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

The modulated electron bolus (MEB) module in our software demonstrates superior sparing of distal organs-at-risk (OARs) and underlying healthy tissue compared to photon IMRT delivery (e.g. VMAT) while also reducing the presence of hotspots. The following case is an example of how Nova Scotia Health was able to clinically use our MEB module to create, modify, and optimize a custom-fit bolus based on patient CT data to treat complex anatomies such as the scalp.

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.