Intensity-modulated radiotherapy for head and neck surgeons

被引：23

作者：

Gutiontov, Stanley I. ^{[1
]}

Shin, Edward J. ^{[2
]}

Lok, Benjamin ^{[3
]}

Lee, Nancy Y. ^{[3
]}

Cabanillas, Ruben ^{[4
]}

机构：

[1] Northwestern Univ, Feinberg Sch Med, Chicago, IL 60611 USA

[2] New York Eye & Ear Infirm Mt Sinai, Dept Otolaryngol Head & Neck Surg, New York, NY USA

[3] Mem Sloan Kettering Canc Ctr, Dept Radiat Oncol, New York, NY 10065 USA

[4] Inst Mol & Oncol Med Asturias Oviedo, Dept Clin & Translat Oncol, Asturias, Spain

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2016年 / 38卷

关键词：

cancer; radiotherapy; intensity-modulated radiotherapy (IMRT); head and neck; target delineation; SQUAMOUS-CELL CARCINOMA; TARGET VOLUME DELINEATION; ADENOID CYSTIC CARCINOMA; LYMPH-NODE METASTASIS; LOCALLY ADVANCED HEAD; TERM-FOLLOW-UP; RADIATION-THERAPY; NASOPHARYNGEAL CARCINOMA; CONSENSUS GUIDELINES; PAROTID-GLAND;

D O I：

10.1002/hed.24338

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The development of intensity-modulated radiotherapy (IMRT) has played a major role in improving outcomes and decreasing morbidity in patients with head and neck cancer. This review addresses this vital modality with a focus on the important role of the head and neck surgeon. The technique as well as its benefits and points of caution are outlined, the definitions of tumor and treatment volumes are discussed, and the dose and fractionation are detailed. Following this are several sections dedicated to the role of the head and neck surgeon in the planning of both definitive and postoperative radiotherapy to the primary site and neck. There is a focus throughout on anatomic and surgical considerations; commonly encountered situations are illustrated. With a deeper understanding of this technique and their own pivotal contribution to target delineation, head and neck surgeons will be poised to expand their role and improve cancer care for their patients. (C) 2015 Wiley Periodicals, Inc.

引用

页码：E2368 / E2373

页数：6

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