Cancer Hospital In India
DEPARTMENT OF MEDICAL ONCOLOGY

The department has been actively functioning since the inception of the prestigious institute. The department had a humble beginning with one medical oncologist to start with and has expanded over years to reach its present status with four fulltime medical oncologists supported by a team of floor doctors, registrars and specially trained nursing staff.

The department caters to the medical needs of both children and adults with cancer and is ranked as one of the best center in India. State of the art

The following facilities and services are offered by the department:

  • Outpatient patient department
  • Day care chemotherapy
  • In patient chemotherapy
  • Specialized Paediatric oncology ward
  • General paediatric wards
  • Bone Marrow Transplantation Unit

Procedures:

  • Chest tube thoracostomy and pleurodesis
  • Intrathecal chemo therapy
  • Central venous access- establishment and use
  • Autologous bone marrow transplantation
  • Allogenic bone marrow transplantation

The center is recognized for the Glivec International Patient Assistance Program (GIPAP). It also assists in conducting high quality international and national clinical trials.

The services are strengthened by the state of the art laboratory services in the departments of Pathology, Microbiology, Biochemistry, molecular diagnostic laboratory and Blood Bank with apheresis and irradiation facilities. The departments of Medico-social science and Naturopathy and Yoga provide the finest quality of strength and support, thereby completing the crucial circle of “Holistic Care” of patients.

Note ** Emergencies are attended round the clock

DEPARTMENT OF LABORATORY MEDICINE

The Department of Laboratory Medicine at Basavatarakam Indo American Cancer Hospital and Research Institute is a cost effective one stop shop for diagnosis in oncology without compromising on quality. Laboratory Medicine department provides services in Haematology, Cytology & Histopathology, Biochemistry, Microbiology and Molecular Pathology. The professional team consists of dedicated specialist doctors trained in respective fields with vast experience in oncology, molecular scientists, technologists/technicians and other support staff. The Labs are accredited by NABL (National Accreditation Board of Laboratories).

  • • Fully automated lab with state of art infrastructure
  • • Encompasses Pathology, Microbiology, Biochemistry & Molecular diagnostics under one roof
  • • Cost effective and quality conscious (NABL accredited lab )
  • • Quality assurance on an ongoing basis
  • • Pathologists/Microbiologists (MBBS,MDs) work in tandem with Molecular biologists & Geneticists (Ph Ds) to make the molecular reports clinically relevant
  • • Active participation of laboratory physicians in academics
  • • Active teaching programme in DNB Pathology
  • • Publications in national & international journals
  • • Trained and knowledgeable technologists working as per stringent standard operating procedures
  • • Pioneers in ancillary techniques in cancer diagnostics
  • • Effective correlation as clinicians and management are active partners in lab functioning and setting standards
DEPARTMENT OF NUCLEAR MEDICINE

The Department of Nuclear Medicine in BIACH & RI provides newer clinical and imaging modalities on par with the other departments of national eminence.

It offers a wide spectrum of nuclear medicine imaging services including a full gamut of imaging procedures – conventional gamma camera imaging as well as new PET-CT technology and gallium scans.

Department of Nuclear medicine also offers various therapeutic applications of radioisotopes such as Radioiodine therapy, MIBG (1-131) therapy and Samarium-153 therapy.

It also produces radioisotopes (18F-FDG) required for PET-CT imaging with its in-house cyclotron facility and caters to the need of radioisotopes to other PET-CT centers in and outside Hyderabad city.

Services

  1. • Diagnostic
  2. • Gamma camera scans
  3. • PET-CT
  4. • Gallium scan

Therapeutic

  1. • Radioiodine therapy for thyroid cancer.
  2. • Radioiodine therapy for thryrotoxicosis.
  3. • Samarium153 / strontium-89 therapy for bone pain palliation.
  4. • MIBG therapy.
  5. • Others: FDG Supply and other PET tracers.

Facilities

DEPARTMENT OF RADIOLOGY AND IMAGING

Modern imaging methods in Radio-diagnosis supplement the clinical expertise in diagnosing the presence and extent of cancer and other diseases. Imaging has a vital role to play in a specialized centre for cancer, as it caters to the needs of several departments including the surgical, medical and radiation oncology departments.

