Practical considerations for electron beam small field size dosimetry

Special care of superficial lesions surrounding critical structures, such as an eye, may require tight margins. When this is the case, small megavoltage electron treatment fields and nonstandard treatment distances become necessary. When the field size is found to be less than the practical range of the electron beam, dosimetric measurements should be performed. This research includes data proving that very small electron fields can be employed for treatment with appropriate beam flatness and penumbra. This is accomplished by first coning down the incident beam to a small field size, then secondly by adding a single lead sheet to the patient’s skin surface. The aperture of the sheet is required to be greater than 2 × 2 cm 2 in size, and must be cut properly to adequately confine the treatment area.