Technical Innovations and Patient Support in Radiation Oncology

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Presentation transcript:

Technical Innovations and Patient Support in Radiation Oncology Evidence-based region of interest matching guidelines for sarcoma volumetric image- guided radiation therapy Winnie Li, Samuel Appiah, Christine Hill, Nathan Becker, Charles Catton, Peter Chung, David Shultz, Peter Ferguson, Brian O'Sullivan, Colleen Dickie Technical Innovations and Patient Support in Radiation Oncology Volume 5, Pages 3-8 (March 2018) DOI: 10.1016/j.tipsro.2018.01.001 Copyright © 2018 The Authors Terms and Conditions

Fig. 1 Sarcoma cone-beam computed tomography image guidance workflow. Technical Innovations and Patient Support in Radiation Oncology 2018 5, 3-8DOI: (10.1016/j.tipsro.2018.01.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 2 Region of interest definition for lower limb sarcoma. (A) Limb with visible joint. Red contour = GTV, Orange contour = PTV. (B) Limb without visible joint. Red contour = GTV, Blue contour = PTV. The region of interest is outlined in red. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) Technical Innovations and Patient Support in Radiation Oncology 2018 5, 3-8DOI: (10.1016/j.tipsro.2018.01.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 3 Proposed options for region of interest definition for retroperitoneal sarcoma: variations in the lateral borders. (a) Option 1 includes the pelvic crest laterally and the vertebral column. (b) Option 2 includes the vertebral column adjacent to the treatment target. Red contour = GTV, Blue contour = PTV. The region of interest is outlined in red. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) Technical Innovations and Patient Support in Radiation Oncology 2018 5, 3-8DOI: (10.1016/j.tipsro.2018.01.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 4 Proposed region of interest definition guidelines for unilateral pelvic sarcoma. Red contour = GTV, Blue contour = PTV. The region of interest is outlined in red. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) Technical Innovations and Patient Support in Radiation Oncology 2018 5, 3-8DOI: (10.1016/j.tipsro.2018.01.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 5 Proposed region of interest definition guidelines for thoracic sarcoma. Red contour = GTV, Blue contour = PTV. The region of interest is outlined in red. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) Technical Innovations and Patient Support in Radiation Oncology 2018 5, 3-8DOI: (10.1016/j.tipsro.2018.01.001) Copyright © 2018 The Authors Terms and Conditions

Fig. 6 (a) Initial and (b) revised region of interest definition guidelines for unilateral pelvic sarcoma. Adjustments were made to the lateral and posterior borders. Red contour = GTV, Blue contour = PTV. The region of interest is outlined in red. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.) Technical Innovations and Patient Support in Radiation Oncology 2018 5, 3-8DOI: (10.1016/j.tipsro.2018.01.001) Copyright © 2018 The Authors Terms and Conditions