- Introduction
- Vision, Mission & Objective
- Organisation Chart
- Services
- Clinic Schedule
- Client Charter
- Related Information
Introduction
n 1960, the Radiotherapy centre was a single storey building located adjacent to the present Maternity Hospital. There was only a handful of staff running the department. It consisted of a consultant radiotherapist, two radiographers, a staff nurse, a receptionist and a female attendant. Dato’ Dr S.K Dharmalingam, the consultant radiotherapist at that time, mooted the idea of setting up a new radiotherapy department. With the support of the Prime Minister and the Finance Minister at that time, the project was approved. A sum of RM3 million was allocated for the Institute.
The physical construction that was started in August 1967 and completed in November 1968 was then called the Institute of Radiotherapy, Oncology and Nuclear Medicine. The centre treated about 1000 patients a year and had an inpatient capacity for 100 patients. It was an exciting year as the department moved from the kilovoltage era ( 100 kv photons). This meant we could treat deep-seated tumours with less fields and spare normal superficial tissues from side effects.
In the mid 80’s new equipments were bought to replace the old. In 1986 a Treatment Simulator was bought to simulate and verify treatment fields to ensure that we were treating the tumour sites accurately whilst at the same time sparing critical structures. A dual energy Linear Accelerator (Linac) with electron beam facility was installed. Electrons were particularly useful in treating superficial tumours, sparing deep-seated normal tissues.
By early 1990’s we had 4 linear accelerators, a Cobalt-60 and a Caesium-137 Teletherapy machines, and a diagnostic CAT scanner. In 1990 radium sources were disposed of in line with the ICRU (International Commission on Radiation Unit) recommendation. They were replaced with Caesium 137 low dose rate manual after loading sources for the treatment of gynaecological malignancies.
Today the centre boasts of treating about 4000 new cases of cancer annually and has an in-patient capacity of about 208 patients. There are 9 consultants, 18 physicists,72 Therapy Radiographers, 154 nurses of all categories and 62 attendants.
In late 2001 a brand new state of the art Linear Accelerator (Linac), a Treatment Simulator with integrated digital imaging facility and a 3-D Treatment Planning System were installed and commissioned under the Three-In-One package project. The new Linac is fitted with multileaf collimation enabling conformal radiotherapy and Intensity Modulated Radiotherapy (IMRT) to be performed.
Radiotherapy is one of the main modalities for cancer treatment. It can also be used to treat cases other than cancer such as Acoustic neuroma and Arteriovenous malformation. Radiotherapy is given externally (teletherapy) or internally (brachytherapy). In addition, there are specialized radiotherapy services such as Stereotactic Radiotherapy, Stereotactic Radiosurgery, Half/Total Body Irradiation and Image Guided Brachytherapy.
Linear Accelerator with MLC
Treatment Simulator
The Department of Radiotherapy and Oncology, Hospital Kuala Lumpur is the national referral centre in the field of oncology. Besides providing radiotherapy, chemotherapy, hormonal therapy and palliative care services, the Department of Radiotherapy and Oncology, Hospital Kuala Lumpur acts as the impetus for the development of Radiotherapy and Oncology in Malaysia.
The present Department of Radiotherapy and Oncology is situated opposite the Institute Kaji Saraf Tunku Abdul Rahman (IKTAR), Hospital Kuala Lumpur.
The Department comprises the following:
GROUND FLOOR:
-Administrative Section(Head of Department’s Office, administrative office and meeting room)
-Out-patient Clinic
-Day-Care Centre (Bilik Penawar)
- Satellite Pharmacy
- Clinical Laboratory
- Records Office
- Operation Theatre/ CSSD/Brachytherapy Unit
- Physics Section which consists of Physicists Offices, computerised 3-D Planning Room, Physics Laboratory,Mould Room and Workshop.
- Radiotherapy Services Section:
- Planning Unit
- Simulator 1
- Simulator 2
- Linac 1
- Linac 2
- Linac 4
- Linac 5
- Linac 6
- Electronics Room
- Physiotherapy-Rehabilitation Room - Paediatric Room
- Chief/Senior Therapy Radiographers’ Offices
- Staff Rest Room
FIRST FLOOR :
- Clinical Oncologists’ Offices
- Medical Officers’ Offices
- Conference Room
SECOND FLOOR:
Old Wing – RT 2A/2B, with a total of 45 female third class beds.
New Wing - Surau, Matron’s office, RT 2C(with a total of 19 male second-class beds), Clinical Trial Unit (CTU) and RT 2D( with a total of 20 female second-class beds).
THIRD FLOOR :
Old Wing – RT 3A/3B( with a total of 45 male third class beds).
New Wing - RT 3C/3D (with a total of 29 male/ female first class beds) and Medical Officers’ Call Room.
FOURTH FLOOR:
Old Wing - RT 4A(with a total of 22 male third class beds) and RT 4B(with a total of 23 female third class beds.)
A total of 208 beds are available in the Department of Radiotherapy and Oncology
DAYCARE ONCOLOGY ( TINGKAT 6 BANGUNAN SCACC – KOMPLEK RAWATAN HARIAN PAKAR)
VISION
The department shall be a centre of excellence providing high quality cancer care, such that cancer patients have the opportunity to receive the best possible management.
Oncology services shall at all times be delivered with emphasis on precision, accuracy, quality, innovation and commitment by a multidisciplinary team which is dedicated, caring, responsible, efficient and highly-skilled.
MISSION
1. Promote clinical oncology services of high professional quality.
2. Promote integrated and holistic care of cancer patients.
3. Uphold human dignity of patients including those patients who are terminally ill.
OBJECTIVES
1. Deliver optimal treatment to cancer patients with radiotherapy, chemotherapy and other non-surgical modalities in order to achieve cure whenever possible.
