.decimal products

Bolus Electron Conformal Therapy, or BolusECT® for short, is the use of a single electron beam with a variable thickness bolus that shapes the distal 90% isodose line to conform to and contain the PTV. It is the electron beam equivalent to intensity-modulated radiation therapy (IMRT) with photon beams. BolusECT® tailors the penetration of the electron beam to the cancer, sparing underlying healthy tissue and critical structures

With .decimal as your virtual machine shop and mold room, using cerrobend (lead) is out of the equation so there are no more concerns over the risk and cost of regulatory compliance. Replace your mold room then use that valuable real estate in your clinic for something more useful and safe. Let .decimal show you how!

decimal3D is a handheld tablet device with advanced optical scanning technology that enables you to capture a full color, 3D, accurate rendering of a patient’s treatment surface. Our intuitive iPad App allows you to quickly digitize the shape of the physician-drawn treatment.

.decimal offers patient-specific proton apertures and are made from high-grade domestic brass. Whether your needs are patient-specific or prepped blanks for in-house machining. .decimal patient-specific apertures can be beam divergent corrected if required. Our patented shell and core design cut down brass consumption by utilizing reusable stainless steel shells and smaller brass inserts suitable for smaller openings. Adapter rings for range compensators allow for the use of smaller range comps where applicable, further reducing costs. Our Materials

.decimal range compensators are available in acrylic (p ~1.17) or wax (p ~0.92). They are vendor-specific and can be machined with either a smooth or plunged surface. Smooth range comps have a less complex surface allowing more accurate modeling in TPS for better “Plan = Actual”. Wax compensators have several advantages too. They are less expensive, have recycled value, are easier and faster to manufacture, and the lower density gives improved range sensitivity.

Over the years, radiation therapy’s imaging, planning, and delivery technologies have advanced rapidly. However, one staple tool – the bolus – has lagged behind … until now, that is. Our customized FlexiBol devices are high-performance, patient-specific silicone boluses that are fit for the modern era. 510(k) Cleared. FlexiBol received 510(k) clearance in 2021. Adapts to Changes During the Course of Treatment. Each FlexiBol is a custom bolus designed for each unique patient. They are made of a comfortable silicone material that conforms to common changes in patient shape, making it a good fit, fraction-to-fraction and for adaptive radiation therapy. Designed for the Best Patient Experience. Conventional bolus sheets are impersonal and with no customization of fit. Each FlexiBol is patient-specific, highly conformal, and comfortable for the patient.

We offer a patient-specific radiation therapy bolus. A bolus is an important tool to bring dose towards the patient surface, but often a patient’s irregular anatomy makes it hard to eliminate air gaps using conventional flat sheet bolus materials. Tissue expanders, surgical defects, noses, and scalps are a few examples where daily reproducibility can be difficult and time-consuming. .decimal custom boluses are precision milled from a tissue equivalent wax. The milling coordinates are derived from the external contour of the patient as provided by the treatment planning system. We are able to mill the device to the patient’s contour thus providing a snug-fitting bolus that will be the same on the first day of treatment as the last, making daily reproducibility quick and accurate. Our Materials

The need for custom photon blocks has become rare with the advent of multileaf collimators (MLC). And for those clinics that offer TBI, it is typically a low volume treatment. To carry the safety and regulatory overhead for an in-house block/mold room for low volume devices may not be cost effective for a clinic, not to mention that storage and office space in most clinics is at a premium. As a result, many radiation therapy clinics have elected to shut down their block rooms and outsource special photon blocks and TBI blocks to .decimal along with their electron cutout needs. Our Materials

Grid radiation therapy, using the megavoltage X-ray beam, has been proven to be an effective method for the management of large and bulky malignant tumors.  This treatment modality is also known as Spatially Fractionated Radiation Therapy (SFRT). In this treatment technique, a grid block converted the open radiation field into a series of pencil beams. It is based on the concept of delivering non-uniform, high dose, pencil beam radiation through a collimated grid with a 50:50 open to closed blocked area ratio. The grid dose distribution is similar to stereotactic “virtual” brachytherapy. Our Materials

There are many advantages to the static delivery of a photon compensator. Because the entire tumor is receiving dose simultaneously, treatment times and monitor units are reduced significantly. This is especially beneficial for very large fields equating to a shorter time on the table and less radiation for your patient. Compensators are not for every patient, but when the right case presents itself, they are a great tool to have. Our Materials