Medical Oncologist
Image-Guided Radiation Therapy
IGRT Radiation Cost in Hyderabad — Transparent Pricing, Image-Guided Precision
At CION Cancer Clinics, IGRT (Image-Guided Radiation Therapy) costs between ₹1,60,000 and ₹2,00,000 for a full course of 25–35 sessions, with daily on-board imaging on modern Linacs and NCCN-aligned protocols.
Full course ₹1.6L – ₹2L
25–35 sessions
ArogyaSri • EHS • Insurance
Did you know?
Studies in Radiotherapy & Oncology show that adding daily image-guidance to IMRT reduces geographical miss by up to 30%, allowing planning margins to shrink from 10 mm to 3 mm — meaning less healthy tissue radiated and fewer long-term side effects.
Overview
What is IGRT (Image-Guided Radiation Therapy)?
IGRT is not a different radiation beam — it is the image-verification layer added on top of IMRT or VMAT. Before every single radiation session, an on-board imaging system (CBCT, kV imaging or MRI) takes a fresh picture of the tumour and surrounding organs. The Linac then automatically corrects its position so that radiation lands within 1–2 millimetres of where it was planned.
This matters because tumours move. Lungs rise and fall with breathing. The prostate shifts with bladder filling. The pancreas drifts day to day. Without image-guidance, radiation oncologists have to draw a wider safety margin around the tumour — meaning more healthy tissue gets dosed. With IGRT, that margin can shrink dramatically.
At CION Cancer Clinics in Hyderabad, IGRT is delivered on modern Linear Accelerators with daily kV/CBCT imaging built in, and is offered as standard for any tumour where breathing motion, organ-fill variation or millimetre precision matters.
How it works
From CT-Sim to Final Fraction — Your IGRT Journey
Every IGRT course at CION follows a 5-step protocol designed for sub-millimetre accuracy and zero treatment delays.
1
Consultation & staging
Radiation oncologist reviews scans, biopsy and prior treatment. Tumour board confirms IGRT is the right modality.
2
CT simulation
Custom immobilisation mould made. CT (and MRI/PET fusion if needed) taken in treatment position with skin markers.
3
Dosimetric planning
Medical physicist + oncologist contour the tumour & organs-at-risk. Plan is optimised over 4–7 days, then peer-reviewed.
4
Daily imaging + delivery
Each session: on-board CBCT scan → position correction → radiation delivered in 10–15 minutes. You're off the table fast.
5
On-treatment review + response scan
Weekly check with the oncologist during treatment. Post-completion scan at 6–8 weeks to confirm response.
Benefits
Why IGRT is worth the extra precision
- Sub-millimetre accuracy. Daily imaging reduces set-up error from 5–10 mm down to 1–2 mm.
- Tighter margins. Less healthy tissue radiated means fewer short- and long-term side effects.
- Handles moving tumours. Ideal for lung, pancreas, liver and prostate where breathing or organ-fill shifts the target.
- Dose escalation possible. Higher tumour dose can be safely delivered without raising toxicity.
- Adaptive replanning. If the tumour shrinks mid-course, the plan can be re-optimised.
- Outpatient. No admission needed. Most patients drive themselves home after a session.
What to expect
Possible side effects of IGRT
Because IGRT reduces healthy-tissue exposure, side effects are milder than with older 3DCRT or 2DCRT — but they are not zero. The exact side effects depend on which body part is treated.
- Localised skin redness or dryness over the treated area, peaking in the last 1–2 weeks.
- Fatigue that builds up gradually over the course and resolves 4–8 weeks after the last session.
- Site-specific symptoms — e.g., dry mouth (head & neck), urinary urgency (prostate/pelvis), mild cough (lung), nausea (abdomen).
- Rare late effects in the radiated area, monitored at follow-up scans.
Did you know?
For lung cancer patients, IGRT with daily CBCT has been shown to improve 2-year local control from 60% to over 85% compared with non-image-guided radiotherapy — without increasing pulmonary toxicity.
The Procedure
What a single IGRT session actually looks like
Every weekday for 5–7 weeks (or fewer if you're on a hypofractionated regimen), you'll spend about 20–30 minutes inside our radiation oncology centre. The actual radiation delivery is only a fraction of that.
A
Check-in
You arrive, change into a gown, and our team confirms ID and treatment plan. ~5 min.
B
Positioning
Therapists place you on the Linac couch using your custom mould and skin markers. ~3 min.
C
On-board imaging
A CBCT or kV scan is taken. Software auto-matches it to your CT-sim and shifts the couch sub-mm if needed. ~3 min.
D
Radiation delivery
The Linac rotates and delivers your planned dose. You feel and hear nothing during the beam. ~5–10 min.
