Radiotherapy Update 2018

Presented by Dr. Michael Webster Melbourne, Australia Hot Spots in Dermatology August 17, 2018 What’s new? VMAT for treating large areas (whole arm,leg) for actinic keratoses/NMSC A treatment for Disseminated Actinic Porokeratosis ? VMAT Volumetric modulated arc therapy (Elektra) Delivers the radiotherapy treatment using a rotational or arc geometry rather than several static beams . Gantry motion,variable dose rate,movement of multileaf collimators Computerised planning using Ct scan allows treatment to be delivered to tumour with minimal exposure to adjacent tissues VMAT for skin Can be set to give radiation just to skin &  subcutaneous tissue circumferentially (with minimal exposure to deeper tissues) allowing treatment of a whole limb ,scalp,or head … Continue reading


Acne: Worst Case Scenario

Excerpt from “72 Scars”  Evergreen Review. Technically speaking, Scar #1 began in 1971 and lasted well into the 1980s. Like many teenagers, I had acne, but unlike many teenagers, I had the worst case any doctor had ever seen. The only thing to compare it to is Charles Bukowski’s description in Ham on Rye. It started out innocently enough. My dad would drive me to Dr. Fried in Englewood, NJ every Saturday of my freshman year. The treatment would begin with a 30 second x-ray radiation treatment of the afflicted areas and then Dr. Fried would take out a dermatological instrument and go to work squeezing the pimples on my … Continue reading

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