Orthogonal Fields: Variations in Dosevs.Gap Size for Treatment of the Central Nervous System

Abstract
Variations in dose at the junction at the lower end of 2 lateral skull portals and the upper end of a posterior spinal portal used for irradiation of the CNS [for human malignancies] were studied using 60Co and 6 MV linear accelerator radiation. The relationship between dose and gap size was measured via film dosimetry. Small variations in gap size resulted in large variations in dose (.+-. 40%) at the junction. These variations in dose were more pronounced for the 6 MV accelerator than for the 60Co, but the volume of high and low dose tended to be smaller with the 6 MV linear accelerator.

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