The addition of SPECT/CT lymphoscintigraphy to breast cancer radiation planning spares lymph nodes critical for arm drainage.
Identifieur interne : 001845 ( PubMed/Checkpoint ); précédent : 001844; suivant : 001846The addition of SPECT/CT lymphoscintigraphy to breast cancer radiation planning spares lymph nodes critical for arm drainage.
Auteurs : Andrea L. Cheville [États-Unis] ; Debra H. Brinkmann ; Shelly B. Ward ; Jolanta Durski ; Nadia N. Laack ; Elizabeth Yan ; Paula J. Schomberg ; Yolanda I. Garces ; Vera J. Suman ; Ivy A. PetersenSource :
- International journal of radiation oncology, biology, physics [ 1879-355X ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras (imagerie diagnostique), Femelle, Humains, Lymphe (physiologie), Lymphoedème (), Lymphoedème (étiologie), Lymphoscintigraphie (), Lésions radio-induites (), Noeuds lymphatiques (effets des radiations), Noeuds lymphatiques (imagerie diagnostique), Organes à risque (effets des radiations), Organes à risque (imagerie diagnostique), Planification de radiothérapie assistée par ordinateur (), Sujet âgé, Tomographie par émission monophotonique (), Traitements préservant les organes (), Tumeurs du sein (imagerie diagnostique), Tumeurs du sein (radiothérapie), Études prospectives.
- MESH :
- effets des radiations : Noeuds lymphatiques, Organes à risque.
- imagerie diagnostique : Bras, Noeuds lymphatiques, Organes à risque, Tumeurs du sein.
- physiologie : Lymphe.
- radiothérapie : Tumeurs du sein.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Lésions radio-induites, Planification de radiothérapie assistée par ordinateur, Sujet âgé, Tomographie par émission monophotonique, Traitements préservant les organes, Études prospectives.
English descriptors
- KwdEn :
- Adult, Aged, Arm (diagnostic imaging), Breast Neoplasms (diagnostic imaging), Breast Neoplasms (radiotherapy), Female, Humans, Lymph (physiology), Lymph Nodes (diagnostic imaging), Lymph Nodes (radiation effects), Lymphedema (etiology), Lymphedema (prevention & control), Lymphoscintigraphy (methods), Middle Aged, Organ Sparing Treatments (methods), Organs at Risk (diagnostic imaging), Organs at Risk (radiation effects), Prospective Studies, Radiation Injuries (prevention & control), Radiotherapy Planning, Computer-Assisted (methods), Tomography, Emission-Computed, Single-Photon (methods).
- MESH :
- diagnostic imaging : Arm, Breast Neoplasms, Lymph Nodes, Organs at Risk.
- etiology : Lymphedema.
- methods : Lymphoscintigraphy, Organ Sparing Treatments, Radiotherapy Planning, Computer-Assisted, Tomography, Emission-Computed, Single-Photon.
- physiology : Lymph.
- prevention & control : Lymphedema, Radiation Injuries.
- radiation effects : Lymph Nodes, Organs at Risk.
- radiotherapy : Breast Neoplasms.
- Adult, Aged, Female, Humans, Middle Aged, Prospective Studies.
Abstract
This prospective cohort study was designed to determine whether the amount of radiation delivered to the nonpathological lymph nodes (LNs) that drain the arm can be significantly reduced by integrating single-photon emission computed tomography (SPECT)/computed tomography (CT) scans into radiation treatment planning.
