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In the setting of single or multi-fraction cranial radiosurgery, do you have different constraints for the dose to the optic tract just posterior to the chiasm, compared to the constraints for the chiasm?

2 Answers
Mednet Member
Mednet Member
Radiation Oncology · University of Montreal

I treat the post-chiasmatic tract the same as the pre-chiasmatic nerve segments in a single x-shaped structure. As for the optic striations, as they blend into the brain, they get treated the same as the rest of the brain.

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Mednet Member
Mednet Member
Radiation Oncology · University of Washington School of Medicine

I use the same constraint.

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