
L01 Morphologic Imaging Techniques - Delorme |
8 |
L02 Functional & Biological Imaging Techniques - Delorme |
19 |
L03 ICRY 50, ICRU 62 and Beyond - Madani, Kunze-Busch and Remeijer |
31 |
GTV, CTV and PTV(ICRU 62 + 83 and beyond) Neil Burnet |
31 |
Slide Number 2 |
32 |
GTV, CTV and PTV |
33 |
Learning Objectives |
34 |
The history of radiotherapy |
35 |
Slide Number 6 |
36 |
Imaging - technology advance |
37 |
Target volumes |
38 |
Target volumes |
39 |
Target volumes |
40 |
Target volumes |
41 |
Target volumes |
42 |
Target volumes |
43 |
Target volumes - GTV |
44 |
Target volumes - GTV |
45 |
Target volumes - GTV |
46 |
Target volumes - GTV |
47 |
Slide Number 18 |
48 |
Slide Number 19 |
49 |
Slide Number 20 |
50 |
Slide Number 21 |
51 |
Slide Number 22 |
52 |
Target volumes - GTV |
53 |
Target volumes - GTV |
54 |
Target volumes - GTV |
55 |
Target volumes - GTV |
56 |
Improving concordance |
57 |
Improving concordance |
58 |
Improving concordance |
59 |
Improving concordance |
60 |
Quality of RT affects outcome |
61 |
Quality of RT affects outcome |
62 |
Target volumes - CTV |
63 |
Target volumes - CTV |
64 |
Target volumes - CTV |
65 |
Target volumes - CTV |
66 |
Target volumes - CTV |
67 |
Slide Number 38 |
68 |
Slide Number 39 |
69 |
Target volumes - CTV |
70 |
Target volumes - PTV |
71 |
Target volumes - PTV |
72 |
Target volumes - PTV |
73 |
Target volumes - PTV |
74 |
Target volumes - PTV |
75 |
Target volumes - PTV |
76 |
Target volumes - PTV |
77 |
Target volumes – PTV |
78 |
Target volumes – PTV |
79 |
Target volumes |
80 |
Target volumes – PTV |
81 |
Target volumes |
82 |
Target volumes – PTV |
83 |
Target volumes – PTV |
84 |
Target volumes – PTV - Adaptation |
85 |
Slide Number 56 |
86 |
Target volumes – OARs + PRVs ( and RVR) |
87 |
Slide Number 58 |
88 |
Target volumes – OARs |
89 |
OARs |
90 |
OARs |
91 |
Target volumes - OARs |
92 |
Target volumes – OARs |
93 |
Target volumes – OARs |
94 |
Target volumes – OARs + PRVs |
95 |
Target volumes – PRV |
96 |
Tissue architecture |
97 |
Target volumes – PRV |
98 |
Target volumes – PRV |
99 |
Target volumes – PRV |
100 |
PRV |
101 |
Slide Number 72 |
102 |
Slide Number 73 |
103 |
Slide Number 74 |
104 |
Slide Number 75 |
105 |
Slide Number 76 |
106 |
Target volumes – PTV + PRV |
107 |
Target volumes – overlaps |
108 |
Target volumes – overlaps |
109 |
Slide Number 80 |
110 |
Slide Number 81 |
111 |
Slide Number 82 |
112 |
Target volumes |
113 |
Slide Number 84 |
114 |
Slide Number 85 |
115 |
Target volumes – PTV / PRV |
116 |
Target volumes – overlaps |
117 |
Target volumes – overlaps |
118 |
Slide Number 89 |
119 |
Take home messages |
120 |
Take home messages |
121 |
Radiation oncology - a team effort |
122 |
L04 Image Handling - Kunze-Busch |
123 |
Slide Number 1 |
123 |
Slide Number 2 |
124 |
Slide Number 3 |
125 |
Overview |
126 |
Image data in RT chain |
127 |
Treatment preparation – diagnostic scan |
128 |
Treatment preparation – diagnostic scan |
129 |
Treatment preparation – planning CT |
130 |
Treatment preparation – planning CT |
131 |
Treatment preparation – planning (PET/)CT |
132 |
Treatment preparation – delineation |
133 |
Dealing with tumor motion |
134 |
Slide Number 13 |
135 |
Slide Number 14 |
136 |
Treatment preparation – display |
137 |
Treatment preparation – registration |
138 |
Image data in RT chain |
139 |
Treatment delivery – ImageGuidedRT |
140 |
Treatment delivery – IGRT |
141 |
Treatment delivery – IGRT |
142 |
Treatment delivery – IGRT |
143 |
Next IGRT generation: MR-guided RT |
144 |
Slide Number 23 |
145 |
Image data in RT chain |
146 |
Slide Number 25 |
147 |
Slide Number 26 |
148 |
Take home messages |
149 |
Slide Number 28 |
150 |
L05 Inter-Obser Variation in Radiotherapy Delineation - Remeijer |
151 |
Slide Number 1 |
151 |
Inter-observer variation in target volume delineation |
152 |
Slide Number 3 |
153 |
What influences delineation uncertainty? |
154 |
Lack of coffee….. |
155 |
… or too much coffee |
156 |
