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The cranial-caudal (CC) maximum LINAC couch shift is usually around 130–150 cm; therefore total marrow (and lymph-nodes) irradiation (TMI-TMLI) requires two different plans, one with patient head-first-supine (“body plan” – skull-thighs) and a second feet-first-supine (“legs plan” – feet-femurs head). A challenging planning is required to manage the region in which the radiation come from the two...
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