Pelvic Normal Tissue Contouring Guidelines for Radiation Therapy: A Radiation Therapy Oncology Group Consensus Panel Atlas

被引:379
|
作者
Gay, Hiram A. [1 ]
Barthold, H. Joseph [2 ,3 ]
O'Meara, Elizabeth [4 ]
Bosch, Walter R.
El Naqa, Issam [5 ]
Al-Lozi, Rawan
Rosenthal, Seth A. [6 ]
Lawton, Colleen [7 ]
Lee, W. Robert [8 ]
Sandler, Howard [9 ]
Zietman, Anthony [10 ,11 ]
Myerson, Robert
Dawson, Laura A. [12 ]
Willett, Christopher [8 ]
Kachnic, Lisa A. [13 ]
Jhingran, Anuja [14 ]
Portelance, Lorraine [15 ]
Ryu, Janice [6 ]
Small, William, Jr. [16 ]
Gaffney, David [17 ]
Viswanathan, Akila N. [18 ]
Michalski, Jeff M.
机构
[1] Washington Univ, Sch Med, Dept Radiat Oncol, St Louis, MO 63110 USA
[2] Commonwealth Hematol & Oncol, Weymouth, MA USA
[3] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA
[4] Radiat Therapy Oncol Grp, Philadelphia, PA USA
[5] McGill Univ, Dept Radiat Oncol, Ctr Hlth, Montreal, PQ H3A 2T5, Canada
[6] Radiol Associates Sacramento, Radiat Oncol Ctr, Sacramento, CA USA
[7] Med Coll Wisconsin, Dept Radiat Oncol, Milwaukee, WI 53226 USA
[8] Duke Univ, Med Ctr, Div Radiat Oncol, Durham, NC 27710 USA
[9] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
[10] Harvard Univ, Sch Med, Boston, MA USA
[11] Massachusetts Gen Hosp, Dept Radiat Oncol, Boston, MA 02114 USA
[12] Univ Toronto, Princess Margaret Hosp, Dept Radiat Oncol, Toronto, ON, Canada
[13] Boston Univ, Sch Med, Boston Med Ctr, Dept Radiat Oncol, Boston, MA 02118 USA
[14] Univ Texas MD Anderson Canc Ctr, Dept Radiat Oncol, Houston, TX 77030 USA
[15] Univ Miami, Miami, FL USA
[16] Northwestern Univ, Robert H Lurie Comprehens Canc Ctr, Dept Radiat Oncol, Chicago, IL 60611 USA
[17] Univ Utah, Huntsman Canc Inst, Dept Radiat Oncol, Salt Lake City, UT USA
[18] Brigham & Womens Hosp, Dana Farber Canc Inst, Dept Radiat Oncol, Boston, MA 02115 USA
关键词
Radiation therapy atlas; Pelvic contouring atlas; Normal tissue volumes; Male pelvis; Female pelvis; COMPLICATION PROBABILITY-MODELS; LATE RECTAL TOXICITY; PROSTATE-CANCER; CONFORMAL RADIOTHERAPY; RANDOMIZED-TRIAL; HISTOGRAMS; GY;
D O I
10.1016/j.ijrobp.2012.01.023
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To define a male and female pelvic normal tissue contouring atlas for Radiation Therapy Oncology Group (RTOG) trials. Methods and Materials: One male pelvis computed tomography (CT) data set and one female pelvis CT data set were shared via the Image-Guided Therapy QA Center. A total of 16 radiation oncologists participated. The following organs at risk were contoured in both CT sets: anus, anorectum, rectum (gastrointestinal and genitourinary definitions), bowel NOS (not otherwise specified), small bowel, large bowel, and proximal femurs. The following were contoured in the male set only: bladder, prostate, seminal vesicles, and penile bulb. The following were contoured in the female set only: uterus, cervix, and ovaries. A computer program used the binomial distribution to generate 95% group consensus contours. These contours and definitions were then reviewed by the group and modified. Results: The panel achieved consensus definitions for pelvic normal tissue contouring in RTOG trials with these standardized names: Rectum, AnoRectum, SmallBowel, Colon, BowelBag, Bladder, UteroCervix, Adnexa_R, Adnexa_L, Prostate, SeminalVesc, PenileBulb, Femur_R, and Femur_L. Two additional normal structures whose purpose is to serve as targets in anal and rectal cancer were defined: AnoRectumSig and Mesorectum. Detailed target volume contouring guidelines and images are discussed. Conclusions: Consensus guidelines for pelvic normal tissue contouring were reached and are available as a CT image atlas on the RTOG Web site. This will allow uniformity in defining normal tissues for clinical trials delivering pelvic radiation and will facilitate future normal tissue complication research. (C) 2012 Elsevier Inc.
引用
收藏
页码:E353 / E362
页数:10
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