LymphedemaV1, Main, Exploration, bibRecord, 004A04

Variation in the Gross Tumor Volume and Clinical Target Volume for Preoperative Radiotherapy of Primary Large High-Grade Soft Tissue Sarcoma of the Extremity Among RTOG Sarcoma Radiation Oncologists

Identifieur interne : 004A04 ( Main/Exploration ); précédent : 004A03; suivant : 004A05

Variation in the Gross Tumor Volume and Clinical Target Volume for Preoperative Radiotherapy of Primary Large High-Grade Soft Tissue Sarcoma of the Extremity Among RTOG Sarcoma Radiation Oncologists

Auteurs : Dian Wang [États-Unis] ; Walter Bosch [États-Unis] ; David G. Kirsch [États-Unis] ; Rawan Al Lozi [États-Unis] ; Issam El Naqa [États-Unis] ; David Roberge [Canada] ; Steven Finkelstein [États-Unis] ; Ivy Petersen [États-Unis] ; Michael Haddock [États-Unis] ; Yen-Lin E. Chen [États-Unis] ; Naoyuki G. Saito [États-Unis] ; Ying J. Hitchcock [États-Unis] ; Aaron H. Wolfson [États-Unis] ; Thomas F. Delaney [États-Unis]

Source :

International journal of radiation oncology, biology, physics [ 0360-3016 ] ; 2011.

RBID : PMC:3099246

Abstract

Purpose/Objective(s)

To evaluate variability in the definition of preoperative radiotherapy gross tumor volume (GTV) and clinical target volume (CTV) delineated by sarcoma radiation oncologists.

Materials/Methods

Extremity sarcoma planning CT images along with the corresponding diagnostic MRI from 2 patients were distributed to 10 RTOG sarcoma radiation oncologists with instructions to define GTV and CTV, using standardized guidelines. The CT data with contours were then returned for central analysis. Contours representing statistically-corrected 95% (V95) and 100% (V100) agreement were computed for each structure.

Results

For the GTV, the minimum, maximum, mean (SD) volumes (mL) were 674, 798, 752±35 for the lower extremity case and 383, 543, 447±46 for the upper extremity case. The volume (cc) of the union, V95 and V100 were 882, 761, and 752 for the lower, and 587, 461, and 455 for the upper extremity, respectively. The overall GTV agreement was judged to be almost perfect in both lower and upper extremity cases [kappa =0.9 (p<0.0001) and kappa =0.86 (p<0.0001)]. For the CTV, the minimum, maximum, mean (SD) volumes (mL) were 1145, 1911, 1605±211 for the lower extremity case and 637, 1246, 1006±180 for the upper extremity case. The volume (cc) of the union, V95 and V100 were 2094, 1609, and 1593 for the lower, and 1533, 1020, and 965 for the upper extremity cases, respectively. The overall CTV agreement was judged to be almost perfect in the lower extremity case [kappa=0.85 (p<0.0001)], but only substantial in the upper extremity case [kappa=0.77 (p<0.0001)].

Conclusions

Almost perfect agreement existed in the GTV of these two representative cases. There was no significant disagreement in the CTV of the lower extremity, but variation in the CTV of upper extremity was seen, perhaps related to the positional differences between the planning CT and the diagnostic MRI.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3099246

DOI: 10.1016/j.ijrobp.2010.11.033
PubMed: 21277104
PubMed Central: 3099246

Affiliations:

