Radiation oncology

INTRODUTION

Govt Royapettah Hospital attached to Govt Kilpauk Medical College was established in 1911 by the Government of Tamilnadu.It is the  tertiary care centre with all three divisions of Oncology namely Radiation Oncology , Medical Oncology and Surgical Oncology under one roof.It is elevated as CENTRE OF ONCOLOGY in 2012 by the State Govt.Department of Radiation Oncology offers a comprehensive state-of-the-art outpatient and inpatient cancer treatment facilities  with latest Radiotherapy Machines and equipmentsthat bring our expert care closer to patients with comparable cure rate and significant palliation of non cured patients.It’s a centre of execellence for palliative care- a nodal centre for training  palliative care  under the  NATIONAL PROGRAMME FOR  PALLIATIVE CARE(NPPC) with exclusive PAIN AND PALLIATIVE CARE WARD OF 8 BEDS .The available paramedical courses affiliated to TN DR MGR MEDICAL UNIVERSITY  are  DIPLOMA IN RADIOTHERAPY TECHNOLOGY & .B.Sc.(NURSING) RADIOTHERAPY TECHNOLOGY.



INFRASTRUCTURE:

*  Total no of faculties in Department :8
*  Total no of PGs :9
*  Total no of units:1
*  Total No. of beds -48
*  OPD per month-650
*  No of Intracavitary Brachytherapy -75
*  No of Interstitisal/Surface Mould Brachytherapy -10


STATE OF ART THERAPY MACHINES AVAILABLE:

1.TELECOBALT –  THERATRONIX -780 .  REPLACEMENT WITH NEW TELECOBALT -MLC BASED  EQUINOX-80 MODEL OF TEAMBEST ASIA IS UNDER PROCESS
2.LINEAR ACCELERATOR –  TRUEBEAM  -SVC  WITH FFF MODEL OF DUAL ENERGY LINEAR ACCELERATOR (6&15MV,6FFF&10FFF )WITH MULTIPLE ELECTRON(6,9,12 &15Mev) ENERGIES CAPABLE OF IMRT,IGRT,RAPID ARC AND GATING ( MAKE OF VARIAN MEDICAL SYSTEMS)
3.20 SLICE CT SIMULATOR –  SOMATOM AS 20 OPEN MODEL OF SIEMENS.DICOM  NETWORKING  FACILITIES IN BETWEEN CT AND MRI FOR TELETHERAPY AND BRACHYTHERAPY PLANNING.
4. BRACHYTHERAPY(MICROSELECTRON V3 MODEL OF ELEKTA)
For Intracavitory                 -HDR REMOTE AFTER LOADING  BRACHYTHERAPY(MICROSELECTRON V3 MODEL OFELEKTA)
For  Interstitial                    – HDR REMOTE AFTER LOADING  BRACHYTHERAPY(MICROSELECTRON V3 MODEL OFELEKTA)
For  surface moulds             -HDR REMOTE AFTER LOADING  BRACHYTHERAPY(MICROSELECTRON V3 MODEL OFELEKTA)
For  Ophthalmic applications -HDR IRIDIUM PLASTIC TUBES USEDAS PER INDICATION AND TREATMENT DONE THROUGH REMOTE AFTER LOADING  HDR BRACHYTHERAPY(MICROSELECTRON V3 MODEL OF ELEKTA)
 

Equipment’s of Radio-Surgery

Ø  Millennium Multileaf collimator                                                
Ø  Frameless SRS Immobilization devices                                                  
Ø  Thermoplastic Mask                                                                             
Ø  Optical tracking system                                     
Ø  On Board Imaging System                                                                                
Ø  4D Image guidance                                                                                           
Ø  Treatment Planning System                                                       


Facilities for intra operative Radiotherapy:

Available for soft tissue sarcomas ,pancreatic malignancies, locally advanced head and neck malignancies and breast conservation surgery after wide local excision or resection of the tumour  boosting the tumour bed with iridium based  NUCLEOTRAN MICROSELECTRON HDR brachytherapy through nylon catheters
 
 
EQUIPMENTS FOR TREATMENT PLANNING

Treatment planning done manually or with the help of Computerised Treatment Planning System. 
ComputerisedTreatment Planning System-ONCENTRA 4.5.3 VERSION OFELEKTA FOR EXTERNAL BEAM  RTPLANNING .
ComputerisedTreatment Planning System-ONCENTRA 4.5.3 VERSION OFELEKTA FOR BRACHYTHERAPYPLANNING
ComputerisedTreatment Planning System -ECLIPSE VERSION 15. 5 (True Beam  model) OF VARIAN FOR  EXTERNALBEAM  RT PLANNING 