The initial diagnosis of disease is the first and most important step in planning the management of a cancer patient. The department of Radio-diagnosis at Basavatarakam Indo-American Cancer Institute is geared to take up this task with a dedicated team of health care professionals –Competent Radiologists, Technicians paramedical & supporting staff.

Facilities / Services provided

The department is well equipped to provide the full range of diagnostic imaging services including:

  • Computerized Radiography
  • Ultrasonography (USG) & Color Doppler, Elastography
  • Multi slice Computed Tomography (CT)
  • Magnetic Resonance Imaging (MRI)
  • Digital Mammography and Interventional radiology.

PACS-Images from the above mentioned modalities are stored on PACS (Picture Archival and Communication System).

Diagnostic procedures

  • Ultrasound Guided Fine Needle Aspiration cytology (FNAC) and Biopsy.
  • CT Guided FNAC and Biopsy.
  • Diagnostic aspiration of ascitic or pleural fluid for cytology.

Many Hospitals depend on the Institute for the expertise in CT & Ultra Sound guided Biopsies . More than 500 CT & Ultra Sound guided biopsies are carried out per month

DEPARTMENT OF SURGICAL ONCOLOGY

The Surgical Oncology department has a team of qualified and very well trained surgical oncologists from virtually every part of the country, who are well accomplished to carry out the complex surgeries on all type of cancers of the body as per the latest approved international standards and protocols. They are ably complemented by the state of the art operation theatres, modern and scientifically updated gadgets, instruments and machineries. The surgical team is backed by a team of highly trained & competent and by a well-equipped post-operative intensive care unit (ICU) & High Dependency Units (HDU), monitored round the clock by the trained team of anaesthetists.The department has Tumor Boards discussion every case at regular intervals for the better outcome of diagnosis and treatment.

The department forms the backbone of the comprehensive cancer care of the patient that the hospital offers in a structured and coordinated multidisciplinary approach are held for the treatment of patients suffering from cancer with the aim of quality patient care, complete cure, rehabilitation and most importantly addressing the quality of life issues to the core.

The areas of special expertise include breast cancer, melanoma and other skin tumors, sarcomas, and cancers of the Gastrointestinal Tract, Especially Esophagus, Liver, Pancreas, and Rectal Cancers. The Division of Surgical Oncology provides surgical education and the majority of the index cases for the training of our residents and students in the areas of Surgery and Surgical Oncology.

The department works in close liaison with medical & Radiation Oncology Department for Comprehensive care of the patient. It also incorporates the services of pain management specialists, social workers, volunteers, Dieticians, Physiotherapists, speech therapists, rehabilitative units, dental department, stoma care unit and occupational therapist for rapid and speedy rehabilitation of the patient along with the social & psychological support.

The department carries out round the clock screening programs like breast, head & neck, cervical, prostrate to detect disease in apparently healthy individuals at an early & curable stage. The common outlooks within this division – education, outreach and compassionate quality care for all patients and will continue to flourish in these aspects.

The steps involved with the care of the patient are

  • Screening and prevention
  • Early detection
  • Diagnosis
  • Staging
  • Local and systemic treatment
  • Rehabilitation and
  • Follow up /Palliative care

The services offered by the department are:

Department of Surgery provides a comprehensive, multidisciplinary approach to benign and malignant diseases of the breast. Surgeons specializing in breast surgery collaborate closely with other specialists. The surgical oncologists who specialize in treating patients with breast diseases work in a fully integrated multidisciplinary team environment, offering patients a personalized approach to breast cancer, spanning every facet of treatment. The team is made up of nationally-renowned experts across numerous specialties, all working in symphony to ensure exceptional care. Quality-of-life treatments that maximize cosmetic outcomes involve breast-conserving surgery, optimal reconstructions, Gamma Camera’s for sentinel lymph node biopsies, state of art Mammotome for taking biopsies and skin-sparing mastectomies.

ANAESTHESIOLOGY

The Department of Anaesthesiology and Peri-operative Medicine at Basavatarakam Indo American Cancer Hospital and Research Institute is equipped with state of the art facilities and managed by team of doctors and paramedics specially trained in anaesthesiology and critical care. Our department is committed to the wholesome peri-operative care of the patients coming to our hospital for their surgery. Peri-operative care is provided in the pre-operative, post –operative surgical intensive care units.

