Computer-aided treatment design of a distal upper extremity soft tissue tumor with electron beam radiotherapy.
We present here a novel approach for the planning and treatment of a distal upper extremity soft tissue tumor. Utilizing computed tomography (CT) based electron dose calculations, a customized compensating wax bolus was designed in order to deliver sufficient dose coverage to the tumor volume while sparing the draining lymphatics of the patient's hand and digits. A clinical case is presented as well as the design and construction of the compensator. Outcome and clinical implications are discussed.
Li
C
C
Department of Radiation and Cellular Oncology, University of Chicago Medical Center, IL 60637.
Crawford
S
S
Mundt
A J
AJ
Vijayakumar
S
S
D000328:Adult; D001706:Biopsy; D003131:Combined Modality Therapy; D004583:Electrons / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006225:Hand / Q000473:pathology / Q000528:radiation effects / Q000601:surgery; D006801:Humans; D011879:Radiotherapy Dosage; D011880:Radiotherapy Planning, Computer-Assisted / Q000295:instrumentation*; D012208:Rhabdomyosarcoma / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000473:pathology / Q000532:radiotherapy* / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*; D016896:Treatment Outcome