Here's a Comparison of Various Modalities

  • Parameters

  • Procedure Time
  • Particle Type/Treatment
  • Fractionated Treatment
  • Pain or Anesthesia Involved
  • Special Provisions
  • Cure Rates
  • Recurrence Rates
  • CLEAR eBx

  • Electronic

    Brachytherapy

  • 3-6 minutes
  • Photons
  • 8-10 Fractions
  • No
  • Minimal Shielding
  • 95-98%
  • 2-5%
  • Mohs

  • Surgery

  • 1-3 hours
  • Incision
  • None
  • Yes
  • Surgery Room / Staff / Lab
  • 98%
  • 2%
  • LINAC

  • External Beam

    Radiotherapy

  • 15-20 minutes
  • Electrons
  • 20-35 Fractions
  • No
  • Concrete Vault
  • 88%
  • 12%
  • HDR

  • High Dose Rate

    Brachytherapy

  • 30 minutes - 1 hour
  • Gamma Particles
  • 6-15 Fractions
  • Yes (Interstitial)
  • Heavy Shielding
  • 95%
  • 5%

NMSC Treatment Options In Detail

Moh's Surgery

1

Involves a series of excisions of cancerous tissue and surrounding healthy tissue until the cancer can no longer be detected

2

Can lead to substantial cosmetic surgery requirements and a drawn-out healing process

3

Surgery is a very effective skin cancer treatment, and is the most commonly selected therapy among patients

4

Some patients, however, would like to have another option due to concerns about scarring in certain highly visible areas of skin, such as the face or hands

Radiation Therapy

1

A great alternative treatment for patients who cannot tolerate extensive surgery or in cases where surgery may be very disfiguring

2

An appropriate and effective option for treating skin cancer, particularly highly focused, High-Dose Rate (HDR) brachytherapy techniques

3

HDR brachytherapy is a well-established technique with accumulated outstanding results and excellent patient tolerance

4

It’s evolving – A new brachytherapy solution, electronic brachytherapy, promises an even more refined and elegant approach to treating skin cancer

Electronic Brachytherapy (eBx)

1

A great alternative treatment for patients who cannot tolerate extensive surgery or in cases where surgery may be very disfiguring

2

By virtue of this direct delivery, Ebx can concentrate more therapeutic radiation on the disease target and less radiation to surrounding healthy tissue and organs

3

This makes it especially well-suited for treating skin lesions, such as basal cell or squamous cell carcinomas

4

eBx features radiation shielding requirements as for low-voltage therapeutic x-ray devices and presents no challenges for handling radioisotopes

SRT vs eBx

  • SkinTherapy Modalities

  • Basal Cell
  • Squamous Cell
  • Melanoma
  • Externally Accessible Cavities
  • Procedure Time
  • Setup Time
  • Number of Treatments per Lesion (fractionated)
  • Particle Type / Treatment Delivery Mode
  • Modality Therapy Mode / Billing Coding
  • Penetration Depth
  • Pain Involved
  • Anesthesia Required
  • Post-Procedural Treatment
  • Practice Setup Costs
  • Shielding
  • Mobile
  • Who Can Administer
  • Recurrence Rate
  • Radiation Therapy Coding Permitted
  • Clear eBx

  • Electronic

    Brachytherapy

  • Yes
  • Yes
  • No
  • Yes
  • 6 Minutes
  • - 15 Minutes
  • 8
  • Photons
  • Electronic Brachytherapy
  • 0-5mm
  • No
  • No
  • No
  • None
  • Minimal Shielding Required (rolling shield)
  • Yes (121lbs, 21"x31" footprint) Minimal Shielding
  • Radiation Oncologist
  • 0% at 1 year follow-up
  • CP0182T Brachytherapy Coding
  • SRT

  • Superficial

    Radiation Therapy

  • Yes
  • Yes
  • No
  • No
  • 3 Minutes
  • - 15 Minutes
  • - 20
  • Photons
  • Superficial Radiation Therapy
  • 0-1cm
  • No
  • No
  • No
  • High
  • Shielding Room Required
  • Yes (350lbs 30"x30" footprint) All treatment rooms must be shielded
  • Radiation Oncologist
  • 2.6%
  • 77401 Must Code as Superficial RT

Clear Skin Cancer Center administers only under radiation oncologists prescribing the appropriate dose and treatment regimen. Our team consists of physicists, radiation therapists, and Radiation Oncologists. Close collaboration between Clear's radiation oncologists and the appropriate specialist ensures proper patient selection, as well as accurate treatment planning and delivery.

It is important to note that while the AAD addresses both SRT and eBx as radiation treatment options for skin cancer in the position statement, there are several important differences between the two technologies. Our eBx System has a low energy (50kV) source and rapid dose fall-off which results in less radiation exposure to underlying tissue, nerves, blood vessels, fat, and adventitia. This also allows Clear eBx to be used in a minimally shielded environment. Electronic brachytherapy can be administered in fewer fractions than SRT (typically 8 vs. 20) thereby reducing radiation exposure and impact on patient quality of life.

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