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Modified total skin electron treatment for a paraplegic patient
Thomas Martin1, Geoff Nelson1, David Gaffney1
1Department of Radiation Oncology, University of Utah Huntsman Cancer Hospital, Salt Lake City, Utah, USA.
Journal of Applied Clinical Medical Physics
|July 14, 2025
Summary
Modified Total Skin Electron Therapy (TSET) accommodates paraplegic patients with mycosis fungoides (MF). This adaptation ensures effective radiation delivery for individuals unable to stand, broadening treatment accessibility.
Area of Science:
- Radiation Oncology
- Dermatology
Background:
- Total Skin Electron Therapy (TSET) is a standard treatment for mycosis fungoides (MF).
- Standard TSET requires patients to stand in multiple positions, posing challenges for immobile individuals.
Observation:
- A modified TSET protocol was developed for a paraplegic patient with MF.
- The modified approach utilized two dual 6 MeV electron beams.
Findings:
- The patient's treatment surface was maintained at a 190-240 cm isocenter to surface distance (ISD) and 100 cm horizontally.
- In vivo measurements confirmed a dose uniformity of ±30% across the patient's surface.
Implications:
- This modified TSET technique expands treatment options for mycosis fungoides patients with mobility impairments.
- The findings suggest potential for adapting TSET for a wider range of patient physical conditions.
