What an online consultation with NMT looks like

An online consultation is a formal scheduled meeting — held online — between a senior consultant and the patient, together with any family members or caregivers the patient wishes to include. Most consultations are conducted by Dr. Ishita B. Sen; on dates when she is not available, the consultation may be conducted by her colleague Dr. Dharmender Malik. Either way, you'll be in senior hands. The session runs for 20 minutes over a secure video link.

To make the discussion meaningful, we ask that the patient's medical records be uploaded at least 24 hours before the call — the imaging report, pathology, prior treatment notes, recent biochemistry, and a brief clinical history. The consultant reviews these in advance, so by the time you join the call, the case is already understood.

One practical suggestion: write down the questions you want to ask, and bring the list with you. Patients who arrive with a clear set of questions get noticeably more out of the 20 minutes — it is the most efficient way to use the time, and the conversation can stay focused on what matters to you.

Who this service is for

  • Patients who are aware of nuclear medicine, or wish to learn more about the role it plays in the treatment of various cancers — including the flagship therapies offered at FMRI: Actinium-225 PSMA (alpha), Alpha PRRT (Ac-225 DOTATATE), and Terbium-161, alongside the established Lutetium-177 PSMA, PRRT (Lu-177 DOTATATE), I-131 MIBG, and TARE (Y-90) protocols.
  • Patients who have already been offered a specific theranostic protocol and want a senior, independent view on candidacy, realistic outcomes, side-effect profile, and dosimetry where relevant.
  • Patients between cycles of an ongoing theranostic protocol who want a senior nuclear medicine view on response, side-effect management, or scheduling.

How the online consultation works

01

Submit your enquiry

Submit the enquiry form below — basic patient details, a short note on what you'd like to discuss, and the records uploaded against the secure link in your confirmation email. The booking time and date are then discussed directly with you by the TPPL administrator, who will work around the consultant's clinical schedule and your preferred days. A booking calendar is also offered for patients who prefer to self-select.

02

Share the patient's records (24 hours before)

This service does not require imaging files — only the records that describe the patient's clinical situation. Please upload via the secure link in your booking confirmation:

  • — The most recent scan report (PET-CT, DOTANOC, PSMA, FAPI, MIBG, or bone scan, as relevant)
  • — Reports of any previous scans — so we can see the trajectory of the disease, not just the current snapshot
  • — Recent medical history: pathology, biochemistry, key clinical events
  • — Treatments currently being pursued and the lines of treatment already received
  • — A short note on the patient's general condition today — performance status, symptoms, anything specific you want to discuss
  • — A government-issued identity card for the patient

The specialist reviews these in advance — which is what makes the discussion an efficient use of the 20 minutes.

03

Receive your secure video link

Our team generates a secure video link for your consultation and shares it with you by email 15 minutes before the scheduled call. Please keep an eye on your inbox in the lead-up to your slot — including the spam folder, just in case.

04

The meeting — 20 minutes

Join the secure video link at the scheduled time. The session is a structured discussion between Dr. Sen, the patient, and any family members or caregivers the patient has chosen to include. The specialist has already reviewed the patient's records ahead of the call — the time is for the conversation, the questions, and the recommendations. A pre-prepared list of questions makes the 20 minutes go further.

05

Receive your written summary & prescription

A structured written summary, including any prescription, is delivered by secure email within 24 hours of the consult — except on Sundays and Public Holidays, when delivery may extend to the next working day. The summary is intended to be shared with your treating physician; that handover is what makes a consultation clinically useful.

A note on rescheduling

Our consultants are practising clinicians at FMRI Gurugram, with a department that runs live every working day. In rare cases — almost always a clinical emergency — your scheduled online consultation may need to be moved.

What this means for you

We will endeavour to give you as much notice as we possibly can if a reschedule becomes necessary, and to offer you the next available slot at a time that suits you. By the nature of clinical emergencies, however, the change may sometimes come at short notice — occasionally on the day of the call itself. We're grateful for your understanding when this happens. There is no additional fee for a reschedule initiated by us; your slot will simply be re-booked at the earliest mutual convenience.

If you need to request a reschedule, please email info@nuclearmedicinetherapy.in or message our administrator on WhatsApp at +91 8800988936 (chat only — please mention the patient's name).

