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The contribution of medical physics to the development of psoralen photochemotherapy (PUVA) in the UK: a personal reminiscence

REVIEW ARTICLE

Brian Diffey

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REVIEW

Psoralen photochemotherapy (PUVA) is the combined treatment of skin disorders with a photosensitizing drug (Psoralen) and UltraViolet A radiation. The introduction of PUVA therapy has arguably been the most important development in dermatology over the past 30 years and from the first days of the treatment being introduced in the UK, British medical physicists were an integral part of the effort to establish it. Medical physicists have contributed to this development in a number of ways, from designing irradiation units in the early days of the technique, through to collaborating with dermatologists in prosecuting clinical and experimental studies aimed at improving patient outcomes. That the dose of UVA radiation is administered quantitatively, and not qualitatively, has probably been the single most important contribution made by several medical physicists over this period. However, despite concerns that were expressed almost 30 years ago about the accuracy with which UVA doses are administered to patients, the medical physics community still has some way to go before we can be satisfied that statements about UVA irradiance and dose can be made with confidence.


PACS

87.50.wp Therapeutic applications

87.19.X- Diseases

87.56.-v Radiation therapy equipment

07.60.Dq Photometers, radiometers, and colorimeters

87.55.N- Radiation monitoring, control, and safety

Subjects

Instrumentation and measurement

Medical physics

Biological physics

Dates

Issue 13 (7 July 2006)

Received 20 December 2005, in final form 21 February 2006

Published 20 June 2006



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