Proton radiotherapy for chest wall and regional lymphatic radiation; dose comparisons and treatment delivery
Identifieur interne : 003255 ( Main/Exploration ); précédent : 003254; suivant : 003256Proton radiotherapy for chest wall and regional lymphatic radiation; dose comparisons and treatment delivery
Auteurs : Shannon M. Macdonald [États-Unis] ; Rachel Jimenez [États-Unis] ; Peter Paetzold [États-Unis] ; Judith Adams [États-Unis] ; Jonathan Beatty [États-Unis] ; Thomas F. Delaney [États-Unis] ; Hanne Kooy [États-Unis] ; Alphonse G. Taghian [États-Unis] ; Hsiao-Ming Lu [États-Unis]Source :
- Radiation Oncology (London, England) [ 1748-717X ] ; 2013.
Abstract
The delivery of post-mastectomy radiation therapy (PMRT) can be challenging for patients with left sided breast cancer that have undergone mastectomy. This study investigates the use of protons for PMRT in selected patients with unfavorable cardiac anatomy. We also report the first clinical application of protons for these patients.
Eleven patients were planned with protons, partially wide tangent photon fields (PWTF), and photon/electron (P/E) fields. Plans were generated with the goal of achieving 95% coverage of target volumes while maximally sparing cardiac and pulmonary structures. In addition, we report on two patients with unfavorable cardiac anatomy and IMN involvement that were treated with a mix of proton and standard radiation.
PWTF, P/E, and proton plans were generated and compared. Reasonable target volume coverage was achieved with PWTF and P/E fields, but proton therapy achieved superior coverage with a more homogeneous plan. Substantial cardiac and pulmonary sparing was achieved with proton therapy as compared to PWTF and P/E. In the two clinical cases, the delivery of proton radiation with a 7.2 to 9 Gy photon and electron component was feasible and well tolerated. Akimbo positioning was necessary for gantry clearance for one patient; the other was treated on a breast board with standard positioning (arms above her head). LAO field arrangement was used for both patients. Erythema and fatigue were the only noted side effects.
Proton RT enables delivery of radiation to the chest wall and regional lymphatics, including the IMN, without compromise of coverage and with improved sparing of surrounding normal structures. This treatment is feasible, however, optimal patient set up may vary and field size is limited without multiple fields/matching.
Url:
DOI: 10.1186/1748-717X-8-71
PubMed: 23521809
PubMed Central: 3627609
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002B33
- to stream Pmc, to step Curation: 002B32
- to stream Pmc, to step Checkpoint: 002038
- to stream Ncbi, to step Merge: 005734
- to stream Ncbi, to step Curation: 005734
- to stream Ncbi, to step Checkpoint: 005734
- to stream Main, to step Merge: 003260
- to stream Main, to step Curation: 003255
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Proton radiotherapy for chest wall and regional lymphatic radiation; dose comparisons and treatment delivery</title><author><name sortKey="Macdonald, Shannon M" sort="Macdonald, Shannon M" uniqKey="Macdonald S" first="Shannon M" last="Macdonald">Shannon M. Macdonald</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Jimenez, Rachel" sort="Jimenez, Rachel" uniqKey="Jimenez R" first="Rachel" last="Jimenez">Rachel Jimenez</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Paetzold, Peter" sort="Paetzold, Peter" uniqKey="Paetzold P" first="Peter" last="Paetzold">Peter Paetzold</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Adams, Judith" sort="Adams, Judith" uniqKey="Adams J" first="Judith" last="Adams">Judith Adams</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Beatty, Jonathan" sort="Beatty, Jonathan" uniqKey="Beatty J" first="Jonathan" last="Beatty">Jonathan Beatty</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Delaney, Thomas F" sort="Delaney, Thomas F" uniqKey="Delaney T" first="Thomas F" last="Delaney">Thomas F. Delaney</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Kooy, Hanne" sort="Kooy, Hanne" uniqKey="Kooy H" first="Hanne" last="Kooy">Hanne Kooy</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Taghian, Alphonse G" sort="Taghian, Alphonse G" uniqKey="Taghian