TomoTherapy® Treatment Plan for Scalp Carcinoma

This clinical case study demonstrates the TomoTherapy® Hi·Art® system's ability to treat a large, irregular lesion on the scalp in lieu of electron therapy.

The Plan

Figure 1
Figure 1: TCS views of TomoTherapy treatment plan for scalp carcinoma.

Figure 1 shows the TCS views for treating a large, irregularly-shaped superficial lesion of the scalp. The TomoTherapy Hi·Art treatment system® can deliver conformal doses to superficial targets better than conventional electron therapy.

The Goals

  • Tumor: 60 Gy
  • Minimal dose to brain, optic nerves and lenses

The Results

The DVH in Figure 2 demonstrates how the TomoTherapy Hi·Art system is able to deliver a highly-conformal dose of 60 Gy to the target area, while limiting dose to both ocular orbits to less than 7 Gy each, and limiting dose to both lenses to less than 2 Gy each.

 
Figure 2
Figure 2: DVH of TomoTherapy treatment plan for scalp carcinoma.

Treatment plan and case study summary courtesy of Froedtert Hospital and Medical College of Wisconsin. Used by permission.