About Administration

Medical administration covers a variety of health care management jobs in a number of settings, from managing a clinical department to overseeing a medical practice or large hospital.Medical administrators may also be called health care managers, health care executives, medical practice administrators, hospital administrators, and a number of other terms related to their specialty or the facility in which they work. As a business, health care is one of the most complex and evolving, thus requiring highly skilled managers to keep organizations running smoothly. Medical administrators are called upon to plan, direct, and coordinate health care delivery. They may be in charge of specific departments or services, or they may manage the entire facility or a health care system.

In most instances, medical administrators supervise other workers, prepare or work with budgets, manage projects, and are called upon to improve efficiency in a complex and rapidly changing health care environment. They also must deal with evolving technological innovations, and economic and regulatory changes.

Administration

Administration Staff

Overview

The Department of Surgical Oncology is offering dedicated services and care for all the cancer patients of North East India. The department comprises of dedicated faculty members with extensive experience in dealing with all type of cancers like Breast Cancer, Thoracic Cancer, Gastrointestinal Cancer, Hepatopancreaticobiliary Cancer, Urologic Cancer, Bone and soft tissue Cancer etc.

Overview

Dept. of Medical Oncology at BBCI since its inception has evolved to provide modern and affordable cancer care services to the patients of North-East India.It comprises of dedicated team of doctors specialized in medical oncology, haematological oncology and paediatric oncology.

Dept. of Medical Oncology offers comprehensive and multidisciplinary treatment forvarious malignancies in adults such ashead-neck, breast, lungs, gastrointestinal tract, gynaecological cancers etc. It also delivers comprehensive and specialized services to both childhood cancers,and haematological malignancies (Leukaemia, lymphoma, Multiple myeloma etc), including bone marrow transplant. Dedicated Paediatric oncology services are available for Child hood cancers such as Brain Tumors, Retinoblastoma (Eye cancer), Bone cancer, Wilms Tumor, Neuroblastoma, Blood cancers (Leukaemia and lymphoma) etc.

Various modalities of treatment available at the department are chemotherapy services, immunotherapy, hormone therapy, biological therapy, targeted therapy and stem cell therapy.

The department of Medical Oncology started its operations in BBCI in 1988. The department has grown from a two room OPD service to a complete department with 5 daily OPDs, 36 indoor beds, 23 chemotherapy daycare beds, Pediatric HDU and a SCT unit. The department was first to conduct stem cell transplantation in a public sector hospital in the North-eastern region. A new 5-bedded SCT unit is planned to be commissioned in May, 2023. Formal academic courses were started in 2016 with 2yr TMC fellowship program in Medical Oncology. This program was extremely successful in producing man-power for North-eastern states and capacity building of regional cancer centres. DM in Medical Oncology was started in 2018 with an annual intake of 2 seats. So far, the department has produced 9 confident Medical Oncologists who are currently serving the nation in various capacities.

The department is currently being served by 5 full time faculties offering services for Solid malignancies, pediatric oncology, hematological cancers and stem cell transplantation.

Overview

The department of Radiation Oncology has seven Radiation Oncologists and seven Medical Physicists, whose responsibilities include patient care, teaching and research activities. The department is equipped with all modern radiotherapy techniques such as 3DCRT, IMRT & VMAT, IGRT, Respiratory Gating/ DIBH, Stereotactic Radio Surgery (SRS), SRT and SBRT. It is equipped with a high end CT simulator, two high energy Linear Accelerators, and two Tele-Cobalt machine. The process of procurement of two more high energy and high end Linear Accelerators are in the pipeline. There is a dedicated HDR brachytherapy unit with a minor OT attached alongside with in-house facilities of ultrasonography and C-arm.

Overview

The Department of Preventive Oncology was started in the year 2003. At the beginning the Department ran the community awareness and school health awareness programs in Assam which later extended to entire North Eastern states. In 2005 with the initiative of WHO and Ministry of Health and Family Welfare, Tobacco Cessation Centre at BBCI started in the Department. This was the first Tobacco cessation Centre in entire North East India. With time new community based projects were assigned to the department namely District Cancer control Program in the year 2008 under NTCP. In 2010 the department got involved in multicentre research works in the field of community based interventions for tobacco cessation. Currently the department has robust OPD, Outreach, Academic and Research arms. Preventive Oncology handles multiple research projects under Ministry of Health and Family welfare, Govt. of India, ICMR, WHO, DAE, medical research council UK, Global Alliance for Chronic Diseases etc. In 2018 the National Tobacco Quit line under Ministry of Health and Family welfare was started attached to the Department at BBCI to cater the Eight North Eastern states, Orissa and West Bengal which was a landmark for the department. There are only four such quit lines all over India. The Department is taking leads in cancer and tobacco prevention and control in the region.

Click here to view the IEC Document

Overview

Palliative Care service in Dr B Borooah Cancer Institute was established in 2003. It is extending helpful hands to the thousands of advanced cancer patients of North-East India since last 20 years. Total care of the patient and the family members is delivered by expert professionals from various disciplines. The interdisciplinary team consists of specially trained Doctors, Nurses, Social Workers, Counselors, Psychologists and few Volunteers along with ancillary services like Physiotherapy, Occupational therapy, Spiritual counseling etc. All are working hand in hand to provide the holistic approach of care.

Overview

The Department of Cancer Registry and Epidemiology was started in the year 2010 with the establishment of Hospital Based Cancer Registry (HBCR) at the institute. In 2015, the Epidemiology division was started. Subsequently, in 2018, molecular epidemiology on Genome Wide Association researches was started in collaboration Center for Cancer Epidemiology at Tata Memorial Center, Mumbai. In 2022, a landmark collaborative research under Department of Cancer Registry and Epidemiology, this showed strong association between Arsenic in potable water and gallbladder cancer risk.

Overview

Head and neck cancer accounts for 30-40% of cancers in India at all sites. The prevalence is significantly higher in Northeastern India, affecting males more than females. According to the recent PBCR report, the incidence of hypopharynx and nasopharynx is the highest in the Northeastern states. The various subsites in the head and neck region include the oral cavity, oropharynx, nasopharynx, hypopharynx, larynx, salivary glands, thyroid, nasal cavity and paranasal sinus.

The Department of Head and Neck Oncology at Dr B Borooah Cancer Institute caters to the population from Assam and the entire Northeastern region diagnosed with cancer at any of the subsites of the head and neck region.

Overview

Department of Oncopathology forms the basis of cancer management by providing diagnostic and prognostic yields. The various sections within this department are Haematology, Biochemistry, Microbiology, Histopathology, Cytopathology and Blood banking services. The department is the pioneer in the fields of IHC and flow-cytometry services in North East India. We have also started the in-situ hybridization (ISH) for the detection of Epstein-Barr virus in tissue sections. Blood Bank of BBCI was granted a valid license from Drug Controller General of India (CDSCO) in 2008 for whole blood. The license for blood components was granted in 2012. Recently Apheresis unit has been also started at blood bank of BBCI.NABL has accredited the Haematology and Biochemistry sections of the department in October, 2022.

Dr. B Borooah Cancer Institute blood centre is a licensed blood centre with 100% component preparation. At present we have license for 7 blood components. It is the first centre in the entire North East to have license for Peripheral Blood Stem Cell collection. Besides this our blood centre has enrolled under Haemo-vigilance programme of India & E-Raktosh where we regularly upload blood centre data in national forum. Besides this we conduct blood donation camp, awareness programme and immunohaematology workshop.

Overview

The Radio Diagnosis & Imaging Department at Dr. B Borooah Cancer Institute (BBCI) in Guwahati plays a crucial role in the comprehensive cancer care provided by the institute. The department focuses on utilizing advanced imaging techniques to aid in the diagnosis, staging, treatment planning, and follow-up of cancer patients. Here are some more details about the department:

Advanced Imaging Techniques: The department employs state-of-the-art imaging technologies to provide accurate and detailed information about cancer. These techniques include Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound, Digital Memmography Machine, Digital Radiography and Positron Emission Tomography-Computed Tomography (PET-CT). These advanced imaging modalities enable the visualization of internal structures, organs, and tissues in great detail, allowing for precise evaluation and assessment of cancer.

Diagnosis and Staging: The primary focus of the department is to assist in the diagnosis of cancer by providing imaging studies that help identify the presence of tumors, determine their location, and assess their characteristics. Additionally, the department plays a crucial role in staging cancer, which involves determining the extent and spread of the disease within the body. Accurate staging is essential for developing an appropriate treatment plan.

Treatment Planning: The Radio Diagnosis & Imaging department collaborates closely with other medical specialties, including medical oncologists, surgical oncologists, radiation oncologists and pathologists, to develop comprehensive treatment plans for cancer patients. Imaging findings are used to determine the most effective treatment strategies, including surgical interventions, radiation therapy, and systemic treatments such as chemotherapy or targeted therapy.

Follow-up and Monitoring: After treatment, the department continues to provide imaging services for the ongoing monitoring and surveillance of cancer patients. Follow-up imaging studies help assess treatment response, detect potential recurrence or metastasis, and guide further management decisions. This ensures that patients receive timely interventions and appropriate adjustments to their treatment plans.

Multidisciplinary Approach: The department adopts a multidisciplinary approach to cancer care. Radiologists, radiation oncologists, medical oncologists, and surgical oncologists work collaboratively to review and interpret imaging findings, discuss cases in multidisciplinary tumor boards, and provide integrated care to patients. This team-based approach ensures comprehensive evaluation and personalized management for each patient.

Patient Care and Safety: The Radio Diagnosis & Imaging department prioritizes patient care and safety. They adhere to strict quality assurance protocols and follow radiation safety guidelines to minimize risks associated with imaging procedures. The department strives to create a comfortable and supportive environment for patients, providing clear explanations, addressing concerns, and ensuring the highest standards of care.

Overall, the Radio Diagnosis & Imaging department at Dr. B Borooah Cancer Institute in Guwahati serves as a vital component of the comprehensive cancer care provided by the institute. By utilizing advanced imaging techniques, collaborating with other specialties, and focusing on patient-centered care, the department contributes significantly to improving the diagnosis, treatment, and overall outcomes for cancer patients.

Residence Profile

LIST OF PASSED OUT STUDENTS OF SURGICAL ONCOLOGY COURSES AT DR.B.BOROOAH CANCER INSTITUTE

A. M.Ch in Surgical Oncology:

B. Two Year Post Graduate Fellowship Programme in Surgical Oncology:

C. MERCK Foundation-BBCI Fellowship Programme:

Overview

The Hospital IT department plays a pivotal role in ensuring the seamless functioning and advancement of one of the most critical healthcare facilities in our origination. As the forefront of medical technology continues to evolve rapidly, the IT department stands at the vanguard of implementing innovative solutions that enhance patient care, research capabilities, and administrative efficiency. With a dedicated team of skilled professionals, the department's primary focus is to maintain a robust and secure network infrastructure, manage electronic health records (EMRs), and support various specialized medical software and equipment. Moreover, the IT department plays a crucial role in enabling telemedicine services, facilitating communication among healthcare practitioners, and optimizing data analytics for clinical decision-making. As the Cancer Hospital strives to stay at the cutting edge of medical excellence, the IT department remains committed to its mission, ensuring that technology remains an invaluable ally in the fight against cancer, bolstering the hospital's reputation as a center of excellence and compassion.