Le document en format XML

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<author><name sortKey="Chen, Yen Lin E" sort="Chen, Yen Lin E" uniqKey="Chen Y" first="Yen-Lin E." last="Chen">Yen-Lin E. Chen</name>
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<author><name sortKey="Wang, Dian" sort="Wang, Dian" uniqKey="Wang D" first="Dian" last="Wang">Dian Wang</name>
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<placeName><region type="state">Minnesota</region>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose/Objective(s)</title>
<p id="P1">To evaluate variability in the definition of preoperative radiotherapy gross tumor volume (GTV) and clinical target volume (CTV) delineated by sarcoma radiation oncologists.</p>
</sec>
<sec id="S2"><title>Materials/Methods</title>
<p id="P2">Extremity sarcoma planning CT images along with the corresponding diagnostic MRI from 2 patients were distributed to 10 RTOG sarcoma radiation oncologists with instructions to define GTV and CTV, using standardized guidelines. The CT data with contours were then returned for central analysis. Contours representing statistically-corrected 95% (V95) and 100% (V100) agreement were computed for each structure.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">For the GTV, the minimum, maximum, mean (SD) volumes (mL) were 674, 798, 752±35 for the lower extremity case and 383, 543, 447±46 for the upper extremity case. The volume (cc) of the union, V95 and V100 were 882, 761, and 752 for the lower, and 587, 461, and 455 for the upper extremity, respectively. The overall GTV agreement was judged to be almost perfect in both lower and upper extremity cases [kappa =0.9 (p<0.0001) and kappa =0.86 (p<0.0001)]. For the CTV, the minimum, maximum, mean (SD) volumes (mL) were 1145, 1911, 1605±211 for the lower extremity case and 637, 1246, 1006±180 for the upper extremity case. The volume (cc) of the union, V95 and V100 were 2094, 1609, and 1593 for the lower, and 1533, 1020, and 965 for the upper extremity cases, respectively. The overall CTV agreement was judged to be almost perfect in the lower extremity case [kappa=0.85 (p<0.0001)], but only substantial in the upper extremity case [kappa=0.77 (p<0.0001)].</p>
</sec>
<sec id="S4"><title>Conclusions</title>
<p id="P4">Almost perfect agreement existed in the GTV of these two representative cases. There was no significant disagreement in the CTV of the lower extremity, but variation in the CTV of upper extremity was seen, perhaps related to the positional differences between the planning CT and the diagnostic MRI.</p>
</sec>
</div>
</front>
</TEI>
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<name sortKey="Chen, Yen Lin E" sort="Chen, Yen Lin E" uniqKey="Chen Y" first="Yen-Lin E." last="Chen">Yen-Lin E. Chen</name>
<name sortKey="Delaney, Thomas F" sort="Delaney, Thomas F" uniqKey="Delaney T" first="Thomas F." last="Delaney">Thomas F. Delaney</name>
<name sortKey="El Naqa, Issam" sort="El Naqa, Issam" uniqKey="El Naqa I" first="Issam" last="El Naqa">Issam El Naqa</name>
<name sortKey="Finkelstein, Steven" sort="Finkelstein, Steven" uniqKey="Finkelstein S" first="Steven" last="Finkelstein">Steven Finkelstein</name>
<name sortKey="Haddock, Michael" sort="Haddock, Michael" uniqKey="Haddock M" first="Michael" last="Haddock">Michael Haddock</name>
<name sortKey="Hitchcock, Ying J" sort="Hitchcock, Ying J" uniqKey="Hitchcock Y" first="Ying J." last="Hitchcock">Ying J. Hitchcock</name>
<name sortKey="Kirsch, David G" sort="Kirsch, David G" uniqKey="Kirsch D" first="David G." last="Kirsch">David G. Kirsch</name>
<name sortKey="Lozi, Rawan Al" sort="Lozi, Rawan Al" uniqKey="Lozi R" first="Rawan Al" last="Lozi">Rawan Al Lozi</name>
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</country>
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Serveur d'exploration sur le lymphœdème

Variation in the Gross Tumor Volume and Clinical Target Volume for Preoperative Radiotherapy of Primary Large High-Grade Soft Tissue Sarcoma of the Extremity Among RTOG Sarcoma Radiation Oncologists

Variation in the Gross Tumor Volume and Clinical Target Volume for Preoperative Radiotherapy of Primary Large High-Grade Soft Tissue Sarcoma of the Extremity Among RTOG Sarcoma Radiation Oncologists

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	Serveur d'exploration sur le lymphœdème
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