Radiation oncology

INTRODUTION

Govt Royapettah Hospital attached to Govt Kilpauk Medical College was established in 1911 by the Government of Tamilnadu.It is the tertiary care centre with all three divisions of Oncology namely Radiation Oncology , Medical Oncology and Surgical Oncology under one roof.It is elevated as CENTRE OF ONCOLOGY in 2012 by the State Govt.Department of Radiation Oncology offers a comprehensive state-of-the-art outpatient and inpatient cancer treatment facilities with latest Radiotherapy Machines and equipmentsthat bring our expert care closer to patients with comparable cure rate and significant palliation of non cured patients.It’s a centre of execellence for palliative care- a nodal centre for training palliative care under the NATIONAL PROGRAMME FOR PALLIATIVE CARE(NPPC) with exclusive PAIN AND PALLIATIVE CARE WARD OF 8 BEDS .The available paramedical courses affiliated to TN DR MGR MEDICAL UNIVERSITY are DIPLOMA IN RADIOTHERAPY TECHNOLOGY & .B.Sc.(NURSING) RADIOTHERAPY TECHNOLOGY.

INFRASTRUCTURE:

►   Total no of faculties in Department :8

►   Total no of PGs :9

►   Total no of units:1

►   Total No. of beds -48

►   OPD per month-650

►   No of Intracavitary Brachytherapy -75

►   No of Interstitisal/Surface Mould Brachytherapy -10

STATE OF ART THERAPY MACHINES AVAILABLE:

1. TELECOBALT – THERATRONIX -780 . REPLACEMENT WITH NEW TELECOBALT -MLC BASED EQUINOX-80 MODEL OF TEAMBEST ASIA IS UNDER PROCESS

2. LINEAR ACCELERATOR – TRUEBEAM - SVC WITH FFF MODEL OF DUAL ENERGY LINEAR ACCELERATOR (6&15MV,6FFF&10FFF )WITH MULTIPLE ELECTRON(6,9,12 &15Mev) ENERGIES CAPABLE OF IMRT,IGRT,RAPID ARC AND GATING ( MAKE OF VARIAN MEDICAL SYSTEMS)

3. 20 SLICE CT SIMULATOR – SOMATOM AS 20 OPEN MODEL OF SIEMENS.DICOM NETWORKING FACILITIES IN BETWEEN CT AND MRI FOR TELETHERAPY AND BRACHYTHERAPY PLANNING.

4. BRACHYTHERAPY(MICROSELECTRON V3 MODEL OF ELEKTA)

For Intracavitory - HDR REMOTE AFTER LOADING BRACHYTHERAPY(MICROSELECTRON V3 MODEL OFELEKTA)

For Interstitial – HDR REMOTE AFTER LOADING BRACHYTHERAPY(MICROSELECTRON V3 MODEL OFELEKTA)

For surface moulds - HDR REMOTE AFTER LOADING BRACHYTHERAPY(MICROSELECTRON V3 MODEL OFELEKTA)

For Ophthalmic applications - HDR IRIDIUM PLASTIC TUBES USEDAS PER INDICATION AND TREATMENT DONE THROUGH REMOTE AFTER LOADING HDR BRACHYTHERAPY(MICROSELECTRON V3 MODEL OF ELEKTA)

Equipment’s of Radio-Surgery

◉   Millennium Multileaf collimator

◉   Frameless SRS Immobilization devices

◉   Thermoplastic Mask

◉   Optical tracking system

◉   On Board Imaging System

◉   4D Image guidance

◉   Treatment Planning System

Facilities for intra operative Radiotherapy:

Available for soft tissue sarcomas ,pancreatic malignancies, locally advanced head and neck malignancies and breast conservation surgery after wide local excision or resection of the tumour boosting the tumour bed with iridium based NUCLEOTRAN MICROSELECTRON HDR brachytherapy through nylon catheters

EQUIPMENTS FOR TREATMENT PLANNING

Treatment planning done manually or with the help of Computerised Treatment Planning System.

