Radiation Oncology

What is Radiation Oncology:

It is one of the pillars in cancer treatment. It is a branch of oncology that helps treat cancer by delivering high energy X rays or other particles to treat cancer. Cancer can be malignant or even benign (in certain conditions). Radiation therapy damages cells by destroying their genetic material. This treatment can be administered from outside the body (external beam radiotherapy), or internally (brachytherapy). External Beam Radiotherapy (EBRT) is delivered using large machines known as Linear Accelerators. 

Our Hospital

The department of Radiation Oncology at Action Cancer Hospital delivers comprehensive, state-of-the-art cancer care with a focus on delivering highly targeted radiation. It is one of the pioneer centres in north India both in terms of technology and patient load. We offer the most advanced and precise cancer care with a comprehensive and multidisciplinary approach along with an emphasis on academics, education and clinical research. With a vast experience, specialized skills and cutting-edge technology our department is one of the front runners in north India. 
The department is functional since 2010 and has treated more 10,000 patients, an achievement in itself.

Radiation Oncology is a team effort:

Radiation oncologists work closely with all other branches in oncology like surgical oncology, medical oncology, radiology, nuclear medicine, pathology, palliative care to form a multidisciplinary team to tailor the treatment of each patient with evidence-based approach.
Radiation oncologists involves a team of doctors, medical physicists, radiation therapists, nursing staff and support staff. 
Radiotherapy treatment is given over days to few weeks depending on the site, stage and performance status of the patient. Patient’s treatment is closely monitored regularly with treatment progress and clinical assessment by doctors.

What do we offer?

  • Multidisciplinary approach
  • Latest and cutting-edge technology
  • Experienced team
  • Tailored Treatment

Technology and Infrastructure:

External beam radiotherapy is administered on specialised machines known as linear accelerators. Our centre is equipped with 2 linear accelerators. 

  • TrueBeam STx Linear Accelerator along with the state-of-the-art radiotherapy treatment planning system, Eclipse. 
  • Clinac iX – Varian Medical System
  • Brachytherapy: 20 channel latest Flexitron brachytherapy by Elekta

The centre offers a spectrum of radiotherapy treatment techniques such as Rapid Arc (VMAT), IGRT (Image Guided Radiotherapy), IMRT (Intensity Modulated Radiotherapy), 3DCRT (Three Dimensional Conformal Radiotherapy), SRS (Stereotactic Radiosurgery), SBRT (Stereotactic Body Radiotherapy), and Brachytherapy. 

Our services in brief:

CT Simulation: CT scan are used for radiotherapy contouring and planning prior to treatment. Thermoplastic case fabrication to immobilize the area to be treated is done at the same time.

3DCRT: In this technique the radiation field is matched with the shape and size of the tumour by geometric field shaping. 

Intensity Modulated Radiotherapy (IMRT): It is type of radiotherapy which restricts radiation exposure to surrounding normal structures thereby reducing the side effects of treatment. This is because with IMRT non uniform fluence is delivered to the patient from any given position of the treatment beam. This makes it possible to deliver higher than conventional doses and dose escalation. 

Rapid Arc: As the name suggests, the treatment time is shorter as compared to IMRT. It delivers treatment by rotating 360 degrees around the patient enabling the very small beams with variable intensity to be aimed at the tumour from multiple angles. Treatment is complete in single rotation of the machine “Arc”

Image Guided Radiotherapy (IGRT): It makes use of image guidance at the time of treatment. Imaging is done generally by Cone Beam CT (CBCT) equipped with the linear accelerator. It helps improves the precision and accuracy of treatment. The patient’s anatomy and weight loss can be monitored which can guide the oncologists to tailor the treatment plan accordingly. 

Adaptive Radiotherapy: It improves the accuracy of treatment by monitoring the variations that occur in the tumour and anatomy of the patient during treatment. This helps to reduce the side effects of treatment as well as the plan is changed accordingly.

Stereotactic Radiotherapy: It is technique in which ablative doses of radiation are delivered to the tumour. It uses 3D imaging to target high doses of radiation to the affected area with minimal impact on the surrounding healthy tissue. It can be delivered in single session (Stereotactic Radiosurgery-SRS) or few sessions (Fractionated Stereotactic Radiotherapy-FSRT). It can also be given for subsites like lung, prostate known as Stereotactic Ablative Body Radiotherapy (SABR).