Services Offered By The Department:

ALLIED CLINICAL SERVICES

Cancer diagnostics and treatment require support from few other specialities depending on the part of the body affected by disease. Such fully equipped support facilities are also provided in the hospital with a view to ensure that patient need not have to go to any other centre for these investigations/procedures. Clinicians for these disciplines are available on need/part time basis. All these facilities are grouped as Allied Specialities in a specified area in hospital’s outpatient block. Allied specialities and equipments available are;

Specialities-

DEPARTMENT OF RADIATION ONCOLOGY

It is one of the largest radiation oncology departments in Asia with 6 Linear accelerators, High Dose rate Brachytherapy Unit, CT-Simulator and Digital Conventional Simulator etc. We are the first in this part of India to introduce Radiation Treatment through Linear Accelerators.

The department was started in the year 2000 with scientific support and consultation from New York Presbyterian Hospital-Weill Cornell Medical College, New York, USA under the supervision of renowned radiation oncologist Dr. Nori Dattatreyudu, Professor and Chair, Department of Radiation Oncology, New York Presbyterian Hospital and Professor and Chairman, Radiation Oncology & Director of the Cancer Center New York Hospital Queens.

The Department is managed by a dedicated and professionally competent team of Radiation Oncologists, Medical Physicists and Radiotherapy Technologists and Nursing Staff rendering Radiation therapy to 450-500 cancer patients everyday.

BIACH & RI as pioneer in Radiation therapy

  • Only center in India to have five Linear Accelerators with 4 capable of delivering IMRT (Intensity Modulated Radiotherapy).
  • Only center in India to have both RPM & ABC (Active Breath Coordinator) facilities for SBRT.
  • Started Cone beam CT based IGRT first time in India.
  • IGRT (Image Guided Radiotherapy) using Breath control system started first time at in India.
  • Philips big bore CT is first of its kind in India with 16 slices and 85 cm bore size.
  • First Stereotactic Body Radiotherapy (SBRT) for lung using ABC system in India.
  • Only Institute in India to have Lantis, ARIA and Mosaiq networks with 3 independent servers and one RT network.
  • First in India to use AIO (All In One) immobilization system for conformal therapy.
  • Two modern linear accelerators capable of doing IGRT/SBRT.
  • 5 modern 3D and 2 modern 4D planning systems for conformal radiotherapy.

Modern Radiotherapy simulation & imaging equipments

  • Discovery PET-CT(GE) for PET based Radiotherapy planning
  • Brilliance Big bore CT (Philips) dedicated to Radiotherapy
  • Acuity simulator for conventional RT planning (Varian Medical)
  • (GE) for MRI based Radiotherapy planning

Modern Radiotherapy treatment equipments

  • Novalis Tx linear accelerator (Varian Medical Systems)
  • Synergy linear accelerator (Elekta Medical)
  • Synergy platform linear accelerator (Elekta Medical)
  • Compact linear accelerator (Elekta Medical)
  • Varisource ix HDR Brachytherapy unit (Varian)

Radiation Therapy Services

  • Volumetric Modulated Arc Therapy (VMAT) using Rapid arc technology
  • Intensity Modulated Stereotactic Radio surgery (IM-SRS) / Stereotactic radio surgery (SRS)
  • Respiratory gated radiotherapy (RGRT) using RPM & ABC
  • Stereotactic Body Radiotherapy (SBRT) using RPM & ABC
  • Image guided radio therapy (IGRT)
  • Intensity Modulated radio therapy (IMRT)
  • 3-D Image Guided & 2D Brachytherapy (IGBT)
  • 3D Implant Brachytherapy
  • Conventional and virtual simulation

Services provided by the department:

Volumetric Modulate Arc Therapy (VMAT) using Rapid arc technology is a new and advanced form of intensity modulated radiotherapy which delivers precise treatment in shorter time. It is 5 to 8 times faster than conventional and helical IMRT techniques. Intrafractional patient setup errors can be effectively minimized when compared with other techniques which improve quality and comfort. Installed novalis Tx a very advanced linac machine for VMAT-rapid arc.

