By Giampiero Ausili Cefaro, Carlos A. Perez, Domenico Genovesi, Annamaria Vinciguerra
From the reviews:
"This is a concise consultant to radiological definitions of lymph node teams for radiation remedy making plans. … the first viewers is radiation oncologists in any respect phases in their careers. citizens and scholars should still locate this a truly worthy anatomical consultant. The authors are popular in radiation oncology and/or radiology. … this can be a priceless advisor for the lymph node anatomy of the most important affliction website regions." (James G. Douglas, Doody’s assessment carrier, July, 2009)
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Additional resources for A Guide for Delineation of Lymph Nodal Clinical Target Volume in Radiation Therapy
As a rule, a head support is provided to achieve a neutral position or, if necessary, the neck is hyperextended. Immobilization of the patient’s head, neck, and shoulders in this position is usually achieved by means of a thermoplastic mask fixed to a base plate secured to the treatment table. Moreover, depending on the type of therapy to be performed, beside these, other immobilization systems can be used, such as the intraoral stent. The arms usually lie along the body, but patients may also be asked to cross their arms over their chest so as to lower their shoulders and reduce the occurrence of “beam hardening artifacts” on CT images.
In mediastinal irradiation, patients lie supine with both arms extended above the head. It is advisable to use personalized positioning and immobili- zation systems and controlled breathing procedures so as to minimize the geometrical uncertainty of the treatment (vacuum system, T-bar device, Perspex cast). , cast or vacuum system). Moreover, for better setup of treatment fields, the arms should be raised above the head. In some cases of radiation delivery to the pelvic region, the prone position may be considered as an alternative to the supine position.
Posterior mediastinal Despite this, Mountain’s anatomical definitions of nodal stations are not fully explanatory for individual nodal station contouring in conformal radiotherapy. In 2003, at the National Congress of the AIRO, Vinciguerra et al. presented a communication on the program for nodal CTV contouring using easily identifiable anatomical boundaries . A similar study was conducted at the University of Michigan by an interdisciplinary working group, which proposed radiological boundaries in order to define on CT cross-sectional images the lymph node stations described by Mountain and Dresler .