Institutional experience with a rotational total skin electron irradiation (RTSEI) technique—A three decade review (1981–2012)
| Autor: | Ervin B. Podgorsak, Christine Hudon, Carolyn R. Freeman, Michael D.C. Evans |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Mycosis fungoides
Cancer Research Radiotherapy business.industry medicine.medical_treatment Review Rotational radiotherapy Linear particle accelerator Radiation therapy Oncology Radiology Nuclear Medicine and imaging Treatment delivery Skin surface Electron beam processing medicine Dosimetry Radiology Nuclear Medicine and imaging business Dose rate Total skin electron irradiation Biomedical engineering |
| Zdroj: | Reports of Practical Oncology & Radiotherapy. 19:120-134 |
| ISSN: | 1507-1367 |
| Popis: | Total skin electron irradiation (TSEI) for patients with cutaneous lymphomas is technically challenging, and numerous approaches have been developed to overcome the many field matching problems associated with such a large and complex treatment volume. Since 1981 we have delivered TSEI using a rotational total skin electron irradiation (RTSEI) technique in conjunction with patch, treat and boost fields in order to provide complete skin and dose coverage. Initially we used a 6MeV electron beam at an extended source-skin distance (SSD) on a modified linear accelerator. More recently we began using a high dose rate electron mode on a commercially available linear accelerator. The RTSEI technique allows the delivery of a seamless surface dose to the majority of the patient's skin surface in a single treatment. In this review paper we present our three-decade experience with the technical development, dosimetry, treatment delivery and clinical outcomes of our RTSEI technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|