ComputerisedTreatment Planning System-ONCENTRA 4.5.3 VERSION OFELEKTA FOR EXTERNAL BEAM RTPLANNING .

ComputerisedTreatment Planning System-ONCENTRA 4.5.3 VERSION OFELEKTA FOR BRACHYTHERAPY PLANNING

ComputerisedTreatment Planning System -ECLIPSE VERSION 15. 5 (True Beam model) OF VARIAN FOR EXTERNALBEAM RT PLANNING

SERVICES:

◉  HEAD AND NECK CANCER CLINIC

◉  BREAST CANCER DETECTION CLINIC

◉  GYNAECOLOGICAL CANCER CLINIC

◉  MUSCULOSKELETAL AND UROLOGY CLINIC

◉  GASTROINTESTINAL CLINIC

◉  PAIN AND PALLIATIVE CARE CLINIC &NERVE BLOCK

Other Services provided by the Department:

1. Counselling for cancer survivors.

2. Pain and other symptoms management.

3. Management of post radiation sequelae

4. Lymphedema management.

5. Physiotherapy

Department List

Awards

GALLERY

RESEARCH AND PUBLICATIONS

1. Interstitial brachytherapy in soft tissue sarcoma – A single institute experience– Dr.S.Saravanan, Professor, Department of Radiation oncology, Government Royapettah Hospital and Government Kilpauk Medical college, Chennai, Tamilnadu, India, Corresponding Author, DOI : 10.14260/jemds/2019-20/30- Index Scopus

2. Comparison of DosimetricPrameters in CT and MRI based planning in image guided Cervical Cancer Brachytherapy – Prospective single Institutional Study– Dr.S.Saravanan, professor, Department of Radiation oncology, Government Royapettah Hospital and Government KilpaukMedicalcollege, Chennai,TamilnaduIndia,FirstAuthorDOI : http://dx.doi.org/10.18535/jmscr/v7i3.81 – Index Copernicus

3. Radical radiotherapy with concurrent weekly cisplatin in loco-regionally advanced squamous cell carcinoma of the head and neck- A single institution experience– Dr.S.Saravanan, professor, Department of Radiation oncology, Government Royapettah Hospital and Government Kilpauk Medical college, Chennai, Tamilnadu, India, Corresponding Author, DOI : 10.14260/jemds/2019-20/12 – Index Scopus

4. Outcome Analysis of Early Endometrial cancers managed by Adjuvant Brachytherapy –Single Institutional study by Dr.S.Saravanan, Professor, Department of Radiation oncology, Government Royapettah Hospital and Government Kilpauk Medical college, Chennai, Tamilnadu, India, FirstAuthor. J. Evolution Med. Dent. Sci. 2019-20;8(29):0000-0000, DOI:10.14260/jemds/2019/515- Index Scopus

5. Ramya R, Saravanan S, Kumari K. “Influence of bladder volume on the dose to the target and organs at risk in High dose rate Intracavitary brachytherapy of Cervix” , Indian J GynecolOncolog (2022)20:58 . https://doi.org/10.1007/s40944-022-00645-w

6. Ramya R, Saravanan S, Kumari K. “Comparison of Vaginal Dosimetry Between Tandem Ovoid (TO) and Tandem Ring (TR) Applicator in CT-Based High Dose Rate Intracavitary brachytherapy of cervix”, Indian Journal of Gynecologic Oncology (2022) 20:22 https://doi.org/10.1007/s40944-022-00620-5(0123456789().,-volV)(0123

7. ” Dose to pelvic lymph nodes in image based high dose rate brachytherapy to cervix”, Reports of practical oncology and Radiotherapy, 24(2019-20) 80-85.Dr. RamyaRangarajan, FirstAuthor indexed in EMBASE, Elsevier biobase, SCOPUS

8. Vaginal dose reduction by changing ovoid loading patterns in intracavitary brachytherapy of cervix Radiation and oncology,158:s148,May 2021

9. Difference between MRI and CT based delineation of target volume and organs at risk in high dose rate brachytherapy of cervix, Indian journal of gynecologic Oncolgy17(3), September 2019