Research Activities

1. Anaesthetic considerations for Head and Neck cancers in patients undergoing reconstructive free flap surgeries – a review of 55 patients” was published in The European Journal of Molecular and Clinical Medicine, Vol 7, Issue 2, 2020.

2. A case report “Osteosarcoma in a 20 year old male posted for tumour excision and total knee replacement: Anaesthetic concerns with review of literature” was published inSch. J. App Med Sci., Jan issue.

3. Perioperative assessment of blood lactate levels and lactate clearance in patients undergoing cardiac surgeries with cardiopulmonary bypass." Journal of Cardiovascular Disease Research 12.3 (2021), 1678-1690

4. High Flow Nasal Cannula and Non-Rebreather Mask – An Approach to Avoid Tracheal Intubation in COVID-19 Patients to Maintain Normal Oxygen Saturation – A Case Series”. Annals of the Romanian Society for Cell Biology, May 2021, pp. 2888

5. A case of carcinoma larynx with overt hypothyroidism scheduled for feeding jejunostomy. – A case report. International Journal of Medical Anesthesiology 2021; 4(2): 226-228

6. Reasons for Cancellation of Elective Surgical Operations: A Cross-sectional Study from a Tertiary Care Centre in North-East India.JClin of Diagn Res.2021; 15(9):UC14-UC18.

7. Comparison of the combination of Propofol and Tramadol vsPropofol and Ketamine for intracavitary brachytherapy in cervical cancer. International Journal of Health and Clinical Research, 4(21), 234–237.

8. Oral versus Intravenous Paracetamol for Perioperative Analgesia in Patients Undergoing Total Abdominal Hysterectomy - A Randomised Double-Blind Controlled Trial. Journal of  Evolution of  Medical and Dental Sciences 2021;10(08):541- 545, DOI: 10.14260/jemds/2021/117

9. Anaesthetic Management of a Post-CovidOsteosarcome Patient with Spontaneous Pneumothorax and an Active Bleeding Tumour (2022). J AnesthClin Res, Vol.13 Iss. 5 No: 1001061

10. Anesthetic management of cytoreductive surgery and hyperthermicintraperitoneal chemotherapy- A case report. Saudi journal of anesthesia17(2):p 272-274, Apr–Jun 2023. | DOI: 10.4103/sja.sja_682_22

11. Perioperative factors influencing outcome in palliative cancer surgery at a tertiary cance care Institute in Northeast India – A Retrospective study. Journal of Clinical & Diagnostic Research. 2023 Feb1:17(2)

12. Anaesthetic management of adrenal tumours presenting with combination of rare syndromes during a pandemic: experience from a tertiary cancer care centre in Northeast India. European Journal of Molecular & Clinical Medicine. 2022 Jun18;9(3): 10682-92

Service

The Department also conducts hospital based screening for Head & Neck Cancers (Head & Neck Disease Clinic) since 2019, and presently, under the Department Preventive Oncology.

Pattern of Care and Survival Studies, Project E-mortality, and HBCR under the Department are funded by the Indian Council of Medical Research.

Research Activities
The published studies of the Department of Cancer Registry and Epidemiology are on esophagus, mouth, hypopharynx, gallbladder, childhood cancer and uterine cervical cancers.

ONGOING PROJECTS
i.    Task Force ICMR Project Hospital Based Cancer Registry
ii.    Project E-Mortality (E-Mor project) at Dr B Borooah Cancer Institute supported by the National Center for Disease Informatics and Research-ICMR.
iii.    Project Pattern of Care and Survival of Gallbladder Cancer by ICMR
iv.    Project Indian Study for Healthy Ageing by the Department of Atomic Energy

COMPLETED PROJECTS
i.    Project “Multi-centric case control study to identify genetic and life style risk factors of gall bladder cancer”, funded by the National Cancer Grid.
ii.    Project “Genome-Wide Association Study to Identify Role of Genetic Susceptibility in Buccal Mucosa Cancer”, a multi-centric project funded by the Department of Health Research, Government of India.
iii.    Project “A Multi-Site study on environmental risk factors for gall bladder cancer, and mediating role on reproductive factors and diet” funded by Public Health Foundation of India (PHFI). DrKrithiga Sridhar of PHFI is the Principal Investigator.

The Department conducts three months certificate course and Summer Training Programs. The Department also trains staff of new HBCRs under the network of Indian Council of Medical Research.

Research Activities

RESEARCH PUBLICATIONS

1. Jorvekar SB, Jala A, Rai A, Jangili S, Adla D, Borkar G, Das A, Kakati K, Das K, Sarma A, Mutheneni SR. Urinary Metabolomics Identified Metabolic Perturbations Associated with Gutka, a Smokeless Form of Tobacco. Chemical research in toxicology. 2023 Apr 17;36(4):669-84.
2. Sarma A, Kataki AC, Rai AK, Hazarika M, Roy PS, Kalita M, Deka M, Chattopadhyay I. Promoter Hypermethylation of ATG16L2, TFAP2A, EBF2, Calcitonin, ABL1 Kinase Domain T315I Mutation Association with Imatinib Therapy Resistance and Median Survival in CML Patients of North-East India. Asian Pacific Journal of Cancer Care. 2023 Feb 17;8(1):35-42.
3. Das R, Kumar R, Rai AK, Sarma A, Kakoti L, Kataki AC, Bhattacharyya M, Kalita M. HPV and p16 expression association with 5-year survival in oral squamous cell carcinoma patients of North-East India. medRxiv. 2023:2023-01.
4. Sarma P, Barmon D, Rai AK, Kataki AC, Sarma A, Kakoti L, Barman D, Kalita M. Tobacco chewing, Alcohol consumption, reuse of cloth sanitary pads is significant risk factors for High Risk HPV infection and PAP positivity among Rural Women of Kamrup District, North-East India. medRxiv. 2023:2023-01.
5. Das S, Sarma A, Das BC, Sarma DJ, Barman R, Bhattacharyya M, Kataki AC, Rai AK. Analysis of Biochemical and Hematological Parameters During the First and Second Wave of SARS-CoV-2 Infection among North-East Indian Cancer Patients. Asian Pacific Journal of Cancer Care. 2022 Nov 10;7(4):637-42.
6. Hazarika M, Reddy R, Rai AK, Roy PS, Iqbal A, Barbhuiyan S, Raj N, Mallik S, Sarangi SS. COVID-19 Prevalence and Survival Outcome in Pediatric Cancer Patients Undergoing Chemotherapy: A Study from Tertiary Cancer Center of North-East India. Asian Pacific Journal of Cancer Care. 2022 Aug 31;7(3):475-80.
7. Joyeeta Talukdar, Tryambak Pratap Srivastava, Gayatri Gogoi, Avdhesh Rai, Ruby Dhar, and Subhradip Karmakar. Oncometabolite profiling identifying estrogen-responsive genes in breast cancer Journal of Clinical Oncology 2022 40:16_suppl, e13611-e13611
8. Pal U, Manjegowda MC, Singh N, Saikia S, Philip BS, Kalita DJ, Rai AK, Sarma A, Raphael V, Modi D, Kataki AC. The G-protein-coupled estrogen receptor, a gene co-expressed with ERα in breast tumors, is regulated by estrogen-ERα signalling in ERα positive breast cancer cells. bioRxiv. 2022:2022-06.
9. Roy P, Sarma A, Kataki AC, Rai AK, Chattopadhyay I. Salivary microbial dysbiosis may predict lung adenocarcinoma: A pilot study. Indian Journal of Pathology and Microbiology. 2022 Jan 1;65(1):123.
10. Barman R, Taw MJ, Rai AK, Krishnatreya M, Sarma A, Das S, Bhattacharyya M, Kataki AC, Kalita M. Impact of reverse transcriptase real-time polymerase chain reaction-cycle threshold values on SARS-CoV-2–positive cancer patients undergoing treatment. Advances in Human Biology. 2021 Oct 1;11(Suppl 1):S90-4.
11. Kumar R, Rai AK, Phukan MM, Hussain A, Borah D, Gogoi B, Chakraborty P, Buragohain AK. Accumulating Impact of Smoking and Co-morbidities on Severity and Mortality of COVID-19 Infection: A Systematic Review and Meta-analysis. Current Genomics. 2021 Dec 12;22(5):339.
12. Shantanu PA, Syamprasad NP, Rajdev B, Gawali B, Rai AK, Rahman T, Naidu VM. Delineating the role of autophagy in driving the resistance to cancer chemotherapy. Annals of Oncology Research and Therapy. 2021 Jul 1;1(2):78.
13. Deka KB, Sarma P, Sarma A, Das G, Karmakar S, Rath GK, Rai AK. Prevalence of Epstein–Barr virus in North-East Indian breast cancer patients' blood. Annals of Oncology Research and Therapy. 2021 Jul 1;1(2):111.
14. Saikia S, Pal U, Kalita DJ, Rai AK, Sarma A, Kataki AC, Limaye AM. RUNX1T1, a potential prognostic marker in breast cancer, is co-ordinately expressed with ERa, and regulated by estrogen receptor signalling in breast cancer cells. Molecular Biology Reports. 2021 Jul;48:5399-409.
15. Rai AK, Panda M, Das AK, Rahman T, Das R, Das K, Sarma A, Kataki AC, Chattopadhyay I. Dysbiosis of salivary microbiome and cytokines influence oral squamous cell carcinoma through inflammation. Archives of Microbiology. 2021 Jan;203:137-52.
16. Panda M, Rai AK, Rahman T, Das A, Das R, Sarma A, Kataki AC, Chattopadhyay I. Alterations of salivary microbial community associated with oropharyngeal and hypopharyngeal squamous cell carcinoma patients. Archives of microbiology. 2020 May;202:785-805.
17. Barmon D, Rai A, Kataki A. Study on epidemiology and screening of cervical cancer in ne india. International Journal of Gynecological Cancer. 2019 Sep 1;29(Suppl 3):A98-.
18. Das AK, Baishya N, Sarma A, Kataki AC, Rai AK, Kalita CR. Assessment and clinicopathological correlation of matrix metalloproteinase 9 expression in nasopharyngeal carcinoma. Journal of Carcinogenesis. 2019;18.
19. Singh V, Singh AP, Sharma I, Singh LC, Sharma J, Borthakar BB, Rai AK, Kataki AC, Kapur S, Saxena S. Epigenetic deregulations of Wnt/ß-catenin and transforming growth factor beta-Smad pathways in esophageal cancer: Outcome of DNA methylation. Journal of cancer research and therapeutics. 2019 Jan 1;15(1):192-203.
20. Bhushan A, Singh A, Kapur S, Borthakar BB, Sharma J, Rai AK, Kataki AC, Saxena S. Identification and validation of fibroblast growth factor 12 gene as a novel potential biomarker in esophageal cancer using cancer genomic datasets. OMICS: A Journal of Integrative Biology. 2017 Oct 1;21(10):616-31.
21. Singh V, Singh LC, Vasudevan M, Chattopadhyay I, Borthakar BB, Rai AK, Phukan RK, Sharma J, Mahanta J, Kataki AC, Kapur S. Esophageal cancer epigenomics and integrome analysis of genome-wide methylation and expression in high risk northeast Indian population. Omics: a journal of integrative biology. 2015 Nov 1;19(11):688-99.
22. Kumar R, Rai AK, Das D, Das R, Kumar RS, Sarma A, Sharma S, Kataki AC, Ramteke A. Alcohol and tobacco increases risk of high risk HPV infection in head and neck cancer patients: Study from North-East Region of India. PloS one. 2015 Oct 16;10(10):e0140700.
23. Singh V, Singh LC, Singh AP, Sharma J, Borthakur BB, Debnath A, Rai AK, Phukan RK, Mahanta J, Kataki AC, Kapur S. Status of epigenetic chromatin modification enzymes and esophageal squamous cell carcinoma risk in northeast Indian population. American Journal of Cancer Research. 2015;5(3):979.
24. Sarma A, Hazarika M, Das D, Kumar Rai A, Sharma JD, Bhuyan C, Kataki AC. Expression of aberrant CD markers in acute leukemia: A study of 100 cases with immunophenotyping by multiparameter flowcytometry. Cancer Biomarkers. 2015 Jan 1;15(4):501-5.
25. Deka P, Deka P, Rai A, Chandra AM, Sharma J, Barmon D, Baruah U. CD44 AS A PREDICTOR OF EPITHALIAL OVARIAN CANCER. InINTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER 2014 Nov 1 (Vol. 24, No. 9, pp. 421-421). 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA: LIPPINCOTT WILLIAMS & WILKINS.
26. Rai AK, Das D, Kataki AC, Barmon D, Aggarwal D, Deka P, Shrivastava S, Sharma JD, Sarma A, Baruah U, Sharma M. Hybrid capture 2 assay based evaluation of high-risk HPV status in healthy women of north-east India. Asian Pacific Journal of Cancer Prevention. 2014;15(2):861-5.
27. Das D, Rai AK, Kataki AC, Barmon D, Deka P, Sharma JD, Sarma A, Shrivastava S, Bhattacharyya M, Kalita AK, Sharma M. Nested multiplex PCR based detection of human papillomavirus in cervical carcinoma patients of North-East India. Asian Pacific Journal of Cancer Prevention. 2013;14(2):785-90.
28. Rai AK, Freddy AJ, Banerjee A, Kurkalang S, Rangad GM, Islam M, Nongrum HB, Dkhar H, Chatterjee A. Distinct involvement of 9p21-24 and 13q14. 1-14.3 chromosomal regions in raw betel-nut induced esophageal cancers in the state of Meghalaya, India. Asian Pacific Journal of Cancer Prevention. 2012;13(6):2629-33.
29. Rai AK, Freddy AJ, Chatterjee A. P3. 15. Raw betel-nut induced oral and esophageal cancers in Meghalaya. Oral Oncology Supplement. 2009;1(3):206.

