A Composite Filter Technique and Special Patient Jig for the Treatment of the Whole Brain and Spinal Cord
作者:
期刊:
The British Journal of Radiology
(WILEY Available online 1965)
卷期:
Volume 38,
issue 446
页码: 122-130
年代: 1965
DOI:10.1259/0007-1285-38-446-122
出版商: The British Institute of Radiology
数据来源: WILEY
摘要:
A technique is described for the irradiation of the whole brain and spinal cord in the treatment of medulloblastoma and ependymoblastoma. The necessity for shielding part of the posterior X-ray field for a proportion of the treatments, as in earlier irradiation schemes, has been eliminated by modifying the field using a specially designed wedged copper filter. The filter also enables the isodoses to follow approximately the contour of the spinal cord, and to bring the isodoses in the head into line with those arising from an angled cobalt field applied anteriorly through the forehead thus producing uniform dosage throughout the brain. Two such filters, of adjustable length, which can together accommodate a wide range of patient sizes are described in detail. Isodoses for the filters and for a typical patient are included and a method for quickly providing isodoses for any patient is outlined. A special “setting-up” jig for the posterior field facilitates quick and accurately reproducible positioning of the patient and provides immobilisation during irradiation. Clinical reports of the seven patients treated so far are included and, although the follow-up is too short to produce survival figures, only one of the seven has died, this patient being a case of ependymoma.
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