A" first="Alphonse G" last="Taghian">Alphonse G. Taghian</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Lu, Hsiao Ming" sort="Lu, Hsiao Ming" uniqKey="Lu H" first="Hsiao-Ming" last="Lu">Hsiao-Ming Lu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23521809</idno><idno type="pmc">3627609</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3627609</idno><idno type="RBID">PMC:3627609</idno><idno type="doi">10.1186/1748-717X-8-71</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002B33</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B33</idno><idno type="wicri:Area/Pmc/Curation">002B32</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B32</idno><idno type="wicri:Area/Pmc/Checkpoint">002038</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002038</idno><idno type="wicri:Area/Ncbi/Merge">005734</idno><idno type="wicri:Area/Ncbi/Curation">005734</idno><idno type="wicri:Area/Ncbi/Checkpoint">005734</idno><idno type="wicri:Area/Main/Merge">003260</idno><idno type="wicri:Area/Main/Curation">003255</idno><idno type="wicri:Area/Main/Exploration">003255</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Proton radiotherapy for chest wall and regional lymphatic radiation; dose comparisons and treatment delivery</title><author><name sortKey="Macdonald, Shannon M" sort="Macdonald, Shannon M" uniqKey="Macdonald S" first="Shannon M" last="Macdonald">Shannon M. Macdonald</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Jimenez, Rachel" sort="Jimenez, Rachel" uniqKey="Jimenez R" first="Rachel" last="Jimenez">Rachel Jimenez</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Paetzold, Peter" sort="Paetzold, Peter" uniqKey="Paetzold P" first="Peter" last="Paetzold">Peter Paetzold</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Adams, Judith" sort="Adams, Judith" uniqKey="Adams J" first="Judith" last="Adams">Judith Adams</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Beatty, Jonathan" sort="Beatty, Jonathan" uniqKey="Beatty J" first="Jonathan" last="Beatty">Jonathan Beatty</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Delaney, Thomas F" sort="Delaney, Thomas F" uniqKey="Delaney T" first="Thomas F" last="Delaney">Thomas F. Delaney</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Kooy, Hanne" sort="Kooy, Hanne" uniqKey="Kooy H" first="Hanne" last="Kooy">Hanne Kooy</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Taghian, Alphonse G" sort="Taghian, Alphonse G" uniqKey="Taghian A" first="Alphonse G" last="Taghian">Alphonse G. Taghian</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author><author><name sortKey="Lu, Hsiao Ming" sort="Lu, Hsiao Ming" uniqKey="Lu H" first="Hsiao-Ming" last="Lu">Hsiao-Ming Lu</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Cox 340, 100 Blossom Street, Boston, MA, 02114</wicri:regionArea><wicri:noRegion>02114</wicri:noRegion></affiliation></author></analytic><series><title level="j">Radiation Oncology (London, England)</title><idno type="eISSN">1748-717X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>The delivery of post-mastectomy radiation therapy (PMRT) can be challenging for patients with left sided breast cancer that have undergone mastectomy. This study investigates the use of protons for PMRT in selected patients with unfavorable cardiac anatomy. We also report the first clinical application of protons for these patients.</p></sec><sec><title>Methods and materials</title><p>Eleven patients were planned with protons, partially wide tangent photon fields (PWTF), and photon/electron (P/E) fields. Plans were generated with the goal of achieving 95% coverage of target volumes while maximally sparing cardiac and pulmonary structures. In addition, we report on two patients with unfavorable cardiac anatomy and IMN involvement that were treated with a mix of proton and standard radiation.</p></sec><sec><title>Results</title><p>PWTF, P/E, and proton plans were generated and compared. Reasonable target volume coverage was achieved with PWTF and P/E fields, but proton therapy achieved superior coverage with a more homogeneous plan. Substantial cardiac and pulmonary sparing was achieved with proton therapy as compared to PWTF and P/E. In the two clinical cases, the delivery of proton radiation with a 7.2 to 9 Gy photon and electron component was feasible and well tolerated. Akimbo positioning was necessary for gantry clearance for one patient; the other was treated on a breast board with standard positioning (arms above her head). LAO field arrangement was used for both patients. Erythema and fatigue were the only noted side effects.