Brachytherapy: It is a type of radiation treatment in which radioactive sources are arranged in such a fashion that the radiation is delivered to the tumour at a short distance by various applications or insertions. By doing this it reduces the radiation exposure to the surrounding tissues. It can be delivered as sole modality or in combination with external beam radiotherapy. There are numerous ways of application depending on the site and accessibility of the tumour like intracavitary (cervix), intraluminal (bronchus, esophagus), interstitial (sarcoma, head and neck) and surface mould (skin). 

Diseases treated

  • Total Body Irradiation (TBI)
  • Breast cancer
  • Paediatric cancers
  • Head and neck (nasopharynx, oral cavity, oropharynx, hypopharynx, nasal cavity and sinuses, larynx, salivary gland)
  • Central nervous system (brain, neurological, spinal cord)
  • Endocrine (thyroid, parathyroid, adrenal, pituitary)
  • Ophthalmology (orbital tumours, ocular melanoma)
  • Gastrointestinal (anus, colon, pancreas, oesophagus, rectum, hepatobiliary, kidney, stomach)
  • Genitourinary (bladder, prostate, penis, kidney, ureter)
  • Sarcoma (bone, soft tissue, abdominal)
  • Gynaecologic (cervix, ovary, uterus, vagina, vulva)
  • Lung
  • Lymphoma, leukaemia and myeloma
  • Melanoma
  • Other skin cancers (squamous cell, Merkel cell, basal cell)
     

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Conditions and Treatments

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Radical Radiotherapy

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Palliative Radiotherapy

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Neoadjuvant Radiotherapy

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Adjuvant Radiotherapy

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Hemostatic Radiotherapy

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Image Guided Radiation Therapy

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Brachytherapy

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Stereotactic Radiotherapy

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Brain Tumors

Brain tumors can be benign or malignant, affecting various parts of the brain. Treatment often involves a combination of surgery, chemotherapy, and radiation therapy.

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Breast Cancer

Breast cancer is a malignancy that develops in the breast tissue. Treatment often involves a combination of surgery, chemotherapy, radiation, and targeted therapies.

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Skin Cancer

Skin cancer, including basal cell carcinoma, squamous cell carcinoma, and melanoma, is the abnormal growth of skin cells. Radiation therapy is often used to treat skin cancer, especially when surgery is not an option.

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Astrocytoma

Astrocytoma is a type of brain tumor that originates from astrocyte cells. Radiation therapy is a crucial part of treatment to control the tumor's growth and spread.

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Arteriovenous Malformation (AVM)

Arteriovenous malformation (AVM) is an abnormal tangle of blood vessels connecting arteries and veins, which can cause serious complications if left untreated. Radiation therapy is used to reduce the size and risk of AVMs.

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Basal Cell Carcinoma

Basal cell carcinoma is a common type of skin cancer that rarely spreads but can cause significant local damage. Treatment often involves surgical excision and/or radiation therapy.

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Bone Tumor

Bone tumors can be benign or malignant and may affect any bone in the body. Radiation therapy is often used to shrink tumors and alleviate symptoms.

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Brain Stem Glioma

Brain stem glioma is a type of tumor located in the brain stem, affecting vital functions. Radiation therapy is a key component of treatment to control the growth and spread of the tumor.

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Cervical Cancer

Cervical cancer originates in the cervix and often requires a combination of chemotherapy, radiation, and surgical intervention for effective treatment.

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Cholangiocarcinoma

Cholangiocarcinoma is a cancer of the bile ducts that requires a combination of chemotherapy, radiation, and sometimes surgical intervention for effective management.

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Colorectal Cancer / Anal Cancer

Colorectal cancer affects the colon or rectum and often requires a combination of chemotherapy, radiation, and sometimes surgery for effective management.

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Ependymoma

Ependymoma is a type of brain and spinal cord tumor that originates in the ependymal cells lining the ventricles and central canal. Radiation therapy is crucial for effective treatment.

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Esophageal Cancer

Esophageal cancer originates in the cells lining the esophagus and often requires a combination of chemotherapy, radiation, and specialized gastroenterological care for effective management.

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Ewing Sarcoma

Ewing sarcoma is a rare and aggressive bone and soft tissue cancer that primarily affects children and young adults. Treatment often involves chemotherapy, radiation, and sometimes surgery.