What we can help you with

Theranostics is a specialised field of nuclear oncology — a class of targeted radiopharmaceutical therapies for cancers that have not responded fully to surgery, chemotherapy, or radiation, or that have returned after first-line treatment. Dr. Sen has spent two decades treating patients with these therapies, with a particular focus on the next-generation protocols that are reshaping outcomes in difficult-to-treat cancers.

Flagship: Actinium-225 alpha therapy

Alpha-emitter therapy with Actinium-225 PSMA for advanced prostate cancer, and Alpha PRRT (Ac-225 DOTATATE) for neuroendocrine tumours, is the most significant advance in radiopharmaceutical oncology of the last decade — and one of the most clinically demanding to deliver well. Alpha particles carry roughly a thousand times the cell-killing energy of beta particles, with a much shorter range, which means they can be highly effective in patients who have progressed despite Lu-177 therapy. Dr. Sen led the country's first Alpha PSMA programme, built and refined the protocols in use at FMRI, and is the reference clinician for several other Indian and South Asian centres now offering alpha therapies. If you or a family member is exploring this option, the consultation is the right starting point.

Flagship: Terbium-161 — the next generation of PRRT

Terbium-161 is a newer radioisotope being deployed for neuroendocrine tumours and emerging indications. Compared with Lu-177, Tb-161 emits additional Auger and conversion electrons that are particularly effective against micrometastatic disease and small-volume residual tumour — the disease burden that beta-emitters often leave behind. Very few centres in India are equipped to deliver Tb-161 therapy. The consultation is an opportunity to discuss whether this is appropriate for your situation, what response looks like, and how it fits within an overall treatment plan.

The full theranostic continuum at FMRI

Alongside the flagship alpha and Tb-161 protocols, we deliver the established beta-emitter therapies: Lutetium-177 PSMA for advanced prostate cancer, Lu-177 DOTATATE (PRRT) for neuroendocrine tumours, I-131 for differentiated and refractory thyroid cancers, I-131 MIBG for paediatric neuroblastoma and selected adult tumours, and TARE (Y-90) for liver tumours. Patients are sequenced across these therapies based on disease stage, prior treatment, and response — and a 20-minute consultation is often where that sequencing first gets discussed.

Cancers we treat

The team's primary clinical focus is on patients with advanced prostate cancer, neuroendocrine tumours of the gut, pancreas, and lung, differentiated and refractory thyroid cancers, paediatric and adult neuroblastoma, and liver tumours suitable for selective internal radiation. If you or your loved one has been diagnosed with any of these — whether newly, or in a setting where standard treatment is no longer holding the disease — there is likely something we can offer or discuss.

Between cycles — staying on track

Patients already on a theranostic protocol use the consultation to discuss response between cycles, side-effect management (haematological recovery, salivary gland protection, renal function), scheduling, and whether to continue, pause, or shift the protocol. For patients whose treatment was started at FMRI and who live elsewhere in India, this is the simplest way to stay closely connected to the treating team without travelling for each review.

A second senior view — for the family that wants to be sure

If a treatment plan has already been proposed elsewhere, a 20-minute meeting with Dr. Sen gives the patient and family a senior, independent view from one of India's most experienced theranostic physicians. The conversation typically covers candidacy, realistic outcomes, side-effect profile, what to ask the treating team, and what would be different — if anything — about how the protocol would be run at FMRI.

Meet your specialists

Online consultations are conducted by senior nuclear medicine consultants. Most consultations are taken by Dr. Sen; on dates when she is not available, Dr. Malik conducts the session. The administrator will discuss any preference with you when scheduling.

IS
Director · Head of Practice

Dr. Ishita B. Sen

Head, Department of Nuclear Medicine & Molecular Imaging, Fortis Memorial Research Institute (FMRI), Gurugram — since the department's inception.

  • 22+ years in nuclear medicine · 60+ peer-reviewed publications
  • MD (Nuclear Medicine), AIIMS · Fellowship, University of Pennsylvania
  • First physician in India to deliver Alpha PSMA therapy
  • International faculty; reviewer for peer-reviewed nuclear medicine journals
DM
Senior Consultant

Dr. Dharmender Malik

Senior Consultant, Department of Nuclear Medicine and Theranostics, Fortis Memorial Research Institute, Gurugram.

