CT-based delineation of organs at risk in the head and neck region: DAHANCA, EORTC, GORTEC, HKNPCSG, NCIC CTG, NCRI, NRG Oncology and TROG consensus guidelines

被引:503
作者
Brouwer, Charlotte L. [1 ]
Steenbakkers, Roel J. H. M. [1 ]
Bourhis, Jean [2 ]
Budach, Wilfried [3 ]
Grau, Cai [4 ]
Gregoire, Vincent [5 ,6 ]
van Herk, Marcel [7 ,8 ]
Lee, Anne [9 ]
Maingon, Philippe [10 ]
Nutting, Chris [11 ,12 ]
O'Sullivan, Brian [13 ]
Porceddu, Sandro V. [14 ]
Rosenthal, David I. [15 ]
Sijtsema, Nanna M. [1 ]
Langendijk, Johannes A. [1 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Radiat Oncol, Groningen, Netherlands
[2] Ctr Hospitalier Univ Vaudois, Dept Radiat Oncol, Lausanne, Switzerland
[3] Univ Hosp Dusseldorf, Dept Radiat Oncol, Dusseldorf, Germany
[4] Aarhus Univ Hosp, Dept Oncol, Aarhus, Denmark
[5] Clin Univ St Luc, Ctr Canc, B-1200 Brussels, Belgium
[6] Clin Univ St Luc, Univ Cathol Louvain, Clin & Expt Res Inst, Dept Radiat Oncol, B-1200 Brussels, Belgium
[7] Christie Hosp, Manchester, Lancs, England
[8] Univ Manchester, Manchester, Lancs, England
[9] Univ Hong Kong, Shenzhen Hosp, Dept Clin Oncol, Hong Kong, Peoples R China
[10] Ctr Georges Francois Leclerc, Dept Radiat Oncol, Dijon, France
[11] Royal Marsden Hosp, Dept Radiat Oncol, London SW3 6JJ, England
[12] Inst Canc Res, London SW3 6JB, England
[13] Univ Toronto, Princess Margaret Hosp, Dept Radiat Oncol, Toronto, ON M5S 1A1, Canada
[14] Univ Queensland, Princess Alexandra Hosp, Canc Serv, Brisbane, Qld, Australia
[15] Univ Texas MD Anderson Canc Ctr, Dept Radiat Oncol, Houston, TX 77030 USA
基金
美国国家卫生研究院;
关键词
Head and neck; Organs at risk; Interobserver variability; Consensus delineation guidelines; INTENSITY-MODULATED RADIOTHERAPY; DOSIMETRIC ANALYSIS; DYSPHAGIA; CARCINOMA;
D O I
10.1016/j.radonc.2015.07.041
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: The objective of this project was to define consensus guidelines for delineating organs at risk (OARS) for head and neck radiotherapy for routine daily, practice and for research purposes. Methods: Consensus guidelines were formulated based on in-depth discussions of a panel of European, North American, Asian and Australian radiation oncologists. Results: Twenty-five OARS in the head and neck region were defined with a concise description of their main anatomic boundaries. The Supplemental material provides an atlas of the consensus guidelines, projected on 1 mm axial slices. The atlas can also be obtained in DICOM-RT format on request. Conclusion: Consensus guidelines for head and neck OAR delineation were defined, aiming to decrease interobserver variability among clinicians and radiotherapy centers. (C) 2015 The Authors. Published by Elsevier Ireland Ltd.
引用
收藏
页码:83 / 90
页数:8
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