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term. Tissue Compensator
def. a custom-made wedge
tissue compensator
Tissue Compensator Materials
Historically: stacked bars of Al or Brass
Now:
Lead
Brass
Copper
Lucite
Cerrobend (especially)
How are modern tissue compensators made
Cerrobend poured into a Styrofoam block that has been cut using a pantographic routing device
Pantographic routing device
If the doctor moves tx field (lung) inferior 1 cm, do you need to reconstruct tissue compensator? Recalculate dose?
yes & yes
Wedges are made out of
Lead
Stainless Steel
Brass
Common Wedge Angles
15°, 30°, 45°, 60°
wedge only on AP