E
Done — go home
You change back, hydrate, and resume your day. Most patients drive themselves.
Cost in Hyderabad
IGRT Radiation Cost Breakdown — Full Transparency
The all-in cost of an IGRT course at CION Cancer Clinics in Hyderabad ranges from ₹1,60,000 to ₹2,00,000, depending on the number of fractions, anatomical site, and whether additional imaging (MRI fusion, 4D-CT, PET-CT) is required. The table below shows what's included.
| Cost component | What it covers | Cost range (INR) |
|---|---|---|
| Radiation oncologist consultation | Initial review, staging discussion, treatment recommendation | ₹1,000 – ₹2,500 |
| CT simulation + immobilisation | Custom mould, planning CT (with contrast if needed), skin markers | ₹12,000 – ₹18,000 |
| MRI / PET-CT fusion (optional) | If additional imaging is needed to define the tumour | ₹6,000 – ₹15,000 |
| Dosimetric treatment planning | Tumour contouring, organ-at-risk delineation, plan optimisation, peer review | ₹15,000 – ₹25,000 |
| Daily IGRT delivery (25–35 fractions) | Daily CBCT/kV imaging + position correction + radiation delivery | ₹1,30,000 – ₹1,60,000 |
| Weekly on-treatment reviews | Oncologist check-in, side-effect management, bloods if needed | Included |
| End-of-treatment scan + review | Response scan at 6–8 weeks + follow-up consultation | Included |
| Full IGRT course — total | Everything above, bundled | ₹1,60,000 – ₹2,00,000 |
Prices indicative as of 2026. Final quote provided after CT simulation. CION offers 0% EMI on 3/6/9/12-month plans and accepts Aarogyasri, CGHS, EHS, ECHS, Railways and major private insurers.
Factors affecting cost
What changes the price of your IGRT course?
Eight variables determine where in the ₹1.6L–₹2L range your IGRT course falls. Knowing them ahead of time prevents surprises.
Number of fractions
Hypofractionated courses (5–15 sessions) cost less than standard 30–35 fraction regimens. Your oncologist chooses based on tumour site and biology.
Anatomical site
Head & neck or pelvic IGRT typically takes longer per session and involves more organs-at-risk to contour, raising the planning cost.
Linac & imaging technology
Higher-end Linacs with MRI guidance or 6D couches cost slightly more than standard kV/CBCT-equipped systems.
Additional imaging
MRI fusion, PET-CT fusion, or 4D-CT for breathing-motion management are charged separately, typically ₹6,000–₹15,000.
Combined modalities
If your treatment combines IGRT with brachytherapy boost (e.g., cervical cancer), expect ₹40,000–₹80,000 added.
Sedation / anaesthesia
Paediatric and certain adult cases need daily anaesthesia. This adds an anaesthetist's charge per fraction.
Insurance status
Cashless ArogyaSri, EHS or private insurance can bring your out-of-pocket cost close to ₹0. Self-pay sees the full quote.
Re-irradiation case
If you've been irradiated in the same area before, additional planning complexity and physicist time push cost toward the upper end.
Insurance, Aarogyasri & EMI
Most patients pay nothing out of pocket for IGRT at CION
We're empanelled across all major government schemes and private insurers. Our insurance desk pre-verifies your cover, files the cashless request, and walks you through the paperwork. If you're self-paying, 0% EMI options of 3, 6, 9 and 12 months are available.
AarogyasriCGHSEHSECHSRailwaysStar HealthHDFC ErgoICICI LombardNiva BupaCare Health
How IGRT compares
IGRT vs other radiation modalities in Hyderabad
Use this comparison to understand where IGRT sits in the cost/precision ladder. The right modality is decided by your tumour, not your budget — but knowing what each option costs helps the conversation.
| Modality | Precision | Best for | Cost in Hyderabad (INR) |
|---|---|---|---|
| 3DCRT | Moderate (~5 mm) | Brain, prostate, breast | ₹60,000 – ₹80,000 |
| IGRT | Sub-mm (with daily CBCT) | Lung, prostate, pancreas, H&N | ₹1,60,000 – ₹2,00,000 |
| IMRT | ~3 mm | H&N, prostate, brain | ₹1,60,000 – ₹2,00,000 |
| VMAT | ~2 mm | Prostate, H&N, gynae | ₹2,40,000 – ₹2,60,000 |
| RapidArc | ~2 mm (faster VMAT) | Same as VMAT | ₹2,50,000 – ₹2,80,000 |
| SRS / SBRT | Sub-mm | Small brain, lung, spine | ₹50,000 – ₹80,000 / session |
Why CION
Why patients choose CION for IGRT in Hyderabad
India's best outcomes in cancer care, backed by transparent pricing, NCCN-aligned protocols, and a women-led team of specialists.