</p></sec><sec><title>Conclusions</title><p>Proton RT enables delivery of radiation to the chest wall and regional lymphatics, including the IMN, without compromise of coverage and with improved sparing of surrounding normal structures. This treatment is feasible, however, optimal patient set up may vary and field size is limited without multiple fields/matching.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ragaz, J" uniqKey="Ragaz J">J Ragaz</name></author><author><name sortKey="Olivotto, Ia" uniqKey="Olivotto I">IA Olivotto</name></author><author><name sortKey="Spinelli, Jj" uniqKey="Spinelli J">JJ Spinelli</name></author><author><name sortKey="Phillips, N" uniqKey="Phillips N">N Phillips</name></author><author><name sortKey="Jackson, Sm" uniqKey="Jackson S">SM Jackson</name></author><author><name sortKey="Wilson, Ks" uniqKey="Wilson K">KS Wilson</name></author><author><name sortKey="Knowling, Ma" uniqKey="Knowling M">MA Knowling</name></author><author><name sortKey="Coppin, Cm" uniqKey="Coppin C">CM Coppin</name></author><author><name sortKey="Weir, L" uniqKey="Weir L">L Weir</name></author><author><name sortKey="Gelmon, K" uniqKey="Gelmon K">K Gelmon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hojris, I" uniqKey="Hojris I">I Hojris</name></author><author><name sortKey="Overgaard, M" uniqKey="Overgaard M">M Overgaard</name></author><author><name sortKey="Christensen, Jj" uniqKey="Christensen J">JJ Christensen</name></author><author><name sortKey="Overgaard, J" uniqKey="Overgaard J">J Overgaard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ares, C" uniqKey="Ares C">C Ares</name></author><author><name sortKey="Khan, S" uniqKey="Khan S">S Khan</name></author><author><name sortKey="Macartain, Am" uniqKey="Macartain A">AM Macartain</name></author><author><name sortKey="Heuberger, J" uniqKey="Heuberger J">J Heuberger</name></author><author><name sortKey="Goitein, G" uniqKey="Goitein G">G Goitein</name></author><author><name sortKey="Gruber, G" uniqKey="Gruber G">G Gruber</name></author><author><name sortKey="Lutters, G" uniqKey="Lutters G">G Lutters</name></author><author><name sortKey="Hug, Eb" uniqKey="Hug E">EB Hug</name></author><author><name sortKey="Bodis, S" uniqKey="Bodis S">S Bodis</name></author><author><name sortKey="Lomax, Aj" uniqKey="Lomax A">AJ Lomax</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weber, Dc" uniqKey="Weber D">DC Weber</name></author><author><name sortKey="Ares, C" uniqKey="Ares C">C Ares</name></author><author><name sortKey="Lomax, Aj" uniqKey="Lomax A">AJ Lomax</name></author><author><name sortKey="Kurtz, Jm" uniqKey="Kurtz J">JM Kurtz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lomax, Aj" uniqKey="Lomax A">AJ Lomax</name></author><author><name sortKey="Cella, L" uniqKey="Cella L">L Cella</name></author><author><name sortKey="Weber, D" uniqKey="Weber D">D Weber</name></author><author><name sortKey="Kurtz, Jm" uniqKey="Kurtz J">JM Kurtz</name></author><author><name sortKey="Miralbell, R" uniqKey="Miralbell R">R Miralbell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, Xa" uniqKey="Li X">XA Li</name></author><author><name sortKey="Tai, A" uniqKey="Tai A">A Tai</name></author><author><name sortKey="Arthur, Dw" uniqKey="Arthur D">DW Arthur</name></author><author><name sortKey="Buchholz, Ta" uniqKey="Buchholz T">TA Buchholz</name></author><author><name sortKey="Macdonald, S" uniqKey="Macdonald S">S Macdonald</name></author><author><name sortKey="Marks, Lb" uniqKey="Marks L">LB Marks</name></author><author><name sortKey="Moran, Jm" uniqKey="Moran J">JM Moran</name></author><author><name sortKey="Pierce, Lj" uniqKey="Pierce L">LJ Pierce</name></author><author><name sortKey="Rabinovitch, R" uniqKey="Rabinovitch R">R Rabinovitch</name></author><author><name sortKey="Taghian, A" uniqKey="Taghian A">A Taghian</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bussiere, Mr" uniqKey="Bussiere M">MR