Cranial-spinal Junction and Surrounding Organs in Medulloblastoma Therapy : a Dosimetric Assessment between Different Techniques (original) (raw)

2008

Abstract

Usually, medulloblastoma is treated with two lateral opposed fields in the brain and a posterior field along the spinal cord and there are several techniques available for the administration of craniospinal radiotherapy (CSRT). A common criticism is that overlap may occur at the match-line junction of the three fields, resulting in an increased risk of late effects in surrounding critical organs. Improved radiotherapy techniques in CSRT strive to reduce risks of late morbidity. The aim of this study is evaluate the delivered dose to cervical spinal cord and surrounding critical organs from two different techniques for meduloblastoma therapy in a radiotherapy centre in Recife, Brazil. For this, the adult anthropomorphic phantom ALDERSON was planned on half-beam block and angled fields techniques and it was irradiated 5 times in each technique. Thermoluminescent detectors were used to perform dosimetric measurements during treatment with 6 MV photon fields. For an applied dose of 1.5G...

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