Level/window |
157 |
Modalities |
158 |
Resolution |
159 |
MRI artifacts can cause invisible geometrical errors! |
160 |
Registration |
161 |
Why is this so important? |
162 |
How to analyze? |
163 |
How to analyze: Volumes? |
164 |
How to analyze: Volumes? |
165 |
How to analyze? |
166 |
How to analyze? |
167 |
Distance maps |
168 |
Systematic modality difference (axial MRI - CT) |
169 |
Overall observer variation in CT (SD) |
170 |
What next? |
171 |
Slide Number 22 |
172 |
Slide Number 23 |
173 |
Slide Number 24 |
174 |
Slide Number 25 |
175 |
Slide Number 26 |
176 |
Slide Number 27 |
177 |
Slide Number 28 |
178 |
Slide Number 29 |
179 |
Slide Number 30 |
180 |
“Big Brother” |
181 |
Slide Number 32 |
182 |
Slide Number 33 |
183 |
Slide Number 34 |
184 |
Matched MRI – CT |
185 |
Slide Number 36 |
186 |
Conclusions |
187 |
Slide Number 38 |
188 |
Slide Number 39 |
189 |
L06 From Uncertainties to Margins - Remeijer |
190 |
From uncertainties to margins |
190 |
Introduction |
191 |
Some examples |
192 |
Slide Number 4 |
193 |
The radiotherapy chain |
194 |
Geometrical uncertainties |
195 |
Geometrical uncertainties |
196 |
Effect of geometrical errors |
197 |
Geometrical uncertainties |
198 |
Many varieties |
199 |
But also different sources! |
200 |
Slide Number 12 |
201 |
Prostate |
202 |
Bladder |
203 |
Slide Number 15 |
204 |
Determining the uncertainties |
205 |
Determining the uncertainties |
206 |
Determining the uncertainties |
207 |
Slide Number 19 |
208 |
How do we determine the margin? |
209 |
Effect of geometrical errors |
210 |
Margins for random errors |
211 |
Margins for random errors |
212 |
Slide Number 24 |
213 |
Margins for systematic errors |
214 |
Margins for systematic errors |
215 |
PTV for systematic translations |
216 |
Margins for systematic translations |
217 |
Slide Number 29 |
218 |
Margin recipe |
219 |
Keeping things in perspective |
220 |
GTV versus CTV underdosage |
221 |
GTV versus CTV underdosage |
222 |
Keeping things in perspective |
223 |
Conclusions |
224 |
Slide Number 36 |
225 |
Slide Number 37 |
226 |
Slide Number 38 |
227 |
L07A Image Registration - Kunze-Busch |
228 |
Slide Number 1 |
228 |
Slide Number 2 |
229 |
Overview |
230 |
Slide Number 4 |
231 |
Slide Number 5 |
232 |
Slide Number 6 |
233 |
1. Geometrical transformation T |
234 |
1. Geometrical transformation T |
235 |
1. Geometrical transformation T |
236 |
1. Geometrical transformation T |
237 |
2. Similarity measure |
238 |
2. Similarity measure |
239 |
Slide Number 13 |
240 |
Slide Number 14 |
241 |
Slide Number 15 |
242 |
3. Optimizer/optimization algorithm |
243 |
Image registration in the RT chain |
244 |
Image registration in the RT chain |
245 |
Treatment preparation |
246 |
Slide Number 20 |
247 |
different scanning position |
248 |
motion |
249 |
scans at different points in time |
250 |
Image registration in the RT chain |
251 |
Slide Number 25 |
252 |
CT – CBCT: Bone registration |
253 |
CT – CBCT: Bone registration |
254 |
grey value registration |
255 |
Slide Number 29 |
256 |
Slide Number 30 |
257 |
Image registration in the RT chain |
258 |
Quantification of organ motion |
259 |
Impact on margins? |
260 |
Slide Number 34 |
261 |
Slide Number 35 |
262 |
Slide Number 36 |
263 |
L07B Image Registration - Kunze-Busch |
264 |
Slide Number 1 |
264 |
Slide Number 2 |
265 |
Available software programs |
266 |
Slide Number 4 |
267 |
Slide Number 5 |
268 |
Slide Number 6 |
269 |
Slide Number 7 |
270 |
Clinical implementation |
271 |
Physical or digital QA |
272 |
Slide Number 10 |
273 |
Task group 132 |
274 |
Slide Number 12 |
275 |
L8 Anatomy and Lymph Node Drainage in the Mediastinum - Troost |
276 |
Slide Number 1 |
276 |
Slide Number 2 |
277 |
Slide Number 3 |
278 |
Slide Number 4 |
279 |
Slide Number 5 |
280 |
Slide Number 6 |
281 |
Slide Number 7 |
282 |
Slide Number 8 |
283 |
Slide Number 9 |
284 |
Slide Number 10 |
285 |
Slide Number 11 |
286 |
Slide Number 12 |
287 |
Slide Number 13 |
288 |
