Scalp and Cranium Radiation Therapy Using Modulation (SCRUM) and Bolus.

Purpose: A bolus is usually required to ensure radiation dose coverage of extensive superficial tumors of the scalp or skull. Oftentimes, these boluses are challenging to make and are nonreproducible, so an easier method was sought.

Methods And Materials: Thermoplastic sheets are widely available in radiation oncology clinics and can serve as bolus.

Adaptation of vacuum-assisted mouthpiece head immobilization system for precision infant brain radiation therapy.

Purpose: Our purpose was to describe an adaptation of a commercially available mouthpiece for vacuum-assisted mouthpiece immobilization for radiation therapy in infants.

Methods And Materials: An infant diagnosed with a brain tumor required radiation therapy. After reviewing dental literature about obturators, we designed a modification for the smallest commercially available mouthpiece tray.