BOOK CHAPTER

1. Rai AK, Borah P, Kataki AC. Molecular Profiling of Gynaecological Cancer and Breast Cancer. InFundamentals in Gynaecologic Malignancy 2023 Jan 1 (pp. 9-24). Singapore: Springer Nature Singapore.
2. Anupam Sarma, Shiraj Ahmed, Avdhesh Kumar Rai. Chapter: Hereditary Cancer: An Overview; Book: Principles and Practice of Oncology, 2021.
3. Avdhesh Kumar Rai Anupam Sarma, Shiraj Ahmed,. Chapter: Cancer Cytogenetics; Book: Principles and Practice of Oncology, 2021

RESEARCH PROJECTS (ON-GOING)

1. Project Title: Identification of predictive/diagnostic biomarkers for metastasis in Head and Neck Cancer Patients ( Principal Investigator: Dr A. K. Rai; Collaboration: Division of Biological Sciences, BARC, Mumbai: Duration 2021-2024)
2. Evaluation of DNA damage response genes, protein(s) expression in Hypopharyngeal and laryngeal cancer patients of North-East India: Clinical relevance with radiotherapy outcomes ( Principal Investigator: Dr A. K. Rai; Funding Agency: ICMR, Govt of India: Duration 2022-2024)
3. Evaluation of Truenat™ HPV-HR Chip-based Real Time Duplex PCR Test for High Risk Types 16, 31 and 18, 45 in Oropharyngeal Cancer Patients of North East India: A proof of concept study (Co- Principal Investigator: Dr A. K. Rai; Funding Agency: Bigtec Labs Pvt Ltd (Molbio Diagnostics), Bengaluru ; Duration 2021-2024)
4. Assessment of Cancer Antigen CA15.3 as predictive and prognostic marker of tumor burden and recurrence in breast cancer patients of North-East India (Co- Principal Investigator: Dr A. K. Rai; Funding Agency: ICMR, Govt of India: Duration 2022-2024)
5. Identify the DNA Adduct and associated metabolic alterations in upper aerodigestive Tract cancer with smokeless tobacco chewers in the North-East region of India: A Metabolomics Approach ( Co-Principal Investigator: Dr A. K. Rai; Collaboration: NIPER, Guwahati; Funding Agency: SERB, Govt of India Duration 2021-2024)
6. Identification of Hereditary Breast and Ovarian Cancer (HBOC) syndrome families with breast cancer and their BRCA1 & BRCA2 gene mutation profiling in North East Indian population ( Co-Principal Investigator: Dr A. K. Rai; Collaboration: AIIMS, New Delhi; Funding Agency: NCDIR-ICMR, Govt of India Duration 2020-2023)
7. To Establish a ready network of clinical trial units across the National Cancer Grid to promote multi-centric collaborative in the field of drug and device development ( Co- Investigator: Dr A. K. Rai; Collaboration: MultiCentre; Funding Agency: BIRAC-DBT, Govt of India Duration 2020-2023)
8. The non-canonical estrogen receptor repertoire in breast cancer: towards refined disease classification and therapeutic decision ( Co-Principal Investigator: Dr A. K. Rai; Collaboration: IIT, Guwahati; Funding Agency: ICMR, Govt of India Duration 2020-2023)

The faculty members are actively participating in various research activities. Presently the departmental ongoing projects are-

1.Study of prevalence of high risk HPV and precancerous lesion in asymptomatic and symptomatic women of Kamrup Urban District, Assam, NE India by comprehensive rural community level screening. Funded buy DHR, Govt of India(2017-20)

2.Developement of low cost automated screening system for cervical cancer, a multi-institutional study  Funded by C-DAC.

3.One pilot project on intraperitoneal chemotherapy in carcinoma ovary

4.One prospective study in quality of life in cervical cancer patients

5.One retrospective study for DVT in patient undergoing Gynaecologic surgery is presently undergoing in the department.

6. Estimate the efficacy of vaginal self-sampling for detection of High risk HPV infection in women of North East India  (Funded by NCDIR-ICMR) (2021-24)

Work Volume

Overview

The Department of Gynaecological Oncology was established in the year 1988, and it was the first of its kind in the whole of North East India offering dedicated services and care for all the Gynaecological cancer patients of North East India. The department comprises of dedicated faculty members with extensive experience in dealing with all the Gynaecolocal cancers like Cervical Cancer, Endometrial Cancer, Ovarian Cancer, Vulvar Cancer, Gestational Trophoblastic Neoplasia etc.

Service

Six major operation theatres with state of the art infrastructure, equipped with dedicated USG machine, C-Arm, PNS, 6 anaesthesia workstations. Department runs an 8 bedded Intensive Care Unit fully equipped with modern gadgets along with portable X-Ray machine, gas analyzers and an attached indoor biochemical laboratory. The Hospital CSSD is also managed by the Department of Anaesthesiology. Besides this, the Department provides anaesthesia in remote locations like the Radiology, Radiotherapy, Nuclear medicine units of the Hospital.

Work Volume

Department performs more than 2500 major surgeries, 500 minor procedures annually. The PAC clinic and the Pain Clinic attend to more than 3500 and 150 patients respectively each year. In addition, there are about 250 ICU admissions in a year. The Department also manages the CSSD services of the Hospital.

Research Activities

The Radio Diagnosis & Imaging department actively participates in research activities at Dr. BBCI. They contribute to scientific studies, clinical trials, and imaging-related research projects. These endeavors aim to advance the understanding of cancer imaging techniques, optimize imaging protocols, explore novel imaging biomarkers, and improve the accuracy and efficiency of cancer diagnosis and monitoring.

Resident Profile

The Radio Diagnosis & Imaging department at Dr. BBCI consists of a team of dedicated and experienced radiologists, technologists, and support staff. These professionals work collaboratively to ensure the highest quality of imaging services and patient care. They demonstrate a strong commitment to maintaining ethical practices, patient safety, and confidentiality.

Research activities

The published studies of the Department are on Tobacco and Cancer epidemiology, implementation research

Projects (Ongoing)

Completed Projects

1. “A pilot study to Develop an Efficacious Oral Cancer Screening Strategy for India’ Dr. Srabana Misra Bhagabaty is the Co- Principal investigator of the Project. Funded by Medical Research Council, UK
2. Community based intervention for tobacco cessation: a Multicentre implementation research funded by WHO.
3. District Cancer Control Program under National Cancer Control Program
4. Monitoring Survey of cancer risk factors and health system response in NER, Dr. B. Borooah Cancer Institute is the lead agency. Dr. Srabana Misra Bhagabaty , Co-PI, NCDIR-ICMR funded
5. Access India Study- accessibility to cancer care in childhood cancer- InPOG-ACC-16-02 study.
6. “Monitoring survey of cancer risk factors and health system response in North East Region(NER)” funded by ICMR-NCDIR
7. “Monitoring Survey of cancer risk factors and health system response in North East Region(NER)” funded by ICMR-NCDIR

CLINICAL WORK

The department handles a significant workload, catering to the needs of numerous cancer patients. They conduct a large number of diagnostic scans and administer therapeutic treatments on a regular basis. The work volume reflects the high demand for nuclear medicine services in cancer care.

Residents Profile

The department caters to the residential needs of its staff, providing comfortable accommodation facilities within the institute premises. The residential profile includes housing units, hostel facilities, or other suitable arrangements to support the faculty and staff in their work at Dr. BBCI.

Overview

Nuclear medicine is a branch of specialized medicine that uses radio-isotopes or radio-pharmaceuticals for diagnosis, treatment, and research. The Nuclear Medicine department at Dr. BBCI plays a crucial role in the comprehensive cancer care provided by the institute.

Through its multidisciplinary approach, advanced technology, patient-centric focus, and commitment to quality and research, the department plays a crucial role in the accurate diagnosis, effective treatment, and overall well-being of cancer patients.

Diagnostic nuclear medicine (using gamma camera, PET CT) plays a vital role in oncology imaging as various informations are provided at a molecular and physiological level that helps in the early detection, initial diagnosis, staging of disease, assessing disease progression and evaluating response to various cancer therapies. As opposed to traditional conventional anatomical imaging, nuclear medicine imaging studies are generally more organ-, tissue- or disease-specific. Apart from oncology imaging various non-oncology imaging services are also provides /available.

