R.N.T. Medical College

At Glance:-

The department is actively engaged in teaching, research and patient care activities since its inception. Various radiotherapy services offered to the patients are External beam radiotherapy and brachytherapy.  Every year approximately 2000 new patients consult department for various treatments by radiotherapy and nearly 10,000 patients are on follow up after treatment by the departments. New patients are usually registered on referral after pathological confirmation of neoplasm/malignancy. The department has the comprehensive set up for treatment of various cancers, in combination with surgery and chemotherapy. This department has post-graduate programme (MD in Radiotherapy).

In addition, department is involved in patient care services in different patients suffering cancer of  Breast, Gastro-intestinal,  Liver,  Head & Neck , Lung, Bone & Soft tissue, Cervix/Uterine, Brain and Blood . It has a very busy day care OPD where around 60 patients are attending per day. In addition, patients are admitted in the regular ward also, more than 5000 patients get chemotherapy on an OPD/IPD basis and OPD based procedures are carried daily.

This department has been also actively working with various NGO’s to increase cancer awareness in schools and in the communities. The faculties have been participating in many Continuing education programs/workshops/symposia on various topics regularly over the last several years including cancer screening and awareness, cancer management and modern technologies to fight against cancer.

Radiation Medical Physics section is looking after radiation related research, radiation dosimetry, radiation protection and measurement of radiation dose to staff and attendants, radiation protection survey for radiological imaging installation (CT scanner, x-rays, and mammography) of medical College. Other activity includes staff and public education regarding radiation safety, Teaching Medical Physics and Radiation Safety to MD (Radiotherapy), MBBS students, nursing students and other interested groups and individuals.

List of Equipments:-

1.      Linear accelerator With IMRT facility ( Elekta, Compact, coming soon)

2.      4D CT Simulator( Siemens SOMATOM Confidence)

3.      Telecobalt Machine( Bhabhatron II)

4.      HDR Brachy therapy Machine( Eckert and Ziegler, Bebig)

5.      3D Treatment Planning System

6.      Thermo Luminescence Dosimetry  System

7.      Patient Immobilization devices

Digital Cobalt Machine( Bhabhatron II)	Bhabhatron II Console Room
Patient waiting area	Brachy therapy HDR Machine

Contact Details:-

Email ID of Department: - radiotherapyrntmc@gmail.com

List of PG Students

 List of Book Publication

1.      List of Publications of Dr Narendra Kumar Rathore (M.D.) Associate Professor, Radiotherapy

Original Articles

1.      Shukla AK, Jangid PK, Rajpurohit VS, Verma A, Dangayach SK, Gagrani V, Rathore NK. Dosimetric comparison of 60Co and 192Ir high dose rate source used in brachytherapy treatment of cervical cancer. J Can Res Ther 2019;15:1212-5.

2.      Rathore N, Raigar LK, Shukla AK, Jain AK, Rajpurohit VS. The conscious sedation is a fast and safe option to perform intracavitary brachytherapy in carcinoma cervix patients: An institutional experience. Ind J Clin Anaes 2017; 4: 329-332.

3.      Jain AK, Rathore N, Tanwar RK, Shukla AK, Rajpurohit VS, Gagrani V. Assessment of acute gastro-intestinal and genito-urinary toxicities in the cervical cancer patients using cobalt-60 based high dose rate intracavitary brachytherapy. Int J Curr Res 2017; 9: 53142-45.

4.      Nandwana U, Jakhotia N,  Rathore N. Clinical Profile And Survival Analysis Of Patients With Brain Metastases Treated By Palliative Whole Brain Radiotherapy. Int J Curr Adv Res; 06: 4194-4197.

5.      Rathore N, Shukla AK, Bana PC, Jain AK, Rajpurohit VS, Intodia K. The effect of general anaesthesia versus conscious sedation in dosimetric distribution of intracavitary radiotherapy in cervical cancer patients. Int J Res Med Sci 2017; 5: 940-3.

