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Just some of the issues…

o

Placement of centre of brain fields

o

Posterior angulation of lateral fields to spare contralateral lens

o

MLC

vs

custom blocks for shielding

o

High

vs

low junction in the cervical region

o

Use of couch rotation or match line wedge for junction in the cervical

region

o

Use of a gap/feathering of junction in the cervical region

o

Second field

vs

extended SSD for spinal axis