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Gallbladder Cancer

Gallbladder cancer is a malignancy that originates in the gallbladder, often requiring a combination of chemotherapy, radiation, and specialized gastroenterological care for effective treatment.

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Gastro Esophageal Junction Cancer

Gastroesophageal junction cancer occurs where the esophagus meets the stomach, often requiring a combination of chemotherapy, radiation, and surgical intervention for effective management.

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Gastrointestinal Stromal Tumor (GIST)

Gastrointestinal stromal tumors (GISTs) are rare tumors that originate in the digestive tract. Effective treatment often includes targeted therapy, chemotherapy, and radiation.

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Germ Cell Cancer

Germ cell cancer originates from the cells that give rise to sperm or eggs and can occur in the testes, ovaries, or other parts of the body. Treatment often involves chemotherapy and radiation.

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Glioblastoma (GBM)

Glioblastoma is an aggressive type of brain cancer that requires a combination of chemotherapy, targeted therapy, and radiation for effective management.

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Oral Cavity Cancer

Oral cavity cancer includes malignancies of the mouth, such as the lips, gums, and floor of the mouth. Treatment typically involves a combination of chemotherapy, radiation, and surgery.

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Tongue Cancer

Tongue cancer is a type of oral cancer that affects the cells of the tongue, often requiring a combination of chemotherapy, radiation, and surgical intervention for effective treatment.

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Throat Cancer

Throat cancer refers to malignant tumors that develop in the pharynx, larynx, or tonsils. Effective management often involves a combination of chemotherapy, radiation, and sometimes surgery.

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Buccal Mucosa Cancer

Buccal mucosa cancer is a type of oral cancer that affects the inner lining of the cheeks. It often requires a combination of chemotherapy, radiation, and sometimes surgery for effective management.

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Leukemia

Leukemia is a cancer of the blood-forming tissues, including the bone marrow and lymphatic system. It requires a combination of chemotherapy, targeted therapy, and sometimes radiation for effective treatment.

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Liver Cancer

Liver cancer, including hepatocellular carcinoma, is a malignant tumor that originates in the liver cells. Effective management often involves a combination of chemotherapy, radiation, and specialized gastroenterological care.

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Lung Cancer

Lung cancer is a leading cause of cancer-related deaths and can originate in the lungs' cells. It requires a combination of systemic therapies and radiation for effective treatment.

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Lymphoma

Lymphoma is a cancer of the lymphatic system, which includes Hodgkin and non-Hodgkin lymphoma. It often requires a combination of chemotherapy, immunotherapy, and radiation for effective management.

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Medullobalstoma

Medulloblastoma is a common malignant brain tumor in children, originating in the cerebellum. Radiation therapy is a crucial part of its treatment to eliminate cancer cells and prevent recurrence.

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Melanoma

Melanoma is a serious form of skin cancer that can spread to other parts of the body. It often requires a combination of immunotherapy, targeted therapy, and radiation for effective treatment.

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Multiple Myeloma

Multiple myeloma is a cancer of the plasma cells in the bone marrow, leading to bone pain, fractures, and other complications. It requires a combination of chemotherapy, targeted therapy, and radiation for effective management.

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Pancreatic Cancer

Pancreatic cancer is an aggressive malignancy that originates in the pancreas. It often requires a combination of chemotherapy, radiation, and specialized gastroenterological care for effective management.

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Penile Cancer

Penile cancer is a rare malignancy that affects the skin and tissues of the penis. It often requires a combination of chemotherapy, radiation, and surgery for effective management.

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Pituitary Tumor

Pituitary tumors are abnormal growths in the pituitary gland that can affect hormone production and cause various symptoms. Radiation therapy is often used to control these tumors.

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Prostate Cancer

Prostate cancer is a common cancer in men, originating in the prostate gland. It often requires a combination of systemic therapies and radiation for effective management.

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Renal Cancer

Renal cancer, also known as kidney cancer, begins in the kidneys and can spread to other parts of the body. It often requires a combination of chemotherapy, targeted therapy, and radiation for effective management.

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Secondary Neck with Primary Unknown

Secondary neck cancer with an unknown primary site refers to metastatic cancer found in the neck lymph nodes without an identifiable primary tumor. It requires thorough investigation and targeted treatment.