Slide Number 14 |
289 |
Slide Number 15 |
290 |
Slide Number 16 |
291 |
Slide Number 17 |
292 |
Slide Number 18 |
293 |
Slide Number 19 |
294 |
Slide Number 20 |
295 |
Slide Number 21 |
296 |
Slide Number 22 |
297 |
Slide Number 23 |
298 |
Slide Number 24 |
299 |
Slide Number 25 |
300 |
Slide Number 26 |
301 |
L09 Anatomy & Lymph Node Drainage for Breast Cancer - Delorme |
302 |
L10 GTV and CTV for Breast Cancer - Arenas |
315 |
Slide Number 1 |
315 |
Slide Number 2 |
316 |
Slide Number 3 |
317 |
Slide Number 4 |
318 |
Slide Number 5 |
319 |
Slide Number 6 |
320 |
Slide Number 7 |
321 |
Slide Number 8 |
322 |
Slide Number 9 |
323 |
Slide Number 10 |
324 |
Slide Number 11 |
325 |
Slide Number 12 |
326 |
Slide Number 13 |
327 |
Slide Number 14 |
328 |
Slide Number 15 |
329 |
Slide Number 16 |
330 |
Slide Number 17 |
331 |
Slide Number 18 |
332 |
Slide Number 19 |
333 |
Slide Number 20 |
334 |
Slide Number 21 |
335 |
Slide Number 22 |
336 |
Slide Number 23 |
337 |
Slide Number 24 |
338 |
Slide Number 25 |
339 |
Slide Number 26 |
340 |
Slide Number 27 |
341 |
Slide Number 28 |
342 |
Slide Number 29 |
343 |
Slide Number 30 |
344 |
Slide Number 31 |
345 |
Slide Number 32 |
346 |
Slide Number 33 |
347 |
Slide Number 34 |
348 |
Slide Number 35 |
349 |
Slide Number 36 |
350 |
Slide Number 37 |
351 |
Slide Number 38 |
352 |
Slide Number 39 |
353 |
Slide Number 40 |
354 |
Slide Number 41 |
355 |
Slide Number 42 |
356 |
Slide Number 43 |
357 |
Slide Number 44 |
358 |
Slide Number 45 |
359 |
Slide Number 46 |
360 |
Slide Number 47 |
361 |
Slide Number 48 |
362 |
Slide Number 49 |
363 |
Slide Number 50 |
364 |
Slide Number 51 |
365 |
Slide Number 52 |
366 |
Slide Number 53 |
367 |
Slide Number 54 |
368 |
Slide Number 55 |
369 |
Slide Number 56 |
370 |
Slide Number 57 |
371 |
Slide Number 58 |
372 |
Slide Number 59 |
373 |
Slide Number 60 |
374 |
Slide Number 61 |
375 |
Slide Number 62 |
376 |
Slide Number 63 |
377 |
Slide Number 64 |
378 |
Slide Number 65 |
379 |
Slide Number 66 |
380 |
Slide Number 67 |
381 |
Slide Number 68 |
382 |
Slide Number 69 |
383 |
Slide Number 70 |
384 |
Slide Number 71 |
385 |
Slide Number 72 |
386 |
Slide Number 73 |
387 |
Slide Number 74 |
388 |
Slide Number 75 |
389 |
Slide Number 76 |
390 |
Slide Number 77 |
391 |
Slide Number 78 |
392 |
Slide Number 79 |
393 |
Slide Number 80 |
394 |
Slide Number 81 |
395 |
Slide Number 82 |
396 |
Slide Number 83 |
397 |
Slide Number 84 |
398 |
Slide Number 85 |
399 |
Slide Number 86 |
400 |
Slide Number 87 |
401 |
Slide Number 88 |
402 |
Slide Number 89 |
403 |
Slide Number 90 |
404 |
Slide Number 91 |
405 |
Slide Number 92 |
406 |
Slide Number 93 |
407 |
Slide Number 94 |
408 |
Slide Number 95 |
409 |
Slide Number 96 |
410 |
Slide Number 97 |
411 |
Slide Number 98 |
412 |
Slide Number 99 |
413 |
Slide Number 100 |
414 |
Slide Number 101 |
415 |
Slide Number 102 |
416 |
Slide Number 103 |
417 |
Slide Number 104 |
418 |
Slide Number 105 |
419 |
L11 Anatomy & Lymph Node Drainage for Lung Cancer - Delorme |
420 |
L12 GTV and CTV for Lunch Cancer - Troost |
431 |
Slide Number 1 |
431 |
Slide Number 2 |
432 |
Slide Number 3 |
433 |
Slide Number 4 |
434 |
Slide Number 5 |
435 |
Slide Number 6 |
436 |
Slide Number 7 |
437 |
Slide Number 8 |
438 |
Slide Number 9 |
439 |
Slide Number 10 |
440 |
Slide Number 11 |
441 |
Slide Number 12 |
442 |
Slide Number 13 |
443 |
Slide Number 14 |
444 |
Slide Number 15 |
445 |
Slide Number 16 |
446 |
Slide Number 17 |
447 |
Slide Number 18 |
448 |
Slide Number 19 |
449 |
Slide Number 20 |
450 |
Slide Number 21 |
451 |
Slide Number 22 |
452 |
Slide Number 23 |
453 |
Slide Number 24 |
454 |
Slide Number 25 |
455 |
Slide Number 26 |
456 |
Slide Number 27 |
457 |
Slide Number 28 |
458 |
Slide Number 29 |
459 |
Slide Number 30 |
460 |
Imaging vs pathology |
461 |
Slide Number 32 |
462 |
Slide Number 33 |
463 |
Slide Number 34 |
464 |
Slide Number 35 |
465 |
Slide Number 36 |
466 |
Slide Number 37 |
467 |
Slide Number 43 |
468 |
Slide Number 44 |
