Mold brachytherapy can be an optional technique for total scalp irradiation

Helmet Mold-Based Surface Brachytherapy for Homogeneous Scalp Treatment: a Case Report

“…A total of 23 applicators (flexible plastic tubes) of different lengths (80 mm on the sides, 320 mm on top of the head) were fixed permanently in parallel distances of 10 mm [5,9,12,14].…”

The use of brachytherapy in the treatment of nonmelanoma skin cancer: A review

“…19 Thus, brachytherapy can be performed on the scalp and other areas where traditional external radiotherapy may be less safe. 22,23 Permanent brachytherapy implants emit radiation at very-low-dose rates (LDR), equivalent to less than 0.4 Gy/h for the lifetime of the radioactive isotope. Typically, iodine-125 is used in such implants because of its emission of relatively low mean energies.…”

“…Published studies 7,26,29 evaluating the treatment of NMSC with brachytherapy have usually followed up patients for less than 2 years, with the longest reported follow-up period lasting 6 years in one case study. 23 However, studies have reported an increased risk of NMSC recurrence for up to 10 years. 36 Consequently, the long-term use of brachytherapy remains to be established.…”

Palliative Total Scalp Irradiation Technique in Patient with Widespread Scalp Involvement of Angiosarcoma: Case Report

“…Görüntü kılavuzluğunda radyoterapi seçenekleri arasında yer alan volümetrik ark tedavisi (VMAT) ve helikal tomoterapi (HT) karşılaştırıldığında HT'nin dozimetrik olarak üstünlüğü gösterilmiştir (12) . Eksternal radyoterapiye dozimetrik olarak üstün-lüğü bilinen brakiterapinin tüm skalp ışınlamasında kullanımı araştırılmış ve uygulamadaki teknik zorlukları en önemli dezavantajı olmuştur (13) . Skalp yerleşimli anjiyosarkom tanılı hastalarda öncelikli tedavi cerrahidir.…”