In this method gantry rotates 3600 around patient enabling very small beams with modulated intensity.Many treatments can be planned with one rotation of the machine; some complex treatments require multiple rotations.

Novalis Tx includes Varian’s Trilogy linear accelerator and the new HD(High definition) 120 multileaf collimator, which offers very low ( 2.5 mm) leaf width at isocenter in the central 8 cm region and 5 mm in the 2x7 cm outer region giving excellent dosimetric results for any treatment plan.

Stereotactic Radio surgery is a non – invasive technique to deliver a single high dose of radiation to limited, well defined target volumes, while avoiding nearby normal tissue and critical structures. It is a potentially curative therapy in benign non –invasive tumors.

Though radiosurgery can be done using positively charged particles and gammaknife, linac based X-knife (Radiosurgery with high energy X-rays) became more popular because of many advantages as follows.

  • Dose distribution is equivalent to gamma knife.
  • There is a great flexibility in altering the pattern of beam delivery.
  • Field shaping is relatively easy to achieve.
  • Fractionated treatments are also possible (SRT) if required.
  • The cost is relatively low

BIACH & RI has most advanced linac based Radio surgery facility namely Brain lab supported Novalis Tx machine which makes the use of intensity modulation also for better conformity. With inbuilt micro MLC (High Definition MLC), it is capable of performing SRS (Stereotactic Radio surgery) / IMRS (Intensity Modulated Radio surgery) with the help of iplan Treatment planning system from Brain lab.

The greatest advantage of using Novalis supported radio surgery is the three dimensional volumetric verification (3D-3D matching) of reference and localized images using CBCT at any time before and during treatment. This 3Dimentional matching is not possible with other radio surgery delivery methods. This gives highest confidence on treatment delivery.

Radio surgeries are being successfully performed for different lesions using this ultra modern system. SRS is also being done using brain lab invasive frame.

Stereotactic Body radiotherapy (SBRT) can be done mainly for lung/liver cases using free breath and breath hold techniques. Basavatarakam has Real time Position Management (RPM) system and ABC (Active Breath Control) system for this purpose. Using 4D CT (4 Dimensional Computed Tomography) and RPM system SBRT can be executed in our novalis linear accelerator.

Active Breathing Control (ABC) which is available with synergy machine allows temporary and reproducible immobilization by monitoring the breath cycle and achieving a breath hold for a preset time at a pre determined lung volume level.

It is a very important delivery technique advancing rapidly in radiotherapy. Linear accelerators which have the facility for X-ray volume imaging are capable for doing this technique. Patient setup can be verified three dimensionally before the delivery of dose fraction. Therefore patient can be treated accurately by correcting these errors. Two ultra modern linear accelerators capable of doing IGRT namely elekta synergy and varian Novalis Tx are installed at the institute.

IMRT started in Basavatarakam in the year of 2005 and more than 5000 IMRT plans have been successfully completed till date and is a record number in India. This is the only institute in south india did this many IMRTs. 4 linear accelerators are IMRT capable.

Brachytherapy is the treatment method in which small sealed radioactive source is kept very close to (within the natural body cavities or implanted directly) the tumor. High dose rate brachytherapy (HDR) is a promising brachy treatment modality in which the treatment time is few minutes instead of few hours.

Varisource ix HDR Brachytherapy is a most advance unit with step size as less as 2 mm. Treatment planning conformity advantage is more with less step size. Around 10 brachytherapy cases per day are treated.

Treatment of cancer using gamma rays & x-rays from radioactive material placed at some distance away from the patient is called Tele therapy. Though Radioactive cobalt is the most popular and ideal source for this type of treatment, it is gradually replaced by the technologically advanced linear accelerators.

Linear accelerator is modern equipment which produces X-rays and electrons of different energies. Introduction of linacs changed the scenario of cancer therapy. We have six modern linear accelerators with Stereotactic Radiation Surgery -SRS, Stereotactic Radio Therapy – SRT, Intensity Modulated Radiation Therapy -IMRT, Image Guided Radiation Therapy -IGRT, Intensity Modulated Radiation Surgery -IMRS, with Rapid Arc facilities.

