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Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
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Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
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Nov-17                     0 0.00
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Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Brain metastases

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January 2, 2020 0 1 minute, 9 seconds read
Cancer specialist in Delhi, India - Dr Vineeta Goel - Max Hospital
Associate Director
Cancer Care / Oncology, Breast Cancer, Gastrointestinal Oncology, Gynecologic Oncology, Musculoskeletal Oncology, Paediatric (Ped) Oncology, Radiation Oncology

Spread of cancer to brain called as brain metastases is known to occur in few cancers. All patients with brain metastases require radiation therapy to brain.

Traditional treatment for brain metastases is -whole brain radiation therapy over 1-2 weeks. Whole brain radiation therapy is associated with adverse effects like temporary hair loss, somnolence (tendency to sleep more) and some decline in cognition.

We try to avoid these side effects by using IM- IGRT techniques where we spare some critical areas of brain called hippocampus to avoid cognition decline (called as Hippocampal sparing whole brain RT). In IMRT it’s also possible to spare scalp (skin and hair lining of head) to minimize hair loss.

Good news is that patients with limited /few brain metastases can avoid whole brain RT (and it’s side effects) by focusing radiation therapy only on metastases by a technique called as Stereotactic Radiosurgery (SRS).

In SRS a tight stereotactic mask is made for patient to avoid any movement of head while on treatment. Computerized plan is made using CT scan and MRI together to focus radiation only on metastases. SRS has several advantages like shorter treatment time (2-5 days), minimal hair loss and no decline in cognition.

At Max Hospital, Shalimar Bagh, we are routinely doing SRS and Hippocampal sparing whole brain radiation therapy for suitable patients.

# Brain metastases # SRS # Stereotactic Radiation Therapy Brain # Hippocampal Sparing Brain radiation 

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