CT-based delineation of lymph node levels and related CTVs in the node-negative neck:: DAHANCA, EORTC, GORTEC, NCIC, RTOG consensus guidelines
CT-based delineation of lymph node levels and related CTVs in the node-negative neck:: DAHANCA, EORTC, GORTEC, NCIC, RTOG consensus guidelines
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DOI：
10.1016/j.radonc.2003.09.011
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发表时间：
2003-12-01
影响因子：
5.7
通讯作者：
Reychler, H
中科院分区：
文献类型：
--
作者：
Grégoire, V;Levendag, P;Reychler, H
背景和目的：HNSCC的三维适形放疗和调强放疗的适当应用需要一个标准化的目标体积的划定程序。在过去的几年里，有两个提案--格雷瓜尔等人提出的所谓的布鲁塞尔指导方针，Nowak等人的所谓鹿特丹指南是从文献中出现的，用于颈淋巴结水平的描绘。然而，对这些提案的详细审查揭示了一些重要的差异。材料和方法：在此框架内，布鲁塞尔和鹿特丹小组决定审查其指导方针，并得出一套用于划定颈部节点水平的共同建议。然后，与欧洲（DAHANCA、EORTC、ECOTEC）和北美（NCIC、RTOG）的主要合作社团体的代表讨论了这一建议，这些团体经过进一步完善后，已表示赞同。本文章的目的是提出的共识准则划定的节点水平在节点负neck.Results和结论：首先，以前的布鲁塞尔和鹿特丹准则之间的差异进行了简短的讨论。然后介绍了共识准则的一般理念和用于解决各种差异的方法。然后提出共识提案，并在CT部分说明与这些指南一致的代表性CTV。最后，讨论了共识指南的局限性，并描述了这些指南直接应用于淋巴结阳性颈部和术后颈部的一些问题。(C)2003爱思唯尔爱尔兰有限公司保留所有权利。
Background and purpose: The appropriate application of 3-D CRT and IMRT for HNSCC requires a standardization of the procedures for the delineation of the target volumes. Over the past few years, two proposals-the so-called Brussels guidelines from Gregoire et al., and the so-called Rotterdam guidelines from Nowak et al-emerged from the literature for the delineation of the neck node levels. Detailed examination of these proposals however revealed some important discrepancies.Materials and methods: Within this framework, the Brussels and Rotterdam groups decided to review their guidelines and derive a common set of recommendations for delineation of neck node levels. This proposal was then discussed with representatives of major cooperative groups in Europe (DAHANCA, EORTC, GORTEC) and in North America (NCIC, RTOG), which, after some additional refinements, have endorsed them. The objective of the present article is to present the consensus guidelines for the delineation of the node levels in the node-negative neck.Results and conclusions: First a short discussion of the discrepancies between the previous Brussels and the Rotterdam guidelines is presented. The general philosophy of the consensus guidelines and the methodology used to resolve the various discrepancies are then described. The consensus proposal is then presented and representative CTVs that are consistent with these guidelines are illustrated on CT sections. Last, the limitations of the consensus guidelines are discussed and some concerns about the direct applications of these guidelines to the node-positive neck and the post-operative neck are described. (C) 2003 Elsevier Ireland Ltd. All rights reserved.