Radiology Nuclear Medicine

Download A Guide for Delineation of Lymph Nodal Clinical Target by Giampiero Ausili Cefaro, Carlos A. Perez, Domenico Genovesi, PDF

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By Giampiero Ausili Cefaro, Carlos A. Perez, Domenico Genovesi, Annamaria Vinciguerra

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"This is a concise consultant to radiological definitions of lymph node teams for radiation therapy making plans. … the first viewers is radiation oncologists in any respect levels in their careers. citizens and scholars should still locate this a truly beneficial anatomical consultant. The authors are popular in radiation oncology and/or radiology. … it is a worthwhile advisor for the lymph node anatomy of the main sickness web site regions." (James G. Douglas, Doody’s evaluate provider, July, 2009)

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Extra info for A Guide for Delineation of Lymph Nodal Clinical Target Volume in Radiation Therapy

Sample text

Zunino et al. [87] also evaluated adequacy of CTV coverage in carcinoma of the uterine cervix obtained by the traditional box technique and, by means of an anatomical study on human cadavers, identified the aortic bifurcation and the position of the pelvic lymph nodes. 5 cm (15%) from the sacral promontory and that it is located at the level of the inferior edge of the L4 vertebra in 80% of cases. The Martinez-Monge cross-sectional nodal atlas illustrates location of the pelvic lymph node regions [72] without providing explicit definition of the boundaries of the various nodal regions.

They noted that, in the future, radiation therapy clinical dosimetry will incorporate both physical and biological conformity and evidence-based multidimensional conformal therapy to improve the treatment of patients with cancer using 3DCRT, IMRT, IGRT, or other techniques. Central to all these advances is the need to carefully and continuously account for anatomical variations, different tumor locations and configurations, concerns with organs at risk in the irradiated volumes, and motion of the patient or the internal target volume/organs during a course of fraction- * This chapter has been written with the contributions of James A.

In the presence of peripheral lung tumors an optimized version of the above-mentioned procedure may be considered, by acquiring three slow CT scans (4 s per scan) obtained during quiet respiration [95]. Computed tomography includes recording of two scout views: an anteroposterior view and a laterolateral view. Acquisition volumes for the four main anatomical regions taken into consideration in our experience can be described as follows: •• Head-neck. The acquisition volume can be considered to extend from a plane tangential to the 40 upper edge of the dorsum sellae (upper limit) to a plane 2 cm caudal to the upper edge of the sternal manubrium (lower limit).

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