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Craniospinal irradiation case

A patient was treated with 39 Gy in 13 fractions to the

craniospinal axis.

A shift was foreseen after 7 fractions.

As result of a mistake an overlap of 1 cm was created

instead of a gap of 1 cm after 7 fractions. This mistake

was applied for 2 fractions.

In the overlap region of 1 cm, the spinal cord received

7x 3.1 Gy Dmax and 2 x 6.2 Gy.