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The extended mantle field eliminates the necessity for splicing at the level of the diaphragm and thereby eliminates the potential for radiation-induced transverse myelitis. Our experience to date with 95 patients with H.D. or M.L. is described. Modifications in technique, including changes in the geometry of the field, shielding, time, dose, fractionation, and simulation are described. End results, an analysis of failures, and complications encountered are presented. Morbidity was acceptable despite the increase in integral dose, particularly in young patients who were not debilitated by disease. The danger of radiation-induced esophagitis, dehydration, hemoconcentration, and pulmonary embolism is stressed.
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
July 1974,
Cancer,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
February 1976,
Radiology,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
January 2005,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
January 1984,
International journal of nuclear medicine and biology,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
August 1971,
Radiology,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
September 1986,
Clinical radiology,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
December 1979,
The New England journal of medicine,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
May 1987,
Clinical radiology,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
January 2000,
Voprosy onkologii,
J E Marks, and
E M Moran, and
M L Griem, and
J E Ultmann
June 2000,
Chest,
