Nova Scotia Health: Clinical Application of 3D Printed Modulated Electron Bolus for Scalp

The following case is an example of how Nova Scotia Health (NSH) used Adaptiiv’s MEB module to design a custom-fit bolus to adhere to the complex surface anatomy of the scalp for treatment. The MEB was shown to offer superior sparing of distal organs at risk (OARs) and a significant reduction of hot spots compared to photon IMRT delivery (e.g. VMAT) and the standard bolus.

The initial VMAT plan was rejected due to the volume of healthy tissue (brain) receiving an intermediate dose.

Standard electron field with Adaptiiv’s MEB shows sparing of underlying healthy tissue and significant reduction of hotspots.