Best Doctors in India for IMRT

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

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Fortis Hospital, Anandpur, Kolkata

Hospital Highlights:

  • Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
  • The hospital is NABH accredited.
  • This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
  • The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
  • The hospital also has a nephrology department with over 28 advanced dialysis units.

Fortis Hospital Banerghatta, Bengaluru

Hospital Highlights:

  • Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
  • The hospital is a 276 bedded multi-specialty tertiary care facility.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
  • The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).

Gleneagles Global Hospital, Parel, Mumbai

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Jaypee Hospital, Noida

Hospital Highlights:

  • Jaypee Hospital is the flagship hospital of the Jaypee Group.
  • This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
  • It holds the accreditation of the NABH and NABL.
  • The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
  • It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Manipal Hospital, Dwarka, Delhi

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

Pushpawati Singhania Hospital & Research Institute, New Delhi

Hospital Highlights:

  • Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
  • The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.

W Pratiksha Hospital, Gurgaon

Hospital Highlights:

  • W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
  • With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
  • Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
  • The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.

Narayana Superspeciality Hospital, Gurugram

Hospital Highlights:

  • Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
  • It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
  • It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.

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

Once your radiation treatment is complete, your healthcare team will help you get off the table and escort you back to your changing area or waiting room.

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.

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