469 |
Slide Number 45 |
470 |
Slide Number 46 |
471 |
Slide Number 47 |
472 |
Slide Number 48 |
473 |
Slide Number 49 |
474 |
Slide Number 50 |
475 |
Slide Number 51 |
476 |
Slide Number 52 |
477 |
Slide Number 53 |
478 |
Slide Number 54 |
479 |
L15 Anatomy & Lymph Node Drainage for H&N Cancer - Carey |
480 |
L16 CTV of the Elective Neck - Madani |
517 |
Slide Number 1 |
517 |
Slide Number 2 |
518 |
Slide Number 3 |
519 |
Slide Number 4 |
520 |
Slide Number 5 |
521 |
Slide Number 6 |
522 |
Slide Number 7 |
523 |
Slide Number 8 |
524 |
Slide Number 9 |
525 |
Slide Number 10 |
526 |
Slide Number 11 |
527 |
Slide Number 12 |
528 |
Slide Number 13 |
529 |
Slide Number 14 |
530 |
Slide Number 15 |
531 |
Slide Number 16 |
532 |
Slide Number 17 |
533 |
Slide Number 18 |
534 |
Slide Number 19 |
535 |
Slide Number 20 |
536 |
Slide Number 21 |
537 |
Slide Number 22 |
538 |
Slide Number 23 |
539 |
Slide Number 24 |
540 |
Slide Number 25 |
541 |
Slide Number 26 |
542 |
Slide Number 27 |
543 |
Slide Number 28 |
544 |
Slide Number 29 |
545 |
Slide Number 30 |
546 |
Slide Number 31 |
547 |
Slide Number 32 |
548 |
Slide Number 33 |
549 |
Slide Number 34 |
550 |
Slide Number 35 |
551 |
Slide Number 36 |
552 |
Slide Number 37 |
553 |
Slide Number 38 |
554 |
Slide Number 39 |
555 |
Slide Number 40 |
556 |
Slide Number 41 |
557 |
Slide Number 42 |
558 |
Slide Number 43 |
559 |
Slide Number 44 |
560 |
Slide Number 45 |
561 |
Slide Number 46 |
562 |
Slide Number 47 |
563 |
Slide Number 48 |
564 |
Slide Number 49 |
565 |
Slide Number 50 |
566 |
Slide Number 51 |
567 |
Slide Number 52 |
568 |
Slide Number 53 |
569 |
Slide Number 54 |
570 |
Slide Number 55 |
571 |
Slide Number 56 |
572 |
Slide Number 57 |
573 |
L17 GTV and CTV for H&N Cancer - Madani |
574 |
Slide Number 1 |
574 |
Slide Number 2 |
575 |
Slide Number 3 |
576 |
Slide Number 4 |
577 |
Slide Number 5 |
578 |
Slide Number 6 |
579 |
Slide Number 7 |
580 |
Slide Number 8 |
581 |
Slide Number 9 |
582 |
Slide Number 10 |
583 |
Slide Number 11 |
584 |
Slide Number 12 |
585 |
Slide Number 13 |
586 |
Slide Number 14 |
587 |
Slide Number 15 |
588 |
Slide Number 16 |
589 |
Slide Number 17 |
590 |
Slide Number 18 |
591 |
Slide Number 19 |
592 |
Slide Number 20 |
593 |
Slide Number 21 |
594 |
Slide Number 22 |
595 |
Slide Number 23 |
596 |
Slide Number 24 |
597 |
Slide Number 25 |
598 |
Slide Number 26 |
599 |
Slide Number 27 |
600 |
Slide Number 28 |
601 |
Slide Number 29 |
602 |
Slide Number 30 |
603 |
Slide Number 31 |
604 |
Slide Number 32 |
605 |
Slide Number 33 |
606 |
Slide Number 34 |
607 |
Slide Number 35 |
608 |
Slide Number 36 |
609 |
Slide Number 37 |
610 |
Slide Number 38 |
611 |
Slide Number 39 |
612 |
Slide Number 40 |
613 |
Slide Number 41 |
614 |
L19 Anatomy for CNS Tumours - Delorme |
615 |
L20 GTV and CTV for CNS Tumors - Jefferies |
624 |
CTV for gliomas Neil Burnet & Sarah Jefferies |
624 |
Slide Number 2 |
625 |
CNS Tumours |
626 |
Learning Objectives |
627 |
High Grade Glioma (HGG) |
628 |
HGG |
629 |
Tumour Spread |
630 |
Tumour Spread |
631 |
Tumour Spread |
632 |
Tumour Spread |
633 |
Tumour spread |
634 |
Slide Number 12 |
635 |
Tumour spread |
636 |
Slide Number 14 |
637 |
Tumour spread |
638 |
Inter-thalamic adhesion |
639 |
Inter-thalamic adhesion |
640 |
Tumour Spread |
641 |
HGG - CTV |
642 |
Essentials |
643 |
HGG - GTV |
644 |
GBM - presentation |
645 |
GBM early post-op imaging |
646 |
Slide Number 24 |
647 |
Slide Number 25 |
648 |
Slide Number 26 |
649 |
HGG - GTV |
650 |
HGG - GTV |
651 |
HGG - GTV |
652 |
Slide Number 30 |
653 |
HGG Invasion |
654 |
GTV – True extent of tumour |
655 |
HGG – GTV definitions |
656 |
Surgical Cavity |
657 |
Slide Number 35 |
658 |
HGG – GTV / CTV |
659 |
HGG – GTV / CTV |
660 |
Slide Number 38 |
661 |
Slide Number 39 |
662 |
Slide Number 40 |
663 |
Slide Number 41 |
664 |
From GTV to CTV |
665 |
Slide Number 43 |
666 |
Slide Number 44 |
667 |
HGG - CTV |
668 |
HGG - CTV |
669 |
Oedema |
670 |
Slide Number 48 |
671 |