Bussiere</name></author><author><name sortKey="Adams, Ja" uniqKey="Adams J">JA Adams</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paganetti, H" uniqKey="Paganetti H">H Paganetti</name></author><author><name sortKey="Niemierko, A" uniqKey="Niemierko A">A Niemierko</name></author><author><name sortKey="Ancukiewicz, M" uniqKey="Ancukiewicz M">M Ancukiewicz</name></author><author><name sortKey="Gerweck, Le" uniqKey="Gerweck L">LE Gerweck</name></author><author><name sortKey="Goitein, M" uniqKey="Goitein M">M Goitein</name></author><author><name sortKey="Loeffler, Js" uniqKey="Loeffler J">JS Loeffler</name></author><author><name sortKey="Suit, Hd" uniqKey="Suit H">HD Suit</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Nixon, Aj" uniqKey="Nixon A">AJ Nixon</name></author><author><name sortKey="Manola, J" uniqKey="Manola J">J Manola</name></author><author><name sortKey="Gelman, R" uniqKey="Gelman R">R Gelman</name></author><author><name sortKey="Bornstein, B" uniqKey="Bornstein B">B Bornstein</name></author><author><name sortKey="Abner, A" uniqKey="Abner A">A Abner</name></author><author><name sortKey="Hetelekidis, S" uniqKey="Hetelekidis S">S Hetelekidis</name></author><author><name sortKey="Recht, A" uniqKey="Recht A">A Recht</name></author><author><name sortKey="Harris, Jr" uniqKey="Harris J">JR Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Correa, Cr" uniqKey="Correa C">CR Correa</name></author><author><name sortKey="Litt, Hi" uniqKey="Litt H">HI Litt</name></author><author><name sortKey="Hwang, Wt" uniqKey="Hwang W">WT Hwang</name></author><author><name sortKey="Ferrari, Va" uniqKey="Ferrari V">VA Ferrari</name></author><author><name sortKey="Solin, Lj" uniqKey="Solin L">LJ Solin</name></author><author><name sortKey="Harris, Ee" uniqKey="Harris E">EE Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yu, Tk" uniqKey="Yu T">TK Yu</name></author><author><name sortKey="Whitman, Gj" uniqKey="Whitman G">GJ Whitman</name></author><author><name sortKey="Thames, Hd" uniqKey="Thames H">HD Thames</name></author><author><name sortKey="Buzdar, Au" uniqKey="Buzdar A">AU Buzdar</name></author><author><name sortKey="Strom, Ea" uniqKey="Strom E">EA Strom</name></author><author><name sortKey="Perkins, Gh" uniqKey="Perkins G">GH Perkins</name></author><author><name sortKey="Schechter, Nr" uniqKey="Schechter N">NR Schechter</name></author><author><name sortKey="Mcneese, Md" uniqKey="Mcneese M">MD McNeese</name></author><author><name sortKey="Kau, Sw" uniqKey="Kau S">SW Kau</name></author><author><name sortKey="Thomas, Es" uniqKey="Thomas E">ES Thomas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Romond, Eh" uniqKey="Romond E">EH Romond</name></author><author><name sortKey="Perez, Ea" uniqKey="Perez E">EA Perez</name></author><author><name sortKey="Bryant, J" uniqKey="Bryant J">J Bryant</name></author><author><name sortKey="Suman, Vj" uniqKey="Suman V">VJ Suman</name></author><author><name sortKey="Geyer, Ce" uniqKey="Geyer C">CE Geyer</name></author><author><name sortKey="Davidson, Ne" uniqKey="Davidson N">NE Davidson</name></author><author><name sortKey="Tan Chiu, E" uniqKey="Tan Chiu E">E Tan-Chiu</name></author><author><name sortKey="Martino, S" uniqKey="Martino S">S Martino</name></author><author><name sortKey="Paik, S" uniqKey="Paik S">S Paik</name></author><author><name sortKey="Kaufman, Pa" uniqKey="Kaufman P">PA Kaufman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lundkvist, J" uniqKey="Lundkvist J">J Lundkvist</name></author><author><name sortKey="Ekman, M" uniqKey="Ekman M">M Ekman</name></author><author><name sortKey="Ericsson, Sr" uniqKey="Ericsson S">SR Ericsson</name></author><author><name sortKey="Isacsson, U" uniqKey="Isacsson U">U Isacsson</name></author><author><name sortKey="Jonsson, B" uniqKey="Jonsson B">B Jonsson</name></author><author><name sortKey="Glimelius, B" uniqKey="Glimelius B">B Glimelius</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Taghian, Ag" uniqKey="Taghian A">AG Taghian</name></author><author><name sortKey="Assaad, Si" uniqKey="Assaad S">SI Assaad</name></author><author><name sortKey="Niemierko, A" uniqKey="Niemierko A">A Niemierko</name></author><author><name sortKey="Kuter, I" uniqKey="Kuter I">I Kuter</name></author><author><name