How do you check surface dose when treating post-mastectomy patients with radiation?
If you do measure, and it is low, what modifications do you make? How has this impacted your practice with respect to the use of bolus?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
We have stopped using bolus except for T4b disease, dermal involvement, or extensive LVSI, pathologic dermal involvement, or positive margins. In cases where we use bolus check with in vivo dosimetry and aim for 90% or above dose. Another situation where a bolus may be used is in a very thin chest w...
Join for free or sign in to see the full answer