By Giampiero Ausili Cefaro, Carlos A. Perez, Domenico Genovesi, Annamaria Vinciguerra
From the reviews:
"This is a concise consultant to radiological definitions of lymph node teams for radiation therapy making plans. … the first viewers is radiation oncologists in any respect phases in their careers. citizens and scholars should still locate this a truly necessary anatomical consultant. The authors are popular in radiation oncology and/or radiology. … this can be a helpful consultant for the lymph node anatomy of the foremost affliction website regions." (James G. Douglas, Doody’s evaluation carrier, July, 2009)
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Extra resources for A Guide for Delineation of Lymph Nodal Clinical Target Volume in Radiation Therapy
Carotid artery, sternocleidomasparaspinal (levator toid m. scapulae) m. Post. edge of Post. border of submandibular int. jugular vein gland; ant. edge of int. carotid artery; post. edge of post. belly of digastric m. IIb Caudal edge of lateral process of C1 Caudal edge of the body of hyoid bone Medial edge of Medial edge of int. carotid artery, sternocleidomasparaspinal (levator toid m. scapulae) m. Post. border of int. Post. border of jugular vein the sternocleidomastoid m. III Caudal edge of the body of hyoid bone Caudal edge of cricoid cartilage Int.
Para-aortic lymph nodes •• Group 2. 7 – Subdivision of paraaortic and pelvic lymph nodes Type Description Para-aortic lymph nodes Paracaval nodes Located to the right of the vena cava Precaval nodes Located anterior to the vena cava Postcaval nodes Located posterior to the vena cava when the vein is mobilized to the left Deep intercavoaortic nodes To the right of the aorta, between the aorta and the vena cava, above the lumbar vessels Superficial intercavoaortic nodes To the right of the aorta, between the aorta and the vena cava, below the lumbar vessels Preaortic nodes Anterior to the aorta Para-aortic nodes Lateral to the aorta Postaortic nodes Posterior to the aorta Pelvic lymph nodes Common iliac nodes Around the common iliac vessels – Medial subgroup – Superficial lateral subgroup – Deep lateral subgroup External iliac nodes Internal iliac nodes Deep obturator nodes Superficial obturator nodes Presacral nodes Parametrial nodes 26 In a space delimited laterally by the psoas muscle, medially by the common iliac vein and by the two iliolumbar veins, and posteriorly by the ischiatic nerve and by the origin of the obturator nerve 2 Lymph Node Classification •• •• •• •• Groups 3 and 4.
In 2003, at the National Congress of the AIRO, Vinciguerra et al. presented a communication on the program for nodal CTV contouring using easily identifiable anatomical boundaries . A similar study was conducted at the University of Michigan by an interdisciplinary working group, which proposed radiological boundaries in order to define on CT cross-sectional images the lymph node stations described by Mountain and Dresler . 2 illustrates the anatomicoradiological boundaries of mediastinal nodal stations up to station 8 based on our experience.
A Guide for Delineation of Lymph Nodal Clinical Target Volume in Radiation Therapy by Giampiero Ausili Cefaro, Carlos A. Perez, Domenico Genovesi, Annamaria Vinciguerra