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How do you contour the cauda equina for a lumbar spine SBRT case below the spinal cord? Do you add a PRV on this?
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Radiation Oncology · Lynn Cancer Institute - Baptist Health City, Baptist Health South Florida
I typically would contour the cauda equina at the level of the upper lumbar spine just below the spinal cord based on T2 weighted MRI and utilize a 2mm PRV. If the entire spinal canal is instead contoured just below the cord, this may lead to underdosing of the posterior aspect of the vertebral body...