МОЛЯ ИЗЧАКАЙТЕ, СТРАНИЦАТА СЕ ЗАРЕЖДА
МОЛЯ ИЗЧАКАЙТЕ, СТРАНИЦАТА СЕ ЗАРЕЖДА
the old part of the building, floor 1
+359 82 819 924
info@kocruse.com
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The Department of Radiation Therapy at KOC Ruse conducts radiation therapy of malignant and benign tumors, as well as non-tumor diseases with indications for independent, postoperative, preoperative and combined with chemotherapy radiation therapy. Each radiotherapy observes the principles of good medical practice and the relevant Standards for radiotherapy, confirmed by the Guild of Bulgarian Radiotherapists (HLB). All insured patients are treated in clinical pathways № 246; № 248; № 249; № 250.1; № 250.2; № 251.1; № 251.2; № 252.1
The ward has a total of 48 beds, of which 35 stationary and 13 for stays up to 12 hours.
Education and training:
2015
Training for work with planning systems and hospital information system: Focal, Oncentra, Mosaiq and clinical operation of medical linear accelerator Elekta Synergy
University Hospital, Mannheim, Germany, IMRT / VMAT / Mosaiq Clinical Applications Course
Moscow, Russia, International Seminar on Clinical Applications of IMRT / VMAT
2009
REC, Sofia – completed the course “Working with Terabalt 80 ASC, planning system Plan W and X-ray simulator”
UJP – Zbroslav, Prague, Pilsen – Czech Republic – completed the course “Working with Terabalt 80 ASC”
Balkan School of Oncology, Volos, Greece, Conference on “Immunotherapy and Gene Therapy in Oncology”
2008 UMHAT “Queen Joanna – ISUL”, Sofia – acquired specialty “Radiotherapy”
2002 – 2007 MDOZS – Shumen EOOD, Radiology Department – specialization in “Radiotherapy”
2002 – UMHAT “Queen Joanna – ISUL”, Sofia – completed a basic course in “Radiotherapy”
1999 – UMHAT “Queen Joanna – ISUL”, Sofia – completed the course “Abdominal ultrasound”
1991 – 1997
Medical University “Prof. Dr. P. Stoyanov ”, Varna
Master doctor
Work experience:
1999 – Resident doctor in the Department of Radiation Therapy, COC-Ruse EOOD
1998 – 1999 – Third Polyclinic, Ruse, Resident Physician, District Therapist
Education and training:
2016 – SBALOZ Sofia EOOD, acquired specialty “Radiotherapy”
2015 Training for work with planning systems and hospital information system: Focal, Oncentra, Mosaiq and clinical operation of medical linear accelerator Elekta Synergy
2012 – 2016 SBALOZ Sofia EOOD, Radiology Department – specialization in “Radiotherapy”
2012 – UMHAT “Queen Joanna – ISUL”, Sofia – completed the basic course in “Radiotherapy”
1988 – 1994
Medical University of Pleven
Master doctor
Work experience:
2011 until now – Resident doctor in the Department of Radiation Therapy of COC-Ruse EOOD
2003 – 2011 – Berlin – Chemie, Menarini Group, Medical Representative in the field of pharmacy
1998 – 2003 – Libya, Africa, Al Afia Hospital, Pediatrics and Neonatology, Resident Physician
1996 – 1998 – Psychiatric Hospital, Byala, resident doctor
Kremena Petrova – a specialist in medical physics;
Zdravko Yankov – a specialist in medical physics,
Dimka Nikolaeva – medical physicist;
Engineer – Vladimir Banchev
A 6-member team of radiotherapy X-ray technicians with senior laboratory assistant Deyan Totev.
Eight-member team of nurses + one nurse for the Radiotherapy Cabinet №24 in the Radiotherapy Department with a senior nurse Veselina Raycheva.
It is performed for malignant tumors of the breast, gynecological tumors/carcinomas of the cervix, body of the uterus, vagina and vulva /, rectum, bladder, kidney, renal pelvis and ureter, tumors of the head and neck/brain, naso-meso, and hypopharynx, larynx, oral cavity and gums, nasal cavity and sinuses /, skin, testicular tumors/seminoma/, superficial and deep sarcomas, pediatric solid tumors, Hodgkin’s and non-Hodgkin’s lymphomas.
It is performed for malignant tumors of the breast together with targeted therapy, gynecological tumors/carcinomas of the cervix, body of the uterus, rectum, bladder, renal pelvis and ureter, tumors of the head and neck/brain, meso and hypopharynx, larynx, oral cavity, gums, nasal cavity and sinuses.
It is performed in locally advanced carcinomas of the rectum and gynecological carcinomas / of the cervix and uterine body / in adult patients who due to concomitant diseases are not subject to radiation therapy combined with chemotherapy.
Extremely effective combination treatment, which is used in locally advanced carcinomas of the rectum and gynecological carcinomas / of the cervix and uterine body. The treatment results are much better compared to the operation performed, followed by radiotherapy. A common fact is the lack of tumor cells in the surgical material in carcinomas of the rectum and cervix after preoperative combined chemo-radiotherapy.
