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Craniospinal irradiation

Target volume

• Entire CSF space as

common spread via CSF

fluid

• 2 Phase technique

Phase 1: Cranial & spinal

fields

Phase 2: Posterior fossa

boost

Standard risk group

(paeds)

Phase 1: 23.4 Gy/13#

Phase 2: 30.6 Gy/17#

High risk group (paeds)

Phase 1: 34.2Gy/19#

Phase 2: 21.6 Gy/12#

Metastatic deposit:

10.8Gy/6#