|
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
THE
MAN BEHIND THE MISSION
|
|
|
|
A Few Words From
Dr.R.Venkatesaly, Managing Trustee
- SNR Sons Charitable trust.
My greetings to you. As we are
aware, cancer has been known
to be a killer disease in the
yester years. Despite the increasing
awareness and advances in treatment,
major break through is yet to
be made in this region. Sri
Ramakrishna Institute of Oncology
and Research has been founded
to make a distinct mark in the
treatment of cancer with the
most recent advance equipments
and well-trained dedicated professionals.
I request you to utilise these
facilities and join us in the
noble mission to make the vision
of cancer cure a reality.
TOP...
|
|
|
|
THE
DEAN DECLARES
|
|
|
|
Dr.Shanmugasundaram
MD
The Center is designed to meet
the special needs of cancer
patients and is staffed by a
highly skilled multi-disciplinary
team consisting of medical oncologist,
radiation oncologist, and surgical
oncologists. A group of qualifies
physicists, and radiation technologists
are behind the team. all nursing
procedures are performed in-house
by fully qualified and experienced
nurses. The team provides comprehensive
facilities for treating a wide
range of cancers, offering the
patients the best chance for
defeating the disease.
TOP...
|
|
|
|
DIRECTOR |
|
|
|
From the Director's Desk
We are here to make cancer cure
possible and make it available
to the needy. There are various
treatment modalities for cancer
- surgery , radiation therapy
and chemotherapy, used either
alone or in combination. SRIOR
is a one stop resource for all
cancer patients. all new patients
are carefully assessed by the
relevant consultants, who will
then plan the best possible
treatment strategy. The center
has a resource quality assurance
programme to ensure that every
procedure is performed accurately
and to the highest standards.
TOP...
|
|
|
|
RADIATION
ONCOLOGY |
|
|
|
Radiation therapy is a clinical
modality dealing with the use
of ionizing radiation to treat
patients with malignant neoplasms
and occasionally benign tumours.
Cell death is due to DNA damage.
Radiotherapy aims at delivering
precise dose of radiation to
a defined target volume with
the least possible damage to
the surrounding normal tissues,
resulting in eradication of
tumour, good quality of life
and improved survival.
TOP...
|
|
|
|
|
TREATMENT
PLANNING PROCESS |
|
|
|
TREATMENT
PLANNING PROCESS
Simulation
The delivery of radiation therapy
begins with the process of defining
and localizing the volume of
tissue to be irradiated to high
dose. It is necessary to simulate
radiation treatment before beginning
to deliver therapeutic doses
of radiation, because megavoltage
radiation is destructive.
The process of aiming and defining
the radiation beams to meet
the goals of the prescribed
therapy is called treatment
simulation. Radiation treatment
simulation is about the orientation
of beams, their size, placement
of marks on the patient to allow
for reliable reproduction of
treatment geometry from day
to day. Conventional simulator
with X-ray source has become
obsolete. Virtual simulation
attached to 3D treatment planning
system is the latest and best,
which is routinely carried by
our institute for planning g
radiation treatment for all
patients.
Patient
positioning and immobilization
Accurate and reproducible treatment
has always been an important
aspect of high quality radiotherapy.
Hence a mould room, with a trained
technician to make appropriate
custom made immobilization devices,
is an integral part of Radiation
oncology unit.
An
immobilization device helps
to establish and maintain the
patient in a fixed well-defined
position for every treatment
session as well as during a
single treatment session.
TOP...
|
|
|
|
LINEAR
ACCELERATOR |
|
|
|
LINEAR ACCELERATOR
This machine is a boon to the
field of radiation oncology.
Linac generates multiple energies
of X-Rays from 4MV to 25MV.
X-ray mode is used to treat
deep seated tumours. Electron
mode is available for treating
superficial tumours. Electron
beams in the range of 6 to 20
Mev are available. The energy
level is chosen according to
the depth of the tumour.
Multileaf
collimator (MLC) is a very important
accessory in the Linac for planning
3D Conformal Radio Therapy (CRT)f.
It has the ability to set the
field to various shapes according
to the target volume and produce
arbitrary intensity distributions
remotely and automatically.