Interventional nuclear medicine uses radionuclides or radio-pharmaceuticals which are administered internally (e.g. intravenous or oral routes) to treat benign as well as certain types of cancers. These kinds of therapies are also called targeted therapies and hence disease specific. Most nuclear medicine therapies can be performed as outpatient procedures since there are few side effects from the treatment and the radiation exposure to the general public can be kept within a safe limit. However, At BBCI, for patients requiring high dose nuclear therapies, a 3 bedded state-of-the-art high dose radionuclide therapy ward which is the only and first of its kind in entire north-east region of India is functional /available.

Facilities available : 

• Gamma probe
• Thyroid uptake probe/ study
• Gamma camera(SPECT)
• High dose Radionuclide therapy ward
• Thyroid and Radionuclide therapy OPD

Research Activities

The published studies of the Department of Cancer Registry and Epidemiology are on esophagus, mouth, hypopharynx, gallbladder, childhood cancer and uterine cervical cancers.

Ongoing Projects

• Task Force ICMR Project Hospital Based Cancer Registry
• Project E-Mortality (E-Mor project) at Dr B Borooah Cancer Institute supported by the National Center for Disease Informatics and Research-ICMR.
• Project Pattern of Care and Survival of Gallbladder Cancer by ICMR
• Project Indian Study for Healthy Ageing by the Department of Atomic Energy

Completed Projects

• Project “Multi-centric case control study to identify genetic and life style risk factors of gall bladder cancer”, funded by the National Cancer Grid.
• Project “Genome-Wide Association Study to Identify Role of Genetic Susceptibility in Buccal Mucosa Cancer”, a multi-centric project funded by the Department of Health Research, Government of India.
• Project “A Multi-Site study on environmental risk factors for gall bladder cancer, and mediating role on reproductive factors and diet” funded by Public Health Foundation of India (PHFI). Dr Krithiga Sridhar of PHFI is the Principal Investigator.

Overview

The DBT Centre for Molecular Biology and Cancer Research, was formally inaugurated on 6th February 2010. The laboratories are housed in the first floor of the ‘Utility Building’. This centre was established with financial assistance from Department of Biotechnology, Govt of India. The DBT Centre has a fully functional lab equipped with Real Time PCR, automated Hybrid Capture and Fluorescent in situ hybridization system amongst other minor and accessory instruments for research and diagnostics. Diagnostic services are being offered for BCR-ABL fusion gene quantification for chronic myeloid leukemia samples; her2/neu quantification in breast cancer and screening for high-risk HPV detection in cervical.

Atal Amrit Abhiyan and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana

Dr. B Borooah Cancer Institute Provides cashless treatment under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana and Atal Amrit Abhiyan

Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana is a National flagship scheme of the Government of India, which aims to reduce the financial burden of the poor and vulnerable groups. Under the scheme, Rs.5 lakhs coverage per eligible family per year for secondary and tertiary care as cashless treatment in the empanelled hospitals.

Atal Amrit Abhiyan is a flagship scheme of the Government of Assam to provide cashless treatment to the poor section of the population. Under this scheme, treatment benefits up to Rs.2 lakhs per individual annually towards approved procedures on a complete cashless basis is given.

Each eligible family as validated in the SECC database (2011) will be eligible and can access medical treatment under the Scheme.

Under AB - PMJAY and Atal Amrit Abhiyan the procedures available at Dr. B Borooah Cancer Institute are - Medical oncology, Gynae oncology, Radiation Oncology, Surgical Oncology, Paediatric Cancer.

Ayushman Bharat counter is available at Dr. B Borooah Cancer Institute from 9 AM to 5 PM on Monday to Friday and 9 PM to 2 PM on Saturday.

FOR MORE INFORMATION
Contact: DEPARTMENT OF MEDICAL SOCIAL WORK, (ROOM NO.- 20)

OVERVIEW

Diagnoses and treatment of cancer can bring in a vast range of psycho social challenges. Patients with cancer may become emotionally overwhelmed at any stage of their illness and emotions can range from common normal feelings such as vulnerability, sadness, uncertainty to even major psychiatric disorders such as depression, anxiety, etc. The field of psycho-oncology focuses on addressing the psychological reactions/responses of the patients with cancer as well as their family members/caregivers, at all stages of the illness. During this difficult time psychological support can be of benefit both for the patient and their family members.

CLINICAL WORK

Around 70 to 80 new patients are provided with psychological support every month.

Research Activities

Ongoing research study on "Effect of Yoga on improving Quality of Life in Head and Neck cancer patients undergoing Radiotherapy."

Overview

Speech and Swallow Therapy Depending on the treatment and treatment-related side effects resulting from the management of head and neck cancer, a patient’s ability to speak, eat , the issues concerning articulation, voice, and swallow may be affected. The speech-language pathologist (SLP) will play a vital role in assessing, treating, and guiding the patient and their family through the treatment and recovery journey.

Department of Speech and Swallow Therapy was established in the year September, 2019 at DR B Borooah Cancer Institute ,Since then the speech and swallow therapy service is being provided .and the Speech and Swallowing Therapy services are being provided on ICU, HDU, IPD & OPD basis to the Cancer patient .

Speech and Swallowing therapy department interacts with various DMG’s and ensure optimum rehabilitation for better recovery and increase quality of Life of cancer patient.

In addition to regular rehabilitation, Speech and Swallowing therapy department arranges various awareness and screening camps in collaboration with different NGO’s of Assam.

Work Volume

The number of Patient in Speech and swallow therapy increases year by year, in 2020(Jan –Dec) the number of patient was 1112 and this year 2022(Jan –Dec)--3146

Research Activities

• Speech Therapy department involve in various research activates at BBCI.
• Have published an article on ROLE OF SPEECH–LANGUAGE PATHOLOGIST IN HEAD AND NECK CANCER in 16th ANNUAL CONFERENCE ASSOCIATION OF RADIATION ONCOLOGIST OF INDIA Organized by Department of Radiation Oncology Assam Medical College, Dibrugarh.

The Department of Dental and Prosthetics Surgery specializes in providing specialized dental care for patients diagnosed with cancer. This department focuses on addressing the unique dental needs of individuals undergoing cancer treatment.

One of the primary objectives of the department is the rehabilitation of head and neck cancer patients following ablative surgery. This involves the use of various prosthetic devices such as obturators, guide plane prostheses, and tongue prostheses. These prostheses are designed to restore oral function and improve the quality of life for patients who have undergone surgical removal of tissues in the head and neck region.

Furthermore, the department is in the process of starting placement of implant-retained maxillofacial prostheses. These prostheses can be intra-oral, meaning they are placed within the oral cavity, or extra-oral, where they are situated on the outside of the face. Implant-supported prostheses provide a stable and secure solution for patients who require this form of treatment, ensuring optimal aesthetic and functional outcomes.

By offering a comprehensive range of dental and prosthetic services, the Department of Dental and Prosthetic Surgery plays a crucial role in supporting the oral health and overall well-being of cancer patients, enabling them to regain oral function, enhance appearance, and improve their quality of life.

Dentistry-Oncology, also known as Dental Oncology or Oral Oncology, is a specialized field that focuses on the dental and oral health care needs of individuals diagnosed with cancer. It involves the management and treatment of oral complications arising from cancer therapies, as well as providing comprehensive oral care to support patients before, during, and after cancer treatment.

The main objectives of Dental Oncology include:
Oral Cancer Screening: Dental Oncology professionals play a crucial role in early detection and screening of oral cancer. They examine the oral cavity for any signs or symptoms of cancer and perform diagnostic tests if necessary.

Treatment Planning: Dental Oncology specialists collaborate with the oncology team to develop individualized treatment plans for patients. They assess the oral health status and determine the appropriate dental procedures or interventions needed before cancer treatment begins.

Dental Care Prior to Cancer Treatment: Dental Oncology focuses on providing necessary dental care and addressing any pre-existing oral conditions before cancer treatment commences. This may involve dental cleanings, fillings, extractions, or other procedures to ensure a healthy oral environment.

Oral Complications Management: During cancer treatment, patients may experience various oral complications, such as mucositis, xerostomia (dry mouth), infection, and pain. Dental Oncology professionals provide supportive care and manage these complications to improve the quality of life for patients.

Oral Rehabilitation: Dental Oncology helps patients with dental and oral rehabilitation following cancer treatment. This includes prosthetic rehabilitation, dental implants, and other restorative procedures to restore oral function and aesthetics.

Patient Education: Dental Oncology specialists educate patients about oral hygiene practices, diet modifications, and self-care techniques to minimize the risk of oral complications and maintain oral health during and after cancer treatment.

It's important to note that the availability and extent of Dental Oncology services may vary between healthcare institutions. For comprehensive information on Dental Oncology services at a specific facility like Dr. BBCI Guwahati.

Radiotherapy Technologist/Technician

Overview

 ,

Department of Physiotherapy caters services to most of the cancer patients needing pre and post treatment cancer rehabilitation. We provide services via manual therapy, electrotherapy and overall rehabilitation to the patient undergoing chemotherapy, radiation therapy , surgery, or supportive care. Our services aim to improve the quality of life for each patient undergoing treatment for disease sites like head and neck, gynaecological, gastrointestinal, thoracic, bone and soft tissue, breast cancer and those with palliative care by restoring their highest level of functioning.

Work Volume

• We are providing services to approximately 800 patients per month including OPD, IPD, ICU, Pre-habilitation and post breast surgery sessions.

Research Activities

• On-going project on the title "Effect of Yoga on improving Quality of Life in Head & Neck Cancer patients undergoing Radiotherapy"

CLINICAL WORK

The work volume in Dentistry-Oncology at Dr. BBCI, Guwahati may vary based on the number of cancer patients requiring dental care and the complexity of their oral health conditions. The department handles a significant workload to provide comprehensive dental services to cancer patients.

Annual Report from Jan 2022 to Dec 2022 :

• Consultation done in the Dental OPD: 3904
• Number of teeth extraction done: 3636
• Number of patients undergone oral prophylaxis: 13
• Number of restorations done: 06

Overview

Patient Navigation has emerged as a rapidly growing and evolving as a dynamic healthcare profession, drawing its roots from the ground breaking study conducted by Dr. Harold Freeman in 1995. 
Patient Navigation in oncology in India was the brainchild of Dr. Rajendra Badwe, Director TMC. The idea germinated in 2017, when talks for commencing an academic program in Patient Navigation were initiated by Tata Memorial Centre (TMC) in collaboration with the Tata Institute of Social Sciences (TISS), with support from the Tata Trusts to develop an encompassing curriculum. The specialized training in both clinical and psychosocial aspects of care along with hands-on practical learning from experts in their specialized clinics in TMC, was envisaged to provide the navigators significant learning into identifying and resolving patient needs, advocating patient concerns, networking for mobilizing available resources and facilitating system improvements to enhance patient experience and improve overall satisfaction.
The one-year Post Graduate Diploma in Patient Navigation – Kevat academic program was formally launched in January 2018 by the Vice President of India, Mr.Venkaiah Naidu, with support from Tata Trusts. The first batch of students was inducted into the Patient Navigation Program in 2018.

