When offering palliative radiation for spinal cord compression, do you ever "open up the field" if there is evidence of leptomeningeal disease on MRI?   

Considering the urgency of the situation and the poor prognosis associated with LMD, my approach is to treat the area causing cord compression. I would treat the offending area of the spine, often using a "one vert body above and below" margin on the gross disease causing the symptoms that I intend ...