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isocentre

tumour

Spinal canal

rotation of collimator

according to divergence

angle of upper spinal field

SSD : source to skin distance

SSD

100 cm

SSD

100 cm

moving junction

Junction lines are moved 0.5-1.0 cm every 8-12 Gy

to avoid overdosing or underdosing segments of the cord

Procedure:

1. shortening the inferior margin of the lateral cranial fields

2. Symmetrically lengthening the superior and inferior margins

of the posterior spine field

3. Shortening the cranail margin of the caudal spinal field

4. The caudal spinal field remains unchanged

Technical Procedure