Modified total skin electron treatment for a paraplegic patient

Thomas Martin; Geoff Nelson; David Gaffney; Christian Dial; Martin Szegedi; Prema Rassiah

doi:10.1002/acm2.70162

Modified total skin electron treatment for a paraplegic patient

J Appl Clin Med Phys. 2025 Jul;26(7):e70162. doi: 10.1002/acm2.70162.

Authors

Thomas Martin¹, Geoff Nelson¹, David Gaffney¹, Christian Dial¹, Martin Szegedi¹, Prema Rassiah¹

Affiliation

¹ Department of Radiation Oncology, University of Utah Huntsman Cancer Hospital, Salt Lake City, Utah, USA.

Abstract

Total Skin Electron Therapy (TSET) has been a highly effective treatment for mycosis fungoides (MF). However, the standard TSET treatment requires the patient to stand upright in six different positions for an extended time period, which may not be possible for some patients. Herein, is reported a modified TSET is reported to accommodate a paraplegic patient. Two dual beams of 6 MeV, commissioned for the standard TSET, were used for treatment. The patient's treatment surface was maintained within 190-240 cm isocenter to surface distance (ISD) and 100 cm horizontally. In vivo measurement showed that a ± 30% dose uniformity was achieved at the patient's surface.

Keywords: Decubitus, Mycosis Fungoides,Paraplegic, Radiation Therapy, Total Skin.

Publication types

Case Reports

MeSH terms

Electrons* / therapeutic use
Humans
Mycosis Fungoides* / complications
Mycosis Fungoides* / radiotherapy
Paraplegia* / complications
Radiotherapy Dosage
Radiotherapy Planning, Computer-Assisted* / methods
Skin Neoplasms* / complications
Skin Neoplasms* / radiotherapy