Spiral CT scan (3–D & laser camera)
Deep seated tumors are localized with precision as a planning CT Scan is done showing a blown up 3–D picture of the tumor and adjacent organs as shown in the inset). This scanner is highly versatile and efficient. It is the first of its kind in pune. It can pick up the smallest of tumors and can characterize them into benign and malignant. The laser camera provides high quality images. The spiral mode enables continuous scanning thus ensuring much shorter scanning time and accuracy.
Treatment planning computer
This consists of a dedicated computer with advanced software. Details of the tumor obtained from the simulator or the CT Scanner, are fed into the computer and a 3 – dimensional reconstruction of the tumor done (shown in photograph), along with the surrounding organs. The precise dose required is then calculated by the computer, so as to have maximal effect on tumor while sparing normal organs. The same computer also plans accurate treatment for the Brach therapy machine i.e. the micro–HDR. The system is capable of accepting images directly through an optical disc from the CT scanner.
High dose rate HDR brachytherapy (micro–selectron)
This is a form of radiation where a radioactive isotope is introduced within or very close to a tumor. It enables the delivery of intense radiation to chosen specific sites sparing the surrounding normal tissues. The high dose rate ensures a treatment time as short as ten minutes as compared to a few days when low dose rate machines are used. This machine consists of the main body in which a radioactive Iridium source, the size of a grain, is stored. The computer guides the source to its destination through various applicators which transmit the source to the tumor site for radiation.
Theratron 780C (cobalt 60 unit)
This is a very accurate cancer therapy unit. Most cancers in India are effectively treated on this machine. It consists of a radioactive source – Cobalt 60, rotating gantry, adjustable collimator, motorized table and a control console. Theratron 780C is accepted in the world as the gold standard in Cobalt therapy. The dose delivered is highly precise, thus side effects of treatment are minimal.
The Clinic 2300 CD is a highly versatile Linear Accelerator which has revolutionized radio therapeutic treatment of tumors all over the world. It delivers high energy X–rays and electron beams. High energy (photon) X–rays are useful in delivering homogenous radiation dose distribution in deep seated tumors while saving the skin from damage. Electron beams are useful in treating superficial tumors which deliver negligible dose to deeper structures. Layout of the operation theatre and the radiation department integrates facility for intra–operative radiation.
Liver cancer could be either primary or secondary. Contrary to popular belief, this cancer can be effectively treated with resection, cryotherapy and hepatic artery chemotherapy and thereby increase the life span of patients significantly.
Cryosurgery for Liver tumors is an effective, bloodless technique, relatively free of complications introduced in the Institute for the first time in India. A hollow probe introduced into the core of the tumor is connected to a liquid Nitrogen source at minus190 C. The ice–ball thus formed destroys the tumor, sparing the rest of the normal liver.
Nuclear medicine center multispect – 2
This is a versatile whole body scanner and one of the few in India. It can help in detection of primary tumors as well as rule out metastatic involvement in the bones and liver. It is also used in evaluating the functions of various organs like kidney, heart, lung, brain and gastrointestinal system and thereby help in providing enhanced patient care.
The Institute has also established a Nuclear Medicine cancer treatment unit. nuclear isotopes will be used to treat thyroid cancers, neuroendocrine tumors and alleviate bone pain caused by metastasis from various cancers.