Department of Radiation Oncology, Institut Curie, Paris, France.
Br J Radiol. 2010 Aug;83(992):683-6. doi: 10.1259/bjr/28834220. Epub 2009 Dec 17.
The aim of this study was to present the simplified rules of delineation of lymph node (LN) volumes in breast irradiation. Practical rules of delineation of LN areas were developed in the Department of Radiation Oncology of the Institut Curie. These practical guidelines of delineation were based on different specific publications in the field of breast and LN anatomy. The principal characteristic of these rules is their clearly established relationship with anatomical structure, which is easy to find on CT slices. The simplified rules of delineation have been published in pocket format as the illustrated atlas "Help of delineation for breast cancer treatment". In this small pocket guide, delineation using the practical rules is illustrated, with examples from anatomical CT slices. It is shown that there is an improvement in delineation after the use of these simplified rules and the guide. In conclusion, this small guide is useful for improving everyday practice and decreasing the differences in target delineation for breast irradiation between institutions and observers.
本研究旨在提出简化的乳腺癌放疗中淋巴结(LN)勾画规则。在居里研究所放射肿瘤科,我们制定了 LN 区域勾画的实用规则。这些勾画实用指南基于乳房和 LN 解剖学领域的不同特定出版物。这些规则的主要特点是与 CT 切片上易于找到的解剖结构有明确的关系。简化的勾画规则已以口袋书形式出版,书名为《乳腺癌治疗勾画辅助》。在这本小口袋指南中,使用实用规则进行了勾画说明,并提供了来自解剖 CT 切片的示例。结果表明,使用这些简化规则和指南后,勾画得到了改善。总之,这本小指南有助于提高日常实践水平,并减少机构和观察者之间在乳腺癌放疗靶区勾画方面的差异。