HGG - CTV |
672 |
Slide Number 50 |
673 |
Slide Number 51 |
674 |
Slide Number 52 |
675 |
Oedema – include or not? |
676 |
Oedema – include or not? |
677 |
Oedema – include or not? |
678 |
GTV - T1+Gd or oedema |
679 |
HGG - CTV |
680 |
Slide Number 58 |
681 |
Slide Number 59 |
682 |
Slide Number 60 |
683 |
High grade glioma - PTV |
684 |
Slide Number 62 |
685 |
Slide Number 63 |
686 |
High grade glioma |
687 |
Slide Number 65 |
688 |
CNS case |
689 |
Slide Number 67 |
690 |
Slide Number 68 |
691 |
Slide Number 69 |
692 |
GBM - IMRT plan DVHs |
693 |
Slide Number 71 |
694 |
Low Grade Glioma (LGG) |
695 |
Low grade glioma |
696 |
Low grade glioma |
697 |
Slide Number 75 |
698 |
Slide Number 76 |
699 |
Slide Number 77 |
700 |
Low grade glioma |
701 |
LGG - GTV |
702 |
GTV – True extent of tumour |
703 |
Slide Number 81 |
704 |
Slide Number 82 |
705 |
Low grade glioma - CTV |
706 |
LGG |
707 |
LGG |
708 |
LGG |
709 |
LGG |
710 |
LGG |
711 |
LGG – CTV Suggested margins |
712 |
Summary |
713 |
LGG cases |
714 |
Slide Number 92 |
715 |
Slide Number 93 |
716 |
Slide Number 94 |
717 |
Slide Number 95 |
718 |
Normal tissue tolerance |
719 |
New Guidelines for OAR |
720 |
Normal tissue tolerance |
721 |
Optic nerve tolerance & risk |
722 |
Optic nerve tolerance & risk |
723 |
Chemo + RT for GBM |
724 |
Optic nerve tolerance & risk |
725 |
Optic nerve tolerance & risk |
726 |
Optic nerve tolerance & risk |
727 |
Optic nerve tolerance & risk |
728 |
Optic nerve tolerance & risk |
729 |
Thank you ! |
730 |
L22 Anatomy & Lymph Node Drainage for Upper GI Cancer - Carey |
731 |
L23 GTV and CTV for Oesophageal Cancer - Gambacorta |
763 |
GTV and CTV delineation for Esophageal cancer- Organ at risk delineation |
763 |
Esophageal cancer |
764 |
Esophageal cancer |
765 |
Treatment approaches |
766 |
Treatment approaches |
767 |
Treatment approaches |
768 |
Treatment indications |
769 |
Esophageal cancer |
770 |
Sites of recurrence |
771 |
Sites of recurrence |
772 |
Esophageal cancer |
773 |
Esophageal cancer |
774 |
Target volume delineation |
775 |
GTV definition |
776 |
GTV definition |
777 |
GTV-T definition:CT Scan |
778 |
CT Scan for GTV-T definition: infiltration of adjacent organs |
779 |
CT Scan for GTV-T definition: infiltration of adjacent organs |
780 |
CT Scan for GTV-T definition: infiltration of adjacent organs |
781 |
GTV-N definition:CT Scan |
782 |
CT Scan for GTV-N definition: lymphnodal metastases |
783 |
How to improve GTV definition |
784 |
GTV delineation in CT & PET |
785 |
GTV delineation in CT & PET |
786 |
GTV delineation in CT & PET |
787 |
Slide Number 26 |
788 |
Slide Number 27 |
789 |
Slide Number 28 |
790 |
Slide Number 29 |
791 |
PET for GTV definition: summary |
792 |
GTV delineation: summary |
793 |
Esophageal cancer |
794 |
CTV definition in clinical trials |
795 |
CTV-T |
796 |
CTV-T Length along esophagus |
797 |
CTV Length along esophagus |
798 |
CTV Length along esophagus |
799 |
CTV Length along esophagus |
800 |
CTV longitudinal margins |
801 |
CTV radial margins |
802 |
CTVs definition |
803 |
Esophageal cancer |
804 |
The importance of lymphnodal spread |
805 |
The importance of lymphnodal spread |
806 |
The importance of lymphnodal spread |
807 |
The importance of lymphnodal spread |
808 |
The importance of lymphnodal spread |
809 |
The importance of lymphnodal spread |
810 |
The importance of lymphnodal spread |
811 |
The importance of lymphnodal spread |
812 |
The importance of lymphnodal spread |
813 |
The importance of lymphnodal spread |
814 |
Lymphnodal spread according to T location |
815 |
Lymphnodes classification |
816 |
Cervical level |
817 |
Slide Number 56 |
818 |
Cervical CT axial anatomy |
819 |
Thoracic level |
820 |
Thoracic level: axial anatomy |
821 |
Slide Number 60 |
822 |
Thoracic level: axial anatomy |
823 |
Thoracic CT anatomy |
824 |
Abdominal level |
825 |
Slide Number 64 |
826 |
CTV-elective definition |
827 |
CTV-elective: cervical |
828 |
CTV-elective: upper thoracic |
