Comprehensive Radiation Therapy Services

What We Have To Offer (not limited to):




IMRT allows for (red cloud) to be effectively delivered to the tumour (green line) while sparing the adjacent kidney

Intensity Modulated Radiation Therapy (IMRT) / Volumetric Modulated Arc Therapy (VMAT) 

Intensity Modulated Radiation Therapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT) uses sophisticated computer algorithms paired with dynamic multi-leaf collimators (MLCs) to deliver high doses of radiation to tumours while sparing nearby critical organs, in a way that traditional external beam radiation therapy is unable to.

 

Volumetric Modulated Arc Therapy (VMAT) offers shortened treatment time by integrating movements of the treatment gantry with movements of the dynamic MLCs. Currently, these techniques are utilised in head and neck cancers, prostate cancer, and other tumour sites where radiation therapy needs to be delivered to relatively large areas, yet require sparing of nearby organs.


For more information about IMRT, click here.

 

Immobilization via a whole body vacuum bag to achieve precise positioning required for stereotactic radiotherapy

Stereotactic Radiation Surgery (SRS) and Stereotactic Radiation Therapy (SRT) 

Stereotactic Radiation Surgery (SRS) and Stereotactic Radiation Therapy (SRT) make use of precise positioning, immobilization devices and multiple treatment beams delivered in different planes to achieve highly focused radiation therapy targeting suitable tumours. This allows larger radiation doses to be delivered during each treatment, thereby shortening the treatment duration without compromising safety. Tumours of the brain, lung and liver can be treated with these techniques.


In certain tumour sites like the lung and liver, respiratory motion may compromise the therapeutic efficacy of stereotactic techniques. For such cases, respiration control capabilities are available including Active Breath Control (ABC) which limits such motion, as well as 4D CT simulation that can account for tumour motion at the planning stage.

 

For more information on Stereotactic Radiation Therapy, please click here. 

 

3D reconstruction and planning for breast brachytherapy

High Dose Rate (HDR) Brachytherapy 

High Dose Rate (HDR) Brachytherapy is able to deliver extremely high doses of radiation therapy to tumours with minimal normal tissue effects through the use of Iridium-192 sources placed directly at the tumour site through the use of specialised applicators. HDR Brachytherapy is used in gynaecological tumours such as cervical and uterine cancers, as well as prostate and breast cancer treatments.

 

In cervical cancer, HDR brachytherapy is a critical component of successful treatment by allowing the safe delivery of curative doses of radiotherapy to the tumour. In addition to the standard Fletcher-Suite applicators, MRI-compatible applicators such as the Vienna and Utrecht applicators are available. These specialised applicators enable the utilization of superior MRI images in treatment planning. The Vienna applicator, through its intersitial needles, has the advantage of delivering radiation to areas of the tumour that were previously difficult to reach.


NCIS has led the way on a national level in adopting HDR Brachytherapy for prostate and breast cancers. Used either as a standalone treatment or in conjunction with external beam radiation therapy, it plays a role in shortening the treatment duration and further reducing treatment toxicity.


At NCIS, each brachytherapy treatment is planned with the benefit of full 3D imaging through CT simulation, allowing us to know the exact dose delivered to the tumour and the nearby normral organs.

 

For more information on HDR Brachytherapy, please click here.

  

 

Patient being prepped before radiation therapy treatment


3D Conformal Radiation Therapy 

3D Conformal Radiation Therapy makes use of 3-dimensional imaging and computer-based planning to deliver radiation therapy to targeted areas while sparing normal organs.

 

Its versatility and proven track record makes it a suitable and reliable radiation therapy technique for almost all tumour sites.

 

Radiation therapists using laser lights and light fields to verify setup before delivering electron therapy

 

Electron Therapy 

Electron Therapy allows for the radiation dose to be deposited at the skin surface while sparing deep, normal tissues. This property of electrons makes it suitable for the treatment of skin and other superficial tumours.

 

Our electron energies come in ranges of 6, 9, 12, 15 and 18MeVs, allowing effective treatment of skin tumours of varying depths.

 

 

Cone beam CT evaluation for positional accuracy immediately prior to radiation therapy treatment

 

Image-Guided Radiation Therapy (IGRT) 

Cone beam CT imaging is used to optimize patient positioning immediately prior to initiating radiation therapy. This allows for visualisation of tumours, target areas and at risk organs in high-quality, 3-dimensional images.


These near real-time images enable us to make fine positional adjustments, ensuring that radiation therapy is delivered to the intended tumour location precisely, while sparing normal organs.


Cone beam CT imaging is a marked improvement over traditional imaging methods which are limited by their 2-dimensional nature and lower resolution images.

 

For more information on Image-Guided Radiation Therapy, please click here.