6.      Rathore N, Bana PC, Shukla AK, Jain AK, Rajpurohit VS, Intodia K. Cancer oesophagus: is sequential chemo radiation better in elderly patients or patients with severe dysphagia?. Int J Res Med Sci. 2016; 4(7): 3013-3019

7.      Nadwana U, Rathore N et al. Coblt 60 is economical, logical and comparable alternative to iridium 192: Analysis and institutional experience from western India. South Afr Gyneacol Oncol. 2015;7(2): 60-63

8.      Rathore N, Gupta S. Comparison of compliance and response rate of radiotherapy alone vs chemo radiotherapy in stage IIIB carcinoma cervix patients having obstructive uropathy. Int J Res Med Sci. 2014;2(4):1548-1557.

Case Reports and conference Proceedings

1.      Gupta S, Rathore N. A case report on development of CNS primitive neuroectodermal tumour from astrocytoma. Int J Res Med Sci. 2014;2(4):1726-1728.

2.      Shukla AK, Kumar S, Kumar SP, Rathore N et al. Dosimetric study of source step size in co⁶⁰ hdr brachytherapy. J Med Phys. 2014;39(4): 340-341.

3.      Kumar S, Shukla AK, Rathore N et al. High dose rate brachytherapy using cobalt-60 miniature source in carcinoma cervix. J Med Phys. 2014;39(4): 342-343.

4.      Nandwana U, Rathore N, Shukla A K et al. Dosimetric analysis of high dose rate (HDR) intracavitory brachytherapy in carcinoma cervix using cobalt-60 source. J Can Res Ther. 2014;10(5):s41.

5.      Rathore N, Sharma A, Sathpathy S P et al. Oncological progression from bone plasmocytoma to POEMS syndrome. J Can Res Ther. 2011; 7(2):366–367.

6.      Rathore N, Jhakhar S, Jain S et al. Priapism in Teenager Chronic Myelogenous Leukemia; a Rare Occurrence. Asian J Pharma Hea Sci. 2011;1(1):4-5.

7.      Jakhar S, Rathore N, Jain S et al. Primitive neuroectodermal tumour presenting as quadri-paresis: A rare occurrence. IJPSR. 2011;2(1):2613-2615.

8.      Rathore N, Jakhar S, Patidar A, Kumar H, Jain S et al. Cancer oesophagus: Is sequential chemo radiation better in elderly patients or patients with severe dysphasia? J Can Res Ther. 2011;1:s146.

9.      Jakhar S, Kalwar A, Harsh K, Jakhotia N, Rathore N et al. Concurrent chemo radiotherapy using cisplatin versus cisplatin plus capecitabine as a radio sensitizer in locoregionally advanced head & neck cancers. J Can Res Ther. 2010;5(4):S61.

10.  Harsh  K K, Kalwar A, Jakhar S, Jakhotia N, Rathore N et al. Dosimetric study of cervix & organ at risk rectum & urinary bladder by using CT simulator and orthogonal radiographs in HDR brachytherapy of carcinoma cervix stage II. J Can Res Ther. 2010; 5(2):S39.

11.  Jakhotia N, Kalwar A, Harsh K K, Jakhar S, Rathore N et al. Evaluating response of concurrent EBRT & ICRT Versus EBRT followed by ICBT in management of carcinoma cervix stage IIIB. J Can Res Ther. 2010;5(2):S39

12.  Kalwar A, Harsh K K, Jhakhar S, Jakhotia N, Ali A, Chaudhary R K, Rathore N et al. 5 years survival study of cancer oesophagus treated by neoadjuvant chemotherapy followed by radiotherapy. J Can Res Ther. 2009;5:s78

2. List of Publications of Dr. Arvind Shukla, Associate Professor, Radiological Medical Physics

 Publications (Full Paper)

1.Shukla AK, Jangid PK, Rajpurohit VS, Verma A, Dangayach SK, Gagrani V, Rathore NK. Dosimetric comparison of 60Co and 192Ir high dose rate source used in brachytherapy treatment of cervical cancer. J Can Res Ther 2019;15:1212-5

2.Shukla AK, Rana BS,  Singh NP, Kumar S. Dosimetric study of CO-60 source step size in uterine cervix intracavitary HDR brachytherapy. Brachytherapy. 2019; 18(2): 180-185.

3.   Choudhary N, Rana BS, Shukla A, Oinam AS, Singh NP, Kumar S. Patients dose estimation in CT examinations using size specific dose estimates. Radiat. Prot. Dosim. 2019; 184(2):256-262.

