Before
beginning
this
assignment,
review
the
Supine
CSI
PowerPoint
presentation
found
in
D2L.
For
this
assignment
you
will
be
describing
a
typical
CSI
setup
in
either
the
prone
or
supine
position.
Next
semester
you
will
have
the
opportunity
to
actually
complete
the
treatment
plan
for
a
CS
patient.
At
that
time
you
will
see
how
to
visually
align
diverging
beams.
For
this
project
you
have
to
draw
or
provide
diagrams
that
illustrate
what
is
being
matched.
You
will
also
calculate
the
angle
required
to
match
the
beam
divergence
opposed
to
visually
aligning
the
beams.
We
are
doing
this
assignment
for
several
reasons
1)
these
calculations
are
frequently
required
on
the
MDCB
exam;
2)
to
better
understand
the
rationale
when
setting
up
and
matching
fields
You
may
use
your
clinical
preceptor,
discussions
with
classmates
and
textbook
resources
to
provide
the
following
information.
REMEMBER
pictures
are
helpful
to
illustrate
your
explanations.
Craniospinal
Irradiation
(CSI)
Assignment
Patient
position
is
extremely
important.
Pretend
you
are
the
dosimetrist
called
to
go
into
the
simulator
and
assist
with
the
CSI
setup.
Be
very
specific
and
descriptive
in
your
answers.
1. Is
the
patient
a
child
or
an
adult?
What
might
you
have
to
do
differently
based
on
the
size
and
age
of
your
patient?
(5
points)
2. How
will
the
patient
be
positioned?
Supine
or
prone?
After
describing
which
orientation,
include
all
the
devices
used.
Describe
head
position,
chin
position,
arm
position,
how
will
you
assure
your
patient
is
aligned?
List
everything
that
you
would
check
before
leaving
the
CT.
Sometimes
a
board
is
placed
under
the
lower
torso,
describe
if
this
will
be
used
for
your
patient
and
why
or
why
not?
(25
points)
The
following
questions
are
generic
CSI
questions:
1. How
is
the
spine
matched
to
the
head
ports
for
a
craniospinal
setup?
BE
SPECIFIC.
Give
me
the
formulas
used
to
determine
any
angles
and
give
an
example
of
using
the
formula(s).
Provide
a
diagram
or
drawing
(20
points)
2. If
you
wanted
to
remove
any
divergence
from
the
eyes
in
the
cranial
port,
how
would
this
be
accomplished?
Why
would
you
do
this?
Show
a
formula
and
how
it
can
be
used.
Provide
a
diagram
or
drawing.
(10
points)
3. For
treatment
planning,
approximately
where
will
you
place
the
isocenter
for
each
field
for
the
patient
above,
will
the
isocenters
be
moved?
Why
or
why
not?
What
are
the
approximate
field
borders?
(25
points)
4. If
two
spine
ports
must
be
matched
due
to
the
length
of
the
spine,
tell
me
how
you
would
accomplish
this
and
how
would
you
assure
that
there
is
no
overlap?
(10
points)
5. If
feathering
the
gap
is
required
between
2
fields,
what
does
that
mean?
Can
you
describe
how
this
could
be
accomplished?
(provide
details
as
if
you
had
to
explain
exactly
what
will
be
done
to
the
radiation
therapist
who
is
treating
the
patient)
(5
points)