To the Editor. —
I would like to comment on the interesting TOPICS IN RADIOLOGY/CASE OF THE MONTH by Skinner et al.1
The article states that "the superficial location of the clavicle makes it prone to the effects of radiation therapy, especially when additional radiation is given to the supraclavicular area." In the case discussed, no additional radiation was given to the supraclavicular area: rather, it was directed to the posterior axilla.
The superficial location of the clavicle makes it more prone to radiation effects only if low-energy roentgen rays or an electron beam is used. Since the case history does not describe the equipment used, I am not certain if the superficial location of the clavicle was a factor. If high-energy roentgen rays are used, the superficial location of the clavicle is advantageous since it will absorb a lesser dose compared with the deeper tissues.
Since in the
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