Dr. Arun Kumar Verma

MBBS (MLMC), MD (SNMC)

Ex : Senior Resident (AIIMS) , Registrar (PGIMS)

Incharge of Disease Management Group
(GI, GU, lymphoma, NHL, Myeloma, Paediatric and chest tumours /cancer / malignancies )

Senior Oncologist
Max Institute of Cancer Care
Max Superspeciality of Hospital, Patparganj

3dCart Radiotherapy In Delhi NCR, Best Doctor For 3dCart In India.

We report the feasibility and treatment outcomes of image-guided Three-Dimensional Conformal arc Radiation Therapy,(3D-CART) using a C-arm linear accelerator with a computed tomography (CT) on-rail system for localized prostate cancer.

Methods And Materials

Between 2006 and 2011, 282 consecutive patients with localized prostate cancer were treated with in-room CT-guided 3D-CART . Biochemical failure was defined as a rise of at least 2.0 ng/ml beyond the nadir prostate-specific antigen level. Toxicity was scored according to the National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0.

Results Of 3d Cart

TA total of 261 patients were analyzed retrospectively (median follow-up: 61.6 months). The median prescribed 3D-CRT dose was 82 Gy (2 Gy/fraction, dose range: 78–86 Gy), and 193 of the patients additionally received hormonal therapy. The 5-year overall survival rate was 93.9 %. Among low-, intermediate-, and high-risk patients, 5-year rates of freedom from biochemical failure were 100, 91.5 and 90.3 %, respectively. Rates of grade 2–3 late gastrointestinal and genitourinary toxicities were 2.3 and 11.4 %, respectively. No patient experienced late grade 4 or higher toxicity.

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