At BIACH&RI, treatment simulation with orthogonal fluoroscopy using conventional simulator is the standard practice, since a long time for treatment verification. It has the advantage to detect some movements of the patient during the process which helps to perform possible corrections to the planned beams. The department has a modern simulator facility namely Varian acuity digital simulator.

It is basically a CT unit with flat couch used for radiotherapy planning purpose and moving lasers. We have Philips big bore CT which is first of kind in India with 16 slice and 85 cm bore size.

In virtual simulation patient is required only at the time of CT scanning. Simulation can be done using CT slices and planning software without requirement of patient. The department has three virtual simulation stations (Focal –sim) for this purpose.

SRS is a non-invasive technique to deliver a single high dose of radiation to limited, well defined target volume while avoiding normal tissues and critical structures near to it. Modified high energy linear accelerators with micro multi leaf collimator facility (MLC) are the most versatile radiation producing machines for radio surgery. It is a linear accelerator based sophisticated method of delivering a high dose of radiation very precisely to a small volume of tissue. BIACH&RI has two different MLC based SRS facilities namely DIREX system and BRAIN LAB. For this iPlan and accsoft planning systems were used.

Three dimensional conformal radiation therapy (3D CRT) developed as a method of allowing higher dose to tumor, limiting dose to normal tissue, and improving local control and patient outcomes. Linear accelerators with multileaf collimator arrangements are capable of doing this technique (Four linacs have this facility).

Intensity modulated radiotherapy (IMRT) is a most sophisticated, advanced technique for the radiotherapy planning. In this method, intensity of each beam will be modulated in an optimal way to get the required distribution according to the prescription. Intensity modulated beams will be directed from different directions. It is an advanced 3D conformal radiotherapy. MLC based linear accelerators are required to deliver IMRT treatment. Four linear accelerators are, IMRT capable

It is a most important delivery technique advancing rapidly in radiotherapy. Linear accelerators which have the facility for X-ray volume imaging are capable for doing this technique. Patient setup can be verified three dimensionally before the delivery of dose fraction. Therefore patient can be treated accurately by correcting these errors. Two ultra modern linear accelerators are capable of doing IGRT Control.namely Elekta Synergy and Varian Novalis Tx. with Rapid Arc ( with Active Breath)

Active Breathing Control (ABC) based IGRT is mainly for lung/liver cancers. ABC allows temporary and reproducible immobilization by monitoring the breath cycle and achieving a breath hold for a preset time at a pre determined volume level.

Small sealed radioactive sources are kept very close to, within the natural body cavities or implanted directly into the tumor in this method. A small single stepping source will generate the required dose distribution by moving to different pre-planned positions. HDR brachytherapy solves the potential disadvantages of Low Dose Rate (LDR) brachytherapy method. Treatment time is only few minutes. Therefore no hospitalization is required. BIACH&RI has high end HDR brachytherapy unit Varisouce IX with 20 channels which uses Ir-192 source. With this machine, implants, Templates and all kind of intracavitary radiotherapy procedures are performed. It is the only centre with image guided brachytherapy with CT compatible applicators for treatment of cancer cervix.

Rapid arc technology is a new and advanced form of intensity modulated radiotherapy which delivers precise treatment in shorter time. It is many times (5 to 8 times) faster than conventional and helical IMRT techniques. Intrafractional patient setup errors can be effectively minimized when compared with other techniques which improves the quality and comfort. With Inbuilt micro MLC it is capable of performing IMRS also with the help of

Intrabeam, Intraoperative radiotherapy system was installed at our center in 2009 which is the first of its kind in India. With 50kev and 40microamps it is capable to treat all intraoperative tumors. Especially it is useful in intact breast cases. Other cases like brain, soft tissue, vagina, rectum etc. Can also be performed The main advantage of this instrument is that it is capable of delivering dose immediately after surgery. Instead of taking more than 25 fractions on linear accelerator, single fraction is sufficient and patient can be treated along with the surgery.

