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Reduced dose Cranio Spinal Irradiation with CT

PFS

65 “Standard-Risk” patients:

RT doses

Craniospinal: 23.4 Gy

Posterior fossa: 55.2 Gy

Concomitant CT:

weekly Vincristine

Adjuvant CT:

Vincristine

CCNU

Cisplatin

“These overall survival rates compare favorably to those obtained in studies using full-dose radiation

therapy alone”

Packer, J Clin Oncol 1999; 17:2127-36