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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