RTOG放疗中胸部危及器官勾画.pptx

AtlasesforOrgansatRisk(OARs)inThoracicRadiationTherapy

放疗中胸部危机器官勾画

;OutlineofContent;RTOG1106RequiredOARs;RTOG1106OptionalOARs;结构;结构;Atlasoflung,esophagus,andspinalcord

肺、食管、脊髓勾画;RTOG放疗中胸部危及器官勾画;Esophagusstartsatthelevelofcricoid

Lungisvisiblenowoftheleftapex

食管从环状软骨开始，此时左侧肺尖可见;Thestructureofspinalcordshouldincludetheentirespinalcanaltodecrease

contouringvariations.

脊髓应该包含整个椎管，且向下勾画轮廓在改变;Esophagus,lungandcordcontinue…;Esophagus,lungandcordcontinue…;Esophagus,lungandcordcontinue…;Esophagus,lung,cord,greatvessels

andproximalbronchialtree;Esophagus,lung,cord,greatvessels

andproximalbronchialtree;Esophagus,lung,cord,greatvessels

andproximalbronchialtreecontinue…;AA=ascendingaorta,PA=pulmonaryartery,DA=descendingaorta,SVC=superiorvenacava;Esophagus,lung,cordcontinue…;Esophagusendsatgastric-esophagealjunction,

Lungandcordcontinue…;Lungends,cordcontinuesuntilthebottomofL2Vertebralbody

肺结束，脊髓继续直到L2椎体;AtlasforBrachialPlexus

臂丛勾画;LocatingtheBrachialPlexus

定位臂丛;LocatingtheBrachialPlexus;BrachialplexusstartsbetweenC4C5

臂丛从C4C5开始;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;Vein;Brachialplexusnotvisibleanymore;PBTshouldincludethedistal2cmofthetrachea,thecarina,therightandleftmainstembronchi,therightandleftupperlobebronchi,theintermediusbronchus,therightmiddlelobebronchus,thelingularbronchus,andtherightandleftlowerlobebronchi(a,b,c,d,e,f,ginthefigure)PBT应该包含器官远端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。

;ProximalBronchialTree;PBTstartsat2cmabovecarina

PBT从隆突上2cm开始;ProximalBronchusTreecontinues…;;ProximalBronchusTreeContinues…;ProximalBronchusTreecontinues…;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画;RTOG放疗中胸部危及器官勾画