Cyberknife Treatment Cost in India

Last Modified: June 24, 2020  |   Created on: May 5, 2020
Cancer Treatment

“The cost of Cyberknife treatment in India starts from $6000. The hospitals offering Cyberknife treatment in India promise unparalleled health treatments at low-cost packages.

CyberKnife-treatment

CyberKnife treatment is a non-invasive, high precision radiation technology designed to deliver Stereotactic radiosurgery (SRS) and Stereotactic body radiation therapy (SBRT). It is an image-guided linear accelerator that delivers radiation through its robotic arm, and real-time adaptive system. This makes a significant difference for the patient as CyberKnife offers a sub-millimetric accuracy, which reduces the risk of the side effects and complications involved in a conventional radiation therapy. It is the first and only robotic radiosurgery system in the world that can treat tumors anywhere in the body with high-precision. 

This innovative technology is considered a breakthrough in the treatment of cancer and provide a non-invasive alternative to surgery. Besides this, CyberKnife offers an unparalleled approach to treat tumors that are inoperable through standard treatments. With this method of radiation delivery, cancer patients who earlier had no options or had to opt for only high-risk treatment options now have a safer alternative.

Things to know:
  • A new innovative treatment option for cancer patient who cannot undergo surgery 
  • It brings sub-millimeter accuracy and real-time adaptive system to continuously track, detect and treat the tumour, considering patient movement throughout the treatment
  • An effective treatment for cancerous and non-cancerous tumours located anywhere in the body
  • Offers superior flexibility in treatment planning with its forward or inverse treatment planning, simultaneous treatment planning for multiple tumours
  • It complements other targeted therapies to completely eradicate the cancer cells in the body

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Cyberknife treatment in India

Cyberknife in India is offered by several top hospitals across all the major cities, including New Delhi, Hyderabad, Chennai and Bangalore. People from all over the world choose to travel to India on a medical tourism visa for cancer treatment. With India’s advanced healthcare sector, one can be assured for receiving high quality treatment for their condition. The best cancer hospitals in India have a dedicated department for oncology and provide a holistic treatment plan for the cancer patients. The radiation therapy centres at these hospitals are high advanced facilities with world’s most sophisticated cancer technology such as CyberKnife, GammaKnife, Proton Therapy, SRS, SRBT and more. 

The best radiation oncologists in India are internationally trained doctors who have expertise in using the latest radiation delivery systems. They, along with other cancer specialists, determine a treatment and radiation plan to provide an effective care to the cancer patients. The CyberKnife specialists in India have a vast experience of treating various types of cancers with this technology. The nurses and medical staff at the best CyberKnife hospitals in India are trained professionals who guide the patient throughout their treatment. 

International patients travelling for best CyberKnife treatment in India are able to save a significant amount of money, with no compromise on quality of services. The CyberKnife treatment cost in India is considerably lower than several other countries, especially in the West. The hospitals offer affordable health packages which lowers the overall cost for the procedure.

When can the cyberknife radiosurgery technology be used?

CyberKnife is the world’s only robotic radiosurgery technology that can be used to treat cancers in any part of the body with a pin-point accuracy and precision. This highly advanced radiation delivery technology is used to treat malignancies and non-cancerous tumors in various organs of the body, including brain, head and neck, prostate, liver, pancreas and other parts. It is a good alternative where surgery is not possible or too complex due to risk factors such as age and patient’s overall health. 

With CyberKnife radiosurgery, a very high ablative dosage can be delivered in a single or only a few sessions. The precision with this technique is equal to or even more than other radiosurgery techniques such as Gamma Knife procedure. As it is a non-invasive method, there are no risks associated with anaesthesia or blood loss. Other than being an excellent alternative to surgery, CyberKnife is also indicated for treatment of post-operative residual or recurrent cancers. Also, it can be used in addition to conventional radiation or other treatment option.

Typically, a Cyberknife radiation treatment can be completed in three to five sittings.

Brain cancer

Brain tumors patients are usually good candidates for CyberKnife radiosurgery. The types of brain cancers that are indicated for this treatment include pituitary adenomas, meningiomas and hemangioblastomas, neuromas arising from other nerves, and hemangiopericytomas. It is also recommended as a boost for treating the post-op residual or recurrent cases in malignant gliomas/glioblastomas. 