4.   Rathore N, Raigar L, Shukla AK, Jain AK, Rajpurohit VS.  “The conscious sedation is a fast and safe option to perform intracavitary brachytherapy in carcinoma cervix patients: An institutional experience” Indian Journal of Clinical Anaesthesia, 2017;4(3): 329-332.

5.   Jain AK, Rathore N, Tanwar RK, Shukla AK, Rajpurohit VS, Gagrani V  “Assessment of acute gastro-intestinal and genito-urinary toxicities in the cervical cancer patients using cobalt-60 based high dose rate intra cavitary brachytherapy” International Journal of Current Research. 2017; 9(6): 53142-5.

6.   Rathore N, Shukla AK, Bana PC, Jain AK, Rajpurohit VS, Intodia K.  The effect of general anaesthesia versus conscious sedation in dosimetric distribution of intracavitary radiotherapy in cervical cancer patients. Int J Res Med Sci. 2017; 5(3):940-943.

7.   Shukla AK, Kumar S, Sandhu IS, Oinam AS, Singh R, Kapoor R. Dosimetric study of beam angle optimization in intensity-modulated radiation therapy planning. J Can Res Ther 2016; 12: 1045-9.

8.   Rathore N, Bana PC, Shukla AK, Jain AK, Rajpurohit VS, Intodia K.  Cancer oesophagus: is sequential chemo radiation better in elderly patients or patients with severe dysphagia?  Int J Res Med Sci. 2016; 4(7):3013-3019.

9.   Khosla D, Patel FD, Shukla AK, Rai B, Oinam AS, Sharma SC. Dosimetric evaluation and clinical outcome in post-operative patients of carcinoma vulva treated with intensitymodulated radiotherapy. Indian J Cancer 2015; 52:670-5.

10.  Nandwana U,Rathore N, Gupta S, Shukla A, Kuamr S et al.  Cobalt-60 is a logical, economical and comparable alternative to Ir-192: analysis and institutional experience from western India. South Afr J Gynaecol Oncol  2015;7(2):60-3

11.  Kapoor R, Khosla D, Gupta R, Bahl A, Shukla AK, Sharma SC. Role of neoadjuvant concurrent chemoradiation in locally advanced unresectable pancreatic cancer: A feasibility study at tertiary care centre. Indian J Cancer 2014;51:176-9

12.  Kapoor R, Khosla D, Shukla AK, Kumar R, Gupta R, Oinam AS, Sharma SC  “Dosimetric and clinical outcome in image-based high-dose-rate interstitial brachytherapy for anal cancer” Brachytherapy 2014;13(4): 388-393

13.  Shukla AK, Oinam AS, Kumar S, Sandhu IS, Sharma SC “A calibration method for   patient specific IMRT QA using a single therapy verification film” Rep Pract  Oncol  Radiother, 2013; 18(4) : 235-240.

14.  Shukla AK, Kumar S, Sandhu IS, Oinam AS, Trivedi G “Improvement In IMRT Dose Calculation With Penumbral Corrected AAA Algorithm Using Film Dosimetry” International Journal Of Scientific Research 2013; 2(12):572-575.

15.  Krishnatry R, Patel FD, Singh P, Sharma SC, Oinam AS, and Shukla AK “CT or MRI for Image-based Brachytherapy in Cervical Cancer”  Jpn. J. Clin. Oncol, 2012; 42(4) : 309-313.

16.  Oinam AS, Singh L, Shukla A, Ghoshal S, Kapoor R, Sharma SC” Dose volume histogram analysis and comparison of different radiobiological models using  in-house developed software” J Med Phys, 2011;36(4) : 220-229.

17.   Bharadwaj AK, Sharma SC, Rana B, Shukla A “Study of 2D ion chamber array for angular response and QA of dynamic MLC and pretreatment IMRT plans”, Rep Pract  Oncol  Radiother, 2009; 14(3) : 89 -94.

