Radiation Oncology

The Ruby Hall Clinic has established itself as a “comprehensive cancer care” provider by combining all cancer treatment facilities under one roof. It is considered one of the best cancer hospitals in Pune.

Along with support services like a Medical Social Works Department, conference room, pharmacy, radiation room, medical room, and surgical oncology departments, the facility also houses a research centre, an ultra-modern laboratory, and diagnostic facilities.
The bone marrow transplant unit in the hospital is at par with any other reputable centre and is performing exceptionally.

PROVIDING WORLD CLASS CANCER TREATMENT

Ruby Hall Clinic has been the pioneer of radiation therapy services in Pune since 1973. Three decades later, we were the first in India & South-east Asia to implement “Image Guided Radiotherapy (IGRT), when we installed the Siemens Oncor Impression Linear Accelerator in 2006.

With a growing experience & reputation we were able to install a second linear accelerator with “unflat beam” facility to focus on high precision techniques like Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiotherapy (SBRT) in 2009. After establishing ourselves as one of the finest cancer treatment facilities in the country, we have now taken a step forward by starting specialty radiotherapy services at the new Super Specialty Center at Ruby Hall Clinic. We are proud to launch Varian trueBeam STx and Halcyon Elite linear accelerators and Varian Ethos is on the way. We have and will always be committed to providing world class cancer treatment with the best clinical acumen and latest technology.

Dr. Ashok Bhanage
Chairman, Kamalnayan Bajaj Cancer Centre

TRUEBEAM STX

The trueBeam STx radiotherapy system is an advanced medical linear accelerator which is fully integrated for Image-Guided Radiotherapy and Radiosurgery. The trueBeam STx is equipped with High Definition MLC, which can accurately shape a radiation beam to treat even very small tumors up to a size of 1cm. For sub-cm sized tumors and functional neuro radiosurgery, cones can be attached to it. A 6D enabled couch can adjust the patient position in 6 dimensions and take care of rotational movements too, allowing extreme precision. We are proud to state that the Kamalanayan Bajaj Cancer Centre is the first Cancer Institute to bring this state-of-the-art machine to Pune.

THIS STATE OF THE ART TECHNOLOGY ALLOWS

  • Faster treatment, which means the patient has to spend less time on the treatment couch – better comfort and less movement related issues.
  • Shorter courses of radiation treatment, allowing patients to get back to work and normal life sooner.
  • Higher accuracy to target cancerous tumors in a very focused and precise manner.
  • Precise and accurate radiotherapy translates into minimal side effects and improved patient outcomes.
  • Better overall quality of life.

HALCYON ELITE

Key features

The Halcyon Elite has been specially designed to revolutionise radiation therapy through three key areas of innovation: high quality of care, operational excellence and patient centered design.

  • A high quality imaging
  • A very fast rotating gantry makes imaging and treatment very fast and as low as 1 minute
  • A new generation dual layer multileaf collimator (MLC) which reduces leakage of radiation to the other normal organs.

THE FLASH POINTS AREA

Alleviates anxiety – A quick and quite treatment helps to reduce anxiety in patient.

  • Halcyon Elite has been designed to be patient centered, comfortable and safe.
  • It’s a machine which makes the entire treatment not only a easy procedure, but also delivering high end care.
  • It provides focused imaging and treatment.

RapidArc ®RADIOTHERAPY

RapidArc ® or Volumetric Arc Radiotherapy is a type of rotational treatment which allows an extremely fast and precise form of image-guided, intensity modulated radiotherapy (IG-IMRT). This revolutionary technology ensures maximum patient safety and comfort. Advanced imaging systems such as the kV cone Beam CT, 2.5 MV & triggered imaging & Intra Fraction Verification Tool completes the chain of precise delivery.