  • Sub-specialty interest in PSMA and DOTATATE theranostics
  • Response assessment and dosimetry-guided therapy
  • Active in clinical research and oncologic PET-CT
  • Registered with relevant State Medical Council

Both specialists are registered with the relevant State Medical Council and operate under the NMC Telemedicine Practice Guidelines, 2020 for online consultations with patients in India.

Fee & turnaround

  • Consultation fee: ₹ 2,500 per consult (20-minute session).
  • What's included: the live video / voice meeting with the consultant (having reviewed the patient's records ahead of the call), and a structured written summary including any prescription, delivered by secure email afterwards.
  • Written summary & prescription: delivered within 24 hours of the consult, except on Sundays and Public Holidays — when delivery may extend to the next working day.
  • Payment & slot allocation: the fee is collected through a secure payment gateway, and once payment is confirmed, your consultation slot is formally allotted and locked in.

If the consultation cannot proceed for technical reasons attributable to us, the slot is rescheduled at no additional cost; if rescheduling is not acceptable, the fee is refunded (less the payment-gateway transaction fee, which is borne by the patient). Full refund and rescheduling terms are set out in the Online Consultation Terms & Conditions.

Privacy, data & recording policy

  • Your medical records (reports, history, identity card) are uploaded to a secure, access-controlled folder. Access is limited to the consulting specialist and the TPPL administrator handling your case.
  • Sessions run on an end-to-end encrypted video platform (typically Google Meet, with WhatsApp video or audio as fallback). Consultations are never recorded — neither audio nor video. No consent-based exception, no exceptions for teaching. The consultation belongs to the patient.
  • Records are retained on our primary server for 14 days after the consultation, then deleted. Please note that third-party data-storage providers (such as AWS and others) may retain backup copies for longer periods in line with their own retention and disaster-recovery policies, over which we have only limited control.
  • We do not share your data with third parties for marketing. Anonymised case material may, with your separate written consent, be used in academic teaching.
Accuracy is your responsibility

The consultation is based entirely on the records and information you submit. Please ensure all uploaded documents are correct, current, and belong to the patient named in the form. Inaccurate, outdated, or incomplete records can lead to inappropriate guidance — and the responsibility for the accuracy of submitted data sits with the patient or the person submitting the form.

A second opinion can confirm the original report or surface clinically meaningful differences. Both outcomes are useful. We do not promise — and you should be cautious of any service that does promise — a particular conclusion in advance.

— Dr. Ishita B. Sen · Director, Nuclear Medicine & Theranostics, FMRI Gurugram

Important considerations

  • Eligibility: the form must be submitted by a person aged 18 years or older, and the patient must be an Indian national or a foreign national physically resident in India during the consultation. The service is not available to persons located outside India at the time of the call.
  • This service is a clinical opinion and discussion. It is not a substitute for a hands-on examination, hospital admission, or emergency care. For acute symptoms — chest pain, breathlessness, uncontrolled bleeding, neurological deficit — go to your nearest emergency department first.
  • The consultation follows the NMC Telemedicine Practice Guidelines, 2020. Implementation of any advice should be coordinated with your treating physician.
  • Booking the consultation does not constitute booking a theranostic therapy. Treatment at FMRI Gurugram is arranged separately through the hospital's standard admission and consent process — the TPPL administrator can facilitate the in-person appointment if needed.

Frequently asked questions

What is the difference between an online consultation and a PET-CT second read?

They are different services for different purposes. A second read is a written sub-specialist re-interpretation of an imaging study, delivered as a structured PDF report — useful when you want a senior nuclear medicine opinion specifically on a PET-CT, but no live conversation. An online consultation is a 20-minute meeting with the consultant — appropriate when the patient or family wants to discuss treatment: candidacy for theranostic therapy including the flagship Actinium-225 alpha and Terbium-161 protocols, response between cycles, or a senior view on a proposed plan. Many patients use the two services in sequence — the second read provides the document, the consultation provides the conversation.

When will I receive my written summary and prescription?

A structured written summary, including any prescription, is delivered by secure email within 24 hours of your consultation — except on Sundays and Public Holidays, when delivery may extend to the next working day. The summary is intended to be shared with your treating physician.

How will I receive the link to join the call?

Our team will email you a secure video link 15 minutes before your scheduled call. Please keep an eye on your inbox in the lead-up to your slot — and check your spam folder if it doesn't arrive on time. The booking confirmation email you receive at the time of payment is separate from this session link.

What happens if my consultation needs to be rescheduled?

