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

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

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This book will facilitate the understanding of cross-sectional anatomy details and assist radiation oncologists in the difficult task of a detailed delineation of lymph node targets in multiple anatomical locations.
It opens with a brief overview of the anatomy of the lymphatic system, followed by the main anatomical classifications involving the lymph drain in four main regions (head and neck, mediastinum, superior abdomen, pelvis) and describes the spreading patterns of the different cancers. Based on the close collaboration between radiologists and radiation oncologists, explicit instructions for the delineation of lymph nodal clinical target volumes are proposed to obtain a more accurate and consistent definition of these volumes of interest. In addition, axial topographic reference points for anatomical boundaries of regional lymph nodes are presented in illustrative tables. This book will be a valuable aid in accurate image-based radiation therapy planning for young as well as for more experienced radiation oncologists.

1;Preface;6 2;Contents;7 3;Contributors;9 4;Section I General Considerations;11 4.1;1 Anatomy;12 4.1.1;1.1 Head and Neck Region;12 4.1.2;1.2 Thoracic Region;15 4.1.3;1.3 Upper Abdominal Region;16 4.1.4;1.4 Pelvic Region;17 4.2;2 Lymph Node Classification;20 4.2.1;2.1 Head and Neck Region;20 4.2.2;2.2 Mediastinal Region;22 4.2.3;2.3 Upper Abdominal Region;29 4.2.4;2.4 Pelvic Region;35 4.3;3 Anatomicoradiological Boundaries;37 4.3.1;3.1 Head and Neck Region;37 4.3.2;3.2 Mediastinal Region;38 4.3.3;3.3 Upper Abdominal Region;42 4.3.4;3.4 Pelvic Region;42 4.4;4 Planing CT: Technical Notes;47 5;Section II Target Volume Delineation in Modern Radiation Therapy;51 5.1;5 Critical Importance of Target Definition, Including Lymph Nodes, in Image-Guided Radiation Therapy;52 5.1.1;5.1 Target Volume and Critical Structure Delineation;54 5.1.2;5.2 Delineation of Lymph Node Volumes;60 5.1.3;5.3 Implications of Target Definition for Innovative Technology in Contemporary Radiation Therapy;63 5.1.4;5.4 Quality Assurance;63 5.1.5;5.5 Cost Benefit and Utility;64 5.1.6;5.6 Conclusions;66 6;Section III Axial CT Radiological Anatomy;68 6.1;A Guide for Delineation of Lymph Nodal Clinical Target Volume in Radiation Therapy;70 6.2;Upper Abdominal Region Lymph Nodes;120 6.3;Pelvic Lymph Nodes;143 6.4;Digitally Reconstructed Radiographs (DRRs);165 7;References;166
ISBN 9783540770442
Artikelnummer 9783540770442
Medientyp E-Book - PDF
Copyrightjahr 2008
Verlag Springer-Verlag
Umfang 174 Seiten
Sprache Englisch
Kopierschutz Digitales Wasserzeichen