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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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