RISRAS (total scores between 0 and 36)*
Researcher Component (total scores between 0 and 24)
Erythema (E) 0
Normal skin
1
Dusky pink
2
Dull red
3
Brilliant red
4
Deep red-purple
Dry Desquamation (DD) 0
Normal skin
1
(<25%)**
2
(25%-50%)
3
(50%-75%)
4
(>75%)
Moist Desquamation (MD) 0
Normal skin
1.5
(<25%)
3.0
(25%-50%)
4.5
(50%-75%)
6 (>75%)
Necrosis (N) 0
Normal skin
2.5
(<25%)
5.0
(25%-50%)
7.5
(50%-75%)
10
(>75%)
Patient Component (total scores between 0 and 12)
Symptoms Not at all A little Quite a bit Very much
Do you have any tenderness, discomfort of pain of your skin in the treatment area? 0 1 2 3
Does your skin in the treatment area itch? 0 1 2 3
Do you have a burning sensation of your skin in the treatment area? 0 1 2 3
To what extent has your skin reactions and your symptoms affected your day to day activities? 0 1 2 3
* Individual scores for each item are added up to give a total score for the researcher and patient components of the scale. Adding the researcher and patient component scores together gives the total combined RISRAS score.
** Percentage of surface area of affected skin.
Table 1: Radiation-Induced Skin Assessment Scale (RISRAS).