| Literature DB >> 24936331 |
Michael D C Evans1, Christine Hudon2, Ervin B Podgorsak1, Carolyn R Freeman2.
Abstract
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 6 MeV 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.Entities:
Keywords: Mycosis fungoides; Radiotherapy; Rotational radiotherapy; Total skin electron irradiation
Year: 2013 PMID: 24936331 PMCID: PMC4054995 DOI: 10.1016/j.rpor.2013.05.002
Source DB: PubMed Journal: Rep Pract Oncol Radiother ISSN: 1507-1367