前列腺癌淋巴结及靶区勾画.ppt

,Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Pelvic Nodal Consensus CTV Contours:High Risk/Locally Advanced Adenocarcinoma of the ProstateColleen A F Lawton MDMedical College of Wisconsin,Based on Data Presented Consensus Was Obtained Including:,Treatment of Presacral LNs(subaortic only),主动脉弓下骶前淋巴结的治疗,7mm around iliac vessels,carving out bowel,bladder and bone,髂血管周围,7mm,，勾画肠道、膀胱、骨骼,Commence contouring at distal common iliac vessels at L5/S1 interspace,从,L5/S1,间隙髂总血管远端开始,Stop external iliac contours at top of femoral heads(boney landmark for Ing.ligament),髂外勾画至股骨头顶端（,Ing.ligament,的骨性标志）,Stop contours of obturator LNs at top of symphsis pubis,闭孔淋巴结勾画至耻骨联合,23,23/93,24,24/93,25,25/93,26,26/93,27,27/93,28,28/93,29,29/93,30,30/93,31,31/93,32,32/93,33,33/93,34,34/93,35,35/93,36,36/93,37,37/93,38,38/93,39,39/93,40,40/93,41,41/93,42,42/93,43,43/93,44,44/93,45,45/93,46,46/93,47,47/93,48,48/93,49,49/93,50,50/93,51,51/93,52,52/93,53,53/93,54,54/93,55,55/93,56,56/93,57,57/93,58,58/93,59,59/93,60,60/93,61,61/93,62,62/93,63,63/93,64,64/93,65,