Computer controlled MLC is ideally
suited for delivering complex
treatment safely, in times comparable
with or even shorter than the
manual delivery of conventional
treatment.
TOP...
|
|
|
|
3D
CONFORMAL RADIOTHERAPY |
|
|
|
3D CONFORMAL
RADIOTHERAPY
- This is a recent radiotherapy
technique where the field shape
conforms three dimensionally
to the tumour.
- Multiple 2 or 3mm CT sections
are taken.
- Images are transferred to
the 3D treatment planning system.
- The planning target volume
(PTV) is marked in every CT
section.
- The critical structures in
each section are outlined.
- The beams are positioned.
- Multileaf collimation is done
to get a field conforming to
the target volume sparing the
normal tissues.
- Dose prescription and computation
is done.
- Plan evaluation by a Dose
Volume Histogram (DVH) is mandatory.
- Optimization is a systematic
computerized process, that generates
a large number of plans rapidly,
to finalize the optimal plan.
- Quality assurance is the crucial
step in all modern radiotherapy
modalities. - The dose delivery
is confirmed with acrylic phantoms
to be double sure that the treatment
is accurate.
TOP...
|
|
|
|
TELE
COBALT 60 THERATRON 780E |
|
|
TELE
COBALT 60 THERATRON 780E
Tele cobalt 60 Theratron 780E
is principally used for treating
relatively superficial or moderately
deep tumours such as in head
& neck, breast and extremities.
It is the latest version of
cobalt – 60 unit and is
equipped with automated gantry
and couch movements. An
energy output of 1.25MV is constant.
At this energy level sparing
of surrounding normal tissues
is limited. Moreover it is not
equipped with important and
useful accessories like the
multileaf collimator.
TOP...
|
|
|
|
BRACHY
THERAPY |
|
|
BRACHY
THERAPY
Brachytherapy is a technique
where the radioactive sources
are placed into or close to
the tumour resulting in a high
dose delivered to the tumour
than the surrounding tissue.
High dose rate brachytherapy
is radiobiologically proven
to be as effective as low dose
rate.
As these machines are remote
after-loading type, exposure
to the radiation personnel is
minimum.
As this system is computer controlled,
precise planning and optimization
is possible.
It is used in treatment of cancers
of oral cavity, esophagus, breast
and cervix commonly.
TOP...
|
|
|
|
SURGICAL
ONCOLOGY |
|
|
SURGICAL
ONCOLOGY
Surgery has remained the cornerstone
in the treatment of cancer.
With time, advances in knowledge
of tumour biology, radiation
oncology, chemotherapy and surgical
techniques, organ preservation
has become a reality, Surgeon
is emerging as an important
prognostic factor in treatment
of certain cancers.
Surgical
oncologist possesses detailed
knowledge about the natural
history of individual cancers
and the potentials of surgery,
radiotherapy, chemotherapy,
immunotherapy and other new
treatment modalities, Surgical
oncologist plays an important
role in prevention, diagnosis,
definitive treatment, palliation
and rehabilitation as well.
Radicality to ensure adequate
resection but with least possible
functional compromise is the
aim of surgery.
Considering
these facts and strictly adhering
to the oncologic principles,
major technically complicated
surgical procedures for Head
& Neck, Gastrointestinal,
Gynaecologic, Breast, Genitourinary,
and Musculoskeletal cancers
are performed by our skilled,
qualified and experienced
team of surgical oncologists.
TOP...
|
|
|
|
ONCOLOGIC
PRINCIPLES , OUTSTANING SKILLS
, OPTIMAL RESECTIONS
|
|
 |
|
|
|
Hepatic
Resection |
Pelvic
Iymphadenectomy |
Laryngopharyngoesophagectomy |
Surgery
for Soft Tissue Sarcoma
|
|
Concept
of extensive radical surgeries
are slowly being replaced
by less radical ones to make
surgical treatment of cancer
acceptable to many patients.
To mention a few, significantly
improved colostomy free survivals
without compromise on overall
survival in mid and lower
rectal cancers – switch
form abdominoperineal resection
to low anterior resection
due to incorporation of pre
op chemo radiation has almost
become the standard of care.
