RTOG放疗中胸部危和器官勾画课件.ppt

RTOG放疗中胸部危和器官勾画;Outline of Content;RTOG 1106 Required OARs;RTOG 1106 Optional OARs;结构;结构;Atlas of lung, esophagus, and spinal cord 肺、食管、脊髓勾画 ;Esophagus starts at the level of cricoid Lung is visible now of the left apex 食管从环状软骨开始，此时左侧肺尖可见;The structure of spinal cord should include the entire spinal canal to decrease contouring variations . 脊髓应该包括整个椎管，且向下勾画的轮廓在变化;Esophagus, lung and cord continue…;Esophagus, lung and cord continue…;Esophagus, lung and cord continue…;Esophagus, lung, cord, great vessels and proximal bronchial tree;Esophagus, lung, cord, great vessels and proximal bronchial tree;Esophagus, lung, cord, great vessels and proximal bronchial tree continue…;AA=ascending aorta, PA=pulmonary artery, DA=descending aorta, SVC=superior vena cava;Esophagus, lung, cord continue…;Esophagus ends at gastric-esophageal junction, Lung and cord continue… ;Lung ends, cord continues until the bottom of L2 Vertebral body 肺结束，脊髓继续直到L2椎体;Atlas for Brachial Plexus臂丛勾画;Locating the Brachial Plexus定位臂丛;Locating the Brachial Plexus ;Brachial plexus starts between C4 C5 臂丛从C4C5开始;Vein;Brachial plexus not visible any more;PBT should include the distal 2 cm of the trachea, the carina, the right and left mainstem bronchi, the right and left upper lobe bronchi, the intermedius bronchus, the right middle lobe bronchus, the lingular bronchus, and the right and left lower lobe bronchi (a, b, c, d, e, f, g in the figure) PBT应该包括器官远端2cm、隆突、左右主支气管、左右上叶支气管、中间支气管、右中叶支气管、舌叶支气管、和左右下叶支气管。 ;Proximal Bronchial Tree;PBT starts at 2 cm above carinaPBT从隆突上2cm开始;Proximal Bronchus Tree continues…; ;Proximal Bronchus Tree Continues…;Proximal Bronchus Tree continues…;Proximal Bronchus Tree Ends at the level of lobar bronchus bifurcating into segmental bronchus ;Chest Wall Contours;Chest Wall (CW);Chest Wall ;Chest Wall;Chest Wall;Chest Wall;Pericardium/Heart, Great Vessels, Heart Chambers, and Normal Pericardial Recesses 心包/心脏、大血管、心腔、正常心包凹陷 ;Pericardium, normal recesses and h