Our consultants are practising clinicians, and in rare cases — almost always a clinical emergency in the department — your scheduled consultation may need to be moved. We will endeavour to give you as much notice as we can, though by the nature of these situations the change may sometimes come at short notice. Your slot will be re-booked at the earliest mutual convenience and there is no additional fee for a reschedule initiated by us.

If you need to request a reschedule from your side, the simplest way is to email us at info@nuclearmedicinetherapy.in or to message our administrator on WhatsApp at +91 8800988936 (chat only — please don't call this number; mention the patient's name in the first message so we can pull up the case).

What records do I need to share before the call?

Please upload the patient's medical records to the secure link in your booking confirmation, ideally at least 24 hours before the call. The imaging report (PDF) is essential. Also useful: pathology reports, prior treatment notes, recent biochemistry, and a brief clinical history. The specialist reviews these in advance, which is what makes the meeting itself an efficient use of time.

A practical tip: keep a list of the questions you'd like to ask Dr. Sen, and bring it with you to the call. Patients who arrive prepared get noticeably more out of the 20 minutes.

My oncologist is happy with the original report. Why would I still book this?

Three common reasons. One — for major treatment decisions involving theranostics, patients and families often appreciate a sub-specialist nuclear medicine view alongside the oncologist's. Two — the original imaging report is written for clinicians; a 20-minute meeting with Dr. Sen translates it into terms the patient and family can engage with directly. Three — many patients use the meeting to prepare a clear, prioritised list of questions to take into their next clinic visit.

Is the consultation conducted by Dr. Ishita B. Sen or Dr. Dharmender Malik personally?

Yes — every consultation is conducted personally by one of the two senior consultants. The default consultant is Dr. Ishita B. Sen, who takes the majority of cases. On dates when Dr. Sen is not available, the consultation is conducted by Dr. Dharmender Malik, her colleague at FMRI Gurugram. The administrator will discuss the consultant assignment with you when scheduling, and any preference you have can be accommodated where the calendar allows.

Will my treating doctor be in the loop?

That's the goal. The structured written summary you receive after the call is explicitly designed to be shared with your treating physician — that handover is what makes the consultation clinically useful. If your oncologist would like to attend the consultation directly, they're welcome to join the call.

Is the session confidential?

Yes. The session is conducted on an encrypted platform, your data sits in an access-controlled clinical folder, and we do not record sessions by default. Anything shared during the session falls under standard medical confidentiality.

What does it cost and how do I pay?

₹ 2,500 per consultation (20 minutes), inclusive of the written summary delivered after the session. Payment is collected through a secure link in your booking confirmation, before the session begins. If we cannot proceed for technical reasons attributable to us, the fee is fully refunded or the slot is rescheduled at no extra cost.

Can a family member attend on behalf of the patient?

Yes. Spouses, adult children, and designated caregivers regularly join the session — often with the patient also on the line. For clinical advice to be issued, the patient should be present and consent to the session at the start of the call, even if a family member leads the conversation.

Submitting your enquiry

The enquiry process has been designed so that the patient is matched to the right service — online consultation or in-person OPD — and so that Dr. Sen's time is reserved for cases that are clinically ready to be discussed.

i

You submit the enquiry form

Fill in the patient's details, upload the records, identity card, and previous scan reports, and indicate whether you'd prefer an online consultation or an in-person appointment at FMRI Gurugram.

ii

The TPPL administrator reviews the submission

The administrator checks that the records are complete and clinically sufficient. If anything is missing or unclear, they will contact you by email or via your patient dashboard to request the additional information. Please respond promptly — incomplete cases cannot be progressed to the consultant.

iii

You confirm the records are accurate and complete

Before the case is forwarded to Dr. Sen or Dr. Malik, you will be asked to confirm — in writing — that the records you have submitted are correct, current, and belong to the named patient. The clinical guidance you receive depends entirely on this confirmation.

iv

The consultant reviews and a slot is offered

For online cases, the administrator schedules the 20-minute video session at a time that works for you and the consultant. For in-person cases, the administrator facilitates an OPD appointment with Dr. Sen or Dr. Malik at Fortis Memorial Research Institute, Sector 44, Gurugram.

Start your online consultation enquiry

Five minutes to fill in. Records, recent history, and an identity card. We respond within one working day. ₹ 2,500 per consult, billed only after the slot is confirmed.

Begin enquiry →