COMMENCEMENT OF ACTIVITIES IN BBCI

Trained patient navigators commenced their journey in BBCI from 2019. The strength of navigators grew from one in 2019 to six in 2023. A dedicated Kevat counselling room was facilitated for the team of patient navigators on the OPD building (1st floor, Room no 116)

IDENTIFYING A KEVAT PATIENT NAVIGATOR

The patient navigators can be identified wearing a dark blue blazer with a symbol of a boat at the back (Known as Kevats or margdarshaks) that will help patients identify them in the crowded hospital. 

Research Activities

Published: 2022-05-11

Published: 2022-11-30

Resident Profile

LIST OF PASSED OUT STUDENTS OF GYNAECOLOGICAL ONCOLOGY COURSES AT DR.B.BOROOAH CANCER INSTITUTE

A. Two Year Post Graduate Fellowship Programme in Gynaecological Oncology:

B. MERCK Foundation TMC- BBCI Fellowship Programme:

Overview

Occupational Therapy department uses assessment, goal planning & intervention to develop, recover or maintain the meaningful activities or occupation of individual, groups or communities while addressing their physical, social, emotional and spiritual needs.

Department of occupational therapy was established in the year, 2022 at Dr. B Borooah Cancer institute and occupational therapy services are being provides on ICU, HDU, IPD & OPD basis to the cancer patients.

Occupational Therapy departments interacts with various DMGs and ensure optimum rehabilitation for better functional recovery and increase quality of life of cancer patients.

In addition to regular rehabilitation, occupational therapy department arranges various awareness and screening camps in collaboration with different NGOs of Assam.

Work Volume

Around 400 to 500 patients are provided with  occupational therapy services per month.

Research Activities

Occupational Therapy department involves in various research activities at BBCI.

WORK VOLUME

• Our blood collection is around 8747
• Single Donor Plateletpheresis (SDP) -162.
• Total utilisation : 16959
• Beside this we have Peripheral Blood Stem Cell collection & Bone Marrow harvest.
• Histopathology section receives approximately 800 to 900 samples every month along with 50 to 60 frozen section specimens.
• Hematopathology section receives 5000 samples approximately with around 40 bone marrow samples and 15 to 20 Flow Cytometry tests performed every month.

RESEARCH ACTIVITIES

• We provide training in Apheresis (SDP).
• Conduct workshop on Immunohematology.
• Two poster presentation.
• One on-going project on donor adverse reaction.
• Many ongoing projects on various topics by the faculties and the residents.

Research Activities

The Department of Dental and Prosthetics Surgery is engaged in several areas of research pertaining to dental implants, quality of life, intraoral and extraoral prostheses, and medicine-related osteonecrosis of the jaw (MRONJ). These research endeavors aim to expand scientific knowledge, improve treatment outcomes, and enhance patient care in these specialized domains.

Work Volume

Research Activities

On Going Research

Research Activities

Research activities in the IT department can be crucial for driving innovation, improving processes, and developing new technologies. Through research, IT professionals can explore new ideas, evaluate emerging technologies, and identify potential solutions to complex problems. Research can also help IT departments stay up-to-date with the latest industry trends, ensuring that they are equipped to address evolving challenges and opportunities.

 To learn more about research activities in our IT department, I recommend checking out  available research lists or publications. These resources can provide valuable insights into the current research priorities and focus areas of your department, as well as highlight any notable achievements or ongoing projects.

Resident Profile

4th Year POST DM Assistant Professor

3rd Year DM Residents

2nd Year DM Residents

1st Year DM Residents

Paediatric Oncology Resident

Paediatric Oncology Fellow

Medical Oncology Resident

LIST OF PASSED OUT STUDENTS OF MEDICAL ONCOLOGY COURSES AT DR.B.BOROOAH CANCER INSTITUTE

A. DM in Medical Oncology

B. Two Year Post Graduate Fellowship Programme in Medical Oncology:

C. MERCK Foundation-BBCI Fellowship Programme:

Resident Profile

3rd Year M.Ch Residents

2nd Year M.Ch Residents

1st Year DM Residents

2nd Year Fellow

1st Year Fellow

LIST OF PASSED OUT STUDENTS OF HEAD AND NECK SURGERY COURSES AT DR.B.BOROOAH CANCER INSTITUTE

A. Two Year Post Graduate Fellowship Programme in Head and Neck Surgery

B. Two Year Post Graduate FHNO Programme

Work Volume

OPD Footfall

Procedures

Overview

The Department of Medical Social Work (MSW) started in the year 2015. Since then the department primarily focuses on supporting patients and their families during their journey of treatment in our hospital and coordinate with the other respective departments, as they play an essential role in many of the non-medical aspects of :

• Patient care
• Comprehensive patient and family counselling
• Communicating patient needs.
• Helping patients and their families to navigate the hospital
• Social and economic assessment of patient
• Economic support measures
• Post treatment follow up
• Social rehabilitation

Dept. of Medical Social Work handled patients' concerns including treatment adherence, survivorship, caregiver issues and financial concerns. All Medical Social Workers are trained and experienced in helping people with emotional and practical problems caused by this illness. We also seek help from individual donors, charitable organizations that can help patients and their families to cope with cancer.

Work Volume

Around 100 to 150 patients are provided with department services per day.... I e financial support, reimbursements support etc.

Research Activities

Dept of MSW involves in various research activities at BBCI.

RESIDENTS & STAFF

Staff engagement in the Department from BBCI

Project Staff

Project Name: Integrated Hospital Based Continuity of Care (IHCC)
Supported by Cipla Foundation, Mumbai in collaboration with BBCI

LIST OF PASSED OUT STUDENTS OF PAEDIATRIC ONCOLOGY COURSES AT DR.B.BOROOAH CANCER INSTITUTE

A. One Year Certificate Course in Palliative Medicine for Doctor

A. One Year Certificate Course in Palliative Medicine for Social Worker

RESIDENTS & STAFF

3rd year DM residents

2nd year DM residents

1st year DM resident

Oncopathology Fellow

LIST OF PASSED OUT STUDENTS OF Onco Pathology COURSES AT DR.B.BOROOAH CANCER INSTITUTE

A. Two Year Post Graduate Fellowship Programme in Onco Pathology

RESIDENTS & STAFF

Scientific Staff

Technical Staff

Office Assistants

RESIDENTS & STAFF

RESEARCH ACTIVITIES

Ongoing Research Activities

List of Publication

RESEARCH PROJECT

Courses in Deptt of Medical Oncology

DM medical Oncology – 2 seats per year
Fellowship in Pediatric Oncology- 1 seat per year
Fellowship in medical oncology- 1 seats per year
Fellowship in medical and pediatric oncology for International Students- 2 seats per year

CLINICAL WORK

Clinical Services (Jan-June 2023)

OUT PATIENT SERVICES:

OUT PATIENT PROCEDURES:

• UGIE: 1744
• Direct laryngoscopy: 133
• Bronchoscopy: 7
• DNE: 94

Operative Procedures:

• Major: 428
• Minor: 525

Services

1. BCR-ABL1 Fusion Gene Quantification for Haematological Malignancy ( Chronic Myeloid Leukemia)

RT-qPCR test for the quantitative detection of BCR-ABL fusion transcripts in bone marrow or peripheral blood samples. The kit provides an advantage by detecting, differentiating and quantifying all the three break point cluster regions i.e. major/P210 (M-bcr), minor/P190 (m-bcr) and micro/P230 (mu-bcr)

2. Her-2/neu amplification detatction by Fluorescence-n situ Hybridization (FISH) for Breast and Gastric Cancer

Detect amplification of the HER-2/neu gene via fluorescence in situ hybridization (FISH) in formalin-fixed, paraffin-embedded human breast and gastric cancer tissue specimens and aid in the assessment of breast cancer patients for whom HERCEPTIN® (trastuzumab) treatment is being considered

3. EGFR Mutations qualitative detection for Lung Cancer

This diagnostic test intended for the qualitative detection by RT-PCR of EGFR somatic mutations in the genomic DNA extracted from fresh, frozen or formalin fixed paraffin-embedded (FFPE) tissue or liquid biopsy.

4. Epstein-Barr virus (EBV) DNA Quantification for Nasopharyngeal Cancer

This diagnostic test is intended for the quantitation of Epstein-Barr virus (EBV) DNA by RT-qPCR in human plasma, serum, CSF, or blood cells of Nasopharyngeal Cancer patients.

Project Staff

Major Equipments

Minor Equipments

Services

The department is currently having two units and is running OPD on alternate days for six days a week with operating theatres on all days apart from emergency services 24 × 7.

Endoscopic procedures are conducted three days a week (complementing head and neck DMG services).

We do more than 1300 major surgeries in a year.

We offer surgical treatment under the following Disease Management Group (DMG) services:

• Thoracic
• Upper GI
• Colorectal
• Hepatopancreaticobiliary (HPB)
• Breast
• Bone and soft tissue
• Urology

Examples of such common surgical procedures done are -

• Breast cancer surgeries
  • Breast conservation surgeries
  • Mastectomies
  • Oncoplasty
  • Sentinel Lymph node biopsies
• Minimally invasive surgeries – Approximately 30% of GI surgeries and more than 95% thoracic surgeries are done by minimal invasive techniques. Also pelvic and inguinal lymphadenectomies are done by MIS.
• Thoracic oncology surgeries
  • VATS Lobectomies and segmentectomies
  • VATS Esophagectomies
  • VATS metastasectomies
  • Mediastinal tumor excisions
• Upper GI cancer surgeries
  • Gastrectomies of various types
  • Small bowel resections
  • Multiorgan resections
  • Cytoreductive surgeries and HIPEC
• Colorectal cancer surgeries
  • Sphincter sparing surgeries – AR, LAR, ULAR, ISR (Mostly minimally invasive/ LAPAROSCOPIC surgeries)
  • Pelvic Exenterations
  • ELAPE, Ischioanal APE
• HPB cancer surgeries
  • Radical cholecystectomy
  • Liver resections including major hepatectomies/ metastasectomy
  • Whipple’s procedure
  • Pancreatic resections including RAMPS
• Urologic cancer surgeries
  • Radical nephrectomy
  • Nephron sparing surgeries (Clamping and Non-clamping both)
  • Adrenalectomy
  • Cystoprostatectomy
  • Radical cystectomy
  • Ileal conduit and neobladder
  • Ureteric reconstructions
  • Penectomies
  • Sentinel lymph node biopsy
  • Ilioinguinal block dissection
• Bone cancer surgeries
  • Limb salvage surgeries
    • ECRT
    • Cryotherapy
    • Sclerotherapy
    • Endoprosthesis reconstruction (MEGAPROSTHESIS)
    • Autologous graft reconstruction
    • Rotationplasty
    • Extended curettage
    • Bone grafting
  • Pelvic and shoulder resections
  • Chest wall resections
• Soft tissue sarcomas surgeries
  • Wide excisions with complex reconstructions
• Skin cancer surgeries
  • Advanced flaps for reconstructions like Reverse sural flap, Medial plantar flap, VRAM flap, ALT flap, TFL flap, Medial gastrocnemius flap.

All our surgical services are compliant with Joint Tumor Board (JTB) decisions of respective DMGs.

