RADIOTHERAPY DEPARTMENT

-Alvita saldanha
II MHA
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 Content
• History
• Objectives
• Hierarchy
• Layout
• Facilities offered
• Procedure followed
• Equipments
• AERB Approvals
• Quality assurance
• NABH safety guidelines
• SWOT Analysis
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• Radiation therapy (also called radiotherapy) is
a cancer treatment that uses
high doses of radiation to kill cancer cells and
shrink tumors

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Inaugurated by Dr A.P.J Abdul Kalam
on 9th December 2007

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 OBJECTIVES
• To provide state of art treatment to the
patients suffering from cancer
• To impart quality training to postgraduates
students
• To provide facilities in the department for
clinical and basic research in radiation
oncology
• To train oncologists, physicists and technicians
regarding recent developments
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 DIRECTOR

ADMINISTARTOR ADMINISTARTOR
FMMC FMMCH

RADIOTHERPHY MEDICAL
ONCOLOGIST PHYSCIST

RADIOTHERAPHY
ASSISTANT TECHNOLOGIST
ONCOLOGIST
MEDICAL SOCIAL
WORKER
PG STUDENT
CLERK

HOSPITAL
INTERNS AIDES

MNO/FNOS 6
 Location
• Oncology block, Ground floor

• Timings: 8.30 am - 5.00pm

Holidays : Sundays and hospital holidays

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 ELECTRICAL CHILLER ROOM
Branchy LADIES
ROOM T.P.S TOILET
Therapy
16’3*19’3 ROOM
LINAC
THERAPY
18’0*24’0
GENTS
TOILET
CONSOLE
ROOM

HOD
WAITING EXAMINAT
ROOM ION ROOM
CONSOLE
ROOM
EXIT NO 1 70 CORRIDOR EXIT NO 2
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 Z WARD
TOIL REST
TOILET STORE
ET BATH
ROOM TOIL
BATH
PROCED ET
URE
DEPT OF ROOM
RADIOTH
ERPHY F
I CLASS
ROOM R GENERAL
1 ROOM GENERAL WARDS
AC E NURSING
WARDS 50’6*20’0
CHILLER E STATION
ROOM 50’6*20’0
X
2 I
T
ROOM
3

EXIT NO 3 EXIT
70 WIDE CORRIDOR
NO 4
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 Facilities offered
• Linear accelerator with IMRT
• Nucletron brachytherapy facility
• Advanced mould room
• Trained radiation oncologists, trained medical
physicists and radiotherapy technologist

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 Procedures followed
1. Counter 3- file registration
2. Oncology OPD(Radiation oncologist)
3. Refer to radiology department-for CT scan
4. Refer to radiotherapy
5. Import of CT images (physicist)
CT images sent for planning room
6. Delineation of the target –by rad. Oncologist

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6. Treatment planning system
7. Plan verification and approval by
rad.oncologist
8. Mould preparation (radiotherapy
technologist-as per investigation by
oncologist)
9. Execution of therapy

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 Basic radiation protection strategies
• Time : when handling patients with implants
• Distance : when dealing with patients
• Shielding : PPE such as lead aprons,lead gloves
• Safety programmes like TLD( thermo
luminisence dosimetry):is a personal
monitoring device mandatory for all the
radiation workers

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 Billing of radiotherapy patients
• Payment is done in two installments 50% at
start of treatment and 50% at midway of
treatment
• Palliative radiation :payment is valid for one
year from date of payment
• various insurance scheme like ESI, private
insurance and Arogya karnataka scheme

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 Infection control in LINAC &
Brachytherapy
• In Linac and brachytherapy the fumigation is
done once in 6 months

• Imaging signages

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 Community based activites
• Conduct cancer awareness programmes by
way of radio and tv programs
• sensitize public to come for treatment at an
early stage of cancer
• Publish brouchers and pamphlets in
collaboration with community medicine
department regarding cancer and to conduct
cancer screening programmes

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 Registers
• Radiotherapy registers
• Moulding /planning CT appointment register
• New patient planning register
• Brachy therapy register
• Treatment planning register
• Medical and general store indent book

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 Equipments
TREATMENT PLANNING ROOM
• Eclipse treatment planning system connected
with latest ARIA
• RFA- Radiation field analyzer software
LINAC ROOM
• Linear accelerator (6MV) having capable of
delivering intensity modulated radiotherapy
• Treatment console monitor-UPS
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Linear Accelerator

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BRACHYTHERAPY ROOM
• Micro-selectron HDR Brachytherapy- V3 18
Channel
• Gamma zone monitor
• Film scanner, Survey meter
MOULD ROOM
• Electrometer
• Metal heater
• Hot water bath
• Hot air gun
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Brachytherapy

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AERB Approvals
• Approval of layout plan of radiotherapy facility
• Authorization to import medical Linear
accelerator
• Layout approval for HDR brachytherapy
• Licence for Linaac , brachytherapy
• Commissioning approval of Linac- DBX
accelerator
• Authorization to import Brachytherapy source
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 Quality assurance
• Daily, Monthly, Annual and in between in case
there is major breakdown, QA will be done as
per protocol
- X ray and electron output constancy,
localisation lasers, optical distance indicator,
door interlock and audio visual monitor

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 Statutory requirements
• Commissioning and decommissioning of Linac
and Branchy has to be registered with AERB
• No assistance to the patient during treatment in
radiotherapy
• Personnel monitoring facility be provided to all
radiation workers
• Regular maintenance and calibration of the unit
must be carried out
• Linac and brachy equipments meeting design
certificate and type approval requirements by
AERB only shall be used
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 NABH safety guidelines
• A qualified technologist must only do all
radiotherapy techniques and procedures
• Last person whoever comes out of the
treatment room must switch the LMO on
• Close the treatment room door properly and
tightly
• Collimate the radiation beam to necessary
area only
• All staff must wear TLD badge in the dept.
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 SWOT analysis
• Strengths
- very strong palliative care is given
- Caring environment. Its all about patient in the
end
- Friendly staff
- Ideal location
- Large number of patients
- Planning and designing according to BARC
requirement

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• Weakness
- Small reception area
- Inadequate seating arrangements
- Congested corridors
- Breakdown of equipment-LINAC
- There are no moulding racks in the department
- Bed bugs are present in the wards
- Delay in discharge summaries due to PG doctors
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Opportunities
• Advertisement of our unique treatments
• Adopting advance technology like cyber knife

Threats
• Staff turnover
• Competitor can offer similar equipments
quickly

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Cyber knife

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