The Texas Department of State Health Services is currently reviewing the regulations for
electronic brachytherapy with respect to new uses for e-brachy therapy for skin lesions.

The DSHS Radiation Control Program has asked to review the results of this research.

Visit for current regulations.

If you have any comments or suggestions for The Texas Department of State Health Services on the current e-brachy regulations,
please contact the radiation control program Email

What is Electronic Brachytherapy?

Electronic BrachyTherapy is a form of Radiotherapy, also known as radiation therapy, radiation oncology or eBx that successfully treats NMSC without using a radioactive isotope. Electronic BrachyTherapy uses a miniaturized X-Ray to deliver high dose radiation (HDR) in small doses directly to the cancerous site. The radiation source is placed over the site of the cancer cells on the surface of the skin, to precisely deliver a tailored radiation dose directly to the tumor target. Exposure damage to surrounding healthy tissue is minimized, supporting a reduced risk of side effects along with excellent cosmetic results.

Cosmetic outcomes play more importantly into patients’ treatment decisions, especially since NMSC most commonly occurs on sun-exposed, visible skin areas (such as the nose), For these patients, brachytherapy can offer an effective treatment option with minimal scarring. In cases where the tumor is in an uncomfortable or poor wound-healing position (such as the ear pinna or shin), or where structure and use of the treatment area is vital (e.g., hand or lip), brachytherapy may be the preferred treatment.

Electronic brachytherapy is an effective method for treating NMSC – including basal cell carcinoma (BCC) or squamous cell carcinoma (SCC) – that also offers quality of life benefits to qualified patient candidates.

High dose rate (HDR) Electronic brachytherapy requires few treatment sessions, involves no recovery time, and can provide better cosmetic and functional outcomes than other available treatment options.
In addition, the relative comfort and convenience of Electronic brachytherapy skin treatments creates an attractive option for many skin cancer patient candidates.

Is Electronic Brachytherapy
The Future Treatment Of Choice For NMSC?
Research findings will answer these and other questions…

  • Is Electronic Brachytherapy as effective as Mohs surgery?
  • What will the curative rate be when 1,000 study patients are treated?
  • Is Electronic Brachytherapy completely painless?
  • What will 1,000 patients say they feel during and after treatments?
  • What will 1,000 patients say about the whole treatment experience?
  • Do both devices deliver the exact same treatment outcome?
  • What adverse reactions are reported?Is there any differential in the radiation source?
  • Is either Electronic Brachytherapy device superior to the other?
  • Is either Electronic Brachytherapy device more patient friendly?
  • Does either Electronic Brachytherapy device require more treatments?
  • Does either Electronic Brachytherapy device have more side effects?
  • Is either Electronic Brachytherapy device easier to operate?
  • Does either Electronic Brachytherapy device have better patient safety features?