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Table 118-6. Technical Principles of Curative Radiotherapy

Table 118-6. Technical Principles of Curative Radiotherapy
1. The entire peritoneal cavity must be encompassed. Radiologic verification is required.
2. The moving-strip and open-field techniques are equally effective, but the latter is preferred.
3. No liver shielding is used. The limits the upper abdominal dose to 2,500 to 2,800 cGy in 100 to 120 cGY daily fractions.
4. Partial kidney shielding is used to keep the renal dose at 1,800 to 2,000 cGY.
5. The true pelvis is given a boost dose in 180 to 220 cGY fractions to a total dose of 4,500 to 5,000 cGY.
6. Use parallel-opposing portals, with beam energy sufficient to sure a dosage variation no greater than 5%.
Adapted from Eifel P. Radiation therapy. In: Berek JS, Hacker NF, editors. Practical gynecologic oncology. 3rd ed.
Baltimore, MD: Lippincott Williams & Wilkins; 2000.