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Table 4 Surface doses to the skin from head to toes in a patient with leukemia cutis treated by SIB-HEARTS (21/15 Gy) as measured with radiochromic EBT3 film

From: Simultaneous integrated boost with helical arc radiotherapy of total skin (HEARTS) to treat cutaneous manifestations of advanced, therapy-refractory cutaneous lymphoma and leukemia - dosimetry comparison of different regimens and clinical application

Site

Surface dose (cGy)/ fraction

% of prescription dose

1st measurement

2nd measurement

Average

Head

 Vertex of head

127.2

132.0

129.6

130%

 Occipital

129.6

130.5

130.1

130%

 Frontal

137.1

126.6

131.9

132%

Chest

 Right, upper

135.7

150.9

143.3

143%

 Right, lower

140.6

167.9

154.3

154%

Back

 Middle, upper

134.9

122.0

128.5

129%

 Middle, lower

120.4

128.7

124.6

125%

Abdomen

 Middle, anterior

130.7

131.8

131.3

131%

 Middle, lateral

127.6

155.9

141.8

142%

Upper extremities, right

 Shoulder

106.1

128.9

117.5

118%

 Elbow

155.0

142.4

148.7

149%

 Hand

117.6

124.6

121.1

121%

 Palm

134.1

138.1

136.1

136%

Upper extremities, left

 Shoulder

111.2

147.5

129.4

129%

 Elbow

145.7

145.8

145.8

146%

 Hand

124.4

141.9

133.2

133%

 Palm

128.5

141.6

135.1

135%

Right side of lower extremities

 Thigh, anterior

120.6

114.2

117.4

117%

 Thigh, medial

115.8

113.5

114.7

115%

 Lower leg, anterior

110.0

110.2

110.1

110%

 Foot

98.1

97.7

97.9

98%

Left side of lower extremity

 Thigh, anterior

127.8

114.6

121.2

121%

 Thigh, medial

116.7

113.5

115.1

115%

 Lower leg, anterior

113.1

130.1

121.6

122%

 Foot

95.8

89.7

92.8

93%

Scrotum

142.2

134.5

138.4

138%

Right inguinal area

134.5

127.8

131.2

132%

Lesions

 Right chest lesion

184.6

186.0

185.3

132%

 Left chest lesion

191.6

179.7

185.7

133%

 Right forearm lesion

165.4

169.4

167.4

120%

 Right thigh lesion

172.8

179.8

176.3

126%