is painless, much like having an x-ray taken. However, some side effects of radiation, like skin irritation, can cause discomfort.
Doctors typically use diagnostic tests, such as MRI and CT scans, to see how well the therapy is working. Regular follow-ups and monitoring are part of the process.
Hair loss only occurs in the area where the radiation is targeted. If you're receiving treatment to your head, you may lose some or all of the hair in that area, but if you're receiving treatment to your chest, for example, you wouldn't lose the hair on your head.
MoU Page for amrita Vishwavidyapeetham
Welcome to Our Comprehensive Virtual Guide for Radiation Therapy
Step 1: Outpatient Department (OPD) Consultation
Your journey begins with a consultation with a radiation oncologist, who will review your medical history, conduct a physical examination, and discuss potential treatment options. You're encouraged to ask questions and express any concerns you may have.
Step 2: Additional Tests and Imaging
You might need further tests such as blood work, CT scans, MRI scans, or PET scans. These tests help your care team understand more about your cancer.
Step 3: Simulation
During the simulation process, you'll be positioned in the same way you will be for actual treatment. A CT scan is usually done to identify the precise area to be treated. Marks may be placed on your skin to ensure accurate targeting of radiation.
Step 4: Treatment Planning
Once the simulation is complete, your care team will develop a personalized treatment plan. Using special software, they determine the exact area to be treated, the appropriate radiation dose, and the number of treatments needed.
Step 5: Treatment
Radiation treatments are typically given five days a week for several weeks. Each session lasts about 15 to 30 minutes. The treatment itself is painless and does not make you radioactive.
Step 6: Regular Check-ins
Your health will be closely monitored throughout the treatment process. Regular check-ins with your radiation oncologist will occur to assess the effectiveness of the treatment and manage any side effects.
Step 7: Last Day of Treatment
On your last day of treatment, your care team will discuss the next steps with you, which usually include a follow-up schedule and any necessary supportive care.
Step 8: Follow-Up Appointments
After treatment, you will have follow-up appointments to monitor your recovery and manage any long-term side effects. These visits are also essential for early detection of any cancer recurrence.
We understand that undergoing radiation therapy can be a challenging journey, but our dedicated team is here to provide the highest quality care and support for you every step of the way.