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Liver-Sparing Total Body Irradiation Using Helical Tomotherapy for Relapsed Pre-B-cell Acute Lymphoblastic Leukemia.
Romy J Megahed1, Gary D Lewis1, Somayeh Gholami2
1Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, USA.
This study presents the first case of liver-sparing total body irradiation (TBI) using helical tomotherapy in a patient with pre-existing liver disease. The technique successfully minimized liver radiation dose, demonstrating feasibility for patients with prior hepatic conditions.
Area of Science:
- Radiation Oncology
- Hepatology
- Hematology
Background:
- Liver toxicity is a rare but known complication of total body irradiation (TBI).
- Patients with pre-existing liver disease face an increased risk of TBI-induced liver toxicity.
- Novel techniques are needed to mitigate liver dose in TBI for at-risk populations.
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