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Outcomes of Medulloblastoma Treated with Volumetric Modulated Arc Therapy Craniospinal Irradiation: A Retrospective Study Cover

Outcomes of Medulloblastoma Treated with Volumetric Modulated Arc Therapy Craniospinal Irradiation: A Retrospective Study

Open Access
|Apr 2026

Figures & Tables

Figure 1.

The two-year disease-free survival (DFS) rate of the study population.

Biodemographic and tumor characteristics of the study population

Median Age years (range)12 (4 –37)
  Pediatric (below 18 years)76 (67.3%)
  Adult (above 18 years)37 (32.7%)
Male: Female70:43
Risk Stratification
  High Risk78 (69.4%)
  Standard Risk35 (30.6%)
Extent of surgery
  GTR/NTR43 (38.1%)
  STR70 (61.9%)
CSF
  positive16 (14.2%)
  negative97 (85.8%)
Time between surgery and RT
  <6 weeks69 (61.1%)
  >6 weeks44 (38.9%)
Concurrent chemotherapy
  yes76 (67.3%)
  no37 (32.7%)
Toxicity (Grade 2 and Above)
  Bone Marrow Suppression13 (11.5%)
  Esophagitis12 (10.6%)
  Nausea/vomiting12 (10.6%)
  Weight loss10 (8.8%)
  Diarrhea5 (4.4%)
  Vision changes2 (1.8%)

Dosimetric characteristics of the study population

CSI dose (Gy)23.4/36
Boost spine (Gy)14.4–30.6
Boost to primary (Gy)54–55.4
Mean PTV coverage96% +/− 1.23
  PTV D9993.8% +/− 2.34
  PTV D1106% +/− 1.45
Number of isocenters
  211 (9.7%)
  >2102 (90.3%)
Conformity index (CI)1.02(0.98–1.08)
Homogeneity index (HI)0.1 (0.14–0.09)
Mean Length (PTV)62.4 +/− 9.78
Median ARC5 (3–7)
Left Kidney Mean6.5Gy +/− 2.32
Right Kidney Mean6.5Gy +/− 2.32
V19 Liver mean0.47cc +/− 1.02
Heart Mean6.5Gy +/−2.61
Bowel Mean6.1Gy +/− 3.56
Lung mean7.2Gy +/− 1.83
Setup Position
  Prone24 (21.2%)
  Supine89 (78.7%)
Median ARC5 (3–7)
Language: English
Page range: 40 - 45
Published on: Apr 3, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Muhammad Anas Tahseen Asar, Tabinda Sadaf, Asma Rashid, Aqueel Shahid, Fajar Rafi Ranjha, Raheel Mukhtar, Haniya Rizwan, Ahmad Rashid, published by Shakuat Khanum Memorial Cancer Hospital and Research Centre
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.