sortKey="Younger, J" uniqKey="Younger J">J Younger</name></author><author><name sortKey="Schoenthaler, R" uniqKey="Schoenthaler R">R Schoenthaler</name></author><author><name sortKey="Roche, M" uniqKey="Roche M">M Roche</name></author><author><name sortKey="Powell, Sn" uniqKey="Powell S">SN Powell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, S" uniqKey="Wang S">S Wang</name></author><author><name sortKey="Liao, Z" uniqKey="Liao Z">Z Liao</name></author><author><name sortKey="Wei, X" uniqKey="Wei X">X Wei</name></author><author><name sortKey="Liu, Hh" uniqKey="Liu H">HH Liu</name></author><author><name sortKey="Tucker, Sl" uniqKey="Tucker S">SL Tucker</name></author><author><name sortKey="Hu, Cs" uniqKey="Hu C">CS Hu</name></author><author><name sortKey="Mohan, R" uniqKey="Mohan R">R Mohan</name></author><author><name sortKey="Cox, Jd" uniqKey="Cox J">JD Cox</name></author><author><name sortKey="Komaki, R" uniqKey="Komaki R">R Komaki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Overgaard, M" uniqKey="Overgaard M">M Overgaard</name></author><author><name sortKey="Jensen, Mb" uniqKey="Jensen M">MB Jensen</name></author><author><name sortKey="Overgaard, J" uniqKey="Overgaard J">J Overgaard</name></author><author><name sortKey="Hansen, Ps" uniqKey="Hansen P">PS Hansen</name></author><author><name sortKey="Rose, C" uniqKey="Rose C">C Rose</name></author><author><name sortKey="Andersson, M" uniqKey="Andersson M">M Andersson</name></author><author><name sortKey="Kamby, C" uniqKey="Kamby C">C Kamby</name></author><author><name sortKey="Kjaer, M" uniqKey="Kjaer M">M Kjaer</name></author><author><name sortKey="Gadeberg, Cc" uniqKey="Gadeberg C">CC Gadeberg</name></author><author><name sortKey="Rasmussen, Bb" uniqKey="Rasmussen B">BB Rasmussen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Whelan Tj, Ai" uniqKey="Whelan Tj A">AI Whelan TJ</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walker, Gv" uniqKey="Walker G">GV Walker</name></author><author><name sortKey="Niikura, N" uniqKey="Niikura N">N Niikura</name></author><author><name sortKey="Yang, W" uniqKey="Yang W">W Yang</name></author><author><name sortKey="Rohren, E" uniqKey="Rohren E">E Rohren</name></author><author><name sortKey="Valero, V" uniqKey="Valero V">V Valero</name></author><author><name sortKey="Woodward, Wa" uniqKey="Woodward W">WA Woodward</name></author><author><name sortKey="Alvarez, Rh" uniqKey="Alvarez R">RH Alvarez</name></author><author><name sortKey="Lucci, A" uniqKey="Lucci A">A Lucci</name></author><author><name sortKey="Ueno, Nt" uniqKey="Ueno N">NT Ueno</name></author><author><name sortKey="Buchholz, Ta" uniqKey="Buchholz T">TA Buchholz</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Macdonald, Shannon M" sort="Macdonald, Shannon M" uniqKey="Macdonald S" first="Shannon M" last="Macdonald">Shannon M. Macdonald</name></noRegion><name sortKey="Adams, Judith" sort="Adams, Judith" uniqKey="Adams J" first="Judith" last="Adams">Judith Adams</name><name sortKey="Beatty, Jonathan" sort="Beatty, Jonathan" uniqKey="Beatty J" first="Jonathan" last="Beatty">Jonathan Beatty</name><name sortKey="Delaney, Thomas F" sort="Delaney, Thomas F" uniqKey="Delaney T" first="Thomas F" last="Delaney">Thomas F. Delaney</name><name sortKey="Jimenez, Rachel" sort="Jimenez, Rachel" uniqKey="Jimenez R" first="Rachel" last="Jimenez">Rachel Jimenez</name><name sortKey="Kooy, Hanne" sort="Kooy, Hanne" uniqKey="Kooy H" first="Hanne" last="Kooy">Hanne Kooy</name><name sortKey="Lu, Hsiao Ming" sort="Lu, Hsiao Ming" uniqKey="Lu H" first="Hsiao-Ming" last="Lu">Hsiao-Ming Lu</name><name sortKey="Paetzold, Peter" sort="Paetzold, Peter" uniqKey="Paetzold P" first="Peter" last="Paetzold">Peter Paetzold</name><name sortKey="Taghian, Alphonse G" sort="Taghian, Alphonse G" uniqKey="Taghian A" first="Alphonse G" last="Taghian">Alphonse G. Taghian</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003255 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 003255 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3627609
|texte= Proton radiotherapy for chest wall and regional lymphatic radiation; dose comparisons and treatment delivery
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:23521809" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |