Department of Radiation Oncology

Head of the department - Natalia Jankarashvili

The Radiation Oncology Department of Todua Clinic is equipped with two state-of-the-art linear accelerators from the VARIAN company, featuring TRUEBEAM technology, as well as a radiosurgical system, EDGE, for external beam radiation therapy. The equipment integrates a specialized computed tomography (CT) scanner for 3D imaging and the synchronization of treatment technologies, enabling precise image-based radiation therapy for patients.

Radiation Oncology - A Department Equipped with State-of-the-Art Technology

The latest technologies enable us to irradiate the target area with much greater precision while maximizing the protection of healthy organs and tissues. The equipment makes medical procedures easier for patients, as these advanced technologies ensure the rapid execution of radiation treatments, allowing patients to remain less restricted during the treatment process.

The system, together with the working imaging, monitors the accuracy of the irradiation parameters every 10 milliseconds throughout the entire radiation therapy cycle.

The EDGE and TRUEBEAM equipment provide treatment opportunities for patients who would otherwise be unable to undergo radiation therapy. Doctors can simultaneously irradiate multiple pathological foci, ensuring maximum protection of the surrounding healthy tissues. Radiation therapy is performed for all cases where this treatment is indicated according to international guidelines, specifically for head and neck, central nervous system, lung, and mediastinal region, breast, abdominal and pelvic region cancers, as well as for systemic diseases, such as lymphomas.

The equipment allows for the implementation of all modern radiotherapy treatment technologies currently available at the international level, including:

3DCRT - 3D Conformal Radiotherapy
IMRT - Intensity Modulated Radiotherapy
RAPIDARC - Volumetric Arc Therapy
SRS/SBRT - Stereotactic Radiosurgery/Stereotactic Body Radiotherapy
RPM Gating - Breathing Synchronized Radiotherapy

RPM Gating, or breathing-synchronized radiation therapy, allows clinicians to correlate the location of the tumor with the patient's breathing cycle.

SRS/SBRT - EDGE represents a next-generation radiosurgical system, enabling oncological patients to undergo radiosurgical treatment without leaving the country. This equipment allows for the delivery of high-dose single or multiple fractional radiosurgical treatments for both intra- and extracranial tumors.

Georgia is the first country among Eastern European and Asian nations where this system has been installed. Notably, this system is also installed in advanced oncological clinics in several European countries and the United States.

Unlike other radiosurgical systems, EDGE stands out for its precision and treatment speed. With this system, the irradiation of healthy tissues surrounding the tumor is minimized.

This equipment allows radiation oncologists and medical physicists to select various treatment options for complex cases. Patients who would otherwise be unable to undergo radiation therapy can be treated with EDGE.

The system represents the gold standard in the treatment of radiosurgical patients and is capable of controlling the accuracy of irradiation parameters throughout the entire treatment cycle.

The Department of Radiation Oncology is equipped with the brachytherapy device GammaMedplus iX. "Brachytherapy," or "contact radiotherapy," is one of the modalities of radiation therapy, which involves placing a radioactive source as close as possible to the tumor using specialized equipment called "applicators.

Brachytherapy, as a highly effective treatment method, is widely used worldwide. The advantage of this technology lies in the ability to deliver a radically high dose of radiation directly to the target volume by placing the radioactive source close to the tumor, while simultaneously providing maximum protection to the surrounding healthy tissues.

Technological advancements have led to the widespread use of brachytherapy today for the treatment of malignant tumors, including those of the skin, female genital organs, prostate, breast, head and neck, esophagus, and other cancers. This method is also applicable in certain cases for the treatment of post-operative or post-traumatic scarring (keloids).