BONE MARROW TRANSPLANT

The blood and bone marrow transplantation center at BIACH & RI has highly qualified BMT team with very stringent infection control norms which are critical for BMT patients. The Bone Marrow Transplantation (BMT) Unit comprised of 13 isolated rooms (9 Pre procedure Room & 4 Post procedure Rooms all equipped with HEPA Filtration Systems Our specially-designed unit is equipped with a highly efficient air flow and filter system to ensure a safe environment of care. We specialize in performing autologous transplants (in which cells are harvested from the patient themselves) for patients.

Our services include:

  • Evaluating patients for eligibility
  • Harvesting specialized stem cells
  • Cell processing and cryopreservation (cold storage)
  • Preparing/conditioning patients for the procedure
  • Infusion of stem cells
  • Preventing and managing complications

Patients undergo a comprehensive evaluation to determine whether they are fit to receive a transplant. If they are deemed eligible, we prepare them fully for the procedure. Allogeneic transplants (in which cells are harvested from a donor) are taken into consideration one year after autologous transplantation has begun.

Our specially-designed unit is equipped with a highly efficient air flow and filter system to ensure a safe environment of care.

    · Autologous Transplant (Stem Cells collected from one's own body)

    · Hodgkin's & Non Hodgkin's Lymphoma: For relapsed / refractory cases, it is standard therapy and in most such cases, it is the only curative option.

    · Myeloma: Although not curative, it is standard treatment as a part of initial therapy, as it prolongs survival substantially.

    · Leukemia: Acute Myeloid Leukemia as part of consolidation therapy, to increase chance of cure in this disease.

    · Allogenic Transplant (Stem Cells collected from someone else's body)

    · Several other genetic disorders, especially with single gene defects

    · Aplastic Anemia

    · Chronic Myeloid Leukemia

    · High Risk AML & Relapsed AML

    · Relapsed ALL (Acute Lymphocytic Leukemia)

    · As an option in several advanced or refractory haematological malignancies eg. follicular lymphoma, CLL, myeloma etc

Gastroenterology
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Department of Medical Gastroenterology

The specialty of Medical Gastroenterology comprises consultation and performs diagnostic and therapeutic procedures of patients with diseases of the digestive tract, liver and biliary tree, and pancreas.

It exclusively screens for bowel diseases, cirrhosis of the liver, gastrointestinal bleeding, colon cancer, and others.

The Department constitutes experienced gastroenterology consultant and facilities for all common endoscopic procedures both therapeutic as well as diagnostic.

Highlights

  • Diagnostic Video Endoscopy Facilities
Blood Bank
Cancer Hospital in Hyderabad

Transfusion Medicine

Blood transfusion is an essential therapeutic intervention and is a vital part of the health care service. We all may need blood in an emergency and some of us need regular transfusions. The purpose of a transfusion is to provide the blood & blood components that will improve the physiological status of the patient. Increasing demand in the field of transfusion medicine has necessitated enforcing measures to ensure quality of Blood and its products.

Blood Centre at BIACH & RI is well-equipped with adequate infrastructure and trained manpower for quality, safety and efficacy of blood and blood products.

The hospital blood centre is responsible for the collection of blood (often from family/ replacement blood donors) testing for transfusion ­ transmissible infections by Vitros ECIQ, Immuno Diagnostic Assay System, Blood group , Rh typing, Antibody screening by fully automated analyzer ­ Galileo Echo and processing into blood components and storage. It is also performs compatibility testing and issues blood and blood components for clinical use within the hospital or to nearby health care facilities. The centre also has a voluntary blood donor programme.

Apheresis is a procedure carried out to harvest a particular component and returning the rest of the blood to the donor by an automated machine. Four apheresis units are functioning in our blood bank. This procedure should be carried out only in a blood bank licensed for this purpose. Facilities available for Platelet pheresis (single donor platelets) and Leukopheresis from whole blood using continuous and intermittent flow cell separators.

Therapeutic cytopheresis is done only at the written request of the patient´s physician with in the blood bank or preferably in the ward depending on the patient´s clinical condition for Autologous and Allogenic Hematopoietic stem cell harvesting and cryopreservation.

Blood Irradiator – Blood irradiation is advised -

  • Cellular components should be irradiated in order to reduce the risk of post transfusion GVHD
  • For all immune suppressed patients including bone marrow transplant patients
  • When blood is received from a blood related donor.
  • In case of exchange transfusion following intra uterine transfusion