Radiation treatment delivery, superficial and/or ortho voltage, per day
CPT4 code
Name of the Procedure:
Radiation Treatment Delivery, Superficial and/or Ortho Voltage, Per Day
Common names: Superficial Radiation Therapy, Orthovoltage Therapy, X-ray Therapy
Summary
Radiation treatment delivery using superficial and ortho voltage techniques involves directing low-energy X-ray beams at a targeted area to treat various skin conditions or shallow tumors. Each session, typically conducted on a daily basis, aims to damage and destroy cancer cells while sparing nearby healthy tissues.
Purpose
Conditions Addressed:
- Skin cancers (e.g., basal cell carcinoma, squamous cell carcinoma)
- Superficial tumors
Goals:
- Eradicate cancer cells
- Reduce tumor size
- Minimize damage to surrounding healthy tissue
Indications
Symptoms or Conditions:
- Diagnosed superficial skin cancers or shallow tumors
- Tumors that cannot be surgically removed
- Patients who are not candidates for surgery due to health issues
Patient Criteria:
- Confirmed diagnosis of a condition appropriate for superficial or ortho voltage therapy
- Adequate baseline health to tolerate radiation treatment
Preparation
Pre-procedure Instructions:
- No specific fasting required
- Follow any medication adjustments as advised by your physician
Pre-assessment:
- Physical examination
- Imaging tests (e.g., X-rays, CT scans)
- Biopsy results confirming the malignancy
Procedure Description
- Positioning: The patient is positioned comfortably on the treatment table.
- Marking: The target area is marked, and protective shields may be placed around adjacent areas.
- Delivery of Radiation: A superficial or ortho voltage machine is used to aim and deliver low-energy X-rays directly to the affected area.
- Duration of Exposure: Each session lasts only a few minutes.
- Completion: Patient is monitored briefly and then allowed to go home.
Tools and Equipment:
- Superficial/ortho voltage X-ray machine
- Positioning devices
- Protective shields or masks, if needed
Anesthesia: Generally not required; procedure is painless.
Duration
Each session typically lasts about 15-30 minutes.
Setting
This procedure is usually performed in an outpatient clinic or a hospital's radiotherapy department.
Personnel
- Radiation oncologist
- Radiation therapist
- Medical physicist (for treatment planning and setup)
- Nurse (for patient care and monitoring)
Risks and Complications
Common Risks:
- Skin irritation or redness at the treatment site
- Mild fatigue
Rare Complications:
- Radiation burn
- Secondary skin cancers (very rare)
- Localized infection
Benefits
Expected Benefits:
- Effective reduction or removal of superficial cancers and tumors
- Minimal damage to surrounding tissues
- Non-invasive alternative to surgery
Timeline for Benefits:
- Benefits may be observed within weeks of starting treatment.
Recovery
Post-procedure Care:
- Apply prescribed creams or ointments to treat any skin irritation.
- Avoid direct sun exposure to the treated area.
Recovery Time:
- Most patients resume normal activities immediately but may experience mild skin reactions for a few weeks.
Follow-up:
- Regular follow-ups with the healthcare provider to monitor progress and manage any side effects.
Alternatives
Other Treatment Options:
- Surgical excision: Direct removal of the tumor.
- Cryotherapy: Freezing the cancer cells.
- Mohs surgery: Layer-by-layer removal of cancer cells.
Pros and Cons:
- Surgery: Higher effectiveness for deeper tumors but more invasive.
- Cryotherapy: Minimally invasive but less effective for larger tumors.
- Mohs surgery: Highly precise but requires specialized expertise.
Patient Experience
During the Procedure:
- Typically painless
- Some patients might feel slight warmth or tingling
After the Procedure:
- Mild skin irritation or redness may occur
- Fatigue is possible but generally mild
Pain Management:
- Over-the-counter pain relief if needed (discuss with your doctor)
The entire experience aims to be as comfortable as possible, with thorough support from the medical team.