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An image-guided technique for planning and verification of supine craniospinal irradiation

Publication ,  Journal Article
McMahon, RL; Larrier, NA; Wu, QJ
Published in: Journal of Applied Clinical Medical Physics
January 1, 2011

We present a technique for planning and verification of craniospinal treatment with the patient in the supine position. Treatment delivery and verification is streamlined through the use of modern imaging techniques. Treatments use two lateral brain fields abutted to a single or pair of posterior spine fields. Treatment delivery is simplified by aligning all isocenters in the anterior-posterior and lateral directions. Patient positioning is accomplished via on-board kV imaging. Verification of field shape and junctions is accomplished with BB placement and MV portal imaging. Daily treatment is simplified by using only longitundinal couch shifts, which are recorded in the patient chart and RV database. The technique is simple to implement in a clinic that is already using a similar beam arrangement with the patient prone. It requires no additional devices to be fabricated (for immobilization or QA), and it takes advantage of all the existing elements of a modern linac.

Duke Scholars

Published In

Journal of Applied Clinical Medical Physics

DOI

EISSN

1526-9914

Publication Date

January 1, 2011

Volume

12

Issue

2

Start / End Page

184 / 190

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • 5105 Medical and biological physics
  • 3208 Medical physiology
  • 1116 Medical Physiology
  • 1103 Clinical Sciences
  • 0299 Other Physical Sciences
 

Citation

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ICMJE
MLA
NLM
McMahon, R. L., Larrier, N. A., & Wu, Q. J. (2011). An image-guided technique for planning and verification of supine craniospinal irradiation. Journal of Applied Clinical Medical Physics, 12(2), 184–190. https://doi.org/10.1120/jacmp.v12i2.3310
McMahon, R. L., N. A. Larrier, and Q. J. Wu. “An image-guided technique for planning and verification of supine craniospinal irradiation.” Journal of Applied Clinical Medical Physics 12, no. 2 (January 1, 2011): 184–90. https://doi.org/10.1120/jacmp.v12i2.3310.
McMahon RL, Larrier NA, Wu QJ. An image-guided technique for planning and verification of supine craniospinal irradiation. Journal of Applied Clinical Medical Physics. 2011 Jan 1;12(2):184–90.
McMahon, R. L., et al. “An image-guided technique for planning and verification of supine craniospinal irradiation.” Journal of Applied Clinical Medical Physics, vol. 12, no. 2, Jan. 2011, pp. 184–90. Scopus, doi:10.1120/jacmp.v12i2.3310.
McMahon RL, Larrier NA, Wu QJ. An image-guided technique for planning and verification of supine craniospinal irradiation. Journal of Applied Clinical Medical Physics. 2011 Jan 1;12(2):184–190.

Published In

Journal of Applied Clinical Medical Physics

DOI

EISSN

1526-9914

Publication Date

January 1, 2011

Volume

12

Issue

2

Start / End Page

184 / 190

Related Subject Headings

  • Nuclear Medicine & Medical Imaging
  • 5105 Medical and biological physics
  • 3208 Medical physiology
  • 1116 Medical Physiology
  • 1103 Clinical Sciences
  • 0299 Other Physical Sciences