96.9% Stage I–II survival
India's best published outcomes in early-stage cancer — verified by independent audit.
NCCN-aligned protocols
Every plan follows the latest NCCN guidelines, peer-reviewed by our tumour board before delivery.
Women-led specialists
Including India's leading female radiation oncologists — patient-first care, especially for breast & gynae cancers.
8 Hyderabad branches
Consultation near home, radiation at our flagship centres — fewer travel days, lower out-of-pocket cost.
Transparent quoting
Single all-in package price after CT simulation. No add-ons billed mid-treatment. Insurance pre-verified.
Modern Linacs
Daily CBCT/kV on-board imaging, dual-energy beams, 6D couches — the precision IGRT was designed for.
Meet the Specialists
Senior radiation oncologists at CION Hyderabad
17+ senior cancer specialists. Trained at AIIMS, Tata Memorial, and leading international centres. Every complex case is reviewed by 3+ of them — together.
Medical Oncologist
Dr. C. Raghavendra Reddy
MBBS(Gold Medal), DNB(General Medicine), DM(Medical Oncology)(Gold Medal)
Medical Oncologist
Dr. Bharati Devi Gorantla
MBBS, MD(General Medicine), DM(Medical Oncology)(Adyar,Chennai), ECMO, MRCP SCE(UK)
Medical Oncologist
Dr. Owais Mohammed
MBBS, MD (General Medicine), DrNB (Medical Oncology), ECMO, MRCP SCE (Medical Oncology) (UK)
Medical Oncologist
Medical Oncologist
Surgical Oncologist
Dr. Muralidhar Muddusetty
MBBS (AIIMS), MS (Surgery) (AIIMS), DNB (Surgical Oncology), MRCS (Edinburgh)
Surgical Oncologist
Surgical Oncologist
Surgical Oncologist
Dr. Vinay Mamidala
MBBS, MS(General Surgery), M.Ch(Surgical Oncology), FMAS, FARIS(Ongoing)
Surgical Oncologist
Radiation Oncologist
Radiation Oncologist
Radiation Oncologist
Hematologist
Interventional Radiologist
Dr. Mohammed Imran
Surgical Oncologist
Dr. Vajja Sandeep Kumar
MBBS, MS (General Surgery), DrNB (Surgical Oncology), FALS Oncology
Surgical Oncologist
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FAQs
IGRT cost FAQs — Hyderabad patients ask
What is the cost of IGRT radiation therapy in Hyderabad?
At CION Cancer Clinics in Hyderabad, IGRT radiation cost ranges from ₹1,60,000 to ₹2,00,000 for a full course (25–35 sessions). The final cost depends on the cancer site, number of fractions, and whether IGRT is combined with IMRT or SBRT.
Why is IGRT more expensive than 3DCRT?
IGRT uses daily on-board imaging (CBCT or kV imaging) before every session to verify tumour position. This image-verification step, the higher-end Linac required, and the additional physicist QA time make IGRT more expensive than 3DCRT but significantly more accurate for moving or deep-seated tumours.
Does ArogyaSri or insurance cover IGRT at CION?
Yes. CION Cancer Clinics is empanelled with Aarogyasri, CGHS, EHS, ECHS, Railways and all major private insurers. IGRT is fully covered under most cancer-care policies. Our insurance desk pre-verifies your cover before treatment begins so there are no surprises.
How many IGRT sessions are needed?
Most IGRT courses run 25 to 35 daily fractions over 5 to 7 weeks, Monday to Friday. Hypofractionated regimens (5–15 sessions) are used for selected lung, breast and prostate cancers. The radiation oncologist confirms the exact count after CT simulation.
Is IGRT safer than IMRT?
IGRT is not a separate treatment from IMRT — it is the image-verification layer added on top of IMRT or VMAT. This reduces geographical miss, allows tighter margins, spares more healthy tissue and reduces side effects. Most modern IMRT in Hyderabad is in fact image-guided.
Can I get IGRT on EMI at CION?
Yes. CION offers 0% EMI options of 3, 6, 9 and 12 months through partner banks and NBFCs. Speak to our financial counsellor to structure a plan that fits your budget alongside your insurance reimbursement.
Are there any hidden costs in IGRT?
No. The IGRT package at CION includes consultation, CT simulation, dosimetric planning, daily on-board imaging, all treatment fractions, weekly on-treatment reviews and end-of-treatment scan review. Add-on tests (MRI fusion, PET-CT) are billed separately and quoted up front.
Where in Hyderabad is IGRT available?
IGRT is delivered at CION's flagship radiation oncology centres in Hyderabad equipped with modern Linacs and on-board imaging. You can begin consultation at any of our 8 Hyderabad branches and be referred to the radiation centre nearest you.
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