This video teaches Breast contouring for regional nodal irradiation (RNI). We hope you discover it enjoyable, sensible, and straightforward to grasp!
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There are additionally a number of pdf sources that we suggest in case you haven’t seen them but:
RADCOMP Atlas for IMRT remedy planning: https://www.nrgoncology.org/Portals/0/Scientific%20Program/CIRO/Atlases/RADCOMP/RADCOMP%20Breast%20Atlas%20v.3%20-%20bigreduced.pdf?ver=2020-08-01-140849-360
Mapping out Regional Nodal Recurrences in Breast Cancer – DeSelm et al. 2021: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8135107/
Comparison of various consensus tips in breast most cancers and patterns of failure: https://onlinelibrary.wiley.com/doi/10.1111/1754-9485.12804
Older Atlases for 3D-CRT (not lined on this video):
RTOG tips (USA, 3D-CRT = bone/muscle-based): https://www.nrgoncology.org/Portals/0/Scientific%20Program/CIRO/BreastCancerAtlas_corr_2020-07-06[74].pdf?ver=uflhUn_dY0Rwfp69kGkX-g%3d%3d
ESTRO tips (Europe, 3D-CRT = vascular-based):
– ESTRO consensus guideline for elective radiation remedy of early stage breast most cancers – Offerson et al. 2015: https://www.thegreenjournal.com/article/S0167-8140(14)00524-6/pdf
– Updated model 1.1 – Offerson et al. 2016: https://www.thegreenjournal.com/article/S0167-8140(16)00009-8/fulltext
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All data on this video is for instructional functions solely. Even consultants debate contours, however that is merely meant to supply a protected and acceptable instance of contours 🙂 Remember to all the time use your individual medical judgement when making treatment-related selections!
All contours use names in keeping with the AAPM TG-263 nomenclature information: https://www.aapm.org/pubs/reports/rpt_263_supplemental/default.asp
00:00 Breast Contouring Regional Nodes… a Walkthrough
00:57 Checklist of Key Points
04:52 Structure Set Template
06:53 OARs: Heart sub-structures
15:01 OARs: Shoulder
16:18 OARs: Brachial Plexus
17:59 Targets: Chest Wall
21:26 Targets: Regional Nodes
22:03 Axillary Level 2 Nodes
26:34 Axillary Level 3 Nodes
28:51 Axillary Level 1 Nodes
33:43 Internal Mammary Nodes
40:11 Supraclavicular Nodes
42:43 Posterior Triangle of Supraclavicular Nodes
45:14 Final Review
49:08 The End
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