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In-vivo dosimetry in Total Skin Electron Therapy: Literature review

Published online by Cambridge University Press:  16 July 2020

Sundaramoorthy Dhivya Open the ORCID record for Sundaramoorthy Dhivya [Opens in a new window] ,
Chandrasekaran Anuradha ,
Venkatraman Murali  and
Velayudham Ramasubramanian
Sundaramoorthy Dhivya*
Affiliation:
Apollo Hospitals Chennai, Apollo Cancer Hospital, Department of Radiation Oncology, No.320, Anna Salai, Chennai600035, Tamilnadu, India
Chandrasekaran Anuradha
Affiliation:
School of Advanced Sciences, VIT University, Vellore, India
Venkatraman Murali
Affiliation:
Apollo Hospitals Chennai, Apollo Cancer Hospital, Department of Radiation Oncology, No.320, Anna Salai, Chennai600035, Tamilnadu, India
Velayudham Ramasubramanian
Affiliation:
School of Advanced Sciences, VIT University, Vellore, India
*
Author for correspondence: Dhivya S, Apollo Hospitals Chennai, Apollo Cancer Institute, Department of Radiation Oncology, 320, Anna Salai, Chennai600035, Tamilnadu, India. Phone: +91 8939650135. E-mail: div.divya66@gmail.com
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Abstract

Aim:

Total Skin Electron Therapy (TSET) is a specialised radiotherapy technique to treat cutaneous T-cell lymphomas. The purpose of this article is to review different in-vivo dosimetry techniques and to identify further research direction in TSET

Materials and methods:

Studies focused on in-vivo dosimetry in TSET were included. Studies based on absolute dosimetry in TSET were excluded and no restriction was applied regarding the type of treatment technique and the type of dosimeter.

Result:

From the review of articles, we have found that obesity index and patient position during treatment plays a major role in underdose or overdose in TSET. Many studies favour individualised boost dose to patients. The analysis showed that thermoluminescent dosimeters are the most widely used dosimeters in TSET, and time-consuming is the only drawback in the use of dosimetry.

Conclusion:

Study showed that the practice of using in-vivo dosimetry would be better way to treat TSET by ensuring accuracy of dose delivery to the patients. Further, only limited studies are available for dosimetry with radiochromic films. With this observation, we have started exploring the use of radiochromic film in our TSET dosimetry, and the results can be analysed to standardise the technique in future.

Keywords

cutaneous T-cell lymphomastotal skin electron therapyTSET guidelinesTSET in-vivo dosimetryTSET treatment techniques
Type
Literature Review
Information
Journal of Radiotherapy in Practice , Volume 20 , Issue 3 , September 2021 , pp. 357 - 360
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Ramsay, D L, Halperin, P S, Zeleniuch-Jacquotte, A. Topical mechlorethamine therapy for early stage mycosis fungoides. J Am Acad Dermatol. 1989; 10: 684–691.Google Scholar
Zackheim, H S, Epstein, E H, Crain, W R. Topical carmustine (BCNU) for cutaneous T cell lymphoma: a 15-year experience in 143 patients. J Am Acad Dermatol. 1990; 22: 802–810.CrossRefGoogle ScholarPubMed
Ramsay, D L, Lish, K M, Yalowitz, C B, et al. Ultraviolet-B phototherapyfor early stage cutaneous T-cell lymphoma. Arch Dermatol. 1992; 128: 931–933.CrossRefGoogle ScholarPubMed
Resnick, K S, Vonderheid, E C. Home UV phototherapy of early mycosis fungoides: long-term follow-up observations in thirty-one patients. J Am Acad Dermatol. 1993; 79: 73–77.CrossRefGoogle Scholar
Roenigk, H H. Photochemotherapy for mycosis fungoides. Cancer Treat Rep. 1979; 63: 669–673.Google ScholarPubMed
Guidi, G, Gottardi, G, Ceroni, P, Costi, T. Review of the results of the in vivo dosimetry during total skin electron beam therapy. Rep Pract Oncol Radiother 2014; 19: 144–150.CrossRefGoogle ScholarPubMed
Jones, G W, Kacinski, B M, Wilson, L D, et al. Total skin electronradiation in the management of mycosis fungoides: consensusof the European Organization for Research and Treatment of Cancer (EORTC) Cutaneous Lymphoma Project Group. J Am Acad Dermatol. 2002; 47: 364–370.CrossRefGoogle Scholar
Karzmark, C J, Lovinger, R, Steele, R E. A technique for large-field, superficial electron therapy. Radiology. 1960, 74: 633–643.CrossRefGoogle ScholarPubMed
Page, V, Gardner, A, Karzmark, C J. Patient dosimetryin the electron treatment of large superficial lesions. Radiology. 1970, 94: 635–641.CrossRefGoogle ScholarPubMed
Kumar, P O, Patel, I S. Rotation technique for superficial total body electron beam irradiation. J Natl Med Assoc. 1978; 70: 507–509.Google ScholarPubMed
Reynard, E P, Evans, M D, Devic, S, et al. Rotational total skin electron irradiation with a linear accelerator. J Appl Clin Med Phys. 2008; 9: 2793.CrossRefGoogle ScholarPubMed
Podgorsak, E B. Review of Radiation Oncology Physics: A Handbook for Teachers and Students. Vienna, Austria: I.A.E. Agency, 2003.Google Scholar
Piotrowski, T, Malicki, J. The rotary dual technique for total skin irradiation in the treatment of mycosis fungoides—a description of applied method. Rep Pract Oncol Radiother. 2006; 11: 29–37.CrossRefGoogle Scholar
Weaver, R D, Gerbi, B J, Dusenbery, K E. Evaluation of dose variation during total skin electron irradiation using thermoluminescent dosimeters. Int J Radiat Oncol Biol Phys. 1995; 33 (2): 475–478.CrossRefGoogle ScholarPubMed
Antolak, JA, Cundiff, JH, Ha, CS. Utilization of thermoluminescent dosimetry in total skin electron beam radiotherapy of mycosis fungoides. Int J Radiat Oncol Biol Phys. 1998; 40 (1): 101–108.CrossRefGoogle ScholarPubMed
Misson-Yates, S, Naeem, M, Palmer, I, et al. Total skin electron beam therapy rationalization and utility of in vivo dosimetry in a high-volume centre. BJR Open 2019; 1: 20190008.Google Scholar
Gerbi, B J, Khan, F M, Deibel, F C, Kim, T H. Total skin electron arc irradiation using a reclined patient position. Int J Radiat Oncol Biol Phys. 1989; 17: 397–404.CrossRefGoogle ScholarPubMed
Elsayad, K, Moustakis, C, Simonsen, M, Bäcker, D, Haverkamp, U, Eich, H T. In-vivo dosimetric analysis in total skin electron beam therapy. Phys. Imaging Radiat Oncol. 2018; 6: 61–65.CrossRefGoogle ScholarPubMed
Piotrowski, T, Fundowicz, D, Pawlaczyk, M, Malicki, J. Thermoluminescent dosimetry in rotary-dual technique of the total skin electron irradiation. Neoplasma 2003; 50 (2): 125–130.Google ScholarPubMed