829 |
CTV-elective: middle thoracic |
830 |
CTV-elective: lower thoracic |
831 |
Take home |
832 |
Gastro-esophageal tumor |
833 |
GEJ: GTV and CTV (T, N) |
834 |
Slide Number 73 |
835 |
Slide Number 74 |
836 |
Slide Number 75 |
837 |
Slide Number 76 |
838 |
GEJ: CTV elective; Type I |
839 |
GEJ: CTV elective; Type II |
840 |
GEJ: CTV elective; Type III |
841 |
OARs organization and delineation |
842 |
OARs constraints and delineation |
843 |
OARs delineation variability |
844 |
OARs not preventable toxicities |
845 |
Slide Number 84 |
846 |
L24 GTV and CTV for Gastric Cancer - Gambacorta |
847 |
GTV and CTV for gastric cancer – Delineation of Organ at risk |
847 |
Target Volume Definition |
848 |
Evidences:Surgical treatment |
849 |
Slide Number 4 |
850 |
Evidences:Sites of Recurrence |
851 |
Evidences:Sites of Recurrence |
852 |
Evidences:INT-0116 Overall Survival |
853 |
Evidences:INT-0116 Surgical Quality Review |
854 |
Treatment Guidelines |
855 |
Evidences:Why preoperative treatments? |
856 |
Evidences:Why preoperative treatments? |
857 |
Slide Number 12 |
858 |
Evidences: compliance, RT targeting |
859 |
Evidences: compliance, RT targeting |
860 |
Target Volume Definition |
861 |
Areas at risk |
862 |
Areas at risk |
863 |
Areas at risk post-op: Tumor bed/remnant |
864 |
Areas at Risk post-op: Tumor bed |
865 |
Areas at Risk post-op: Tumor bed |
866 |
Areas at risk post-op |
867 |
Areas at Risk post-op: Anastomosis & Stump |
868 |
Area at Risk post-op: Anastomosis |
869 |
Area at Risk: Anastomosis & Stump |
870 |
Area at Risk post-op: Duodenal Stump |
871 |
Area at Risk post-op: Anastomosis & Stump |
872 |
Target volume definition: pre-op |
873 |
Target volume definition: pre-op |
874 |
Target volume definition: pre-op |
875 |
Target volume definition: pre-op |
876 |
Area at Risk pre/post-op: Elective Nodes |
877 |
Area at Risk pre/post-op: Elective Nodes |
878 |
Areas at Risk: Elective Nodes |
879 |
Gastric level (1 – 6) |
880 |
Gastric level (1 – 6) |
881 |
Slide Number 36 |
882 |
Slide Number 37 |
883 |
Slide Number 38 |
884 |
Slide Number 39 |
885 |
Slide Number 40 |
886 |
Slide Number 41 |
887 |
Pancreatic level (7 – 18) |
888 |
Pancreatic level (7 – 18) |
889 |
Pancreatic level (7 – 18) |
890 |
Slide Number 45 |
891 |
Slide Number 46 |
892 |
Slide Number 47 |
893 |
Slide Number 48 |
894 |
Slide Number 49 |
895 |
Vascular level (16-19) |
896 |
Vascular level (16-19) |
897 |
Vascular level (16-19) |
898 |
Vascular level (16-19): topography |
899 |
Vascular level (16-19): axial anatomy |
900 |
Vascular level (16-19): axial anatomy |
901 |
Vascular level (16-19): axial anatomy |
902 |
Vascular level (16-19): axial anatomy |
903 |
Slide Number 58 |
904 |
Slide Number 59 |
905 |
Slide Number 60 |
906 |
Slide Number 61 |
907 |
Slide Number 62 |
908 |
Target Volume Delineation |
909 |
Slide Number 64 |
910 |
Slide Number 65 |
911 |
Slide Number 66 |
912 |
Slide Number 67 |
913 |
Slide Number 68 |
914 |
Slide Number 69 |
915 |
Slide Number 70 |
916 |
Slide Number 71 |
917 |
Slide Number 72 |
918 |
Slide Number 73 |
919 |
Slide Number 74 |
920 |
Slide Number 75 |
921 |
Slide Number 76 |
922 |
Slide Number 77 |
923 |
Slide Number 78 |
924 |
Slide Number 79 |
925 |
Slide Number 80 |
926 |
Slide Number 81 |
927 |
Slide Number 82 |
928 |
Slide Number 83 |
929 |
Slide Number 84 |
930 |
Slide Number 85 |
931 |
Slide Number 86 |
932 |
Slide Number 87 |
933 |
Slide Number 88 |
934 |
Slide Number 89 |
935 |
Slide Number 90 |
936 |
Organ At Risk |
937 |
INT-0116: compliance to chemoradiation |
938 |
INT-0116: Side Effects(Grade 3 - 4 WHO) |
939 |
OARs constraints and delineation |
940 |
OARs constraints and delineation |
941 |
Conclusions: Target Volume Definition |
942 |
Slide Number 97 |
943 |
L25 Anatomy & Lymph Node Drainage for Rectal and Anal Cancer - Carey |
944 |
L26 GTV and CTV for Rectal Cancer - Gambacorta |
980 |
GTV and CTV for Rectal Cancer |
980 |
Slide Number 2 |
981 |
Slide Number 3 |
982 |
