title: Institutional experience with a rotational total skin electron irradiation (RTSEI) technique-A three decade review (1981-2012).
abstract: Total skin electron irradiation (TSEI) for patients with cutaneous lymphomas is technically challenging, and numerous approaches have been developed to overcome the many field matching problems associated with such a large and complex treatment volume. Since 1981 we have delivered TSEI using a rotational total skin electron irradiation (RTSEI) technique in conjunction with patch, treat and boost fields in order to provide complete skin and dose coverage. Initially we used a 6 MeV electron beam at an extended source-skin distance (SSD) on a modified linear accelerator. More recently we began using a high dose rate electron mode on a commercially available linear accelerator. The RTSEI technique allows the delivery of a seamless surface dose to the majority of the patient's skin surface in a single treatment. In this review paper we present our three-decade experience with the technical development, dosimetry, treatment delivery and clinical outcomes of our RTSEI technique.
authors.affiliation: Department of Medical Physics, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4 Canada.
authors.forename: Michael D C
authors.initials: MD
authors.lastname: Evans
authors.affiliation: Department of Radiation Oncology, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4 Canada.
authors.forename: Christine
authors.initials: C
authors.lastname: Hudon
authors.affiliation: Department of Medical Physics, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4 Canada.
authors.forename: Ervin B
authors.initials: EB
authors.lastname: Podgorsak
authors.affiliation: Department of Radiation Oncology, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4 Canada.
authors.forename: Carolyn R
authors.initials: CR
authors.lastname: Freeman
keywords: Mycosis fungoides; Radiotherapy; Rotational radiotherapy; Total skin electron irradiation