Prostate cancer

Using radiation for treating prostate cancer can be challenging as prostate may move unpredictably due to the air passing through the rectum or as the bladder gets filled or empty. The CyberKnife system has the ability to continuously identifying the exact location in real-time throughout the treatment, and overcome the challenge. The corrections can be made during the radiation delivery depending on any movement of the prostate. Currently, the CyberKnife radiosurgery treatment is mostly being used as a single treatment option for an early stage (confined to an organ) prostate cancers or combined with external beam radiotherapy to boost the post-op treatment for patients with advanced or intermediate stages of prostate cancer. 

Liver cancer

Similar to prostate cancer, liver cancer also pose the challenge for radiation therapy as the tumors in liver may move with respiration. Also, the tissue that surround a liver tumor is highly sensitive and can be easily damaged with radiation. CyberKnife Radiosurgery System is a precision based method that delivers very high dosages of radiation to primary as well as metastatic liver tumors with sub-millimeter accuracy. In case of primary liver cancer, radiation therapy may be given before or after a liver transplant or in conjunction with other treatments, such as chemotherapy. 

The Synchrony Respiratory Tracking System of CyberKnife radiosurgery technique enables the doctor to track tumour movement in real time while delivering radiation. This allows patients to breathe normally throughout the treatment. With this, a moving target (the liver tumour) can be pin-pointed and damages with radiation beam without harming the healthy surrounding tissue.

Cancer in spine

CyberKnife radiosurgery system is indicated for patient with sparing normal spinal cord as it allows treatment with more precision in comparison to other radiation delivery techniques. CyberKnife for local therapy in spinal tumours is used to deliver highly focused radiation specifically to the target, preventing damage to the surrounding normal tissues as much as it can.

Lung cancer

For patient with an early stage lung cancer that is limited to a small area in the lung, CyberKnife can be an effective treatment modality. It has been used as an alternative to radical surgery procedure when the patient is not a suitable candidate for it. CyberKnife is also indicated in cases of metastatic lung cancer or after a primary therapy when there is limited residual or recurrent cancer. The advantage of using CyberKnife for lung cancer lies in delivery of high ablative dose of radiation to control the disease in a non-invasive method. The radiosurgery system has the ability to tracking the tumour in real-time while the patient is respirating and treat the disease with minimal damage to healthy cells, thus decreasing the side effects of the radiation treatment.

Head and Neck Cancer

CyberKnife radiosurgery is used as a boost to treat the small vital areas close to the eyes or other critical regions around head and neck. This helps in reducing the amount of dose delivered to these vital areas, as well as the side effects. It is also used for the residual and recurrent disease after the primary therapy, Neck node residual or recurrent disease.

Breast Cancer

CyberKnife can be used for a short course of radiotherapy in some cases of localized early stage Breast cancer. It can target the postoperative surgical site and eliminate any residual cancer cells. However, only few selected cases are eligible for this procedure, depending on their disease and stage. CyberKnife radiosurgery is also an option for patients with metastatic cancer, where the cancer has spread from the breast to other organs of the body, such as lung, brain, bone or liver, but is still limited in number (< 6) or small size (< 6 cm). It cannot be used if there is a gross widespread of the disease.

How can Lyfboat assist you getting CyberKnife Surgery in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

How does a CyberKnife treatment work?

The CyberKnife radiosurgery system is the only radiation delivery technique which uses a robotic arm with linear accelerator (linac) mounted on it to deliver the high-energy x-rays or radiation. The system has a real-time image guidance technology to track the tumour and a robot to deliver radiation with thousands of beam angles. This high level precision delivery can target areas anywhere in the body and enables stereotactic radiosurgery (SRS) as well as stereotactic body radiation therapy (SBRT) treatments. The robot arm is flexible to move and bend around the patient’s body, irradiating the tumour from multiple unique angles. It helps in increasing the possible positions to precisely deliver radiation to the tumour and minimize the exposure to surrounding healthy tissue.

The CyberKnife is an advanced technology with tracking system to locate tumours in any part of the body, accommodating tumour movement. The unique robotic design of the system ensure that the radiation remains on the target even when the tumour moves. Before delivery of the high energy radiation beams, this unique system verifies the exact position of the tumour and adjusts the robot arm accordingly. 

The CyberKnife Radiosurgery System has a feature called Synchrony, which is the world’s only real-time adaptive delivery technology. Synchrony provides this system a unique motion synchronization capability to reduce margins and enable more precise targeting, especially when the tumours being treated with respiration, such as lung tumours. This advanced motion synchronization technology allows the patient to lie comfortable and avoid the use of patient restraints, or make patients hold their breath.

Why is cyberknife chosen over other alternatives?

