A Guide for Delineation of Lymph Nodal Clinical Target Volume in Radiation Therapy / Edition 1

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This book will facilitate the understanding of cross-sectional anatomy details and assist radiation oncologists in the difficult task of a detailed delineation of lymph node targets in multiple anatomical locations. It opens with a brief overview of the anatomy of the lymphatic system, followed by the main anatomical classifications involving the lymph drain in four main regions (head and neck, mediastinum, superior abdomen, pelvis) and describes the spreading patterns of the different cancers. Based on the close collaboration between radiologists and radiation oncologists, explicit instructions for the delineation of lymph nodal clinical target volumes are proposed to obtain a more accurate and consistent definition of these volumes of interest. In addition, axial topographic reference points for anatomical boundaries of regional lymph nodes are presented in illustrative tables. This book will be a valuable aid in accurate image-based radiation therapy planning for young as well as for more experienced radiation oncologists.

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Editorial Reviews

Doody's Review Service
Reviewer: James G Douglas, MD, MS (Memorial Hospital of Sweetwater County)
Description: This is a concise guide to radiological definitions of lymph node groups for radiation treatment planning.
Purpose: The stated goal is to provide radiation oncologists with guidelines for identifying and defining lymph node structures that need to be included in treatment planning. The book succeeds in this worthwhile undertaking.
Audience: The primary audience is radiation oncologists at all stages of their careers. Residents and students should find this a very helpful anatomical guide. The authors are well known in radiation oncology and/or radiology.
Features: The initial section is devoted to a description of the general anatomic considerations of lymph node anatomy, classification, and anatomic radiological boundaries of lymph node groupings. The second section delves into modern definitions of target volume delineation and its importance for treatment planning. The third section is the most important part of this book, covering the anatomic, axial CT radiological anatomy of the head and neck, mediastinum, upper abdomen, and pelvic lymph nodes. The CT figures are excellent, as is the use of color coding to delineate the various lymph node regions in each area.
Assessment: This is a useful guide for the lymph node anatomy of the major disease site regions. Although there are many other anatomic guides in purely anatomic texts, this one is concise and thus is a fairly good reference tool.
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Product Details

  • ISBN-13: 9783642095764
  • Publisher: Springer Berlin Heidelberg
  • Publication date: 11/19/2010
  • Edition description: Softcover reprint of hardcover 1st ed. 2008
  • Edition number: 1
  • Pages: 174
  • Product dimensions: 8.20 (w) x 10.80 (h) x 0.50 (d)

Table of Contents

General Considerations.- Anatomy.- Lymph Node Classification.- Anatomicoradiological Boundaries.- Planing CT: Technical Notes.- Target Volume Delineation in Modern Radiation Therapy.- Critical Importance of Target Definition, Including Lymph Nodes, in Image-Guided Radiation Therapy.- Axial CT Radiological Anatomy.- Head and Neck Lymph Nodes.- Mediastinal Lymph Nodes.- Upper Abdominal Region Lymph Nodes.- Pelvic Lymph Nodes.- Digitally Reconstructed Radiographs (DRRs).

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