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- W2568583178 abstract "Dosimetric constraints of thoracic organs at risk (OARs) have been used in institutional and multicentric trials in cooperative groups such as RTOG, EORTC and SWOG. However the anatomic delineation of these structures has not been standardized. We compared Kong’s recommendations (Kong FM, IJROBP 2011) with our institutional atlas (“Delineating Organs at risk in Radiation Therapy”, Ausili Cefaro G. et al. 2012) for the contouring of thoracic OARs and the definition of their anatomo-radiological boundaries. The following are the main differences and concordances. Esophagus: cranio-caudal limits were the same. We defined antero-posterior and latero-lateral boundaries while Kong not. Brachial plexus: in subclavicular neurovascular bundle, many differences were found because of difficult visualization of this structure in CT. Lung: for Kong, lung was the air-inflated parenchyma without proximal bronchial tree, fluid and atelectasis. Our atlas, provided proper cranial, caudal, medial, lateral, anterior e posterior limits. Proximal bronchial tree: we gave anatomo-radiological limits while Kong only described the anatomy. Moreover, in our atlas we considered heart and humeral head that are often dose-limiting during thoracic radiotherapy. Standardized delineation of OARs are crucial for clinical trials and daily practice. In our experience, we clinically are checking our atlas that is easy to use and reproducible with clearly recognizable limits. However, the atlas should be adapted to the needs and to the planning techniques (3DCRT, IMRT-VMAT, SBRT) employed in each single institution." @default.
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- W2568583178 date "2017-01-01" @default.
- W2568583178 modified "2023-09-27" @default.
- W2568583178 title "PUB112 Comparison of Two Atlases to Delineate Organ at Risks Contouring in Lung Cancer Radiation Therapy" @default.
- W2568583178 doi "https://doi.org/10.1016/j.jtho.2016.11.2083" @default.
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