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Paschim Vihar, New Delhi care@kpcirc.org

Local therapy

Radiotherapy

Targeted radiation to a defined area, planned in millimetres.

Opinion here · delivered at a partner centre

What it is

Radiotherapy delivers radiation to a mapped volume of tissue. Everything about it is geometry: what is inside the field, what is deliberately outside it, and how the dose is divided across days.

Modern planning exists to spare what is next to the target. Which technique is appropriate depends on the site, the shape of the disease and what sits nearby, not on which machine a hospital happens to have bought.

When it is used

  • As definitive treatment, alone or with chemotherapy
  • After surgery, to treat the area the tumour was removed from
  • Before surgery, to shrink disease or make an operation cleaner
  • To relieve pain, bleeding or pressure, palliative radiotherapy, often a very short course
Illustration
Radiotherapy is geometry: what is inside the field, what is deliberately outside it, and how the dose is divided across days.

How the decision is made

  • Whether radiotherapy is indicated at all, and what it is expected to add over the alternatives.
  • Modality and dose-fractionation, how much, over how many sittings.
  • Sequencing against surgery and systemic therapy. Order matters, and getting it wrong is difficult to undo.
  • Toxicity anticipation: what will be in the field, and what needs protecting or preparing first.
Where it happens

Simulation, planning, delivery and on-treatment review all happen at the partner radiation centre. KPCIRC does not operate a linear accelerator and carries no radiation licensing.

Who does what

What we handle, and what happens elsewhere

KPCIRC handles

  • The indication, modality and sequencing opinion, in writing
  • Pre-radiation dental clearance for head-and-neck cases, mandatory, and booked before the referral leaves the building
  • Nutrition and swallowing support through treatment
  • Skin and mucositis care
  • Post-radiation surveillance and late-effects screening

Performed and billed elsewhere

  • Simulation and planning scans
  • Every treatment sitting
  • On-treatment review at the radiation centre
  • Any brachytherapy or specialised technique
The plan is read against the imaging it was built on.
Safety, read this part
  • Tell the radiation team about every medicine you take, including anything herbal or ayurvedic. Some interact with radiation and with the medicines used to manage its effects.

Questions to ask your own doctor

Take these with you. They work whether or not you are treated here.

  • What exactly is inside the radiation field, and what is close to it?
  • How many sittings, over how many weeks, and can I travel daily for that?
  • What are the effects during treatment, and what are the effects that appear years later?
  • Do I need dental clearance before we start?
  • Will this affect any future surgery in the same area?

Not sure this is the right option for you?

That is exactly what a second opinion is for. Bring what you have, we will tell you what is missing and what the alternatives actually are, in writing.