Evaluation of Dose Distribution in Optimized Stanford Total Skin Electron Therapy (TSET) Technique in Rando Anthropomorphic Phantom using EBT3 Gafchromatic Films

Background: The Total Skin Electron Therapy (TSET) targets the whole of skin using 6 to 10 MeV electrons in large field size and large Source to Surface Distance (SSD). Treatment in sleeping position leads to a better distribution of dose and patient comfort. Objective: This study aims to investigate the uniformity of absorbed dose in the sleeping Stanford technique on the Rando phantom using dosimetry.Material and Methods: It is an experimental study which was performed using 6 MeV electron irradiation produced by Varian accelerator in the AP and PA positions with gantry angles of 318/3, 0 and 41/5 degrees, and RAO, LAO, RPO and LPO with 291/4 gantry angle and 45 degrees of collimator angle in the sleeping position. Results: The results show that the dose uniformity achieved in this technique is in the range of (100 ± 25%) and, the dose accuracy was 6%. Conclusion: Total Skin Electron Therapy (TSET) technique in sleeping position is very suitable for elderly and disabled patients, and meets the required dose uniformity. Furthermore, the use of a flattening filter is recommended for the more dose distribution uniformity.