It is used with organ-preserving functional effect in initial laryngeal carcinomas of the vocal cords, in skin carcinomas, for palliative purposes in patients with distant metastases for analgesia, decompressive (in metastases with compression of the spinal cord with the risk of paralysis), or in mediastinal syndrome. of Vena Kava /, hemostatic and for tumor reduction / esophageal carcinomas. With analgesic and anti-inflammatory purposes with low radiation doses are successfully treated joint-degenerative diseases such as gonarthrosis, periarthritis humeroscapularis/inflammation in the shoulder /, exostoses/thorns / in the heel, foot, palm, bone panaritium of Dupuytren.
It is mainly used for locally advanced tumors in ENT tumors / in the area of the oral cavity, larynx, nasopharynx, meso and hypopharynx. In the case of laryngeal and hypopharyngeal carcinomas, previously combined radiotherapy requires surgical tracheostomy and cannulation. It is effective in advanced inoperable carcinomas of the rectum, gynecological tumors/cervix, and uterine body /, carcinomas of the urinary tract.
Head of department, tel: +359 82 819 965
Doctors: tel: +359 82 819 924
Senior med. nurse – Teodora Chervenkova
Med. nurses: +359 82 819 929
X-ray technicians: +359 82 819 926
The team of medical physicists performs dosimetric planning of radiotherapy and verification of the radiotherapy plan; develops and implements new high-tech radiotherapy techniques.
Research activity on current national and international scientific topics in cooperation with the other therapeutic and diagnostic departments of COC – Ruse, NOC – Sofia, MU – Sofia, MU – Pleven. Active participation in the meetings of the Guild of Bulgarian Radiotherapists.
Development of joint articles with the Oncotherapy Department and the Department of Clinical Pathology at KOC-Ruse, published in Bulgaria (Journal of the Bulgarian Oncology Society and Radiology / Radiology) and abroad (Current Cancer Reports; Austin Journal of Medical Oncology; Biomedical Journal of Scientific & Technical Research; Trends in Medicine; Global Imaging Insights; Japan Journal of Research; Journal of Medical- Clinical Research & Reviews; SAJ Cancer Science; SAJ Cancer Reports; International Journal of Clinical Studies & Medical Case Reports; Medical & Clinical Research, Can J Biomed Res & Tech).
Under the Operational Program “Regional Development” 2007-2013, co-financed by the European Union through the European Regional Development Fund, after a license from the NRA Series I-81069 with registration number 04436 / 19.06.2014, in KOC-Ruse EOOD was introduced in the operation of a new radiotherapy complex, equipped with high-tech radiotherapy and dosimetric equipment, including a linear accelerator “Electa Synergy Platform” with a virtual computer tomograph “Siemens” for planning radiotherapy. The linear accelerator has the ability to apply all high-tech radiotherapy techniques such as 3D conformal radiotherapy (3DCRT), intensive modulated radiotherapy (IMRT), IMRT by the method of Volumetric Modulated Arch Therapy (VMAT), radiosurgery and hypofractional coronary radiotherapy. The department has a device for telegamma therapy (Terabalt) with capabilities for 3D planning of radiotherapy, as well as a device for superficial X-ray therapy of skin tumors and superficial benign and malignant tumors.
These patients are consulted every working day in the Admissions Office № 24 from 8.00 am to 2.30 pm with the available documentation from another medical institution in the country. After the consultation, at the assessment of radiotherapy, the respective patient is assigned a day and time to appear for radiotherapy in order to prepare for radiotherapy / performing localized CT /. The patient is recorded on the waiting list. If preliminary preparation is needed for the planning of the radiotherapy, it is explained in detail by the nurse in the office.
During the consultation in the polyclinic room №24 the respective radiotherapist will review the medical documentation and the performed imaging examinations (CT, MRI, PET / CT, etc.), will perform a medical examination, if necessary will appoint additional tests, and will assess the possibilities. for radiotherapy (LL), its scheme and dose fractionation. You will be told about the potential risks and benefits of treatment. With your consent for LL, you will be given a date for hospital/inpatient or day hospital/admission and what are the necessary documents that you must carry.
Upon admission to the LL Department, the nurse in к24 will provide you with a series of documents for informed consent. Signing them means that you agree to conduct LL in the relevant clinic and by the relevant staff. A medical history (IL) will be drawn up, which contains important medical information about you and your illness. After the stationary/stay or day stationary/admission, the preparation of the radiotherapy plan is started. For this purpose, it is necessary to perform computed tomography (CT) and/or magnetic resonance imaging (MRI). To accurately center the radiotherapy during the scan on the patient’s skin, markers are outlined that must be preserved throughout the LL period. In LL of tumors in the area of the head and neck, thermoplastic masks are prepared, which are attached to the mass of the scanner and the accelerator, with the help of a special pad for positioning the patient; they are placed while they are slightly warm and elastic, and after they harden they hold the head, neck and shoulder girdle motionless during the radiotherapy. After the localization CT scan, the radiotherapist outlines the normal organs and tissues with the respective radiotherapy volumes, determines the scheme of radiotherapy with the daily and total radiation dose, as well as the number of radiation fractions. In the second stage, dosimetric planning begins with medical physicists, which determines the direction of the beam, the distribution of the radiation dose in the radiotherapy volumes, and in the nearby normal tissues and organs, which are strictly protected by protection built into the head of the device.
In a case of emergency please call us or come in our center.
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