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Carrie, JCO 2009

IQ DECLINE: HYPERFRACTIONATION

Standard risk medulloblastoma

48 patients – F-Up 77.7 months

Cr Spinal: 36 Gy+ 32 Gy boost (tumor bed)

• BID: 2x 1 Gy/d, 5 weekly sessions

• No chemotherapy

OS & DFS: 78% et 75% at 6 Y

2 points/Year IQ decline… only !

(Full, Verbal, P)