Research Papers

Cancer detection and cervical cancer treatment using Mobile Tele-medicine Unit

Paper Abstract
Sanjeevani, the mobile tele-oncology unit designed and built by C-DAC, Trivandrum was inaugurated on 25th April 2010 at Kannur. This unit will be used by Malabar Cancer Care Society, Kannur for cancer control activities in the 5
Northern Districts of Kerala. Sanjeevani is equipped with V-SAT communication, diagnostic equipments for cancer detection, facility for follow up tele-consultation for patients undergone treatment and treatment facility for initial stage Cervical Cancer at the patient location. The medical equipments include digital X-ray Unit, Ultrasound, Digital Video Colposcope, Cryosurgery Unit, Hematology Analyser, Biochemistry Analyser, Digital Microscope and Oxygen and nebulizer units.


This project is very innovative as this is the first time that cancer treatment is given in a mobile unit at a very affordable rate. Surgery table, Oxygen Unit, Nebuliser, Cryosurgery Unit are installed in the mobile unit itself so that cancer
detection activities, treatment for early stage cervical cancer (CIN1, 2 &3) can be given to the patient in the patient locality, even if the patient locality lacks basic infrastructure such as furnished buildings, water supply and electricity. The mobile Unit has a built in LPG generator which supplies 14 KW electricity which can be used for powering the medical equipments. If a patient, who has already undergone treatment for cancer, wants a consultation with the specialist at RCC
who has treated him, this can be done from the mobile unit in the patient locality. This will be very helpful for the economically backward patient, as it saves him the expenditure for undertaking 500plus kilometers of travel, other
associated expenditures and hardships. The V-SAT antenna, which is foldable when not in operation, is fully protected by pneumatic flaps and motor operated lid. Due to these protective measures, the V-SAT antenna which is mounted on
top of the vehicle is protected from damage due to tree branches, electric cables, rain and dry leaves. This mobile unit combines all necessary diagnostic units for cancers of mouth, throat, breast, cervix and ovaries and treatment
facility for early stage cervical cancer. The diagnostic method used for cervical cancer is by VIA/VILI methods recommended by WHO as ideal for developing countries in low resource setting.

In the three camps conducted so far, 469 people participated in the camps. 76 PAP smear tests, 16 biochemistry tests,35 FNAC tests, 46 ultrasound tests, 100 VIA/VILI tests, 44 Hematology tests, 6 X-rays were done. Five pre cancerous
lesions in cervix were detected and four cryo surgeries were performed in the Mobile Unit. Two positive breast cancer cases were detected. Four more camps will be conducted at Kannur, Kozhikkode and Wynad districts till June 10, 2010. Results of the camps will be included in the detailed paper. Initially 4 camps per month are planned for the first six months. After that the number of camps will be increased to 8 per month.

[ipaper id=69857585 mode=book]


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