title: [French experience in paediatric total body irradiation: A study from the radiotherapy committee of the Société française des cancers de l'enfant (SFCE)].
abstract: A survey was conducted in 2015 in France on the care of children in radiotherapy services. We present the results for total body irradiation in children, a specific technique of radiation treatment, which needs dedicated controls for this particular population. Of the 17 centres interviewed, 16 responded, and 13 practiced total body irradiation. Patients are positioned in lateral decubitus in 11 centres and supine/prone in two centres. Doses used for total body irradiation in myeloablative bone marrow transplantation are the same in all centres (12Gy); treatments are always fractionated. Lung shielding is positioned to limit the dose at an average of 8Gy with extremes ranging from 6 to 10Gy. The shape of the shieldings varies depending on departments' protocol, with a smaller size in case of mediastinal mass. Four centres have experience of total body irradiation under general anaesthesia, despite twice-daily fractions. In total, practice is relatively homogeneous throughout France and is inspired by the knowledge obtained in adults.
authors.affiliation: Radiothérapie, institut de cancérologie de l'Ouest-Nantes, boulevard Jacques-Monod, 44800 Saint-Herblain, France. Electronic address: c.demoor@hotmail.fr.
authors.forename: C
authors.initials: C
authors.lastname: Demoor-Goldschmidt
authors.affiliation: Radiothérapie, institut de cancérologie de l'Ouest-Nantes, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
authors.forename: S
authors.initials: S
authors.lastname: Supiot
authors.affiliation: Radiothérapie, centre Léon-Bérard, 28, promenade Léa-et-Napoléon-Bullukian, 69008 Lyon, France.
authors.forename: L
authors.initials: L
authors.lastname: Claude
authors.affiliation: Radiothérapie, centre Léon-Bérard, 28, promenade Léa-et-Napoléon-Bullukian, 69008 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Carrie
authors.affiliation: Radiothérapie, institut Gustave-Roussy, 114, rue Édouard-Vaillant, 94800 Villejuif, France.
authors.forename: R
authors.initials: R
authors.lastname: Mazeron
authors.affiliation: Radiothérapie, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Helfré
authors.affiliation: Radiothérapie, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Alapetite
authors.affiliation: Radiothérapie, centre Oscar-Lambret, 3, rue Frédéric-Combemale, 59000 Lille, France.
authors.forename: A
authors.initials: A
authors.lastname: Jouin
authors.affiliation: Radiothérapie, centre Oscar-Lambret, 3, rue Frédéric-Combemale, 59000 Lille, France.
authors.forename: B
authors.initials: B
authors.lastname: Coche
authors.affiliation: Radiothérapie, Assistance publique-hôpitaux de Marseille, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: L
authors.initials: L
authors.lastname: Padovani
authors.affiliation: Radiothérapie, Assistance publique-hôpitaux de Marseille, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
authors.forename: X
authors.initials: X
authors.lastname: Muracciole
authors.affiliation: Radiothérapie, institut de cancérologie de Lorraine, 6, avenue de Bourgogne, 54500 Vandœuvre-lès-Nancy, France.
authors.forename: V
authors.initials: V
authors.lastname: Bernier
authors.affiliation: Radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67000 Strasbourg, France.
authors.forename: C
authors.initials: C
authors.lastname: Vigneron
authors.affiliation: Radiothérapie, centre Paul-Strauss, 3, rue de la Porte-de-l'Hôpital, 67000 Strasbourg, France.
authors.forename: G
authors.initials: G
authors.lastname: Noël
authors.affiliation: Radiothérapie, centre Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, 35000 Rennes, France.
authors.forename: J
authors.initials: J
authors.lastname: Leseur
authors.affiliation: Radiothérapie, centre Eugène-Marquis, avenue de la Bataille-Flandres-Dunkerque, 35000 Rennes, France.
authors.forename: É
authors.initials: É
authors.lastname: Le Prisé
authors.affiliation: Radiothérapie, centre François-Baclesse, 3, avenue du Général-Harris, 14000 Caen, France.
authors.forename: D
authors.initials: D
authors.lastname: Stefan
authors.affiliation: Radiothérapie, centre François-Baclesse, 3, avenue du Général-Harris, 14000 Caen, France.
authors.forename: J L
authors.initials: JL
authors.lastname: Habrand
authors.affiliation: Radiothérapie, institut du cancer de Montpellier, 208, avenue des Apothicaires, 34298 Montpellier, France.
authors.forename: C
authors.initials: C
authors.lastname: Kerr
authors.affiliation: Radiothérapie, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06100 Nice, France.
authors.forename: P Y
authors.initials: PY
authors.lastname: Bondiau
authors.affiliation: Radiothérapie, Corad, hôpital Bretonneau, CHRU de Tours, 2, boulevard Tonnellé, 37000 Tours, France.
authors.forename: A
authors.initials: A
authors.lastname: Ruffier
authors.affiliation: Radiothérapie, Corad, hôpital Bretonneau, CHRU de Tours, 2, boulevard Tonnellé, 37000 Tours, France.
authors.forename: S
authors.initials: S
authors.lastname: Chapet
authors.affiliation: Radiothérapie, institut de cancérologie de l'Ouest-Nantes, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
authors.forename: M A
authors.initials: MA
authors.lastname: Mahé
mesh_terms: D000768:Anesthesia, General / Q000706:statistics & numerical data; D002648:Child; D005602:France; D006801:Humans; D058958:Organs at Risk; D056888:Patient Positioning / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011835:Radiation Protection / Q000706:statistics & numerical data; D011879:Radiotherapy Dosage; D011795:Surveys and Questionnaires; D014916:Whole-Body Irradiation / Q000706:statistics & numerical data*
keywords: Allograft; Allogreffe; Irradiation corporelle en totalité; Paediatric; Pédiatrie; Total body irradiation