CTV: what to include |
983 |
CTV in rectal cancer |
984 |
TME clinical target |
985 |
Slide Number 7 |
986 |
Slide Number 8 |
987 |
Slide Number 9 |
988 |
Slide Number 10 |
989 |
Slide Number 11 |
990 |
Slide Number 12 |
991 |
Slide Number 13 |
992 |
Slide Number 14 |
993 |
Slide Number 15 |
994 |
Slide Number 16 |
995 |
Slide Number 17 |
996 |
Slide Number 18 |
997 |
Slide Number 19 |
998 |
Slide Number 20 |
999 |
Slide Number 21 |
1000 |
Slide Number 22 |
1001 |
Slide Number 23 |
1002 |
Slide Number 24 |
1003 |
Slide Number 25 |
1004 |
Slide Number 26 |
1005 |
Slide Number 27 |
1006 |
Slide Number 28 |
1007 |
Slide Number 29 |
1008 |
Slide Number 30 |
1009 |
Slide Number 31 |
1010 |
Slide Number 32 |
1011 |
Slide Number 33 |
1012 |
Slide Number 34 |
1013 |
Slide Number 35 |
1014 |
Slide Number 36 |
1015 |
Slide Number 37 |
1016 |
Slide Number 38 |
1017 |
Delineation guidelines |
1018 |
Slide Number 40 |
1019 |
Delineation guidelines |
1020 |
Mesorectum: delineation guidelines |
1021 |
Mesorectum: delineation guidelines |
1022 |
Presacral: delineation guidelines |
1023 |
Lateral spaces: delineation guidelines |
1024 |
Lateral spaces |
1025 |
Lateral spaces |
1026 |
Slide Number 48 |
1027 |
Slide Number 49 |
1028 |
Delineation guidelines |
1029 |
Delineation guidelines |
1030 |
CTV modulation |
1031 |
Slide Number 53 |
1032 |
Slide Number 54 |
1033 |
Slide Number 55 |
1034 |
Slide Number 56 |
1035 |
Slide Number 57 |
1036 |
Slide Number 58 |
1037 |
Slide Number 59 |
1038 |
Inferior pelvic subsite(sphincter complex and ischiorectal fossae) |
1039 |
Inferior pelvic subsite |
1040 |
Inferior pelvic subsite |
1041 |
CTV modulation |
1042 |
Inguinal nodes |
1043 |
PTV definition |
1044 |
Slide Number 66 |
1045 |
Slide Number 67 |
1046 |
L27 GTV and CTV for Anal Cancer - Gambacorta |
1047 |
GTV and CTV delineation for Anal CancerDelineation of Organ at Risk in Ano-Rectal cancer |
1047 |
Slide Number 2 |
1048 |
Slide Number 3 |
1049 |
Slide Number 4 |
1050 |
Slide Number 5 |
1051 |
Slide Number 6 |
1052 |
Slide Number 7 |
1053 |
Slide Number 8 |
1054 |
Slide Number 9 |
1055 |
Slide Number 10 |
1056 |
Slide Number 11 |
1057 |
Slide Number 12 |
1058 |
Slide Number 13 |
1059 |
Slide Number 14 |
1060 |
Slide Number 15 |
1061 |
Slide Number 16 |
1062 |
Slide Number 17 |
1063 |
Slide Number 19 |
1064 |
Slide Number 20 |
1065 |
Slide Number 21 |
1066 |
Slide Number 22 |
1067 |
Slide Number 23 |
1068 |
Slide Number 24 |
1069 |
Slide Number 25 |
1070 |
Slide Number 26 |
1071 |
Slide Number 27 |
1072 |
Slide Number 28 |
1073 |
Slide Number 29 |
1074 |
Slide Number 30 |
1075 |
Slide Number 31 |
1076 |
Slide Number 32 |
1077 |
Slide Number 33 |
1078 |
Slide Number 34 |
1079 |
Slide Number 35 |
1080 |
Slide Number 36 |
1081 |
Slide Number 37 |
1082 |
Slide Number 38 |
1083 |
Slide Number 39 |
1084 |
Slide Number 41 |
1085 |
OARs in ano-rectal |
1086 |
Anal cancer delineation |
1087 |
Slide Number 46 |
1088 |
Slide Number 47 |
1089 |
Slide Number 48 |
1090 |
Slide Number 49 |
1091 |
Slide Number 50 |
1092 |
Slide Number 51 |
1093 |
Slide Number 52 |
1094 |
Slide Number 53 |
1095 |
Slide Number 54 |
1096 |
Slide Number 55 |
1097 |
Sexual function (male*) |
1098 |
Sexual function (male*) |
1099 |
Slide Number 58 |
1100 |
Slide Number 59 |
1101 |
Ano-Rectum OAR |
1102 |
L28 Anatomy & Lymph Node Drainage for Gyneacological Cancer - Carey |
1103 |
L29 GTV and CTV for Cervical Cancer - De Meerleer |
1140 |
Slide Number 1 |
1140 |
Slide Number 2 |
1141 |
Slide Number 3 |
1142 |
Slide Number 4 |
1143 |
Slide Number 5 |
1144 |
Slide Number 6 |
1145 |
Slide Number 7 |
1146 |
Slide Number 8 |
1147 |
Slide Number 9 |
1148 |
Slide Number 10 |
1149 |
Slide Number 11 |
1150 |
Slide Number 12 |
1151 |
Slide Number 13 |
1152 |
Slide Number 14 |
1153 |
Slide Number 15 |
1154 |
Slide Number 16 |
1155 |
Slide Number 17 |
1156 |
Slide Number 18 |
1157 |
Major issue: healthy tissue |
1158 |
Major issue: healthy tissue |
1159 |
Major issue: healthy tissue |
