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Craniospinal RT Dose (1800 cGy)

Indiana University

7 children (age 20-64 mos) treated with 4 mos of

chemotherapy followed by 1800 cGy CSRT + 54 Gy PF boost

3 patients relapsed (all outside PF)

2 of 3 were salvaged

4/6 survivors have endocrine deficits

All 6 required special assistance in school

Jakacki RI et al. Int J Radiat Oncol Biol Phys 2004; 60:531-6