Best Doctors in India for Proton Therapy

Profile Highlights:

  • Dr. Rakesh Jalali has been one of the top Radiation Oncologists in the country due to his utter dedication to Cancer Research and Education.
  • He has been awarded the Oncologist Award by Medscape in 2014 and also received the top radiation oncologist award for consecutive 3 years from 2014 onwards.
  • Over the years of his career, he has conducted path-breaking research to enhance the quality of cancer treatment.

Profile Highlights:

  • Dr. Tejinder Kataria is a renowned radiation oncologist who holds an experience of about 32 years in the field of radiation oncology.
  • She founded the Department of Radiation Oncology at Artemis Health Institute and Rajiv Gandhi Cancer Institute.
  • Her interests lie in stereotactic radiotherapy (SBRT), Image-Guided Radiotherapy (IGRT), Intensity Modulated Radiotherapy (IMRT)and 3-D Conformal Radiation (3D CRT), PET-CT, MRI, SPECT, DSA and CT-Simulator fusion for treatment planning.

Profile Highlights:

  • Dr. Mahadev P is a radiation oncologist with 25+ years of experience and has played a major role in starting the Diplomate of National Board course in Radiotherapy in 2005.
  • After getting trained in Australia, Dr. Mahadev P started Prostate brachytherapy at Apollo Specialty Cancer Hospital.
  • Dr. Mahadev is also trained in Cyberknife radiosurgery – the only system in the world to treat tumors in the body with sub-millimeter accuracy.

Profile Highlights:

  • Dr. Subodh Chandra Pande is a well-known radiation oncologist in India. He has a long and rich clinical and teaching experience in the specialty of radiation oncology.
  • He included a Dual Energy Linear Accelerator with Multi-Leaf Collimator at Bhagwan Mahaveer Cancer Hospital and Research Centre (BMCHRC), Jaipur & which was a first for the State of Rajasthan.

Profile Highlights:

  • Dr. Rathna Devi is a senior Radiation Oncologist who has an experience of 24 years in the field.
  • She completed MBBS from M.S. Ramaiah Medical College, Bangalore University, and a Diploma in Radiotherapy from Madras Medical College, Dr. MGR Medical University.
  • Dr. Rathna Devi’s areas of expertise include Cranial Cyberknife Radiosurgery, Intensity Modulated Radiotherapy (IMRT), and Stereotactic Body Radio Therapy (SBRT).

Profile Highlights:

  • Dr. Srinivas Chilukuri has been in one of the top layers of Oncologists in the country.
  • He has been the clinical lead in advanced Radiation Oncology and has successfully trained more than 200 students all over the Indian Subcontinent.
  • He was one of the first radiation oncologists to develop expertise and experience in the Volumetric Modulated technique for Paediatric and Prostate Cancer.

Profile Highlights:

  • Dr. Ashwathy Susan Mathew has been an eminent doctor hailing from the Department of Radiation Oncology Apollo Proton Cancer Centre, Chennai.
  • She has performed extensive research in the diagnosis and treatment of Gastro-Intestinal Cancers and related metastasis.
  • She has been awarded the Parvati Devi Gold Medal for Best Paper at the 34th Annual Conference of the Association of Radiation Oncologists of India.

Profile Highlights:

  • Dr. Sapna Nangia is a highly proficient clinical and radiation oncologist with versatile experience in cancer management.
  • She has an experience of more than thirty-three years as a doctor and twenty-four years as a doctor across various eminent institutions in the country.
  • Dr. Sapna Nangia has been trained for proton therapy at Miami Cancer Care, New York

Profile Highlights:

  • Dr. Indu Bansal Agarwal is the Director and Senior Consultant in the Department of Radiation Oncology at Narayana Superspeciality Hospital, Gurugram.
  • Dr. Indu Bansal Agarwal is extremely skilled in high-end techniques such as SRS, FSRS, IMRT, intraluminal, and interstitial brachytherapy. Her special areas of interest are Pediatric tumors, Central Nervous System Tumors, and Breast, Head and Neck Cancers.
  • Dr. Indu Agarwal has co-authored chapters of several books and also has numerous publications to her credit in National and International Journals.

Best Hospitals in India for Proton Therapy

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Apollo Hospital, Chennai

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.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty 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 Bone Marrow Transplant 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. It is one of the largest tertiary care private hospitals in India which was spread across 5 acres and has a capacity of 650 beds.
  • The hospital has 80 consultation rooms spread across two floors, especially for OPD services.
  • With one of the largest critical care programs, the hospital is equipped with 125 ICU beds specifically dedicated to the surgical, medical, neonatal, cardiac, pediatric, neuroscience and organ transplant units.