Committed to Advance Patient Care

SINGLE FRACTION RADIOSURGERY AND FRACTIONATED RADIOTHERAPY

Stereotactic Radiosurgery is highly conformal and high dose radiation delivery to brain lesions using state of art image guidance and submillimeter accuracy. It is a proven alternative to conventional surgery for treatment of benign brain tumors like meningioma, neuroma, pituitary adenoma and malignant tumors like metastasis, recurrent/residual astrocytoma/GBM. Over more than 15 years, we have considerable experience in treatment of Arteriovenous Malformations (AVMs) leading to total cure. Permanent cure for Trigeminal Neuralgia can be obtained without surgery can be achieved by using Functional Radiosurgery. Equipped with frameless immobilisation system and ‘ high dose rate’ Flattening Filter Free (FFF) beam, X-Knife with trueBeam STx allows faster, more precise treatment.

STEREOTACTIC BODY RADIOTHERAPY (SBRT) / STEREOTACTIC ABLATIVE BODY RADIOTHERAPY (SABR)

At the forefront of modern radiotherapy- SBRT is a technique in which uses only 3-5 sessions of high dose radiation is to treat extra-cranial tumors. Surgery like ablative effects can be achieved in a bloodless, painless and non-invasive manner. It is typically used for small sized tumors in the lung, pancreas, prostate, bones and liver. To ensure accuracy and safety, image-guidance and motion management is essential. The kV cone beam CT and Real Time Position Management(RPM) system of Truebeam STx allows this easily.

DEEP INSPIRATORY BREATH HOLD TECHNIQUE (DIBH)

This technique is used to treat tumor sites which move with respiration and allows excellent motion management. In breast cancer, it can significantly reduce heart and lung dose, which translates into reduced side effects. It is also useful for lung and upper abdominal tumors.

BRACHYTHERAPY

Brachytherapy is a form of internal radiation where a radioactive source is placed in close proximity to the tumor tissue. Radiation is delivered in a very focused manner with maximum normal organ sparing. We use Iridium for High dose rate (HDR) Brachytherapy which allows treatment to be completed in just a few minutes. Brachytherapy is a crucial component in the treatment of most gynecological malignancies. It is alsoused in breast, head neck cancer and sarcomas.

TOTAL BODY IRRADIATION (TBI)

This is a highly specialised procedure in which the whole body receives low dose radiation as part of conditioning before a bone marrow transplant. The immunosuppression achieved helps reduce rejection of donor cells and increases the chances of a successful transplantation.

FIRST TIME IN INDIA,
THREE FINEST CANCER
TREATMENT MACHINES
BY VARIAN UNDER ONE ROOF !

State of the Art Versatile & Powerful Precise, Accurate & Fastest Fewer & Shorter Comfortable Sessions Best on the Horizon Technology for Stereotactic Treatment

To download the brochure

Dr Vijay Ramanan is the FIRST individual Patron of European Society of Blood and Bone Marrow Transplant in India. He heads the Ruby Hall Clinic Centre for Bone Marrow Transplant (RHCBMT), is one of the best in India, and most innovative in Asia.

RHCBMT is a stand alone dedicated facility, equipped with ultra-modern infrastructure and internationally trained, widely experienced faculty. The Centre is supported by state-of-the-art laboratory services and transfusion services, along with a fully equipped radiation Oncology unit with facility for total body irradiation. The Centre offers both allogenic and autologous transplant using bone marrow, peripheral blood stem cells and cord blood stem cells for various benign and malignant disorders like Thalassemia, Aplastic Anaemia, Leukemia, Lymphomas, Multiple Myelomas, autoimmune disorders and Advanced Solid Tumors.

KEY DEPARTMENT HIGHLIGHTS

  • RHC Centre for Bone Marrow Transplant is one of the largest Centres of its kind in Western India.
  • The Centre has performed the maximum number of transplants in western India with cord blood and Haploidentical grafts.
  • Each room is supported by separate HEPA filter with triple level air filtration.
  • Transplants are routinely performed for children as well as adults.
  • The Centre is credited with Pune’s First successful cord (Match Unrelated Donor) and Haploidentical Transplants for Thalassaemia.
  • The Centre contributes data to EBMT, Asia-Pacific BMT, Indian Stem cell registry Hematopoietic Stem Cell Transplantation.

