Journal of Medicine and Life Science

Institute for Medical Science (제주대학교 의과학연구소)
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Sutured bolus application technique for homogeneous scalp irradiation

균일한 두피 방사선 치료를 위한 bolus 적용 방법: Sutured bolus

  • Seo, Myung Ho (Jeju National University School of Medicine) ;
  • Lee, Sol Min (Department of Radiation Oncology, Jeju National University School of Medicine, Jeju National University Hospital) ;
  • Kim, Gwi Eon (Department of Radiation Oncology, Jeju National University School of Medicine, Jeju National University Hospital) ;
  • Choi, Jinhyun (Department of Radiation Oncology, Jeju National University School of Medicine, Jeju National University Hospital) ;
  • Park, So Hyun (Department of Radiation Oncology, Jeju National University School of Medicine, Jeju National University Hospital) ;
  • Kim, Young Suk (Department of Radiation Oncology, Jeju National University School of Medicine, Jeju National University Hospital)
  • 서명호 (제주대학교 의학전문대학원) ;
  • 이솔민 (제주대학교 의학전문대학원, 제주대학교병원 방사선종양학교실) ;
  • 김귀언 (제주대학교 의학전문대학원, 제주대학교병원 방사선종양학교실) ;
  • 최진현 (제주대학교 의학전문대학원, 제주대학교병원 방사선종양학교실) ;
  • 박소현 (제주대학교 의학전문대학원, 제주대학교병원 방사선종양학교실) ;
  • 김영석 (제주대학교 의학전문대학원, 제주대학교병원 방사선종양학교실)
  • Received : 2018.12.04
  • Accepted : 2019.01.05
  • Published : 2019.04.30
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Abstract

Total scalp irradiation is a challenging treatment because of unique concave target volume and difficulty with bolus applying. There are few reports about bolus applying methods to the entire scalp in detail. Application of conventional bolus (wax or superflab) is widely used, and it is considered effective. However, the curvature and irregularity of the scalp can produce significant air gap, resulting in inadequate radiation dose distribution. We describe a new method to applying the bolus to the entire scalp. We sutured 1 cm thickness superflab bolus on the thermoplastic mask using cotton string. This method can reduce the air gap between the bolus and scalp and be reproducible.

Keywords

References

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