A Guide for Delineation of Lymph Nodal Clinical Target Volume in Radiation Therapy, Softcover reprint of hardcover 1st ed. 2008

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.

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).

Detailed delineation of lymph node targets in multiple anatomical locations Valuable aid in accurate image based radiation therapy treatment planning Enhanced treatment outcome, based on delivery of adequate doses of irradiation to lymph nodes at risk Decreased morbiditiy and better quality of life, by selectively irradiating outlined lymph nodes at risk