Conference proceedings

1.      Shukla, A., Singh, N, Kumar, S., Rana, B., Sandhu, I.S., (2017), “Dosimetric Comparison of Co60 and Ir192 HDR Source used in Brachytherapy Treatment of Cervical Cancer,” Abstract accepted for AAPM 59^th Annual meeting 2017 held at Denver, Colarado, USA. (Poster number SU-I-GPD-T-52)

2.      Shukla, A., Singh, N, Kumar, S., Rana, B., and Sandhu, I.S., (2017), “Dosimetric Study of Co-60source Step Size in Intracavitary HDR Brachytherapy,” Abstract accepted for AAPM 59^th Annual meeting 2017 held at Denver, Colarado, USA. (Poster number SU-I-GPD-T-29)

3.      Shukla, A.K., Kumar, S., Kumar, P.S., Rathore, N.K., and Oinam, A.S., Singh R, Sandhu IS, (2014), “Dosimetric study of source step size in Co⁶⁰ HDR brachytherapy,”  Presented in AMPICON-2014 at Loni, Maharashtra.

4.      Shukla, A., Kumar, S., Sandhu, I.S., Oinam, A.S., Sharma, R., and Kumar, N., (2011), “An Alternative methods of feathering technique for field junction matching of cranio spinal irradiation in medulloblastoma treatment” presented at AROICON-2011 at Jaipur.

5.      Shukla, A., Kumar, S., Sandhu, I.S., Oinam, A.S., and Sharma, S.C., (2011), “Dosimetric plan analysis of Gamma Knife Stereotactic Radio Surgery (SRS)” presented at AMPICON- 2011 at CMC, Vellore.

6.      Shukla, A., Singh, R., Oinam, A.S., Kumar, S., Sandhu, I.S., and Sharma, S.C., (2011),  “A calibration method for patient specific IMRT QA using a single therapy verification film” presented at 2^nd National Conference on Advanced Materials and Radiation Physics AMRP-2011 at SLIET, Longowal, Punjab.

7.      Thaper D, Shukla A, Oinam AS, Rathore N. Impact of Catheter reconstruction error on dose distribution error on dose distribution in high dose rate intra cavitary brachytherapy and evaluation of OAR doses. Presented in AMPICON-NC 2016 held at BHU, Varanasi.

8.      Patel GK, Shukla AK, Dosimetric evaluation of Monte Carlo dose calculation Algorithm with measurement in comparison with collapsed Cone Algorithm in predicting doses beyond air gape thickness. Presented at ICMPRPR-2K15 held at SMS Medical College, Jaipur.

9.      Kumar PS, Shukla AK, Rathore NK, Intodia K, Gupta S, Nandwana U, High Dose Rate Brachytherapy Using Cobalt-60 Miniature Source In Carcinoma Cervix presented in AMPICON-2014 at Loni, Maharashtra

10.  Nandwana U, Rathore NK, Shukla AK, Kumar PS, Gupta S, Intodia K “Dosimetric analysis of high dose rate (HDR) intracavitary brachytherapy in carcinoma cervix using Cobalt-60 Source” presented in AROICON -2014 at Imphal.

11.  Oinam AS, Patel FD, Singh L and Shukla A “Implementation of Embrace Protocol of GecEstro Image Base Intra cavitary Brachytherapy treatment of uterine cervix cancer” at AMPICON- 2011 at  CMC, Vellore.

12.  Singh R, Oinam AS, Shukla A, Trivedi G, Sharma R, Mehta D, Shahi JS, Singh B and Sharma SC “Patient Specific Quality assurance for delivery of Intensity modulated radiotherapy” at AMPICON- 2011 at  CMC, Vellore.

13.   Trivedi G, Oinam AS, Shukla A, Singh R and Sharma SC “Verification of dose distribution around a miniature Ir-192 HDR brachytherapy source” at AMPICON- 2011 at  CMC, Vellore.

14.  Sharma R, Singh R, Oinam AS, Shukla A and Sharma SC “Dependency of wedge factor on depth,orientation and field area for 6 and 15 MV Photon beams” at AMPICON- 2011 at  CMC, Vellore.

15.  Oinam AS, Shukla A, Singh L, Krishnatry R, Rai B, Patel FD “CT and MR image fusion of uterine cervix ring applicator in Intracavitary Brachytherapy planning”.  AMPICON-2010 at Lucknow.

16.  Shukla A, Tiwari A, Singhal NC, Mangal D “Evaluation and use of GAFCHROMIC^® EBT film for IMRT Q.A. using flatbed scanner”. ICMP-2008 at Mumbai.