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` Tissue destroying procedure` Treats cancers & other tissue growths (by ionizing
radiations alone or in combi.)` Branchytherapy-advanced, localized, precise
(radioactive source put in or near the tumour),high-tech, minimizes side effects, shorter duration,cost effective, patient comfort, convenience, no
hospitalization required
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` C onforming BAR Cs mandatory shieldingrequirement
` Access for placement &removal of equipment` Ground floor, close to OPD & vertical transport
facilities` Best located-adjoining earth on several sides, no
department(s) below, most suitable basement
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` M andatory requirements from regulatory agencies` 3 foot thick walls & ceilings` BAR Cs recommendations` Need expert guidance` Should present warm, cheerful, pleasant
atmosphere
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HEAD RADIATIONONCOLOGY PHYSICIAN
ONCOLOGISTS/PHYSICIANS
TECHNICIANS
NURSES,DIETICIAN,PSYCHIATRIC
SOCIAL WORKERS
CLERK-TYPIST,SECRETARY
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` Reception-control` Waiting area, close to reception` Dressing room(s)` Examination room` Physician s office` C hemotherapy room` Nurse station` Therapy & control room` Radiation physicist room with treatment computer ` Staff facilities, patient toilets, storage facilities
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` Inefficient scheduling` Lost charges` Superfluous technicians` Lack of patient at certain times of the day` High percentage of down time of radiation therapy
machines
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`
Accuracy of locationof tumour (settelepathy fields)
` M aximize radiationdose at cancerousregion
` Vital structures(spinal cord, heart,oesophagus)protected
` C onventional
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` C T- stimulator ` Larger bore` C omputer programs
assist in accurately
duplicating radiationtreatment field` Data sent to 3D
computer planning
system
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` Accurate, real timediagnostic image data
` Info on size, shape &location of tumour
` Treatment timereduced
` No need for therapistto enter room after initial setup
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` 2 or 3 visits a fewdays before firsttreatment
` Appointment for thestart of treatmentpreparation &planning
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` Reporting to thereception desk onarrival
` Directed to the mouldroom
` Treatment planningstarts in the mouldroom
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` Initial preparation makingmask or mould of head &neck
` An impression of areaplaster of Paris or fitting apliable material which"set" to form lastingimpression
` M ask made to fit thisimpression
` return to the mould roomto check that it fitsproperly
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` Visit to the C T planningscanner & simulator
` M ask fitted at both the C Tscanning and simulator
appointments.` M achine has
sophisticated computer software attached toallow specialized
radiotherapy planning
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` Simulator is x-raymachine
` Radiographersposition patient for treatment & definethe treatment area bytaking special x-rays& measurements.
` Ink marks drawn ontothe mould.
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` Process takes 20 -45minutes
` painless` Simulator
radiographers explainwhat & why they do
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`
Treatment machineintroduced byradiographers whowill treat each day
` Report each daydirectly to treatmentmachine or to themain reception
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` Radiotherapy treatmentis painless
` Radiographerspositions carefully &align treatmentmachine to correctareas
` Patient treated with the
machine at more thanone position each day
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` Radiographersposition patient for treatment
` They must leave theroom while theradiotherapy is given
` Treatment takes
approx half a minuteeach day
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` Radiographersexplain what they doat each stage
` Both simulator &treatment machineshave C D players
` Patient can listen tomusic to relax & arefree to bring alongfavourite tapes or cds
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` During the course of treatment patientroutinely called once aweek by one of thetreatment reviewnurses or doctors in theteam
` Assess progress of treatment & give theopportunity to discussany problems or questions that mayarise