Max Super Speciality Hospital, Patparganj

The traditional aim of radiation therapy is to increase the cure rate with minimal toxicity. To achieve this aim, various techniques have been developed in recent past such as 3 DCRT, IMRT and IGRT. 
A new method has  been recently  developed in which  the treatment can be delivered  with minimal harm to normal tissues. This technology is known as  Stereotactic RadioSurgery  (SRS)and Stereotactic Radiotherapy (SRT). The difference between two techniques is that in SRS total dose is delivered in one fraction and in SRT total dose is delivered in 5-10 fractions.
The biggest advantage of this technique is that the total treatment time is reduced   from 7-8 weeks to 1-2 days or 1-2 weeks thereby causing considerable increase in patient comfort and compliance. 
The other major advantage is that the daily treatments are given with sub-millimeter precision hence the toxicity to various organs at risk is negligible. These intracranial/extracranial techniques are practiced on latest generation linear accelerators having stereotactic treatments and imaging facilities where even moving tumors such as liver, pancreas, lung can be targeted. The newer indications of radical radiation now i9nclude T1, T2 lung tumors, carcinoma pancreas and liver tumors.
Recently  Max Patparganj  has successfully commissioned a True Beam Linear Accelerator with Exact- Trac which is capable of giving most precise radiation with maximum conformity (SRS/SRT/SBRT). Thus Max Patparganj has become the only centre in East Delhi and Western Uttar Pradesh to be equipped with this high end facility. In the first month of its commissioning Max Patparganj has treated almost 50 patients on this accelerator successfully.

Limb Salvage Surgery is a procedure done to completely remove bone tumours as well as soft-tissue cancers while preserving the patients’ limb both in form as well as function.  At specialized centres, limbs affected by bone and soft tissue tumours can be saved from amputation in more than 90% of patients. The surgeon removes not just the bone affected by cancer, but also a layer of its normal surrounding tissue. The bone removed during this procedure is replaced using bone (taken from patients’ own body) grafts, metal implants, prosthesis, or a same tumour bearing bone after being rendered tumour free after removal from the body. Muscles for soft tissues from other parts of the body may sometimes be required to close the wound. It is highly recommended that such treatment should be performed right from the beginning at a specialized centre routinely doing these procedures, as even a wrongly performed biopsy can make limb salvage difficult leading to amputation. 

Endoscopic ultrasound is a minimally invasive procedure to assess digestive (gastro and pancreatobiliary) and lung diseases. It produces detailed images of the lining and walls of digestive tract and chest, a nearby organ such as pancreas, liver and lymph nodes. Endoscopic ultrasound has evolved from a diagnostic imaging modality to one that can also be used for invasive diagnostics and therapeutic procedures. It is the best imaging model to diagnose a pancreatic tumour, cysts, stones and lymph nodes while it also acts as a therapeutic tool for cancer-related pain. 

Hyperthermic intraperitoneal chemotherapy (HIPEC) treats advanced stage abdominal cancers, including appendiceal (appendix) cancer, colorectal cancer, primary peritoneal cancer, peritoneal mesothelioma, ovarian and stomach cancer. It is a highly concentrated, heated chemotherapy treatment that is delivered directly to the abdomen during surgery. Unlike systemic chemotherapy delivery, which circulates throughout the body, HIPEC delivers chemotherapy directly to cancer cells in the abdomen. This allows for higher doses of chemotherapy treatment. Heating the solution may also improve the absorption of chemotherapy drugs by tumors and destroy microscopic cancer cells that remain in the abdomen after surgery. The technology minimizes the rest of the body’s exposure to chemotherapy; and reduces some chemotherapy side effects. Before the patient receives HIPEC treatment, our experts perform cytoreductive surgery to remove visible tumors from the abdomen. It is a novel technique in which those abdominal malignancies are treated which were previously thought to be untreatable and were offered only palliative care.

ECMO (Extra Corporeal Membrane Therapy) is a high end rescue therapy for patients suffering from heart and lung failure but are neurologically intact. The technology provides support during high-risk procedures in the cardiac catheterization lab after a serious heart attack. It acts as a bridge for patients awaiting lung transplant. The ECMO helps keep the tissues well oxygenated, thereby making the candidate suitable for a transplant. When a patient is connected to ECMO, blood flows by tubing an artificial lung in the machine, which adds oxygen and takes out carbon dioxide. Thereafter, the blood is warmed as per the body temperature and pumped back in the body. The right candidates for ECMO Therapy are: Acute Respiratory Distress Syndrome (ARDS) secondary to pneumonia, aspiration, severe air leak; Refractory Septic / Cardiogenic Shock; Myocarditis - viral, scorpion sting; Post Arrest shock; Meconium Aspiration; Congenital Diaphragmatic Hernia; Persistent Pulmonary Hypertension; and Poisoning.

• GE Lightspeed 16-slice CT scanner
• Xtream FX suite workflow management
• Full Dicom connectivity
• Auto-segmentation
• 70cm gantry opening
• 65cm variable field of view
• High 2D and 3D resolution

X-Ray generator comprises of electrode pair - cathode and anode. When the highly negatively charge cathode rays hit the positively charged anode, large amounts of energy is released which can pass through tissues and organs of the body but not bones which ultimately produces an image of the bones after being reflected.

The DXA scan machine is used to measure the Bone Mineral Density(BMD). Comprising of dual X-Ray beams, each beam is of different energy level aimed at the patient's bones. The BMD can be accurately measured based on the absorbtion of each beam by the bones.

Fundus cameras consist of an intricate microscope attached to a flashed enabled camera are used in fundus photography. The main structures that can be visualized on a fundus photo are the central and peripheral retina, optic disc and macula. Fundus photography can be performed with colored filters, or with specialized dyes including fluorescein and indocyanine green.