Services

Facilities and services offered by the departmentof medical oncology are:

• Out-patient services (OPD) with disease management groups (DMG) for different types of malignancies
• Day-care chemotherapy services
• In-patient chemotherapy services
• Specialized paediatric oncology services and paediatric oncology ward
• Haematology ward
• Bone Marrow Transplantation Unit
• High Dependency Unit (HDU)

Procedures:

• IV chemotherapy
• Intrathecal chemo-therapy
• Bone marrow aspirations and biopsy
• Placement of central venous access devices and its maintenance
• Autologous bone marrow transplant procedure
• Allogenic bone marrow transplantation

Services

• The Department has a team of 6 consultants, Fellows and Residents. The treatment decision is made according to the international guidelines and protocols after the multidisciplinary disease management group discussion (DMG)
• Endoscopic procedures like Upper GI endoscopy, Bronchoscopy, Fibre optic laryngosopy and Rigid Nasal endoscopy are done on a regular basis
• Daily minor OT procedures, including tracheostomy, biopsies and other small procedures under local anaesthesia.
• Various spectrum of surgeries ranging from wide local excision, mandibulectomy, maxillectomy, orbital exenteration, laryngectomies, thyroidectomy, parotidectomy, local flaps, regional flaps like pectoralis major myocutaneous flap (PMMC) to microvascular free flap and skull base surgeries are done regularly.
• Various community outreach programs are conducted from time to time.

Overview

Department of Anaesthesiology of Dr.Bhubaneswar Borooah Cancer Institute has come a long way since its inception in the year 1980. The Department currently has six major surgical operation theatres, one minor operation theatre, along with a pain clinic and a separate brachytherapy OT. It also has an eight bedded Intensive Care Unit and a 12 bedded High Dependency Unit equipped with all modern state of the art infrastructure. The Department is conducting paramedical courses for anaesthesia and CSSD technicians for last twelve years and has contributed immensely to skilled manpower development for the north eastern states of India. The department performs more than 2500 major surgeries, 500 minor procedures annually. The PAC clinic and the Pain Clinic attend to more than 3500 and 150 patients respectively each year. In addition, there are about 250 ICU admissions in a year. The Department also manages the CSSD services of the Hospital.

Services

The department is currently running OPD six days a week with operating theaters two days a week, it also conducts well women clinic everyday for early detection of Cervical Cancer with regular Colposcopy and Pap Smears. The department also participates in various awareness and screening camps conducted for the early detection of cancers in various parts of North East India.

The department is presently offering following services-

• Regular 6 days a week clinic for early detection of cancer.
• Regular Coloposcopy and PAP smear testing
• Treatment modalities like LEEP/ Cryotherapy/ Thermal ablation for treating preinvasive Cervical Cancer are performed regularly.
• Multidisciplinary management of Cervical, Endometrial, Ovarian, Vulval Carcinoma and GTN.

Services

HISTOPATHOLOGY

• Reporting of biopsy specimens both small biopsies and resection specimens received from all the departments of BBCI, as well as intraoperative frozen sections.
• Immuno histochemistry with a panel of 69 antibodies
• Molecular diagnosis - Her2 neu FISH, BCR-ABL PCR, EGFR mutation

CYTOPATHOLOGY

• Reporting of FNAC samples and body fluids for detection of malignant cells
• Preparation of cell blocks which further helps in diagnosis.
• Reporting of conventional and LBC PAP smears.

HEMATOPATHOLOGY

• Routine blood investigations-CBC and bone marrow studies
• Flowcytometry for diagnosis of leukaemia and lymphoma

BIOCHEMISTRY

• Routine clinical chemistry tests along with assessment of tumour markers which help in screening of cancers as well as assessing response to treatment.

BLOOD BANK

• 24/7 state of the art blood bank which caters to the needs of patients from various departments of BBCI in the form of packed RBCs, Fresh frozen plasma, single donor platelets and Random donor platelets.

MICROBIOLOGY

• Performs Culture sensitivity tests of various samples
• The laboratory is well equipped with most of the modern technologies for detection of viral markers.

Services

The Radio Diagnosis & Imaging department at Dr. B Borooah Cancer Institute (BBCI) in Guwahati provides a wide range of imaging services for the diagnosis and management of cancer. These services include:
Conventional Radiology: X-rays and fluoroscopy are performed to visualize internal structures and detect abnormalities.

Ultrasound: High-frequency sound waves are used to create images of organs, tissues, and blood flow patterns.

Computed Tomography (CT): Cross-sectional images of the body are generated to obtain detailed information about organs and tissues.

Magnetic Resonance Imaging (MRI): Powerful magnetic fields and radio waves are used to produce detailed images of the body's internal structures.

Positron Emission Tomography-Computed Tomography (PET-CT): A combination of functional and anatomical imaging is used to detect cancer cells and assess their metabolic activity.

Service

OPD Based

• The Department runs the Preventive oncology OPD. All the new cases are registered under Preventive Oncology for further investigation, referral and follow up
• Since 2010 the department is running a free common cancer screening clinic.
• Tobacco Cessation Centre: Face to face counselling for tobacco cessation is provided
• Patient and attendant cancer sensitization arm

Outreach

• Community sensitisation programs on tobacco and cancer in North East
• Educational institute sensitisation program
• Teaching and training programs for medical, paramedical workers, NGOs, community volunteers etc
• Community based Screening for common cancer
• Community based Tobacco cessation counselling sessions
• Running Rani Adopted centre for cancer detection

CLINICAL WORK

The Department runs the Preventive oncology OPD. All the new cases are registered under Preventive Oncology for further investigation, referral and follow up. Since 2010 the department is running a free common cancer screening clinic. It also runs the Tobacco Cessation Centre and face to face counseling for tobacco cessation is provided. In addition it runs various outreach programs: a) Community sensitisation programs on tobacco and cancer in North East b) Educational institute sensitisation program c) Teaching and training programs for medical, paramedical workers, NGOs, community volunteers etc d) Community based Screening for common cancer e) Community based Tobacco cessation counselling sessions f) Running Rani Adopted centre for cancer detection

OPD Load

• New OPD Resigtration :600-800 patients yearly
• Free screening clinic : 2400 patients yearly
• Tobacco cessation : 2500 patients yearly

Service

Palliative care activities include daily outpatient clinic, in-patient services and consultation liaison for in-patients of other departments, specialised day-care, home based palliative care, respite palliative care, tele-palliative care and integration with interventional pain management. With these services, we care for about 120-150 patients per day.

Out patient service: After proper triaging, physical symptom management is done by doctors with pharmacological tailoring. Psycho-social and socio-economic status evaluation and counselling is done by counsellors and social workers.

In-patient service: Proper nursing care with empowering of caregivers is main activities. Goal is to prepare patient and caregivers for future.

Day care service: Intractable symptom relief, psychological counselling and respite care are the main activities.

Home care service: The service catering to the needs of non-ambulatory, end stage cancer patients within a radius of 70 kilometres from the Institute. At least 10 cancer patients are visited on daily basis. A total of approximately 160 patients are always onboard in home care service. The home visits offer family counselling, social counselling, financial rehabilitation apart from the psycho-socio-spiritual care of the patient. It also helps to empower the caregivers to take care of the patient at the time of crisis.

Tele-Palliative care: Regular Tele-consultation services for distant patients available. Th unit also associated with “SAATH-SAATH National Palliative Care Helpline” for the patients of entire North-East India.

Other Service:

• Community awareness program for Palliative care and encouraging volunteerism is organized time to time.
• Model Village of Palliative Care – An initiative of the Department in the neighboring village of Mayong for community involvement in Palliative care.
• Patient Support program - Collaborated with non-government organizations for financial assistance to below lower middle class socio-economic groups.

Services

The Nuclear Medicine department offers a wide range of services, including diagnostic procedures and therapeutic interventions. 

Service

1. Complete decongestive therapy for lymphedema patients

Occupational therapy department provides CDT protocols like Intermittent pneumatic compression (Lymphapress), Manual lymphatic drainage, Multilayer bandaging, exercises, skin care for upper limb and lower limb lymphedema, head & neck lymphedema, genital lymphedema according to the need of patients.

2. Inpatient rehabilitation

Occupational therapy department involves in rehabilitation services in ICU, HDU & IPD for early bed mobilization for future ADL independence, splinting /orthosis, functional retraining like safe transfer, independent wheel chair mobilization and functional ambulation, of cancer patients.

3. OPD services

Outpatient rehabilitation services include Jaw stretcher key exercises for Trismus, Post radiotherapy shoulder and neck stiffness, Lymphedema management, peripheral neuropathy, Activities of daily living traing(ADLs) etc. referred by various DMGs of BBCI.

4. Splinting, Orthosis & prosthesis

For making the patients functionally independence and improving quality of life.

5. Mirror therapy

Provided for amputation patients to prevent phantom limb sensation.

6. Group & Play therapy

For paediatrics Onco-patients of BBCI

7. Free distribution of vaginal dilation kit, breast prosthesis & Lymphedema stocking provided by Indian Cancer Society, Mumbai for NC/C category cancer patients of BBCI.

Service

OPD SERVICES

• Assessment, diagnosis and management of movement dysfunctions and sides effects of the treatment with modern equipment and therapeutic exercises.

PRE-HABILITATION SERVICES

• Conducting pulmonary rehabilitation sessions for pre-operative patients mainly for thoracic and gastrointestinal cases to create awareness and prevent post-operative complications.

REHABILITATION

• Functional rehabilitation of bone and soft tissue cancers with prosthesis and assistive devices.
• Cardio-pulmonary rehabilitation for post-operative cases in ICU and patient bedside.

POST BREAST CANCER SURGERY PROGRAM

• Conducting post breast cancer surgery care program with exercises to improve shoulder mobility and counselling to prevent lymphedema.
• Providing home exercises program with exercise charts in Assamese and English language

LYMPHEDEMA MANAGEMENT

• Lymphedema management with Complete Decongestive Therapy (CDT) includes Manual Lymphatic Drainage (MLD), Multi Layered Lymphedema Bandaging (MLLD), remedial exercises, compression garments, and self-lymphatic drainage, with Intermittent Pneumatic Compression (IPC) Therapy.

PAIN MANAGEMENT

• Pain management with therapeutic exercises, cold & hot packs and Transcutaneous Electrical Nerve Stimulation (TENS).
• Palliative care and support for needy patients and care givers

CANCER RELATED FATIGUE MANAGEMENT

• CRF managed with energy conservation techniques and relaxation exercises.

Service

1. OPD Service

Outpatient services include initial clinical assessment for the patient who has any kind of difficulty in swallowing like any kind of pain, discomfort, caught, Globus sensation while swallowing. Any voice disorder, any difficult in Articulation and changes in nasality etc. in case or due to Head and Neck cancer. And in OPD service we do pre RT and pre-Operative counseling for the patient and counseled about their effect in quality of life and their management.

2. Inpatient Rehabilitation

Speech and swallowing therapy from the department involves in rehabilitation services in ICU, HDU, &IPD for bedside assessment for speech and Swallowing and demonstrate them the preventive swallowing and speech mechanism

3. Endoscopy Service

Speech and Swallowing therapy service do the instrumental evaluation like fibrotic endoscopy evaluation of swallowing (FEES) to assess the pharyngeal phases of Swallowing and to do the management for the same.

