The Sir HN Reliance Foundation Hospital in Mumbai has reached a notable achievement in medical technology by successfully treating a patient with head and neck cancer using a novel approach that combines Surface Guided Radiotherapy (SGRT) and adaptive radiotherapy. This marks the first time such an advanced technique has been utilised in India, eliminating the need for both a tight immobilisation mask and a simulation CT scan during treatment.

The patient, a male in his mid-50s, arrived at the emergency department with severe and persistent bleeding from an inflamed tumour. His history included previous unsuccessful surgeries and radiation treatments for mouth cancer. Due to his deteriorating condition, medical teams focused on stabilising him before proceeding with any further therapeutic interventions.

Innovative Treatment Methodology

Conventional approaches to radiotherapy for head and neck cancers typically require patients to wear tight plastic immobilisation masks and undergo simulation scans to prevent movement during treatment. However, given the patient’s critical state, medical professionals recognised that he could not endure such stringent conditions. Consequently, they successfully employed this advanced method to deliver essential radiation, effectively addressing the life-threatening bleeding.

Following this innovative clinical intervention, the patient responded positively to the treatment, ultimately leading to his discharge on May 13, 2026. This successful case has raised hopes for the efficacy of this approach in similar cases facing substantial challenges in treatment accessibility.

Dr Prasad Raj Dandekar, who heads the Radiation Oncology department at Sir HN Reliance Foundation Hospital, remarked that this new technique facilitates more accurate and efficient treatment, thereby enhancing patient care outcomes. He noted the critical need for precision and rapid response in treating cancer, particularly for those suffering from advanced stages of the disease, where symptoms may include significant pain and bleeding.

Future Implications of Simulation Free Radiotherapy

The introduction of Simulation Free Radiotherapy (SFRT) not only expedites treatment and improves precision, but it also promises greater access to timely cancer care for an increasing number of patients. Innovative techniques like SFRT are expected to transform the radiotherapy landscape, ensuring patients receive necessary care much more swiftly compared to traditional methods.

Dr Dandekar explained that the ability to provide precise radiotherapy without the need for cumbersome preparatory steps allows for more effective treatment of severely ill cancer patients. He emphasised that quick and accurate radiation treatment is essential to address the urgent health needs of individuals in critical condition.

This breakthrough signifies a major step forward in cancer treatment methodologies in India, potentially setting a precedent for future advancements. It underlines the hospital’s commitment to leveraging cutting-edge technology for better patient outcomes and increased accessibility to life-saving treatments.

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