image-guided superficial radiotherapy (IG-SRT)

Whether young or old, skin cancer can happen to all of us, some may be worse than others, but there may come a time when you will need to seek medical attention for skin damage. When it comes to killing non-melanoma skin cancer, Image-Guided SRT has been shown to have superior outcomes.

At the Dermatology Associates of Mid Ohio, we promote follow-up care, detailed instructions that are easy to understand, and compassion until you are fully healed. We want to ensure that your recovery process is quick and as painless as possible with minimal scarring. If you require a biopsy or excision surgery treatment in the Mansfield, Bucyrus, or Marion areas. Dermatology Associates of Mid Ohio provides an outstanding experience with every visit before, during, and after your procedure.

Our Areas of Expertise

general dermatology

cosmetic dermatology

restorative dermatology

about IG-SRT

Image Guided Superficial Radiotherapy, IG-SRT, is a non-surgical treatment for non-melanoma skin cancers. It uses low levels of X-Ray energy to kill the cancer cells and allow normal tissue to grow back in its place. The energies we use to treat our patients are similar to those used in dental x-rays. IG-SRT uses ultrasound imaging to help determine the appropriate energy and dose. We also use ultrasound imaging to monitor your skin cancer’s progress as you go through the course of treatment.

What types of cancer is IG-SRT for?

squamous cell carcinoma (SCC)

Adenoid or Pseudoglandular SCC
Basaloid SCC
Bowen's disease
Clear Cell Carcinoma
Erythroplasia of Queyrat
Erythroplasia
Intraepidermal SCC
Invasive SCC
Keratoacanthoma
Large Cell Keratinizing SCC
Metaplasia
Papillary Carcinoma
Papillary SCC
SCC in-situ
Signet-Ring Cell Carcinoma
Small Cell Keratinizing SCC
Spindle Cell Carcinoma
Verrucous SCC

basal cell carcinoma (BCC)

Aberrant BCC
Adenoid BCC
Basosquamous of Metatypical BCC
BCC with Adnexal Differentiation
BCC with Squamous Differentiation
Clear Ring BCC
Cystic Cell BCC
Fibroepithelioma of Pinkus
Infiltrative BCC
Keratotic BCC
Micronodular BCC
Morphoeic or Sclerosing BCC
Nodular BCC
Nodulocystic BCC
Pigmented BCC
Pleomorphic BCC
Polypoid BCC
Pore-like BCC
Rodent Ulcer or Jocobi Ulcer
Superficial or Multicentric BCC

Benefits of IG-SRT:

99% cure rate for basal cell carcinomas & squamous cell carcinomas
Non-surgical option
No downtime & quick treatments
No pain
No scarring
Great cosmetic outcomes

What to expect:

After you and your provider have chosen IG-SRT, you will be scheduled for a Simulation. This is a 45-minute appointment with your provider and Radiation Therapist to establish treatment parameters. Your initial ultrasound will be taken during this appointment.
Your provider will review your medical history, biopsy report, and ultrasound to determine your prescription.
The Radiation Therapist will discuss your treatment schedule, skin care, and what to expect during treatment.
Treatments are typically 3-4 times per week for a total of 20 treatments. Each appointment is approximately 15 minutes.
You will see your provider once every 5 treatments to evaluate your skin and progress.
After you have completed treatment, you will return for a 2-4 week follow up. An ultrasound will be taken, and your provider will examine your skin to ensure you have achieved your cure.

What are the side effects of Image-Guided SRT?

As with any medical procedure, there are some potential side effects of Image-Guided SRT.

The most common side effects are usually mild to moderate irritation, redness, thinning, or breakdown of the skin treated, which may increase the risk of a skin infection.
These side effects can be cared for by your doctor and usually go away within 2 to 6 weeks after treatment ends.
Some people may notice that the treated skin becomes darker or lighter. Hair loss may also happen to the treated skin.
Rare side effects include a skin ulcer that does not heal and another cancer forming in the same area 20 to 40 years after treatment.