1160 |
Major issue: healthy tissue |
1161 |
Slide Number 23 |
1162 |
Slide Number 24 |
1163 |
Slide Number 25 |
1164 |
Slide Number 26 |
1165 |
Slide Number 27 |
1166 |
Slide Number 28 |
1167 |
Slide Number 29 |
1168 |
Slide Number 30 |
1169 |
Slide Number 31 |
1170 |
Slide Number 32 |
1171 |
Slide Number 33 |
1172 |
Slide Number 34 |
1173 |
Slide Number 35 |
1174 |
Slide Number 36 |
1175 |
Slide Number 37 |
1176 |
Slide Number 38 |
1177 |
Slide Number 39 |
1178 |
L30 GTV and CTV in the Postoperative Gynaecological Setting - De Meerleer |
1179 |
Slide Number 1 |
1179 |
Slide Number 2 |
1180 |
Slide Number 3 |
1181 |
Slide Number 4 |
1182 |
Slide Number 5 |
1183 |
Slide Number 6 |
1184 |
Slide Number 7 |
1185 |
Slide Number 8 |
1186 |
Slide Number 9 |
1187 |
Slide Number 10 |
1188 |
Slide Number 11 |
1189 |
Slide Number 12 |
1190 |
Slide Number 13 |
1191 |
Slide Number 14 |
1192 |
Slide Number 15 |
1193 |
Slide Number 16 |
1194 |
Slide Number 17 |
1195 |
Slide Number 18 |
1196 |
Slide Number 19 |
1197 |
Slide Number 20 |
1198 |
Slide Number 21 |
1199 |
Slide Number 22 |
1200 |
Slide Number 23 |
1201 |
Slide Number 24 |
1202 |
Slide Number 25 |
1203 |
Slide Number 26 |
1204 |
Slide Number 27 |
1205 |
Slide Number 28 |
1206 |
Slide Number 29 |
1207 |
Slide Number 30 |
1208 |
Slide Number 31 |
1209 |
Slide Number 32 |
1210 |
L31 Anatomy & Lymph Node Drainage for Prostate Cancer - Delorme |
1211 |
L32 GTV and CTV for Prostate Cancer - De Meerleer |
1222 |
Slide Number 1 |
1222 |
Slide Number 2 |
1223 |
Slide Number 3 |
1224 |
Slide Number 4 |
1225 |
MR in radiotherapy: Debois IJROBP 1999; 45: 857-865. |
1226 |
MR in radiotherapy: Debois IJROBP 1999; 45: 857-865. |
1227 |
MR in radiotherapy: Debois IJROBP 1999; 45: 857-865. |
1228 |
Slide Number 8 |
1229 |
MRI |
1230 |
MRI |
1231 |
Slide Number 11 |
1232 |
Slide Number 12 |
1233 |
Slide Number 13 |
1234 |
Biochemical failure (Multivariate Analysis) |
1235 |
Biochemical failure (Multivariate Analysis) |
1236 |
Slide Number 16 |
1237 |
Slide Number 17 |
1238 |
Slide Number 18 |
1239 |
Slide Number 19 |
1240 |
Slide Number 20 |
1241 |
Slide Number 21 |
1242 |
Slide Number 22 |
1243 |
Slide Number 23 |
1244 |
Slide Number 24 |
1245 |
Slide Number 25 |
1246 |
Slide Number 26 |
1247 |
Slide Number 27 |
1248 |
Slide Number 28 |
1249 |
Slide Number 29 |
1250 |
Slide Number 30 |
1251 |
Slide Number 31 |
1252 |
Slide Number 32 |
1253 |
Slide Number 33 |
1254 |
Slide Number 34 |
1255 |
Slide Number 35 |
1256 |
Biochemical control ≈ IPL for high risk |
1257 |
Elective nodal irradiation? |
1258 |
Slide Number 38 |
1259 |
Slide Number 39 |
1260 |
Slide Number 40 |
1261 |
Slide Number 41 |
1262 |
Slide Number 42 |
1263 |
Slide Number 43 |
1264 |
Slide Number 44 |
1265 |
Slide Number 45 |
1266 |
Slide Number 46 |
1267 |
Slide Number 47 |
1268 |
What if pN+ disease? |
1269 |
Slide Number 49 |
1270 |
Slide Number 50 |
1271 |
Slide Number 51 |
1272 |
Slide Number 52 |
1273 |
Slide Number 53 |
1274 |
Slide Number 54 |
1275 |
Slide Number 55 |
1276 |
Slide Number 56 |
1277 |
Slide Number 57 |
1278 |
Slide Number 58 |
1279 |
Slide Number 59 |
1280 |
Slide Number 60 |
1281 |
L33 GTV and CTV in the Postoperative Prostate Cancer Setting - De Meerleer |
1282 |
Postoperative setting? |
1282 |
Slide Number 2 |
1283 |
Slide Number 3 |
1284 |
Slide Number 4 |
1285 |
Slide Number 5 |
1286 |
Slide Number 6 |
1287 |
Slide Number 7 |
1288 |
Slide Number 8 |
1289 |
Slide Number 9 |
1290 |
Slide Number 10 |
1291 |
Slide Number 11 |
1292 |
Slide Number 12 |
1293 |
Slide Number 13 |
1294 |
Slide Number 14 |
1295 |
Slide Number 15 |
1296 |
Slide Number 16 |
1297 |
Slide Number 17 |
1298 |
Slide Number 18 |
1299 |
Slide Number 19 |
1300 |
Slide Number 20 |
1301 |
Slide Number 21 |
1302 |
Slide Number 22 |
1303 |
Slide Number 23 |
1304 |
Slide Number 24 |
1305 |
Slide Number 25 |
1306 |
Slide Number 26 |
1307 |
Slide Number 27 |
1308 |
Slide Number 28 |
1309 |
Slide Number 29 |
1310 |
Slide Number 30 |
1311 |