Best Doctors in India for IMRT
- Radiation Oncologist, Chennai, India
- Over 32 years’ experience
- Apollo Cancer Centre, Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Rajendran B has developed expertise in the treatment of conditions like Cancer and Central Nervous System Tumors.
- He has studied radiotherapy and was recognized as the first oncologist to perform radiosurgery in Northern Malaysia in 2008.
- Dr. Rajendran takes interest in engaging in social groups related to his field and holds Indian Medical Association (IMA) membership.
Best Hospitals in India for IMRT
- City: New Delhi, India
Hospital Highlights:
- Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
- With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
- The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.
- City: Hyderabad, India
Hospital Highlights:
- Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
- Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
- Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
- Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
- The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
- The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
- In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
- In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.
- City: Mumbai, India
Hospital Highlights:
- Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
- Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
- The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
- The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
- The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.
- City: Chennai, India
Hospital Highlights:
- Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
- Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
- The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
- Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
- It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
- It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
- The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
- It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
- The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
- Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.
- City: Chennai, India
Hospital Highlights:
- Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
- India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
- Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
- The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.
- City: Chennai, India
Hospital Highlights:
- Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
- The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
- The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.
- City: Hyderabad, India
Hospital Highlights:
- KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
- The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
- The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
- The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
- The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.
- City: Kolkata, India
Hospital Highlights:
- Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
- With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
- This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
- The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
- Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
- Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
- Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
- It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
- Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.
- City: Bengaluru, India
Hospital Highlights:
- Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
- The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
- The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
- Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
- There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
- The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
- One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
- It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
- Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.
- City: Mumbai, India
Hospital Highlights:
- Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
- The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
- With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
- Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
- Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
- Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.
IMRT
Intensity-modulated radiation therapy, known as IMRT, is an advanced type of radiation therapy, which is used for treating cancer as well as noncancerous tumors. This procedure uses advanced technology in order to manipulate photon and proton beams of radiation to conform to the shape of a tumor. The goal of the procedure is to conform the radiation dose to the target while avoiding or reducing exposure of healthy tissue to limit the side effects of treatment.
Purpose
The procedure is used mostly to treat prostate cancer, head and neck cancers, gastrointestinal and gynecologic cancers, brain tumors and lung cancers, among others.
Doctors generally consider this procedure when a tumor partially surrounds or is close to a healthy part of your body that cannot tolerate the full dose of radiation being given to the tumor. When the tumor is not near any sensitive area, IMRT might not be required. You can talk in detail with the radiation team regarding which type of treatment is best for you.
Preparation
Before the treatment, doctors need to conduct a physical examination and medical history. After this is done, there is a treatment simulation session, which might include a CT scan. A small mark or a tattoo might be placed on the skin of the patient, as this can help to align and target the equipment. This radiation oncologist can use this scan to make an individual plan for the patient.
Sometimes it might be important to follow a certain bowel and bladder preparation regimen, or too fast, before the simulation and treatment. The patient might be injected with intravenous contrast material, during the CT scan, as it can help to define the tumor better.
Sometimes additional scanning procedures, which include magnetic resonance imaging (MRI), or positron emission tomography (PET) might also be required for IMRT planning. These diagnostic images can be merged with the planning CT, to help the radiation oncologist determine the exact location of the tumor target.
Sometimes it is also necessary to insert radiodense markers into the target for more accurate positioning. In general, IMRT sessions usually begin around a week or two after the simulation.
The team involved in this procedure generally includes the medical oncologist, medical physicist, radiation therapist, dosimetrist, and radiation therapy nurse.
Procedure
Generally, IMRT often requires multiple treatment sessions on different days. The radiation oncologist will consider the type, location and size of the tumor, doses to normal structures, as well as the health of the patient, to decide the number of treatment. Generally, patients are scheduled for IMRT sessions five days a week for about a month or two.
At the beginning of each session, first, the radiation therapist will position the patient on the treatment table, guided by the marks on the skin, i.e. tattoos that help identify the treatment area. If there were molding devices made, then they will be used to help the patient maintain a proper position. The patient might be repositioned during the procedure as well. Imaging systems on the treatment machine such as X-ray or CT might be used for checking positioning and marker location.
After the patient is positioned, the radiation will be turned on for a brief time. For each position of the machine, the radiation is on for only a minute or two. During the entire procedure, the machine rotates over you, while you lie as still as you can, breathe normally and relax.
The treatment generally should not take more than 30 minutes.
After the procedure
Risks and complications
Though IMRT has many advantages, it might not always be the best option for patients. Sometimes there are side effects of radiation treatment which may include problems that might occur as a result of the treatment itself as well as from radiation damage to any healthy cells in the treatment area.
The severity of the side effects that you experience can generally depend on the type of radiation and dosage that was prescribed and the part of the body which was being treated. Let your doctor and healthcare team know if you experience any side effects so that they can help you to manage them.
Side effects might be early or in some cases, late. Early side effects generally occur during or immediately after the treatment and should typically go in just a few weeks.
Some of the early side effects of radiation therapy can include tiredness or fatigue as well as skin problems. Skin in the treatment area can sometimes become more sensitive, red, irritated, or even swollen. Other skin changes generally include itching, dryness, peeling, and blistering.
Some of the early side effects may include the following:
- Mouth problems and difficulty swallowing
- Headaches
- Hair loss in the treatment area
- Soreness and swelling in the treatment area
- Eating and digestion problems
- Diarrhea
- Nausea and vomiting
- Urinary and bladder changes
Rarely, late side effects generally occur months or years after the treatment and are generally permanent. They may include:
- brain changes
- spinal cord changes
- colon and rectal changes
- infertility
- joint changes
- lung changes
- kidney changes
- secondary cancer
- lymphedema
- mouth changes
There is also a slight risk of cancer from radiation therapy. Therefore it is important that you are assessed regularly by the radiation oncologist for complications.