By K.S. Clifford Chao MD, Carlos A. Perez MD, Luther W. Brady MD

Washington Univ., St. Louis, MO. handbook for college kids, citizens, and practitioners in radiation oncology. Designed to enrich entire textbooks. comprises up-to-date content material, a brand new bankruptcy on IMRT, and new colour illustrations and computer-generated drawings. prior variation: c1999. Softcover. DNLM: Neoplasms--radiotherapy--Handbooks.

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Salivary Gland Tumors • • In treatment for salivary gland tumors, electrons generally are used alone for 75% to 80% of the dose and are combined with photon beams for 20% to 25% of the dose. The application of electron beam therapy, either alone or with photon beams, is most effective after the bulk of the tumor has been removed. Breast Cancer • • • Electron beam therapy is of particular value for administration of boost dose to the tumor excision volume in breast conservation treatment and for treatment of subclinical, relatively superficial disease in patients who have had surgical removal of the primary breast lesion and axillary lymphatics.

Lim MLF. Evolution of medulloblastoma treatment techniques. Med Dosim 1986;11:25. 15. Mackie TR, El-Khatib E, Battista J, et al. Lung dose corrections for 6- and 15-MV x-rays. Med Phys 1985;12:327–332. 16. Marbach JR, Sontag MR, Van Dyk J, et al. Management of radiation oncology patients with implanted cardiac pacemakers: report of AAPM Task Group No. 34. Med Phys 1994;21:85–90. 17. Purdy JA, Keys DJ, Zivnuska F. A compensation filter for chest portals. Int J Radiat Oncol Biol Phys 1977;2:1213–1215.

In lung tissue, the range of the electron is increased by a factor of approximately three. If one ignores this, then one will underestimate the dose to deeper lung points and the volume of lung irradiated. When tissue-equivalent bolus is used on the skin surface to increase surface dose, one must not forget that the entire central-axis depth dose has effectively been shifted toward the surface by an amount equal to the thickness of the bolus. One may have to increase the energy to get proper dose at depth below the skin surface in the presence of the bolus.

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