open access

Vol 19, No 2 (2014)
Special Issue Papers
Published online: 2014-03-01
Submitted: 2013-03-06
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Institutional experience with a rotational total skin electron irradiation (RTSEI) technique—A three decade review (1981–2012)

Michael D.C. Evans, Christine Hudon, Ervin B. Podgorsak, Carolyn R. Freeman
DOI: 10.1016/j.rpor.2013.05.002
·
Rep Pract Oncol Radiother 2014;19(2):120-134.

open access

Vol 19, No 2 (2014)
Special Issue Papers
Published online: 2014-03-01
Submitted: 2013-03-06

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[[ce:hsp sp="0.25"/]]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.

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[[ce:hsp sp="0.25"/]]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.

Get Citation

Keywords

Total skin electron irradiation; Mycosis fungoides; Radiotherapy; Rotational radiotherapy

About this article
Title

Institutional experience with a rotational total skin electron irradiation (RTSEI) technique—A three decade review (1981–2012)

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 19, No 2 (2014)

Pages

120-134

Published online

2014-03-01

DOI

10.1016/j.rpor.2013.05.002

Bibliographic record

Rep Pract Oncol Radiother 2014;19(2):120-134.

Keywords

Total skin electron irradiation
Mycosis fungoides
Radiotherapy
Rotational radiotherapy

Authors

Michael D.C. Evans
Christine Hudon
Ervin B. Podgorsak
Carolyn R. Freeman

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