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Soft Tissue Sarcoma

Soft tissue sarcoma is a rare cancer that originates in the soft tissues, such as muscles and fat. It requires a combination of chemotherapy, targeted therapy, and radiation for effective treatment.

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Squamous Cell Carcinoma of Skin

Squamous cell carcinoma is a common type of skin cancer that can spread to other parts of the body. It requires a combination of systemic therapies and radiation for effective management.

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Stomach Cancer

Stomach cancer, also known as gastric cancer, originates in the stomach lining. Effective treatment often involves a combination of chemotherapy, radiation, and specialized gastroenterological care.

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Testicular Cancer

Testicular cancer originates in the testicles and is most common in young and middle-aged men. It often requires a combination of chemotherapy, radiation therapy, and surgery for effective treatment.

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Thymoma and Thymic Carcinoma

Thymoma and thymic carcinoma are tumors that originate in the thymus gland. Effective treatment often involves a combination of chemotherapy, targeted therapy, and radiation.

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Thyroid Cancer

Thyroid cancer originates in the thyroid gland and can spread to nearby tissues and lymph nodes. It requires a combination of systemic therapies and radiation for effective treatment.

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Urinary Bladder Cancer

Urinary bladder cancer begins in the bladder's lining and can spread to other parts of the body. It requires a combination of chemotherapy, immunotherapy, and radiation therapy for effective management.

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Uterine / Endometrium Cancer

Endometrial cancer, a type of uterine cancer, originates in the lining of the uterus. Radiation therapy plays a crucial role in treating this cancer by targeting and destroying cancerous cells.

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Vulvar Cancer

Vulvar cancer is a rare type of cancer that affects the external female genitalia. Early diagnosis and treatment are crucial for effective management. Choose Action Cancer Hospital for comprehensive treatment of vulvar cancer through Radiation Oncology and Gynae Onco Surgery. Our multidisciplinary approach ensures the highest quality care and the best possible outcomes.

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External Beam Radiation Therapy (EBRT)

EBRT is a non-invasive procedure that delivers high-energy radiation beams from an external source to target and destroy cancer cells.

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3D Conformal Radiotherapy

3D conformal radiotherapy utilizes advanced imaging techniques to precisely shape radiation beams to match the size and shape of the tumor while minimizing exposure to surrounding healthy tissues. At Action Cancer Hospital, our radiation oncologists use 3D conformal radiotherapy to deliver accurate and effective radiation doses to tumors, improving treatment outcomes and reducing side effects for patients with various types of cancer. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Intensity-Modulated Radiation Therapy (IMRT)

IMRT is a sophisticated radiation therapy technique that delivers highly precise and customizable radiation doses to tumors while sparing nearby healthy tissues. Action Cancer Hospital employs IMRT technology to treat complex and irregularly shaped tumors, optimizing treatment outcomes and minimizing the risk of radiation-related toxicity for our patients. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Stereotactic Body Radiation Therapy (SBRT)

SBRT delivers high doses of radiation to small, well-defined tumors in the body with extreme precision and accuracy. Action Cancer Hospital utilizes SBRT to effectively treat tumors in areas such as the lungs, liver, spine, and prostate, delivering concentrated radiation doses while minimizing damage to surrounding healthy tissues. This technique allows for shorter treatment courses and improved outcomes for patients with localized tumors who may not be candidates for surgery. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Stereotactic Radiosurgery (SRS)

Stereotactic radiosurgery delivers precisely targeted radiation to small tumors or lesions in the brain, spine, or other areas of the body. At Action Cancer Hospital, our advanced technology allows for highly accurate and effective treatment, often completed in a single session, minimizing damage to surrounding healthy tissue. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Image-Guided Radiation Therapy (IGRT)

IGRT combines imaging techniques such as CT, MRI, or PET scans with radiation therapy to precisely target tumors while minimizing exposure to nearby organs and tissues. Our expert radiation oncologists use IGRT at Action Cancer Hospital to ensure optimal treatment delivery and improve outcomes for patients with various types of cancer. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Total Body Irradiation (TBI)

Total body irradiation is a procedure that delivers radiation to the entire body, typically used as part of a conditioning regimen before stem cell transplantation. At Action Cancer Hospital, our radiation oncologists carefully customize TBI treatments to each patient's specific needs, ensuring the best possible outcomes for hematologic malignancies and other conditions. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Palliative Radiation Therapy