SERVICES:
Ø  HEAD AND NECK CANCER CLINIC
Ø  BREAST CANCER DETECTION CLINIC
Ø  GYNAECOLOGICAL CANCER CLINIC
Ø  MUSCULOSKELETAL AND UROLOGY CLINIC
Ø  GASTROINTESTINAL CLINIC
Ø  .PAIN AND PALLIATIVE CARE CLINIC &NERVE BLOCK
 

.   Other Services provided by the Department:

1.      Counselling for cancer survivors.
2.      Pain and other symptoms management.
3.      Management of post radiation sequelae
4.      Lymphedema management.
5.      Physiotherapy
 
Department List
NameDesignationCategory
DR.DR.S.MADHUMATHIPROFESSOR & HODTeaching
DR.POONGODIASSOC PROFESSORTeaching
DR.SIVAGNANAM BALAJIASSOC PROFESSORTeaching
DR..G.SIVAKUMARASST PROFESSORTeaching
DR.V.AMUTHAASST PROFESSORTeaching
DR.S.B.MEENAKSHIASST PROFESSORTeaching
DR.RAGHAVA PREETHISENIOR RESIDENTTeaching
DR.RESMISENIOR RESIDENTTeaching
Awards
NameDateDescription
Dr.S.SARAVANANAug-20BEST DOCTOR AWRD

GALLERY

RESEARCH AND PUBLICATIONS

1. Interstitial brachytherapy in soft tissue sarcoma – A single institute experience–
Dr.S.Saravanan, Professor, Department of Radiation oncology, Government Royapettah Hospital and Government Kilpauk Medical college, Chennai, Tamilnadu, India, Corresponding Author, DOI : 10.14260/jemds/2019-20/30- Index Scopus
2. Comparison of DosimetricPrameters in CT and MRI based planning in image guided Cervical Cancer Brachytherapy – Prospective single Institutional Study– Dr.S.Saravanan, professor, Department of Radiation oncology, Government Royapettah Hospital and Government  KilpaukMedicalcollege, Chennai,TamilnaduIndia,FirstAuthorDOI : http://dx.doi.org/10.18535/jmscr/v7i3.81 – Index Copernicus
3. Radical radiotherapy with concurrent weekly cisplatin in loco-regionally advanced squamous cell carcinoma of the head and neck- A single institution experience– Dr.S.Saravanan, professor, Department of Radiation oncology, Government Royapettah Hospital and Government Kilpauk Medical college, Chennai, Tamilnadu, India, Corresponding Author, DOI : 10.14260/jemds/2019-20/12 – Index  Scopus
4.Outcome Analysis of Early Endometrial cancers managed by Adjuvant Brachytherapy –Single Institutional study by Dr.S.Saravanan, Professor, Department of Radiation oncology, Government Royapettah Hospital and Government Kilpauk Medical college, Chennai, Tamilnadu, India, FirstAuthor. J. Evolution Med. Dent. Sci. 2019-20;8(29):0000-0000, DOI:10.14260/jemds/2019/515- Index  Scopus
5.. Ramya R, Saravanan S, Kumari K. “Influence of bladder volume on the dose to the target and organs at risk in High dose rate Intracavitary brachytherapy of Cervix” , Indian J GynecolOncolog (2022)20:58 . https://doi.org/10.1007/s40944-022-00645-w
6..Ramya R, Saravanan S, Kumari K. “Comparison of Vaginal Dosimetry Between Tandem Ovoid (TO) and Tandem Ring (TR) Applicator in CT-Based High Dose Rate Intracavitary brachytherapy of cervix”, Indian Journal of Gynecologic Oncology (2022) 20:22 https://doi.org/10.1007/s40944-022-00620-5(0123456789().,-volV)(0123
7. ” Dose to pelvic lymph nodes in image based high dose rate brachytherapy to cervix”, Reports of practical oncology and Radiotherapy, 24(2019-20) 80-85.Dr. RamyaRangarajan, FirstAuthor indexed in EMBASE, Elsevier biobase, SCOPUS
8.Vaginal dose reduction by changing ovoid loading patterns in intracavitary brachytherapy of cervix Radiation and oncology,158:s148,May 2021
9.Difference between MRI and CT based delineation of target volume and organs at risk in high dose rate brachytherapy of cervix, Indian journal of gynecologic Oncolgy17(3), September 2019
 