2. In all patients, including those in whom cure is not possible, the objective is to optimize care and comfort.
3. Ensure the delivery of timely cancer treatment that is accurate, appropriate, affordable and patient-centred.
4. Promote the principles and the practice of quality improvement in all areas of cancer management including curative, palliative and rehabilitative aspects.
5. Promote professional ethics relating to practice of quality cancer care.
6. Promote a working environment that is safe for staff, patients and their families.
7. Be a reputable centre for training of oncologists and allied health professionals involved in cancer care.
Organisation Chart
Services
Provision of radiotherapy and oncology services to cancer patients using non-surgical procedures i.e. radiotherapy, chemotherapy, hormonal therapy, palliative care, etc. We provide the following services :-
1. Radiotherapy
Radiotherapy is one of the modalities for the treatment of cancer. It can also be used to treat non-cancerous conditions like keloid, arteriovenous malformations, acoustic neuroma etc. Radiotherapy can be delivered either externally (teletherapy) or internally (intracavitary brachytherapy or interstitial). Currently we have 5 teletherapy machines and a treatment simulator. We also provide the following specialised radiotherapy services: -
- Stereotactic Radiotherapy
- Stereotactic Radiosurgery
- Brachytherapy
- Total / Half-Body Irradiation
2. Chemotherapy
Using cytotoxcic drugs to treat systemic cancer spread or enhancing external radioterapy treatment.
3. Hormonal therapy
Using hormonal drugs to stop cancer growth in hormonal influence tumours.
4. Palliative care
To give care and support to patients who are terminally ill.
Clinic Schedule
Radiotherapy Clinic Schedule
DAY |
TIME |
ACTIVITIES |
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8.00 am - 12.15 pm 8.00 am - 5.00 pm |
Combine Clinic Emergency Cases |
Note:-
Emergency Cases - New and follow up cases that need immediate attention.
New Cases - New cases according to appointment given
Outpatient clinic opens from 7.30am-4.30pm on Monday to Friday
COMBINED CLINIC SCHEDULE
DAY |
TIME |
CLINIC |
SCHEDULE DATE |
MONDAY |
AFTERNOON (2.00pm – 5.00pm) |
1-Breast MDT 2-Radiology Conference |
Every week Biweekly |
TUESDAY |
AFTERNOON (2.00pm – 5.00pm) |
DIETICIAN Colorectal |
Every week Monthly once (2nd week) |
WEDNESDAY |
TIADA |
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THURSDAY |
AFTERNOON (2.00pm – 5.00pm) |
PALLIATIVE CARE |
Every week |
FRIDAY |
8.00am – 12.00pm 3.00pm – 5.00pm |
1) ENT / DENTAL 2) Urology |
Biweekly Monthly once Monthly once (4th week) |
MDT CLINIC SCHEDULE
DAY |
TIME |
CLINIC |
SCHEDULE DATE |
TUESDAY |
AFTERNOON (2.00pm – 5.00pm) |
Lung Colorectal |
Every Month 2nd Week |
WEDNESDAY |
AFTERNOON (2.00pm – 5.00pm) |
Gynae - Onco |
4th Week Of The Month |
THURSDAY |
AFTERNOON (2.00pm – 5.00pm) |
Haematology |
Monthly once |
FRIDAY |
8.00am – 12.00pm |
SRS MMG |
Monthly once |
VISITING CLINIC
Our Oncologist will be visiting the listed hospital below as scheduled.
BULAN |
HTAA KUANTAN |
HRPZ KOTA BAHRU |
HOSP. SERI MANJUNG |
HOSP. TELUK INTAN |
HOSHAS TEMERLOH |
JANUARI |
1 |
1 |
1 |
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FEBRUARI |
1 |
1 |
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MAC |
1 |
1 |
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APRIL |
1 |
1 |
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MEI |
1 |
1 |
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JUN |
1 |
1 |
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JULAI |
1 |
1 |
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OGOS |
1 |
1 |
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SEPTEMBER |
1 |
1 |
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OKTOBER |
1 |
1 |
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NOVEMBER |
1 |
1 |
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DISEMBER |
1 |
1 |
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1 is the frequency of how many follow-up clinics are conducted in a month * Starting February 2024, an Oncologist will be stationed at HTAA, Kuantan |
Reminder to patients
Please bring your reference letter and imaging films/CD for the doctor's review.
RADIOTHERAPY TREATMENT SECTION
Treatment
Radiotherapy services start from 8.00 am to 4.30 pm, patients are given appointment times to minimize waiting time.
Planning
Radiotherapy planning services start from 8.30am to 4.30pm. Patients are given appointment times to minimize waiting time.
ONCOLOGY DAYCARE - FLOOR 6 SPECIALIST AND DAY CARE COMPLEX (SCACC)
Services at the Oncology Day Treatment Unit from Monday to Friday (Working days)
Duty hours at the Oncology Daily Treatment Unit are 7.30am - 5.00pm.
Oncology provides treatment to adult patients only
Client Charter
1. Every customer will be treated in a friendly, fair, respectful and considerate manner.
1.1) The department will ensure that the Customer Satisfaction Survey achieves the target set by the hospital which is ≥ 85% of patients satisfied with the services provided.
1.2) The department will ensure that ≥90% of patients at the Radiotherapy & Oncology Specialist Clinic will wait less than 90 minutes for a doctor's examination.
2. Every customer will receive professional, safe and high-quality treatment
2.1) The department will ensure that ≥70% of patients who need chemotherapy treatment can start the treatment within less than two weeks from the date the decision is made
2.2) The department will ensure that the percentage of patients who experience extravasation during chemotherapy treatment is ≤ 0.5%.
2.3) The department will ensure that ≥70% of patients begin radiotherapy treatment no later than 30 working days from the date the simulation is implemented