Palliative radiation therapy aims to relieve symptoms and improve quality of life for patients with advanced cancer or metastatic disease. At Action Cancer Hospital, our compassionate team of radiation oncologists provides palliative radiation therapy to manage pain, alleviate symptoms, and enhance comfort, tailored to each patient's unique situation and goals of care. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Brachytherapy

Brachytherapy involves placing radioactive sources directly inside or next to the tumor, providing high doses of radiation to the tumor while sparing surrounding healthy tissues. This technique is commonly used for treating cancers of the cervix, prostate, breast, and other sites.

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Volumetric Arc Radiotherapy (VMAT)

Volumetric Arc Therapy (VMAT) is an advanced form of radiotherapy that delivers precise radiation doses by rotating the linear accelerator around the patient. This technique allows for continuous delivery of radiation in a 360-degree arc, enhancing dose conformity and reducing treatment times.

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Adaptive Radiotherapy

Adaptive radiotherapy is a personalized treatment approach that adjusts the radiation plan based on changes in the patient's anatomy or tumor size during the course of treatment. This technique ensures that the radiation dose is always optimized for maximum effectiveness.

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RapidArc

RapidArc is an advanced form of intensity-modulated radiotherapy (IMRT) that delivers precise radiation doses in a single or few rotations of the linear accelerator. This technique allows for faster treatment times and highly conformal dose distribution to the tumor.

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Deep Inspiratory Breath Hold (DIBH)

Deep Inspiratory Breath Hold (DIBH) is a technique used during radiation therapy to minimize radiation exposure to the heart and lungs. Patients take a deep breath and hold it during radiation delivery, creating a larger separation between the tumor and critical organs.

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Electron Beam Radiotherapy

Electron beam radiotherapy delivers high-energy electron beams to superficial tumors or lesions, sparing deeper tissues from unnecessary radiation exposure. At Action Cancer Hospital, electron beam therapy is used for treating skin cancers, superficial lesions, and certain pediatric tumors, providing precise and targeted treatment while minimizing side effects. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Blood Irradiation

Blood irradiation is a specialized procedure used to treat certain blood disorders, such as lymphoma or leukemia, by irradiating blood products to eliminate cancer cells or prevent graft-versus-host disease in stem cell transplantation. Action Cancer Hospital's radiation oncologists employ blood irradiation techniques as part of comprehensive treatment plans for hematologic malignancies, ensuring optimal outcomes for patients. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Respiratory Gated Radiotherapy

Respiratory gated radiotherapy synchronizes radiation delivery with the patient's breathing cycle, allowing for precise targeting of tumors affected by respiratory motion, such as those in the lung or abdomen. At Action Cancer Hospital, respiratory gated radiotherapy techniques are used to minimize radiation dose to healthy tissues and improve treatment accuracy for patients with moving target volumes. At Action Cancer Hospital, our Radiation Oncology Department is committed to offering the most advanced and effective radiation therapy techniques to our patients. With a focus on precision, innovation, and compassionate care, our expert team strives to provide personalized treatment plans tailored to each individual's unique needs, ensuring the best possible outcomes in their cancer journey.

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Our Experts

Dr. Manish Bhushan Pandey

Director

Radiation Oncology, Radical Radiotherapy, Palliative Radiotherapy, Neoadjuvant Radiotherapy, Adjuvant Radiotherapy, Hemostatic Radiotherapy, Image Guided Radiation Therapy, Brachytherapy, Stereotactic Radiotherapy

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Dr. Manish Bhushan Pandey

Director

Dr. Manoj Kumar Sharma

Director

Radiation Oncology, Radical Radiotherapy, Palliative Radiotherapy, Neoadjuvant Radiotherapy, Adjuvant Radiotherapy, Hemostatic Radiotherapy, Image Guided Radiation Therapy, Brachytherapy, Stereotactic Radiotherapy

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Dr. Manoj Kumar Sharma

Director

Dr. Namita Patange

Associate Consultant

Radiation Oncology

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Dr. Namita Patange

Associate Consultant

Dr. Nidhi Jaiswal

Senior Resident

Radiation Oncology

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Dr. Nidhi Jaiswal

Senior Resident

Emergency