4. Modified Barium Swallow Study (MBSS) service

Speech and Swallowing therapy service do the instrumental evaluation like fibrotic Modified Barium Swallow Study (MBSS) to assess the all phases (Oral. Pharyngeal, Esophageal) of Swallowing and to do the management for the same.

Service

• Oral cancer screening and early detection.
• Pre-treatment dental evaluation and management.
• Dental procedures and interventions to address oral health issues before cancer treatment.
• Management of oral complications during and after cancer treatment, such as mucositis, xerostomia, and infection.
• Oral rehabilitation and restorative procedures to restore oral function and aesthetics.
• Patient education on oral hygiene practices and self-care techniques.

Service

Tumour Board Counselling

Dept. of Medical Social Work involves in Pre-Tumour Board Counselling along with a multidisciplinary team of Kevat Patient Navigators, Clinical Psychologist & Dietician. They provide related information on treatment of Chemotherapy, Radiation Therapy, ancillary services of our hospital. These services can be availed by the entire new as well existing patient undergoing treatment.

Helpline No: 6901266592 (Time 9am to 5pm) working hours

Dept. of Medical social Work having responsibility to make optimum use of the service and educate others about the spectrum of queries available for redressal under the service. Services which can be avail through the helpline from 9 AM to 5 PM are:

• Handles issues related to patient healthcare concerns
• Provides information regarding the medical equipment at hospital
• Doctors availability etc.
• Deals with all the queries of the patient and provides non-medical counselling
• Provides information about the government schemes

Managing Ambulance services

Dept. of Medical Social work is supervising the Ambulance services from the year 2022. The Asst. Medical Social Workers also in coordination with partner service providers provide free ambulance service to the poor needy patient. For more details contact Mr. Raktim Devnath-+918638487608

Liaison with Various NGOs/Programmes

The Dept. of Medical Social Work coordinates with various organisations associated with BBCI for providing the best possible help to the patients coming for treatment in terms of counselling services, patient navigation, financial assistance, fooding & lodging and follow up of the patients.

• Deepshikha Foundation
• Sanjeevani Life Beyond Cancer
• St. Jude Child Care Centre
• APNA GHAR (Intas Foundation)
• Khalsa Centre North East
• Akshaya Patra

Sightseeing Programme for Recreation activity

Patient Recreational Program of BBCI to commemorate patients with cancer admitted at Dr. B Borooah Cancer Institute were taken out for sightseeing to some renowned places of Guwahati such as Kalakshetra, State Museum, Balaji Temple, Sai Baba Temple, Assam State Zoo and War Memorial Dighali Pukhuri etc.

Dealing with Individual Volunteer Donor / Charitable Organisation

Dept. of MSW actively deals with individuals, volunteers, donors and coordinates with them in receiving various types of donation for betterment of the patient as well as attendants

Reimbursement / Medical Claims Process

The Dept. of Medical Social Work manages and provides the essentiality certificates to all the patients for availing reimbursement of their expenditure incurred during the treatment period from various sources such as

• Private Medical aid insurance
• Assam Arogya Nidhi
• Chief Minister Relief Fund

Accommodation Management

The Asst. Medical Social Workers facilitate the patients who seek help regarding accommodation services. Dr. B Borooah Cancer Institute has two guest houses named as Jironi Ghar I and Jironi Ghar II. Many of the patients undergoing treatment at Dr. B Borooah Cancer Institute avail the benefit of the Guest House facilities. For the children’s suffering from cancer and who require long term treatment they can avail the services of St. Jude Child Care Centre situated in the 2nd Floor of Jironi Ghar 1. NGO such as Shishu Ashroy Sthal (Deepshikha Foundation) and APNA Ghar (Intas Foundation) also provide accommodation facilities to the patients suffering from cancer along with their attendants.

• BBCI Jironi Ghar
• St. Jude Child Care Centre
• Shishu Ashroy Sthal (Deepshikha Foundation)
• APNA Ghar (Intas Foundation)

Service

At Dr. Bhubaneswar Borooah Cancer Institute, psychological support is provided to the patients (for both pediatric and adult patients) and their family members. This service is provided to both inpatients and outpatients. Referral for psychological counselling and psychometric assessment of the patients comes from the various departments in the hospital. Self referral by the patient or by his/her family member is also accepted. Psychological support is also available for the staff working in the hospital as working in the field of oncology can make them vulnerable to experience stress, burnout etc.

Service

Assistance to patients

Kevat Patient Navigators aims at providing guidance and support to patients from registration till the completion of the treatment by providing information about the different services, hospital processes and various locations of departments.

• Navigators assess patients for socio-demographic and financial support to identify potential needs and assistance that may be needed, including mitigating language barriers, accommodation and financial support. Navigators then liaise and network with stakeholders at various levels to address the identified needs.
• Informing patients about the available Govt. schemes for financial aid and details for availing them.

Patient Education

• Navigators play an active role in educating patients through group counselling sessions before the tumour board meeting about the type of treatment planned (Surgery, Chemotherapy, Radiation Therapy), duration, some common side effects of the treatment and its management.
• Patients are educated and informed of the importance of holistic care during their treatment and importance timely treatment. Along with patients, their families are also informed about the importance of healthy lifestyle, good hygiene and family support for their mental and spiritual wellbeing.

Counselling service

• The Navigators are trained and work to provide tailored/ customised treatment counselling to patient and family as well as provide psycho-social support to patients and their families.
• Navigators help in preparing patients for undergoing clinical procedures by providing the information on the planned procedure, expected duration, and it’s importance; at the same time addressing and avoiding any anticipated anxiety that may arise.
• Navigators also play vital role as a mediator between the Clinician and the patient especially when there is a language barrier- the Patient navigators are multi-lingual and also have resources for arranging translators telephonically or in person.

Inter Institutional and Intra institutional coordination/referral

With the presence of Kevat Patient Navigators across various TMC unit s, posted in multiple hospital areas, Navigators are able to network and coordinate efficiently for timely access to care for patients. Navigators also connect with different stakeholders within the hospital premises and other hospitals for extending assistance in procuring reports/ samples. Patient Navigators also coordinate across TMC Centres for referral and cross-referral for treatment, reports or any communication required.

Patient advocacy

Empowering and supporting the patient’s rights, assisting in documentation and resolving any complaints reported by the patient or their caregivers.

Additional support services for Breast Prosthesis, wig and arrangements of blood donors (As per availability)

• Patients, especially women with breast cancer, are supported to avail Prosthesis and Wigs. This is facilitated in coordination with Indian Cancer Society and with several supporting NGOs of TMC.
• Patient Navigators coordinate with various NGOs, Unions and voluntary groups/Individuals for arrangements of blood components as per specific requirement of the patient. Arrangement of a voluntary blood donor is made as per genuineness and urgency post evaluation by a navigator.

Telephonic Assistance -

A dedicated telephone service is available for patient’s queries and information.

Patients can connect with any navigator during working hours from Mon- Fri (9:00 am to 5:00 pm) and Sat (9:00 am to 2:00pm) on the Telephone no. 7099031553.

Services

The IT department of BBCI plays a crucial role in ensuring the smooth functioning of all technology-based operations within the hospital. Here are some of the key responsibilities of the IT department in a hospital:

Managing hospital information systems

The IT department is responsible for managing and maintaining the hospital's information systems, including Electronic Medical Records (EMRs), patient data management systems, laboratory information management systems (LIMS), and other healthcare-related software.

Ensuring data security and privacy

The IT department is responsible for ensuring that all patient data and hospital information is secure and private. They must ensure that all IT systems comply with HIPAA regulations and other data protection laws.

Maintaining the hospital network

The IT department is responsible for maintaining the hospital's network infrastructure, including switches, routers, firewalls, and servers. They must ensure that the network is secure, reliable, and available at all times.

Providing user support

The IT department is responsible for providing user support to hospital staff, including troubleshooting IT issues, providing training on new software and hardware, and helping staff to use IT systems effectively.

The IT department is responsible for providing user support to hospital staff, including troubleshooting IT issues, providing training on new software and hardware, and helping staff to use IT systems effectively.

Developing and implementing IT policies and procedures

The IT department is responsible for developing and implementing IT policies and procedures to ensure that all hospital staff are following best practices when it comes to using technology.

Managing medical equipment

The IT department is responsible for managing and maintaining medical equipment that has a technological component, such as imaging equipment, patient monitoring systems, and telemedicine systems.

Supporting research and innovation

The IT department is often involved in supporting research and innovation within the hospital, by providing access to data and IT resources, and by collaborating with researchers on IT-related projects.

Services

External Beam Radiotherapy:

• Conventional Radiotherapy
• 3 Dimensional Conformal Radiotherapy
• Intensity Modulated Radiotherapy
• Volumetric Modulated Arc Radiotherapy
• Image Guided Radiotherapy
• SRS/ SRT
• SBRT
• DIBH

HDR Brachytherapy:

• Image Guided Intracavitary BT
• Image Guided Interstitial BT
• Intraluminal BT
• Surface Mould BT

Radiation Oncology Daycare Chemotherapy

Radiation Oncology, a crucial component of cancer care, plays a pivotal role in the treatment of malignancies by utilizing high-energy radiation to target and destroy cancer cells. These services represent a cornerstone in the multidisciplinary approach to cancer treatment. In this article, we will explore the significance and key aspects of Radiation Oncology services in the fight against cancer.

Advanced Treatment Modalities:

Radiation Oncology services encompass a wide array of advanced treatment modalities such as Intensity-Modulated Radiation Therapy (IMRT), Stereotactic Body Radiation Therapy (SBRT), and Brachytherapy. These techniques allow for highly targeted and precise delivery of radiation, minimizing damage to surrounding healthy tissues while maximizing the impact on cancer cells.

Patient-Centered Care:

Radiation Oncology is tailored to the specific needs of each patient. Treatment plans are developed through a collaborative effort involving radiation oncologists, medical physicists, and dosimetrists. This patient-centric approach ensures that treatment is not only effective but also personalized to minimize side effects and enhance the patient's quality of life during and after treatment.

Multidisciplinary Collaboration:

Radiation Oncologists work closely with other specialists such as surgical oncologists, medical oncologists, and pathologists to create comprehensive cancer treatment strategies. This collaboration ensures that radiation therapy is seamlessly integrated into a patient's overall care plan.

State-of-the-Art Technology:

Advances in technology have revolutionized Radiation Oncology. Linear accelerators, image-guided radiation therapy (IGRT), and computerized treatment planning systems have significantly improved the precision and safety of radiation treatments. These technologies enable the delivery of radiation with pinpoint accuracy.

Curing and Palliative Care:

Radiation Oncology can be curative, aiming to eliminate cancer entirely, or palliative, focusing on relieving pain and symptoms in advanced cases. It provides solutions across the cancer care spectrum, offering hope and comfort to patients at different stages of their journey.

Research and Innovation:

Ongoing research in Radiation Oncology is essential for developing new techniques, improving treatment outcomes, and minimizing side effects. Clinical trials and studies continue to explore innovative approaches, ensuring that patients have access to the latest advancements in radiation therapy.

Supportive Services:

Radiation Oncology departments often provide supportive services such as counseling, nutrition guidance, and pain management to address the holistic needs of cancer patients. This comprehensive care approach supports patients throughout their treatment journey.