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.

Proton Therapy

Proton therapy also termed as proton beam therapy, is a type of radiation therapy which uses high energy beams for treating various types of cancer. This treatment delivers external beams of radiation directly to the cancerous tissues.

The procedure is generally performed in outpatient treatment centers, where they use a machine known as cyclotron or synchrotron. Since these machines are quite large and expensive, only a limited number of centers offer this treatment. Studies have shown that proton therapy causes fewer side effects, compared to other traditional radiation therapies, as doctors are able to better control where exactly the proton beams will deposit their energy.

Proton therapy is also used quite often in combination with other cancer treatments such as chemotherapy and surgery, though in some cases, proton therapy might be the only treatment recommended by your doctor.

Purpose

Proton therapy is a preferred treatment method for cancer as well as some noncancerous tumors. Sometimes, it is the only treatment required for your condition, though in other cases it is used in conjunction with other treatments such as surgery and chemotherapy.

This procedure can be used for treating:

Preparation

Before you undergo this procedure, your health care team will be guiding you through a planning process for ensuring that the proton beam reaches the precise spot in the body where it is required.

The planning typically includes:

Determining the best position for you during treatment

During radiation simulation, the radiation therapy team will work so that they are able to find a comfortable position for you during the treatment. It’s imperative that you lie still during treatment; therefore, it is quite important to find a comfortable position. To do this, first you will be positioned on the table to be used during your treatment. Cushions and restraints are used for placing you in the correct position and for helping you hold still. The team will mark the area of your body that will be receiving the radiation. Depending on your situation, you might receive temporary marking with a marker or you may also receive permanent tattoos.

Planning the path of the protons with imaging tests

Your team might require you to undergo magnetic resonance imaging (MRI) or computerized tomography (CT) scans to determine the area of your body to be treated and how best to reach it using the proton beams.

Procedure

Typically, you will need to undergo proton therapy for five days a week for several weeks. Depending on your condition, in some cases, however, you may need only one or a few treatments. The actual treatment should take only a minute or so. However, you need to spend over 30 minutes generally preparing for each treatment session.

You might also need to undergo weekly CT scans to see if the dose you are receiving needs to be recalculated based on changes in weight or tumor size and shape depending on your situation.

During the procedure, first, you are positioned on a table. To hold your body still, cushions and restrains will be used. Then you will undergo an imaging test such as an X-ray or CT scan, to ensure that your body is in the same precise position before each treatment.

Then the team will leave the room and go to an area from where they will be able to monitor you.

What you experience next will depend on the type of proton therapy machine which your treatment team is using:

  • If you’re undergoing the treatment with a machine called a gantry, you will be placed on a table that is slid slowly into the circular opening of the machine. The machine then rotates around you to direct the proton beams at the precise points.
  • If you’re undergoing proton therapy with a fixed-beam machine, the table where you are positioned on will move while the proton therapy machine will remain still. Your table’s movement during the treatment is controlled remotely by your radiation therapy team. How often your table will move during the treatment can depend on your situation.

 

You will not be able to feel the radiation during your treatment.

After proton therapy

Once your treatment session is over, you can resume your daily activities. You will not be radioactive or give off any radiation.

It is to be noted that the side effects of radiation usually develop over time. Though you may experience few side effects at the beginning, after multiple treatments you will be experiencing fatigue, which can make it feel like your usual activities are requiring more energy or that you have very little energy during your everyday tasks. You might notice sunburn-like skin redness as well in the area where the proton beams are directed.

Your doctor can recommend periodic imaging tests during and after your proton therapy. This is to determine how well your cancer is responding to the treatment. How often you will need to undergo these scans depends on your situation.

Risks

Proton therapy can cause multiple side effects, especially when the energy from the proton beam damages any of your healthy tissues. Since doctors are able to better control where the energy is released during the treatment, the treatment is believed to have fewer side effects as compared to traditional radiation therapy.

The side effects that you will go through will depend on which part of your body is being treated as well as the dose that you receive.

Generally, the common side effects of this treatment include:

  • Fatigue
  • Headaches
  • Eating and digestion problems
  • Skin redness around the part of the body being treated
  • Hair loss around the part of the body being treated
  • Soreness around the part of the body being treated

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