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This document provides an atlas and guidelines for contouring organs at risk (oars) in thoracic radiation therapy Access google docs with a personal google account or google workspace account (for business use). It summarizes the contours for the lung, esophagus, spinal cord, brachial plexus, proximal bronchial tree, chest wall, and other structures.
All the images obtained as a part of a national lung sbrt study at our institution was utilized. Store documents online and access them from any computer. In this focused review, we will examine the contemporary practice and principles of using hypofractionated rt or sbrt for central and ultracentral thoracic tumors.
A ct atlas was developed with definition of cranial, caudal, anterior, posterior, medial and lateral limit for each oars (table 1).
• the proximal bronchial tree can be contoured using mediastinal windows on the ct scan to correspond to the mucosal, submucosa, and cartilage rings and airway channels associated with these structures. Both sets of contours were delineated using the same contouring All contouring and analysis of results was performed on ct images (2mm slices) and using mim 6.7 software. Accurate delineation of the proximal bronchial tree (pbt) is crucial for appropriate assessment of lung tumor centrality and choice of stereotactic ablative body radiotherapy (sabr) dose prescription.
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