Nova Scotia Health: Clinical Application of 3D Printed Bolus for MERT

This patient case illustrates the application of our 3D printing software solution used in clinical radiation oncology through the creation of 3D printed bolus for modulated electron radiotherapy (MERT) to treat mycosis fungoides. This case is a great example of how Nova Scotia Health used Adaptiiv software to effectively design and create an optimized bolus to allow for the modulation of the electron fluence to spare distal structures.

Figure A. Patient with mycosis fungoides of the forehead, eyelid and nose. Standard bolus provides coverage of the PTV, however, a high dose to underlying OARs is evident.

Figure B. Adaptiiv’s Modulated Electron Bolus is customized, changing the surface shape to allow for tailoring of dose distribution.