Advantages of a CyberKnife treatment:

  • It is a pain-free, non-invasive radiation therapy method which significantly decrease the overall treatment time. 
  • It enables the doctors to deliver radical ablative dose of radiation to the cancer in any part of the body from multiple angles and with great precision.
  • CyberKnife is an efficient treatment option that provides pinpoint accuracy with its dynamic motion real-time tracking and minimal side effects. 
  • As CyberKnife is high-precision technique that only target a specific area, without damage to the surrounding healthy tissues and result in fewer complications.
  • The system automatically corrects the radiation delivery in synchrony with any movements made by the patient or the tumour. Therefore, the patient can comfortably lie down during the treatment.
  • The treatment duration can be reduced from 5-6 weeks to 5-7 days (one session per day for about 30-90 minutes) as compared to the conventional method.
  • CyberKnife can be performed as an outpatient procedure, the patients do not need to spend the night in the hospital and can immediately return to their normal routine once the session is completed.
  • It can be used to treat inoperable tumours located anywhere in the body with unparalleled accuracy and is an effective alternative to surgery.

What can I expect during the preparation for CyberKnife treatment in India?

To prepare for Cyberknife, the following steps are followed:

Evaluation: After cancer diagnosis is confirmed, the doctor may recommend CyberKnife treatment to a patient based on the specific requirements. A team of cancer specialists, including radiation oncologists, medical oncologists and surgical oncologist along with radiation technicians work together to design a customized treatment plan for the patient, depending on the stage of cancer, patient’s overall health status and eligibility for other treatments.

Before the treatment, imaging tests including MRI, CT or CT/PET scan are performed to analyse the size, shape and location of the tumour. The images from these scans are used for the CyberKnife’s treatment planning. The radiation specialists identify the location and target the tumour while ensuring that the surrounding vital tissues and structures remain protected. The treatment plan is designed to optimize the radiation dose and specifically target the tumour, while limiting the exposure to the surrounding healthy tissue.

Fiducial placement: 

Fiducials are tiny gold marker seeds that are inserted into soft tissues, near the tumour to help guide the CyberKnife system to deliver radiation beams. Depending on the type and location of the cancer, fiducials help determine the radiation path. These markers are typically used for tumours that are located in the abdomen, prostate, pelvis, and in certain lung cancers and generally not required for brain or spine tumours.

What happens during a CyberKnife treatment?

  • Once the treatment planning is complete, the patient is supposed to lie on a table comfortably. The robotic arm of the CyberKnife system then moves the linear accelerator around the targeted area to deliver radiation to the selected part. 
  • Simultaneously, the imaging system takes the X-ray scans of the area being treated and provide real-time images to trace the location of tumour. It uses the fiducial markers to identify the target areas. This system allows high precision and accuracy throughout the treatment with multiple angles.
  • A patient may require 1 to 5 sessions of radiation therapy, depending on the stage and location of the tumour. A session may last for 30 min to 90 min.

Frequently asked Questions (FAQs) about Cyberknife Treatment in India

Q. How is CyberKnife different from Gamma Knife?

The major difference between the two radiosurgery techniques – Gamma Knife and CyberKnife is that for Gamma Knife a large metal frame has to be mounted over the patient’s head using screws, while CyberKnife is a completely non-invasive and pain-free treatment. The patients can comfortably settle on a treatment couch as the system moves around them.

Unlike Gamma Knife, patients who undergo CyberKnife do not require general or local anaesthesia during the procedure.

Another difference is that CyberKnife is a robotic system that can target a tumor in different parts of the body with from over 1,300 positions with pinpoint accuracy, while Gamma Knife is limited to 190 positions.

Gamma Knife can only be used to treat cancers in brain or cervical spine with a high-dose radiation in a single treatment, whereas CyberKnife is used for treating tumours located anywhere in the body with one to five treatment sessions.

Q. Why does CyberKnife precision matter?​

Radiation therapy has been used as a treatment option for various types of tumors in the body for a long time now. The precision and accuracy of radiation delivery to the target enable the doctor to kill the cancerous cells while minimizing the radiation exposure to healthy tissues. This prevents post treatment side effects and complications. The minimal side effects enables the patient to lead to better quality of life during and after treatment.

Q. What are the risks involved?

Some short-term side effects of the radiation include:

  • Nausea
  • Fatigue
  • Headache

Q. Does the procedure hurt?

It is an entirely non-invasive method and causes no pain to the patient. During the treatment session, patient lies down on the treatment couch and does not need to worry about movement.

Dr. Surbhi Suden

Written By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.

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