Exchange Scientist Program Subcommittee

of the
International Affairs Committee

This is a continuation of the sponsorship of AAPM Exchange Scientist program awarded to Dr. Komanduri Ayyangar  in 2004.(see report of the first trip in AAPM newsletter Vol 31. No.3 May/June 2006 page 5). In his second trip to India , Dr. Komanduri Ayyangar   made several trips during nov ?6- march ?7  to the Mahatma Gandhi Memorial Medical Trust Hospital, which is located in a rural area, very near the town of Bhimavaram, West Godavari District, Andhra Pradesh, India. He filed the following report.

Dr. M.R. Raju, a well known scientist retired from Los Alamos National Laboratory has established the International Cancer Center, a model rural cancer treatment and research institute.  There was no other cancer center in the District of West Godavari, which has a population of four million.

Since my visit last year, the center has made significant progress. Most importantly, the patients are very cheerful, happy  and hopeful that the technology and expertise has come home directly to address their needs.

The center is currently treating 20-30 patients per day on their Cobalt-60 facility. In addition, the center is equipped with Siemens CT scanner used for diagnosis and treatment planning. Dedicated treatment planning equipment is also available. The center is equipped with chemotherapy and lab facilities as well.

Based on a grant that we have submitted last year, the Atomic Energy Regulatory Board (AERB) has awarded a grant to do a diagnostic radiology project at the center. Using some of the funds from this grant,  the center has acquired additional physicist and a technologist. A lot of time was spent in acquiring bids and specifications and ordering the equipment required for the project. The equipment received from AAPM members, especially Dr. Natarajan of Winthrop Hospital, NY has been proved useful for this project.

The highlight of the trip is the ordering of HDR equipment. Dr. Raju has acquired sufficient funds to order a Cobalt-60 based HDR from BEBIG, Germany. The dedicated room which was designed for Iridium was surveyed and after several communications with the AERB, the layout was approved with additional shielding. The equipment is due to arrive in the next two months.

The current staff includes the following individuals. Dr. M.R.Raju Director, Dr Ravindra, Dr. Satya Prasad and Dr. Manisha Radiation Oncologists, Mr. Pradush Narayanan, Mr. Fenedict Jesuraj physicists.  In addition, there are many other technical and nursing  staff .

The MLC design that we have worked on last year has been constructed as a wood model and now is given to a fabrication facility in Hyderabad. This project will be continued and new indigenous accelerators are being envisaged that use the know-how from this technology.

A seminar to mark the addition of HDR is also being planned. Dr. Raju’s goal is,   in addition to quality care, to make the center gain international recognition as a model rural center.

The center needs the support of AAPM in its future endeavors especially in sponsoring physicists every year. The center is  in need of services that can be provided by medical physicists and radiation oncologists for significant length of time.  This is a direct invitation and plea to the retired physicists of the AAPM to  go visit this cancer center in India.

Also, the center is  in need of simple equipment such as phantoms, radiation dose meters, radiation monitors, personal dosimeters, patient immobilization devices, low melting point alloy shields  etc. in good working condition since they are not easy to find good quality products in India. 

 

Fig.1 A view of the MGMMT hospital entrance

Fig.2. Wooden model of  the MLC design for Cobalt-60

Fig.3  In-service session on radiation safety to staff

Fig.4. Teachers  Dr. Raju, Dr. Ayyangar, Dr. Manisha and Dr. Ravindra

Disclaimer

Neither the AAPM, its members, nor its officers will assume liability for any damage sustained by the Exchange Scientist and/or the host institution as the result of activity(ies) associated with this exchange program.

Last update: January 4, 2008

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