Bone marrow transplantation is a procedure wherein stem cells from bone marrow that produce various blood cells like red blood cells, white blood cells and platelets are injected into a recipient. These stem cells are also referred to as hematopoietic stem cells. Nowadays, hematopoietic stem cells may also be obtained from peripheral blood after treatment with certain growth factors or from umbilical cord. Thus, the term Hematopoietic stem cell transplantation is now referred to as Bone marrow transplantation to include these other sources of hematopoietic stem cells.

The bone marrow is a soft, spongy portion within a bone. It contains immature cells called stem cells that have a continuous ability to produce different types of blood cells i.e. red blood cells, white blood cells and platelets. These are released into the blood stream. Bone marrow is of two types, red marrow and yellow marrow. In children, most of the marrow is red marrow and is rich in stem cells. In adults, however, a large portion of the bone marrow is converted into yellow marrow due to infiltration of fat cells. Red marrow in adults is usually restricted to a few bones like the hip bones, breast bone, ribs, shoulder blades, skull, backbone, and the ends of the arm and thigh bones.

BMT means infusion of stem cells (collected either from bone marrow or peripheral blood or cord blood) into the recipient. The type of bone marrow that is used for the transplant helps in  distinguishing the different types of BMT.

  • Autologous BMT is done by using the patient’s own stem cells.
  • Allogeneic BMT involves using the stem cells of a donor. The donor may be a relative, usually a brother or sister, or an unrelated (anonymous) donor. The donor needs to be Histocompatible Leukocyte antigen (HLA) match.

USP:

  • FIRST TOTAL BODY IRRADIATION FACILITY in Western India.
  • FIRST INDIVIDUAL PATRON of EBMT in India. CIC-10173.
  • FIRST TWIN TRANSPLANT in India.
  • FIRST UNRELATED CORD BLOOD TRANSPLANT for Thalassaemia in Western India.
  • FIRST HAPLOIDENTICAL(Half Match) transplant for Thalassaemia and leukaemia in India.
  • DATA collated with Asia Pacific BMT.
  • FIRST Centre to have Laminar Hood inside BMT.
  • Over 250 transplants done till date for various indications with combined survival of over 75% for allogenic and 98% for autologous transplants.

1.  Cancer Centre at Ruby Hall Clinic offers state-of the-art treatment for patients with brain tumours, spinal cord tumors, and neurological complications from Cancer.

2.  Multidisciplinary approach to patient care is provided by skilled & experienced physicians & neurosurgeons.

3.  Our specialists in Neurosurgery, Radiation Oncology & Imaging bring their expertise to every case & develop a personalized treatment plan for all our patients.

4.  The Centre is very well equipped with latest advanced CT Scanner, MRI Scanner and PET Scanner for Neuro imaging evaluations & treatment plan.
5. We have weekly meetings to reviews each patients case to ensure they receive the best care possible.

6. Neurosurgeries are done in exclusive Neuro operation theatre equipped with state of the art Zeiss Pentero Operating Microscope, Aesculap Drilling Equipment, Medtronic Neuronavigation and Neuromonitoring equipment, CUSA etc.

Ruby Hall Clinic has acquired country’s first “Time of Flight” PET-CT scanner in 2008.

PET/CT is a combination of a PET scan and a CT scan obtained at one time and by a single piece of equipment. CT produces a detailed anatomic map of the body and shows structural abnormalities in minute detail while PET produces metabolic map of body by injecting a radioactive tracer and tracking its distribution into the body and thus can identify chemical and physiological changes related to metabolism. This is important since the metabolic changes shown by PET often occur before structural changes develop. So PET is able to detect certain diseases before other imaging modalities by visualizing the metabolic processes occurring in the body.

“The PET scan at Ruby Hall Clinic, is the most advanced Cancer diagnosis technology across the world.”