DOI: 10.1016/j.ijrobp.2012.08.025
PubMed: 23452455
Affiliations:
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pubmed:23452455Le document en format XML
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Cheville</name><affiliation wicri:level="2"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905, USA. Cheville.andrea@mayo.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Brinkmann, Debra H" sort="Brinkmann, Debra H" uniqKey="Brinkmann D" first="Debra H" last="Brinkmann">Debra H. Brinkmann</name></author><author><name sortKey="Ward, Shelly B" sort="Ward, Shelly B" uniqKey="Ward S" first="Shelly B" last="Ward">Shelly B. Ward</name></author><author><name sortKey="Durski, Jolanta" sort="Durski, Jolanta" uniqKey="Durski J" first="Jolanta" last="Durski">Jolanta Durski</name></author><author><name sortKey="Laack, Nadia N" sort="Laack, Nadia N" uniqKey="Laack N" first="Nadia N" last="Laack">Nadia N. 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Petersen</name></author></analytic><series><title level="j">International journal of radiation oncology, biology, physics</title><idno type="eISSN">1879-355X</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Arm (diagnostic imaging)</term><term>Breast Neoplasms (diagnostic imaging)</term><term>Breast Neoplasms (radiotherapy)</term><term>Female</term><term>Humans</term><term>Lymph (physiology)</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymph Nodes (radiation effects)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Lymphoscintigraphy (methods)</term><term>Middle Aged</term><term>Organ Sparing Treatments (methods)</term><term>Organs at Risk (diagnostic imaging)</term><term>Organs at Risk (radiation effects)</term><term>Prospective Studies</term><term>Radiation Injuries (prevention & control)</term><term>Radiotherapy Planning, Computer-Assisted (methods)</term><term>Tomography, Emission-Computed, Single-Photon (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras (imagerie diagnostique)</term><term>Femelle</term><term>Humains</term><term>Lymphe (physiologie)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Lymphoscintigraphie ()</term><term>Lésions radio-induites ()</term><term>Noeuds lymphatiques (effets des radiations)</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Organes à risque (effets des radiations)</term><term>Organes à risque (imagerie diagnostique)</term><term>Planification de radiothérapie assistée par ordinateur ()</term><term>Sujet âgé</term><term>Tomographie par émission monophotonique ()</term><term>Traitements préservant les organes ()</term><term>Tumeurs du sein (imagerie diagnostique)</term><term>Tumeurs du sein (radiothérapie)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Arm</term><term>Breast Neoplasms</term><term>Lymph Nodes</term><term>Organs at Risk</term></keywords><keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Noeuds lymphatiques</term><term>Organes à risque</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bras</term><term>Noeuds lymphatiques</term><term>Organes à risque</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphoscintigraphy</term><term>Organ Sparing Treatments</term><term>Radiotherapy Planning, Computer-Assisted</term><term>Tomography, Emission-Computed, Single-Photon</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Lymphe</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Lymph</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term><term>Radiation Injuries</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Lymph Nodes</term><term>Organs at Risk</term></keywords><keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Lésions radio-induites</term><term>Planification de radiothérapie assistée par ordinateur</term><term>Sujet âgé</term><term>Tomographie par émission monophotonique</term><term>Traitements préservant les organes</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This prospective cohort study was designed to determine whether the amount of radiation delivered to the nonpathological lymph nodes (LNs) that drain the arm can be significantly reduced by integrating single-photon emission computed tomography (SPECT)/computed tomography (CT) scans into radiation treatment planning.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23452455</PMID><DateCreated><Year>2013</Year><Month>03</Month><Day>04</Day></DateCreated><DateCompleted><Year>2013</Year><Month>04</Month><Day>22</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1879-355X</ISSN><JournalIssue CitedMedium="Internet"><Volume>85</Volume><Issue>4</Issue><PubDate><Year>2013</Year><Month>Mar</Month><Day>15</Day></PubDate></JournalIssue><Title>International journal of radiation oncology, biology, physics</Title><ISOAbbreviation>Int. J. Radiat. Oncol. Biol. Phys.</ISOAbbreviation></Journal><ArticleTitle>The addition of SPECT/CT lymphoscintigraphy to breast cancer radiation planning spares lymph nodes critical for arm drainage.</ArticleTitle><Pagination><MedlinePgn>971-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijrobp.2012.08.025</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0360-3016(12)03411-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This prospective cohort study was designed to determine whether the amount of radiation delivered to the nonpathological lymph nodes (LNs) that drain the arm can be significantly reduced by integrating single-photon emission computed tomography (SPECT)/computed tomography (CT) scans into radiation treatment planning.