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Volume 7, Number 2, 2002

The technique of total body irradiation applied at the Leszczyński Memorial Hospital

Kawa-Iwanicka A, Dybek M, Iwanicki T, Łobodziec W, Radkowski A.


Purpose: To improve the reproducibility of patient positioning in fractionated irradiation and to achieve uniform irradiation of the patient, within 12-15Gy, excluding the lungs.

Method: Two special body frames were manufactured, one for treatment planning and the other for the treatment itself. Special tin markers were inserted in the walls to make it possible for a patient to maintain the same position during each fraction of irradiation. Patient treatment was carried out in six fractions (four lateral and two AP/PA fields), twice a day, over three consecutive days. The lungs were shielded during AP/PA fractions and during one lateral fraction. The shape of the shields for AP/PA fields was determined with the use of computer tomography scans, and for lateral fields on the basis of radiographic pictures taken by a simulator. The doses calculated at some selected anatomical points for every patient were checked by in vivo measurements which were carried out by means of MOSFET detectors.

Results and conclusions: Reproducibility of patient positioning during consecutive treatments and a uniform total dose distribution over the range of 12 . 15 Gy (except in the lungs) have been achieved. This has been confirmed by in vivo measurements.

Signature: Rep Pract Oncol Radiother, 2002; 7(2) : 53-60


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