Kabul/NCR:
MOHALI:
Dehradun:
BATHINDA:
BRAIN ATTACK:
Max Institute of Cancer care (MICC) offers comprehensive state of the art services for early diagnosis, staging, treatment and hospital-based care of Disease management group (DMG) – Breast, Gynaecology, gastrointestinal cancers etc. An individualised treatment plan is made for each patient by a specialist multidisciplinary team of medical oncologists, radiation oncologists, surgeons, histopathologists, molecular pathologists, gastroenterologists, interventional radiologists, nuclear medicine, dieticians, physiotherapists and geneticist.
There are a constant cross chat between the various specialities at the Respective DMG Tumour Board meeting, The main concept behind the DMGs at MICC is to make the best skills available to our patients. Site-specific oncology allows the clinicians involved in patients care to focus only on certain cancers at which they become world experts.
Meetings are held once a week to discuss all patients diagnosed with DMG specific (Disease Management Group- Breast , Gynaecology , GI etc.) cancer and arrive at the best possible management for the patient. The Surgical Medical and Radiation specialists of the respective DMG along with the Pathologists, Radiologist and Molecular Oncologists attend these meetings. All patients seen between these meetings are, however, discussed in the common tumour Boards held once a week.
Services available at the GI Disease management group at MICC include:
If you have been directed to the GI DMG Service then you, or your relative, is suffering from either one of the following cancers or spread of another organ cancer to the following sites:
Max Institute of Cancer Care (MICC) GI cancer multidisciplinary team includes group of experts in medical oncology, surgical oncology, radiation oncology, gastroenterologists, radiologist, pathologist, molecular oncologist, psychologist and physical therapists. They collaborate and provide the best comprehensive cancer care to all patients. The disease management group discussions and management options are discussed with patients to help them choose the best treatment for them.
The molecular profiling of tumors for targeted therapy and genetic test to assess the risk in family members is an integral part of multidisciplinary treatment plan.
Post operative specialized care in dedicated oncosurgery ICU and wards with help of experts intensivist, nurses and physical therapist helps in faster recovery.
The surgical unit of GI and Hepato-pancreato-biliary (HPB) DMG are specialized in all surgeries and minimal invasive procedures required for treatment of GI cancers.
What is Radiation Therapy and what does it do?
Radiation Therapy (RT) is use of high energy Ionization radiation (often X Rays ) to kill a cancer cell by damaging its DNA. Goal of Radiation Therapy (RT) is to use focused beams of radiation to kill cancer cell with as little risk as possible to normal cells. Radiation treatment, like surgery, is a local treatment. It affects the cancer cells only in a specific area of the body.
Types of Radiation Therapy?
When the source of radiation is from a machine outside the body, it’s called as External Beam Radiation therapy (EBRT). When radioactive material is placed close to tumour or area harbouring cancer cells it’s called as Brach therapy.
Timing of Radiation Therapy-
RT can be used before surgery to shrink a tumor, called as neoadjuvant/pre operative RT (Pre op RT). It may be used after surgery to stop growth of cancer cells that may remain called as adjuvant RT (Post op RT). At times radiation is used alone with curative intent which is called as Radical RT. It can also be used at the time of surgery known as Intra-operative Radiation (IORT).
What is Medical oncology and what does it do?
Medicines form an important part of the cancer treatment. These can be in the form of chemotherapy, hormone therapy, targeted therapy, biological therapy or immunotherapy. It's used primarily in the following scenarios
1) Concurrent partner to radiotherapy to increase the efficacy
2) Neoadjuvant chemotherapy – given before definitive therapy which could be chemoradiotherapy or surgery. This is also given to make inoperable tumours operable by reducing the size in some patients.
3) Adjuvant chemotherapy: this is given post surgery usually to decrease the risk of recurrence.
4) Palliative chemotherapy : to control advanced cancers ( cancer which has spread beyond the site of origin) or locally advanced tumour not amenable to surgery or radiotherapy.
EBRT is usually given during outpatient visits (OPD Treatment) to a hospital. In this, a machine (also called as Linear Accelerator/LA) directs the high energy rays at the tumor bearing area within body. The type of machine used for radiation therapy is called as a Linear Accelerator and at Adei Medical Complex it has several models like TrueBeam STx, Novalis or Clinax. Linear Accelerators have the capability of delivering RT by various techniques like IMRT (Intensity Modulated Radiation Therapy), IGRT (Image Guided Radiation Therapy), SRS (Stereotactic Radiation Therapy) and SBRT (Stereotactic Body Radiation Therapy).
Intensity-modulated radiation therapy (IMRT) refers to a technique of focusing radiation therapy at cancer bearing area using computer based optimization process to carefully create a gradient or a dose fall-off between the cancer/target tissues and the surrounding normal tissues. This fall of dose saves the surrounding normal organs effectively. Therefore, these techniques offer the prospect of increasing the cancer control probability while decreasing the side effects.
Image guided radiation therapy (IGRT) is classically defined as radiation therapy that is delivered only after verification of position of structures of interest by performing either an X-Ray or CT based image. The same are done by an imaging system mounted on the linear accelerator itself. IGRT technically includes IMRT and hence also called as IM- IGRT (Intensity-modulated Image guided radiation therapy)
Stereotactic body radiation therapy (SBRT) refers to use of principles of stereotaxy to identify and pin pointedly deliver precisely deliver intense doses of RT to only to cancer/tumour area. SBRT is essentially similar to Stereotactic Radiosurgery (SRS) brain except that term SBRT used when we are targeting areas outside brain. Since SBRT involves delivery of higher intensity of radiation doses in shorter time, it also known as SABR (Stereotactic Ablative RT). SBRT is generally done by combining IMRT and IGRT together. SBRT generally has fewer sitting /fractions of radiation as compared to conventional IMRT or IGRT.
Your Radiation Oncologist will discuss all these techniques and how they are relevant for your cancer and its treatment.
Both machines and team behind machines are equally critical in successful delivery of RT. We are fortunate that at Max Institute of Cancer Care (MICC), we have this critical combination of the modern state of the art machines and a trained team available across all hubs of Adei Medical Complexs.
TrueBeam STX is an advanced radiotherapy system to deliver more powerful cancer treatments with pinpoint accuracy and precision. It uniquely integrates advanced imaging and motion management technologies within a sophisticated new architecture that makes it possible to deliver treatments more quickly while monitoring and compensating for tumor motion. While the technology always opens the door, it is always the skilful doctors who can get inside it.
Adei Medical Compex is home to 2500+ eminent doctors in the world, most of whom are pioneers in their respective fields. Additionally, they are renowned for developing innovative and revolutionary clinical procedures.
Adei Medical Compex is home to 2500+ eminent doctors in the world, most of whom are pioneers in their respective fields. Additionally, they are renowned for developing innovative and revolutionary clinical procedures.
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