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Hyperfractionated Radiotherapy (HIT-SIOP PNET 4)

340 children (age 4 to 21 years) with

standard-risk medulloblastoma

randomized to hyperfractionated

RT (36 Gy CSI, 60 Gy whole

posterior fossa, 68 Gy tumor bed

at 1 Gy BID) and conventional

RT (23.4 Gy, 54 Gy whole

posterior fossa at 1.8 Gy daily)

8 cycles of cisplatin, lomustine and

vincristine

Lannering B et al. J Clin Oncol 2012; 30:3187-93

Severe hearing loss was not different

In the two groups