10..A Graphical method to estimate dose per fraction in HDR brachytherapy by adapting linear quadratic model-IJMSCR volume 5, Issue 1,Page No:387-392January-February2022
11. Gynecological malignancy for IMRT Target volume delineation  and comparison with slicer Radionomics-IJMSCR Volume 6 , issue 1, page No.692 – 695 January –February 2023


RESEARCH PROJECTS  UNDERTAKEN

1)     ANALYSIS OF ACUTE TOXICITY  WITH CONCURRENT CHEMORADIATION IN LOCALLY ADVANCED SQUAMOUS  CELL   CARCINOMA OF HEAD   AND   NECK.
2)     DVH CHARTS: COMPARATIVE ANALYSIS OF DVH BETWEEN CT BASED AND MRI  BASED INTRA CAVITARY APPLICATION  IN CARCINOMA CERVIX.
3)     ILRT TUBE:DOSIMETRIC EVALUATION IN CARCINOMA OESOPHAGUS WITH  ILRT.
4)     INTRACAVITTARY APPLICATORS: DOSIMETRIC IMPACT OF UNCERTAINITIES IN CATHETHER RECONSTRUCTION WITH CT AND MRI FOR INTRACAVITARY APPLICATION.
5)     INTERSTITIAL NEEDLES: DOSIMETRIC EVALUATION OF INTERSTITIAL  APPLICATION IN SOFT TISSUE SARCOMA THROUGH HOMOGENEITY AND CONFORMITY
6)     MRI BASED BRACHYTHERAPY IN CARCINOMA CERVIX-PROF.SARAVANAN.,DR .P.K.BASKAR.
7)     INTERSTITIAL  BRACHYTHERAPY IN CARCINOMA CERVIX-PROF.SARAVANAN.,DR . DR .P.K.BASKAR.
8)     INTERSTITIAL  BRACHYTHERAPY IN SOFT TISSUE SARCOMA-PROF.SARAVANAN.,DR . RESMI .
9)     PROSPECTIVE STUDY OF   ROLE OF BLADDER FILLING IN CARCINOMA VAULT DURING HDR  BRCHYTHERAPY – PROF.SARAVANAN.,DR .RESMI.
10)  USG BASED BRACHYTHERAPY IN CARCINOMA CERVIX- PROF.SARAVANAN.,DR .RESMI.
11)  OUTCOME ANALYSIS OF EARLY ENDOMETRIAL CANCERS MANAGED BY ADJUVANT  BRACHYTHERAPY – PROF.SARAVANAN.,DR .RESMI.
12)  SANDWHICH TECHNIQUE OF INTERSTIAL BRACHYTHERAPY DURING 4TH AND 5TH WEEK OF EBRT IN
13)  THE MANAGEMENT OF CARCINOMA CERVIX-PROF SARAVANAN, DR. SIVAKUMAR.
14)  ASSESSEMENT OF PULMONARY FUNCTION AND CARDIAC EVALUATION IN PATIENTS TREATED BY EBRT IN CARCINOMA BREAST- PROF SARAVANAN,DR .MADUMATHI.
15)  OUTCOME ANALYSIS OF MANAGEMENT OF CARCINOMA CERVIX STAGE IB TO II B- PREOPERATIVE
16)  CHEMO RADIATION FOLLOWED BY SURGERY VS DEFINITIVE CHEMOIRRADIATION.-PROF SUBBIAH SHANMUGAM,PROF SARAVANAN
17)  OUTCOME ANALYSIS OF MANAGEMENT OF HEAD AND NECK CANCER- PREOPERATIVE CHEMO  RADIATION FOLLOWED BY SURGERY AT 50 GY VS DEFINITIVE
18)  CHEMOIRRADIATION TILL 66 GY.-PROF SUBBIAH SHANMUGAM,PROF SARAVANAN
 
RESEARCH PROJECTS  ONGOING


1.DOSE COMPARISON BETWEEN BRACHYTHERAPY AND  SBRT IN CARCINOMA CERVIX
2.RADIONOMICS BASED   TARGET VOLUME DELINEATION OF CERVICAL CANCER.
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