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">SPECT-CT scans were acquired for the 28 patients with stage I or II breast cancer and fused with the routinely obtained radiation oncology planning CT scans. Arm-draining LNs were contoured with 0.5-cm margins automatically using a threshold of 50% maximum intensity. Two treatment plans were generated: 1 per routine clinical practice (standard; STD) and the second (modified; MOD) with treatment fields modified to minimize dose to the arm-draining LNs visible on SPECT/CT images without interfering with the dosage delivered to target tissues. Participants were treated per the MOD plans. Arm volumes were measured prior to radiation and thereafter at least three subsequent 6-month intervals.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Sixty-eight level I-III arm-draining LNs were identified, 57% of which were inside the STD plan fields but could be blocked in the MOD plan fields. Sixty-five percent of arm-draining LNs in the STD versus 16% in the MOD plans received a mean of ≥10 Gy, and 26% in the STD versus 4% in the MOD plans received a mean of ≥40 Gy. Mean LN radiation exposure was 23.6 Gy (standard deviation 18.2) with the STD and 7.7 Gy (standard deviation 11.3) with the MOD plans (P<.001). No participant developed lymphedema.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The integration of SPECT/CT scans into breast cancer radiation treatment planning reduces unnecessary arm-draining LN radiation exposure and may lessen the risk of lymphedema.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cheville</LastName><ForeName>Andrea L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905, USA. Cheville.andrea@mayo.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brinkmann</LastName><ForeName>Debra H</ForeName><Initials>DH</Initials></Author><Author ValidYN="Y"><LastName>Ward</LastName><ForeName>Shelly B</ForeName><Initials>SB</Initials></Author><Author ValidYN="Y"><LastName>Durski</LastName><ForeName>Jolanta</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Laack</LastName><ForeName>Nadia N</ForeName><Initials>NN</Initials></Author><Author ValidYN="Y"><LastName>Yan</LastName><ForeName>Elizabeth</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Schomberg</LastName><ForeName>Paula J</ForeName><Initials>PJ</Initials></Author><Author ValidYN="Y"><LastName>Garces</LastName><ForeName>Yolanda I</ForeName><Initials>YI</Initials></Author><Author ValidYN="Y"><LastName>Suman</LastName><ForeName>Vera J</ForeName><Initials>VJ</Initials></Author><Author ValidYN="Y"><LastName>Petersen</LastName><ForeName>Ivy A</ForeName><Initials>IA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Int J Radiat Oncol Biol Phys</MedlineTA><NlmUniqueID>7603616</NlmUniqueID><ISSNLinking>0360-3016</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008196" MajorTopicYN="N">Lymph</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000528" MajorTopicYN="N">radiation effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059351" MajorTopicYN="N">Organ Sparing Treatments</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058958" MajorTopicYN="N">Organs at Risk</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000528" MajorTopicYN="N">radiation effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011832" MajorTopicYN="N">Radiation Injuries</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011880" MajorTopicYN="N">Radiotherapy Planning, Computer-Assisted</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015899" MajorTopicYN="N">Tomography, Emission-Computed, Single-Photon</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>3</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>3</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>4</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23452455</ArticleId><ArticleId IdType="pii">S0360-3016(12)03411-6</ArticleId><ArticleId IdType="doi">10.1016/j.ijrobp.2012.08.025</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><noCountry><name sortKey="Brinkmann, Debra H" sort="Brinkmann, Debra H" uniqKey="Brinkmann D" first="Debra H" last="Brinkmann">Debra H. Brinkmann</name><name sortKey="Durski, Jolanta" sort="Durski, Jolanta" uniqKey="Durski J" first="Jolanta" last="Durski">Jolanta Durski</name><name sortKey="Garces, Yolanda I" sort="Garces, Yolanda I" uniqKey="Garces Y" first="Yolanda I" last="Garces">Yolanda I. Garces</name><name sortKey="Laack, Nadia N" sort="Laack, Nadia N" uniqKey="Laack N" first="Nadia N" last="Laack">Nadia N. Laack</name><name sortKey="Petersen, Ivy A" sort="Petersen, Ivy A" uniqKey="Petersen I" first="Ivy A" last="Petersen">Ivy A. Petersen</name><name sortKey="Schomberg, Paula J" sort="Schomberg, Paula J" uniqKey="Schomberg P" first="Paula J" last="Schomberg">Paula J. Schomberg</name><name sortKey="Suman, Vera J" sort="Suman, Vera J" uniqKey="Suman V" first="Vera J" last="Suman">Vera J. Suman</name><name sortKey="Ward, Shelly B" sort="Ward, Shelly B" uniqKey="Ward S" first="Shelly B" last="Ward">Shelly B. Ward</name><name sortKey="Yan, Elizabeth" sort="Yan, Elizabeth" uniqKey="Yan E" first="Elizabeth" last="Yan">Elizabeth Yan</name></noCountry><country name="États-Unis"><region name="Minnesota"><name sortKey="Cheville, Andrea L" sort="Cheville, Andrea L" uniqKey="Cheville A" first="Andrea L" last="Cheville">Andrea L. Cheville</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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