Schema of intrathecal (IT) chemotherapy for the hyper-CVAD regimen with standard IT compared with IT liposomal cytarabine. Standard IT therapy consisted of methotrexate (MTX) 12 mg on day 2 and cytarabine 100 mg on day 7 of each course of therapy until completion based on risk group (6 for low-risk [LR], 8 for indeterminate- or high-risk [HR], 16 for Burkitt-type). Liposomal cytarabine 50 mg was given on days 1 and 15 of each course of hyper-CVAD and on day 10 of each course of high-dose MTX-cytarabine until completion (3 for low-risk, 6 for indeterminate- or high-risk, 10 for Burkitt-type). Arrows indicate IT treatments.