ArticleJournal of applied clinical medical physics2019
A Helical tomotherapy as a robust low-dose treatment alternative for total skin irradiation.
Article in Journal of applied clinical medical physics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Large-field irradiation techniques in Germany: A DGMP Working Group survey on the current clinical implementation of total body irradiation, total skin irradiation and craniospinal irradiation.Zeitschrift fur medizinische Physik · 2026Article
- Patient Positioning and Treatment Techniques in Total Skin Irradiation: A Scoping Review.Cancers · 2025Review
- Dosimetric assessment of TomoDirect radiotherapy and TomoHelical radiotherapy in the clinical implementation of total skin irradiation.Frontiers in oncology · 2025Article
- Total skin electron beam therapy.Frontiers in oncology · 2025Article
- Application of deblur technology for improving the clarity of digital subtractive angiography.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024Article
- Investigation of total skin helical tomotherapy using a 3D-printed total skin bolus.Biomedical engineering online · 2023Article
- Total Skin Treatment with Helical Arc Radiotherapy.International journal of molecular sciences · 2023Review
- Article
- Influencing Factors of Total Skin Irradiation With Helical Tomotherapy.Frontiers in oncology · 2022Article
- Dosimetric comparison of volumetric modulated arc therapy (VMAT) and high-dose-rate brachytherapy (HDR-BT) for superficial skin irradiation with significant curvature in one or more planes.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2021Article
- Intensity-modulated radiation therapy for multiple targets with tomotherapy using multiple sets of static ports from different angles.Journal of applied clinical medical physics · 2020Article
- Robust Treatment Planning in Intrafraction Motion Using TomoDirect™ Intensity-modulated Radiotherapy for Breast Cancer.In vivo (Athens, Greece)Article
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Authors and funding
5 authors.
Funding
Abstract
Mycosis fungoides is a disease with manifestation of the skin that has traditionally been treated with electron therapy. In this paper, we present a method of treating the entire skin with megavoltage photons using helical tomotherapy (HT), verified through a phantom study and clinical dosimetric data from our first two treated patients. A whole body phantom was fitted with a wetsuit as bolus, and scanned with computer tomography. We accounted for variations in daily setup using virtual bolus in the treatment plan optimization. Positioning robustness was tested by moving the phantom, and recalculating the dose at different positions. Patient treatments were verified with in vivo film dosimetry and dose reconstruction from daily imaging. Reconstruction of the actual delivered dose to the patients showed similar target dose as the robustness test of the phantom shifted 10 mm in all directions, indicating an appropriate approximation of the anticipated setup variation. In vivo film measurements agreed well with the calculated dose confirming the choice of both virtual and physical bolus parameters. Despite the complexity of the treatment, HT was shown to be a robust and feasible technique for total skin irradiation. We believe that this technique can provide a viable option for Tomotherapy centers without electron beam capability.
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