The two
kinds of Radiation for Cancer Therapy are External Beam Radiotherapy (EBRT)
and Brachytherapy (Internal Irradiation). Apollo Speciality Hospital,
Chennai, has 2 Linear Accelerators for External Beam Radiotherapy. Multi Leaf
Collimators (MLC) with Intensity Modulated Radiotherapy (IMRT) are the latest
developments for improvements in accuracy and precision, resulting in optimum
radiation. Micro Multi Leaf Collimators (MMLC) are also deployed for Intensity
Modulated Radiotherapy and Intensity Modulated Radiosurgery (IMRS), specifically
for intracranial lesions. The Department at Apollo Speciality Hospital, Chennai,
treats 100-120 patients per day. Around 10% of these patients are on High
Precision Irradiation (SRT, IMRT). National and international expertise in
Radiation Oncology and Medical Physics assures quality to match the best institutions
worldwide. Other facilities like the High Dose Rate (HDR) Micro-Selectron
Brachytherapy Unit, computerised 3D treatment planning system for both traditional
and inverse planning, and permanent or temporary isotope implantation are
available for treating early carcinoma of the prostate. The Department uses
the Iodine 125 Seed Implant technique or Ir 192 HDR Brachytherapy. The procedure
requires short hospitalisation. In terms of convenience, it is superior to
the conventional radical Prostatectomy and External Beam Radiotherapy. Apollo
Speciality Hospital, Chennai, is among the pioneers of Intensity Modulated
Radiotherapy (IMRT). It has additional capabilities for special radiotherapies
like Whole Skin Electron Irradiation or Whole Body Irradiation. These are
used against skin lymphoma or leukaemia and are powerful tools in the hands
of Apollo's expert radiation oncologists. Several forms of High Precision
Irradiation (HPI) are used at Apollo. The Department also has the additional
capability of modulating the radiation intensity using a Multi Leaf Collimator.
Stereotactic Radiosurgery and Radiotherapy:
Apollo Speciality Hospital, Chennai has performed groundbreaking results with
Stereotactic Radiosurgery (SRS) in South Asia. SRS is a widely accepted, cost-effective
and non-invasive radiation technique employed to treat various types of intracranial
lesions like Arteriovenous Malformation, Meningiomas and Acoustic Schwannomas.
This is usually recommended when the risks involved with open surgery are
higher. This procedure enables deep-seated lesions to be visualised, analysed
and treated precisely.
IMRT and IMRS:
Multi Leaf Collimator is a field-shaping device that provides all kinds of
irregular shapes to the radiation fields coming out of the Linear Accelerator
(LA). This device consists of several leaves moving under remote computer
control. Leaves can also be used for modulation of the intensity of radiation
emerging from the Accelerator. This very complex form of High Precision Irradiation
is capable of covering irregularly shaped target volumes with never before
seen precision. It can save surrounding critical organs with previously unimaginable
efficiency. Large numbers of patients with solid tumours benefit from this
type of treatment.
Bone Marrow Transplantation:
(BMT) Bone Marrow Transplants are performed to treat malignant conditions
like Acute Myeloid Leukaemia, Lymphatic Leukaemia, Myeloma and Hodgkin's disease.
Specific cases of solid tumours and genetic disorders like Thalassemia have
also benefited from this treatment. The BMT unit at Apollo has expertise in
both Autologous and Allogenic bone marrow transplants. It has performed over
140 bone marrow transplants with clinical outcomes on par with the best in
the world.
First Cord Blood Cell Transplantation in India:
Cord blood, which is rich in stem cells, is now being used across the world
for overcoming the HLA compatible factor. The first successful Cord Blood
Transplant in India was performed at Apollo. Facilities for both Autologous
and Allogenic Transplantation are available at Apollo along with additional
facilities for peripheral stem harvest. Allogenic Transplantation uses a cell-separator
and a freezing system to cryo preserve cells for future use.
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