Abstract
Many methods are implemented for craniospinal axis (CSA) radiation treatment (RT). This paper’s goal is to define correctly matched CSA RT fields. Overlap or a space between matched RT fields can create variances of dose and the possibility of negative side effects or disease recurrence, respectively. An accurate CSA RT match procedure is created with localization markers, immobilization devices, equations, feathered matches, safety gap, and portal imaging. A CS match angle is predetermined to optimize patient position before immobilization device fabrication. Various central axis (CA) placements within the brain and spine fields that effect gantry, table, and collimator rotation are described. An overview of the methods used to create CSA RT fields and matches is presented for optimal CSA RT implementation. In addition, to the author’s knowledge, this is the first time that a prone CSA RT with anesthesia has been described.
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