Itazawa Tomoko, Tamaki Yukihisa, Komiyama Takafumi, Nishimura Yasumasa, Nakayama Yuko, Ito Hiroyuki, Ohde Yasuhisa, Kusumoto Masahiko, Sakai Shuji, Suzuki Kenji, Watanabe Hirokazu, Asamura Hisao
Japanese Society for Radiation Oncology
Department of Radiation Oncology, Shin-yurigaoka General Hospital, 255 Furusawa Asao-ku, Kawasaki, Kanagawa 215-0026, Japan.
J Radiat Res. 2017 Jan;58(1):86-105. doi: 10.1093/jrr/rrw076. Epub 2016 Sep 8.
The purpose of this study was to develop a consensus-based computed tomographic (CT) atlas that defines lymph node stations in radiotherapy for lung cancer based on the lymph node map of the International Association for the Study of Lung Cancer (IASLC). A project group in the Japanese Radiation Oncology Study Group (JROSG) initially prepared a draft of the atlas in which lymph node Stations 1-11 were illustrated on axial CT images. Subsequently, a joint committee of the Japan Lung Cancer Society (JLCS) and the Japanese Society for Radiation Oncology (JASTRO) was formulated to revise this draft. The committee consisted of four radiation oncologists, four thoracic surgeons and three thoracic radiologists. The draft prepared by the JROSG project group was intensively reviewed and discussed at four meetings of the committee over several months. Finally, we proposed definitions for the regional lymph node stations and the consensus-based CT atlas. This atlas was approved by the Board of Directors of JLCS and JASTRO. This resulted in the first official CT atlas for defining regional lymph node stations in radiotherapy for lung cancer authorized by the JLCS and JASTRO. In conclusion, the JLCS-JASTRO consensus-based CT atlas, which conforms to the IASLC lymph node map, was established.
本研究的目的是基于国际肺癌研究协会（IASLC）的淋巴结图谱，制定一份基于共识的计算机断层扫描（CT）图谱，以定义肺癌放疗中的淋巴结区域。日本放射肿瘤学研究组（JROSG）的一个项目组最初编制了该图谱的草案，其中在轴向CT图像上展示了第1-11组淋巴结。随后，成立了日本肺癌协会（JLCS）和日本放射肿瘤学会（JASTRO）的联合委员会来修订该草案。该委员会由四名放射肿瘤学家、四名胸外科医生和三名胸放射科医生组成。JROSG项目组编写的草案在委员会的四次会议上经过数月的深入审查和讨论。最后，我们提出了区域淋巴结区域的定义和基于共识的CT图谱。该图谱得到了JLCS和JASTRO董事会的批准。这产生了第一份经JLCS和JASTRO授权的用于定义肺癌放疗中区域淋巴结区域的官方CT图谱。总之，建立了符合IASLC淋巴结图谱的JLCS-JASTRO基于共识的CT图谱。