10. A Graphical method to estimate dose per fraction in HDR brachytherapy by adapting linear quadratic model-IJMSCR volume 5, Issue 1,Page No:387-392January-February2022 11. Gynecological malignancy for IMRT Target volume delineation and comparison with slicer Radionomics-IJMSCR Volume 6 , issue 1, page No.692 – 695 January –February 2023

RESEARCH PROJECTS UNDERTAKEN

1) ANALYSIS OF ACUTE TOXICITY WITH CONCURRENT CHEMORADIATION IN LOCALLY ADVANCED SQUAMOUS CELL CARCINOMA OF HEAD AND NECK.

2) DVH CHARTS: COMPARATIVE ANALYSIS OF DVH BETWEEN CT BASED AND MRI BASED INTRA CAVITARY APPLICATION IN CARCINOMA CERVIX.

3) ILRT TUBE:DOSIMETRIC EVALUATION IN CARCINOMA OESOPHAGUS WITH ILRT.

4) INTRACAVITTARY APPLICATORS: DOSIMETRIC IMPACT OF UNCERTAINITIES IN CATHETHER RECONSTRUCTION WITH CT AND MRI FOR INTRACAVITARY APPLICATION.

5) INTERSTITIAL NEEDLES: DOSIMETRIC EVALUATION OF INTERSTITIAL APPLICATION IN SOFT TISSUE SARCOMA THROUGH HOMOGENEITY AND CONFORMITY

6) MRI BASED BRACHYTHERAPY IN CARCINOMA CERVIX-PROF.SARAVANAN.,DR .P.K.BASKAR.

7) INTERSTITIAL BRACHYTHERAPY IN CARCINOMA CERVIX-PROF.SARAVANAN.,DR . DR .P.K.BASKAR.

8) INTERSTITIAL BRACHYTHERAPY IN SOFT TISSUE SARCOMA-PROF.SARAVANAN.,DR . RESMI .

9) PROSPECTIVE STUDY OF ROLE OF BLADDER FILLING IN CARCINOMA VAULT DURING HDR BRCHYTHERAPY – PROF.SARAVANAN.,DR .RESMI.

10) USG BASED BRACHYTHERAPY IN CARCINOMA CERVIX- PROF.SARAVANAN.,DR .RESMI.

11) OUTCOME ANALYSIS OF EARLY ENDOMETRIAL CANCERS MANAGED BY ADJUVANT BRACHYTHERAPY – PROF.SARAVANAN.,DR .RESMI.

12) SANDWHICH TECHNIQUE OF INTERSTIAL BRACHYTHERAPY DURING 4TH AND 5TH WEEK OF EBRT IN

13) THE MANAGEMENT OF CARCINOMA CERVIX-PROF SARAVANAN, DR. SIVAKUMAR.

14) ASSESSEMENT OF PULMONARY FUNCTION AND CARDIAC EVALUATION IN PATIENTS TREATED BY EBRT IN CARCINOMA BREAST- PROF SARAVANAN,DR .MADUMATHI.

15) OUTCOME ANALYSIS OF MANAGEMENT OF CARCINOMA CERVIX STAGE IB TO II B- PREOPERATIVE

16) CHEMO RADIATION FOLLOWED BY SURGERY VS DEFINITIVE CHEMOIRRADIATION.-PROF SUBBIAH SHANMUGAM,PROF SARAVANAN

17) OUTCOME ANALYSIS OF MANAGEMENT OF HEAD AND NECK CANCER- PREOPERATIVE CHEMO RADIATION FOLLOWED BY SURGERY AT 50 GY VS DEFINITIVE

18) CHEMOIRRADIATION TILL 66 GY.-PROF SUBBIAH SHANMUGAM,PROF SARAVANAN

RESEARCH PROJECTS ONGOING

1. DOSE COMPARISON BETWEEN BRACHYTHERAPY AND SBRT IN CARCINOMA CERVIX

2. RADIONOMICS BASED TARGET VOLUME DELINEATION OF CERVICAL CANCER.