Knowledge of natural history
of breast cancer has made
conservative breast surgery
with post operative radiotherapy
equivalent to radical mastectomy
leaving the patient satisfied
psychologically.
Sentinel
node mapping though experimental,
may go a long way in reducing
the morbidity due to surgery
for axillary & inguinal
region in breast and penile
cancers respectively.
All
known, surgery remains the
main stay of treatment in
almost all malignancies except
the hematological cancers.
Adherence to the principle
of adequate resection enhances
the chance of cure.
Value
of diagnostic laparoscopy
to look for intra abdominal
and pelvic metastases is well
known. The role of laparoscopic
resections for malignancy
is undergoing rigorous trials
in esophageal, gastric, pancreatic,
colon, rectal, renal, cervical
and ovarian neoplasms. Though
possible, inappropriate use
of the technique may be disastrous.
Port site recurrences are
a known hazard.
TOP...
|
|
|
|
MEDICAL
ONCOLOGY |
|
|
MEDICAL
ONCOLOGY
Medical Oncology was established
as a separate discipline by
the American Board of Internal
medicine in 1971. Since then,
the branch has grown enormously
fighting cancer.
A good Medical Oncologist
must have a thorough knowledge
about individual cancers,
their treatments and a reasonable
familiarity with the origin,
status and results of cancer
research at clinical and pre-clinical
levels. Moreover a Medical
Oncologist must have working
relationship with other specialties,
particularly, Surgical Oncology,
Radiation Oncology, Pathology,
Radiology, Psycho Oncology
and Rehabilitation medicine.
TOP...
|
|
|
|
CHEMOTHERAPY |
|
|
CHEMOTHERAPY
Chemotherapy
is the use of anti-cancer (cytotoxic)
drugs to destroy cancer cells.
Various
roles of chemotherapy are
* Primary treatment.
* Adjuvant treatment.
* Induction treatment.
* Neo adjuvant treatment.
* Regional treatment.
* Palliation.
Combination
Chemotherapy is better because
* It provides maximal cell kill
with minimal toxicity.
* It provides a broader range
of interaction between drugs
& tumour cells in heteogenous
tumour population.
* It may slow the subsequent
development of drug resistance.
Chemotherapeutically
curable cancers include
* Chorio carcinoma.
* Acute lymphocytic leukemia
of childhood.
* Burkitt’s lymphoma
* Hodgkin’s disease.
* Acute promyelocytic leukemia
* Large follicular centre cell
lymphoma
* Testicular carcinoma
TOP...
|
|
|
|
TOBACCO
CESSATION CLINIC |
|
|
TOBACCO
CESSATION CLINIC
As step towards preventing
Tobacco related Cancers and
other killing disease, Sri
Ramakrishna Institute of Oncology
and Research has begun the
Tobacco Cessation Clinic (TCC)
on 31st May 2004 – the
World Anti Tobacco Day.
Though everyone in the world
is aware that usage of tobacco
is hazardous to health, most
of tobacco using population
seems to be addicted to this
notorious, silent killer.
NICOTINE, a component of tobacco
is strongly related to this
addiction. Tobacco usage in
any form (smoking or chewing)
begins as a social activity
during teenage years and continues
as a coping strategy.
TCC
gives confidence to the addicted,
who are longing “to
get rid of it”. Stopping
the usage of tobacco is as
easy, smooth and quick, as
they entered into it. There
are various therapies used
to break the chain like Psychotherapy,
Behaviour therapy, coping
strategies, Stress Management,
Relaxation techniques, Assertive
skill training etc.
Alternative therapies like
tobacco free beedi, nicotine
patches, nicotine chewing
gums etc., can do a great
deal to help the user to come
out of tobacco usage very
quickly.
TOP...
|
|
|
|
MILE
STONES... |
|
|
|
|
|
Tobacco
Cessation Clinic
Making De - Addiction
Acceptable |
Dawn
Of SRIOR |
Late
Sri Muthusamy Naidu
Free Ward one More Feather
in the crown |
Release of free Booklets
on Screenin one More
Step Towards Awareness
anti Cancer Day
|
|
|
Profile