The Philips Gemini TF PET/CT scanner combines the latest Time-of-flight PET technologywith a state-of-the-art 16 slice CT scanner.Fast and accurate scanning with least radiation exposure, are features of the TOF PET scan at Ruby Hall Clinic. In addition, the whole body PET CT scan is finished just in 12 min. It’s an OPEN PET CT gantry, which means there is no claustrophobia (Fear of closed places) as there is no long tunnel in which the patient has to go for scanning.

PET-CT in Oncology

PET/CT is particularly effective in identifying whether Cancer ispresent or not, if it hasspread, if it is responding to treatment and if a person is Cancer free after treatment.

Early Detection: Because PET/CT images biochemical activity, it can accurately characterize some tumors as benign or malignant, thereby avoiding surgical biopsy when the PET/CT scan is negative.

Staging of Cancer: PET/CT is extremely sensitive in determining the full extent of disease, especially in lymphoma, malignant melanoma, breast or lung Cancers. Confirmation of the presence or absence of metastatic disease allows physician to more effectively decide how to proceed with the patient’s management.

Checking for Recurrences: PET/CT can differentiate tumor recurrences from radiation necrosis or post-surgical changes and thus useful in deciding more rational treatment plan for patient.

Assessing the Effectiveness of Therapy: The level of tumor metabolism is compared on PET/CT scans taken before and after a chemotherapy cycle. PET/CT can provide important information about the effectiveness of a chemotherapy.

PET-CT scans are used for many types of Cancer. From the research, we know that in some Cancers PET-CT scans can help to:

  • Diagnose Cancer
  • Stage a Cancer
  • Make decisions about whether you can have surgery to remove your Cancer
  • Make decisions about which is the best treatment for your Cancer
  • Show how well the treatment is working
  • Show the difference between post-treatment scar tissue and active Cancer tissue
  • Check whether your Cancer has come back
  • Find the place in the body where your Cancer first started to grow (primary site of Cancer)

CyberKnife S7 is an advanced robotic radiosurgery system designed to deliver targeted radiation therapy to tumors with exceptional accuracy. Unlike conventional radiation therapy, which relies on fixed machines and multiple sessions, CyberKnife S7 leverages robotic technology and real-time imaging to precisely deliver high doses of radiation while minimizing damage to surrounding healthy tissues. It is particularly useful for treating tumors located in difficult-to-reach areas or near critical structures.

How Does CyberKnife S7 Work?


1. Robotic Technology

Description: CyberKnife S7 features a robotic arm equipped with a linear accelerator that delivers radiation beams to the tumor from multiple angles.
Benefit: The robotic flexibility allows for precise tumor targeting, even in areas where movement occurs, such as the lungs or spine.

2. Real-Time Imaging

Description: Advanced real-time imaging technology, including X-rays and CT scans, continuously monitors the tumor’s position during treatment.
Benefit: If the tumor moves due to breathing or other natural processes, the system automatically adjusts to keep the radiation precisely focused on the target.

3. Adaptive Treatment Planning

Description: A personalized treatment plan is developed using advanced software that models the tumor’s size, shape, and location. This plan is continually adjusted throughout the treatment.
Benefit: This ensures an accurate radiation dose tailored to the tumor while reducing exposure to surrounding healthy tissues.

4. Non-Invasive Procedure

Description: Unlike surgery, CyberKnife S7 does not require incisions or anesthesia. The patient lies comfortably while the robotic arm delivers the radiation.
Benefit: Patients experience minimal discomfort, no surgical risks, and shorter recovery times compared to invasive procedures.

5. Precise Dose Delivery

Description: High-dose radiation is delivered with extreme precision, limiting exposure to healthy tissues.
Benefit: This improves treatment effectiveness while minimizing side effects commonly associated with traditional radiation therapy.

Meet Our Doctors

Dr. Mansi Munshi

Radiation Oncology

Dr. Shweta Banshi Mutha

Radiation Oncology

Dr. Neeraj Dhingra

Radiation Oncology

Dr. Bhooshan Zade

Radiation Oncology