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In India, radiation oncology has grown significantly in recent years and is now more commonly used to fight against cancer.
Patients should understand the various procedures involved so they can follow the right aftercare practices, which can improve their chances of success.
Radiation oncology is a medical field that uses high-energy radiation to treat cancer. The main aim is to damage and kill cancer cells while protecting healthy tissue. This works by harming the DNA of cancer cells, which stops them from growing and dividing.
Additionally, radiation oncology involves planning, treating, and monitoring patients, all under the care of a radiation oncologist. It can be used alone and together with other treatments like surgery and chemotherapy.
There are two main types of radiation therapy: external beam radiation therapy (EBRT) and internal radiation therapy.
This is the most common type, in which a machine outside the body sends high-energy beams (X-rays, electrons, and protons) directly to the tumor. Doctors plan the treatment very carefully so that the energy hits only the cancer and avoids healthy organs as much as possible.
Types of EBRT
3D Conformal Radiation Therapy
Doctors use CT scans and computers to make a 3D picture of the tumor, which helps them send radiation exactly where it is needed while protecting healthy areas.
Intensity-Modulated Radiation Therapy (IMRT)
A very advanced method that uses many beams of different strengths, and gives higher doses to the tumor and lower doses to healthy tissue.
Arc-Based Radiotherapy (like VMAT and Tomotherapy)
A type of IMRT where the machine moves in a circular arc around the patient, and delivers radiation faster and more precisely.
Image-Guided Radiotherapy (IGRT)
Before each session, the machine takes a quick X-ray and mini-CT scan to check the exact tumor position, which helps doctors target the radiation accurately every day.
Particle Therapy (Proton Therapy)
Instead of X-rays, this uses protons, which can stop right at the tumor, reducing damage to healthy organs in some patients.
Stereotactic Radiosurgery (like Gamma Knife)
Uses very high doses of focused radiation to treat tiny tumors without surgery. It is usually done in 1-5 sessions.
Stereotactic Body Radiation Therapy (SBRT)
Similar to stereotactic radiosurgery, but used for tumors in other parts of your body, and it is very precise and does not require actual surgery.
Intraoperative Radiation Therapy (IORT)
Radiation is given during surgery, after the surgeon removes the tumor, and radiation is used to kill any cancer cells left behind.
In this method, radiation is placed inside the body close to the tumor, and it is usually used for cancers of the head and neck, breast, cervix, uterus, and prostate as well.
There are two ways to give internal radiation:
Brachytherapy (Solid Source)
A small radioactive seed and device are placed inside and next to the tumor; some stay for only a short time, some stay for weeks, and some remain in the body permanently but stop giving off radiation after some time.
Systemic Radiation Therapy (Liquid Source)
A radioactive liquid goes into the bloodstream by mouth and injection. It travels through the body and finds cancer cells. One example is radioimmunotherapy, where a radioactive protein attaches to cancer cells and destroys them.
The cost of radiation oncology in India for international patients typically ranges from 2,500 USD to over 28,000 USD. But the price depends on the type of procedure; for example, proton therapy costs between 15,000 USD and 55,000 USD, and MR-guided therapy and standard radiation therapy both cost around 3,500 USD.
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Indian cancer hospitals provide some of the most advanced radiation therapy technologies worldwide, such as:
These systems provide targeted treatment, reduce damage to healthy tissues, and minimise side effects, making India a top choice for advanced radiation care.
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