Research Activities

The Head & Neck Oncology department at Dr. Bhubaneswar Borooah Cancer Institute (DR BBCI) is at the forefront of cutting-edge research endeavors. With a dedicated team of researchers and clinicians, the department is actively engaged in a spectrum of research activities aimed at advancing our understanding of head and neck cancers. These initiatives encompass clinical trials evaluating novel therapies, translational research efforts to bridge the gap between laboratory discoveries and patient care, and epidemiological studies to gain insights into the prevalence and risk factors associated with head and neck malignancies. Additionally, the department collaborates extensively with national and international institutions, fostering a dynamic research environment that continually contributes to the development of innovative treatment modalities and improved outcomes for patients afflicted with head and neck cancers.

Ongoing research projects:

1. Phase III Randomized control "Adjuvant Radiotherapy in early stage oral cancer (AREST Trial)
2. Identify the DNA Adduct and Associated Metabolic Alterations in Upper Aerodigestive Tract Cancer with Smokeless Tobacco Chewers in the Northeast Region of India: A Metabolomics Approach
3. Image based clinical assessment of oral cancer using Artificial Intelligence
4. A prospective phase iii open labeled Randomized control trial evaluation the role of Neo-adjuvant chemotherapy in mandible preservation in Oral cavity cancer.
5. A non-randomised matched pair prospective study to evaluate nutritional assessment and its impact on postoperative outcome in Head and Neck cancer.
6. Urinary Metabolomics Identified Metabolic Perturbations Associated with Gutka, a Smokeless Form of Tobacco.
7. Effect of Yoga on Quality of Life in patients undergoing Radiotherapy.
8. Genome Wide Association Study to identify role of genetic susceptibility in buccal mucosa cancer.
9. Development of wireless portable potentiostat for non invasive and point of care detection of tobacco related cancer.
10. Evaluation of DNA damage response gene protein expression in hypopharyngeal and laryngeal cancer patients of North East India: with clinical significance with radiotherapy outcome.
11. Worst Pattern of Invasion as an independent prognostic factor in Oral Squamous Cell Carcinoma
12. Incidence, Patterns, and Predisposing Factors of Treatment Induced Head and Neck Lymphedema in Patients Undergoing Curative Treatment for Oral Cavity Malignancies: A Single Institution Based Prospective Study.

Research Activities

The Department had completed several research activities on Psychological and Social aspects of care. Presently a multicentric retrospective study on “Patterns of End-of-Life in care in children” is going on.

Kevat Patient Navigator tries to reach to as many patients as possible at different time points in the patients treatment journey. Patient Navigators are trained workforce, who try bridging the gap between the patient & the healthcare provider by providing cares services to patients. They handle a wide range of patients, providing assistance and support throughout their healthcare journey. 

Navigators identify patient needs  and assist patients for accessing timely care & treatment, aiming at improving patient’s healthcare experience and quality of life. The patients may or may not have multiple needs which are identified and classified to various domains  by navigators  and they liaise with the stakeholders accordingly – these needs maybe of information need, financial assitance, accommodation needs, treatment related preparation or counselling, psycho-social or moral support etc.

Table 1: The number of patient needs assisted by Kevat patient navigators from the year 2019 September to June 2023

  Table 2: Patient Navigators reach on new patients (January 2021 to June 2023)

Clinical Work

Cancer epidemiology, biostatistics, and clinical research are vital disciplines within the field of oncology, dedicated to understanding the causes and patterns of cancer, analyzing data, and conducting rigorous clinical investigations. These areas collaborate closely to advance our knowledge of cancer and improve patient outcomes. Here, we explore the clinical work conducted within each of these disciplines:

Cancer Epidemiology

Cancer Surveillance

Epidemiologists monitor cancer incidence, prevalence, and mortality rates to identify trends and patterns, helping healthcare systems allocate resources effectively and target prevention efforts.

Risk Factor Identification

Researchers in this field identify risk factors such as genetics, environmental exposures, lifestyle factors, and occupational hazards that contribute to cancer development. This knowledge informs preventive strategies and public health interventions.

Screening and Early Detection

Epidemiologists evaluate the effectiveness of cancer screening programs, including mammography, colonoscopy, and HPV testing, to optimize early detection strategies, reduce mortality rates, and improve patient outcomes.

Cancer Clusters Investigation

When cancer cases cluster in specific geographic areas or populations, epidemiologists investigate potential environmental or genetic factors contributing to these clusters, which may lead to targeted interventions.

Cancer Prevention Programs

Collaborating with public health agencies, epidemiologists design and assess cancer prevention programs, such as tobacco control initiatives, vaccination campaigns (e.g., HPV), and lifestyle modification interventions to reduce cancer risk.

Biostatistics

Data Analysis

Biostatisticians play a crucial role in analyzing vast datasets from clinical trials, epidemiological studies, and patient registries. They apply advanced statistical methods to identify associations, draw conclusions, and make predictions.

Clinical Trial Design

Biostatisticians assist in the design of clinical trials, determining sample sizes, randomization procedures, and statistical endpoints to ensure the trials are rigorous and yield meaningful results.

Survival Analysis

Biostatisticians use survival analysis techniques to estimate patient survival rates, evaluate treatment outcomes, and identify prognostic factors, helping clinicians make informed decisions about cancer management.

Quality of Life Assessment

Biostatistics is involved in assessing the impact of cancer and its treatment on patients' quality of life through patient-reported outcomes (PROs) and health-related quality of life (HRQoL) measurements.

Meta-analysis

Biostatisticians conduct meta-analyses to synthesize data from multiple studies, providing a more comprehensive view of the effectiveness of cancer treatments or interventions.

Clinical Research

Clinical Trials

Clinical researchers design and oversee cancer clinical trials, evaluating novel therapies, drug combinations, and treatment approaches. These trials are essential for bringing innovative treatments to patients.

Patient Registries

Clinical research involves the establishment and maintenance of patient registries, which gather long-term data on cancer patients to study treatment outcomes, patterns of care, and potential side effects.

Translational Research

Researchers bridge the gap between laboratory discoveries and clinical applications, translating basic science findings into potential cancer treatments.

Biomarker Development

Clinical research identifies and validates biomarkers that can aid in early diagnosis, prognosis, and treatment selection for cancer patients.

Health Services Research

Researchers in this area assess the delivery, accessibility, and cost-effectiveness of cancer care, contributing to healthcare policy and improving the overall quality of cancer services.

CLINICAL WORK

The Radio Diagnosis & Imaging department handles a significant workload at Dr. BBCI. The team of radiologists and technologists conducts numerous imaging procedures and interpretations to support cancer diagnosis, staging, treatment planning, and follow-up care. The department collaborates closely with other specialties to provide comprehensive and integrated patient care.

RESIDENTS & STAFF

NATIONAL TOBACCO QUITLINE SERVICES STAFFS, BBCI

Ministry of Health and Family Welfare, Govt. of India

Women Empowerment Cancer Awareness and Nexus (WE CAN)- an implementation research study of cervical cancer prevention through HPV self-sampling and education in India.

A project under Indian Council of Medical Research and Global Alliance for Chronic Disease

Staff

RESIDENTS & STAFF

Staff engagement in the Department from BBCI

RESIDENTS & STAFF

RESIDENTS & STAFF

RESIDENTS & STAFF

RESIDENTS & STAFF

RESIDENTS & STAFF

RESIDENTS & STAFF

OVERVIEW

"Nutrition is the science and art of applying the principles of Food science and Human Nutrition to attain and maintain human health". The department in a integral part of BBCI Healthcare system. The aim of the Department is to have an evidence based practice as a complete healthcare programme. The Department ensure that Nutrition is included as a priority in patient care. The Dietary consultation is given after assessing the Nutritional needs of the patient

SERVICES

The Department of Digestive Disease and Clinical Nutrition delivers evidence-based individualized nutrition care to both IPD and OPD cancer patients in hospitals.

CLINICAL WORK

This is an active department offering more than 900 consultations per month to patients diagnosed with all types of cancers at different point of their treatment which includes Pre-Surgery, Post-surgery, CTRT patients and BMT patients

RESEARCH ACTIVITIES

The Department is actively involves in research activities in association with other departments. The department is also actively take part in intra-departmental teaching, CME, Webinars and other various knowledge sharing sessions.

RESIDENTS & STAFF

OVERVIEW

The nursing profession continues to evolve and progress at a meteoric pace. It is one of the professions that continue to expand progressively at a transient pace. The crucial role of nursing is critical in creating positive change in healthcare and improving patient health outcomes.

Nurses working in the departments are highly competent and skilled in providing cancer care. We emphases on the rich value of compassion, empathetic and holistic care to all committed under our service. Through the continuous advancement in the field of technology, our nurses are trained to equip in order to provide the highest standard of care and comfort. The importance of continuing education, ensuring quality care and investing in prevention of infection is our highest goal. Nurses at BBCI would like to offer our dedication and confidence serving you at our best at all times.

The Nursing Education department from the time of its inception since 2020 has started the M.Sc. Nursing in Medical Surgical Nursing (Oncology Nursing) and Post Basic Diploma in Oncology Nursing Specialty with an intake of 10 and 20 seats respectively. These courses are conducted under the Srimanta Sankaradeva University of Health Sciences. Students are being trained in all areas of Oncology Specialty in BBCI as well as in Tata Memorial Hospital, Mumbai.

The first batch of M.Sc. Nursing & Post Basic Diploma in Oncology Nursing students have graduated successfully with cent percent results. These students have secured placement in both central and reputed institutions all over the country.

The institute is currently being served by 6 faculties who have extensive experience in the field of Nursing, both in clinical and education.

RESIDENTS & STAFF

OVERVIEW

Biomedical engineering plays a crucial role in the development and implementation of technologies and devices aimed at diagnosing, monitoring, and treating various medical conditions, including cancer. This field integrates principles from engineering, biology, and medicine to create innovative solutions for improving healthcare outcomes.

OVERVIEW

The institute has a dedicated engineering department that plays a vital role in the smooth functioning of the hospital. The department is responsible for the maintenance and upkeep of the hospital's infrastructure, including civil, electrical, plumbing services. The civil engineering team ensures that the hospital's buildings and facilities are safe and compliant with all applicable building codes and regulations. The electrical engineering team maintains the hospital's electrical systems, including power distribution, lighting, and fire alarms. The plumbing team ensures that the hospital's water and sanitation systems are functioning properly. The engineering department at BBCI is committed to providing high-quality engineering services that support the hospital's mission of providing quality and compassionate cancer care.

STAFF LIST

Engineering Department

Electrician

Plumber

Attendant

Overview

The Department of Dispensary and Pharmacy Services cumulatively consists of The Dispensary, Drugs & Surgical Store, GRIN Section & Purchase Department. A total of 8 pharmacists, 1 trade helper and 6 attendants are presently employed in the 24 hours dispensary and 3 pharmacists, 1 clerk and 2 attendants in the Drugs & Surgical Store, GRIN Section and Purchase Department, under Dr. Minoti Baruah, Medical Superintendent, Dr. B.B.C.I. as Officer-in-Charge. The Dispensary functions 24 hours a day, 7 days a week, as well as on all holidays.