Technical guidelines for head and neck cancer IMRT on behalf of the Italian association of radiation oncology - head and neck working group

Merlotti, Anna; Alterio, Daniela; Vigna‐Taglianti, Riccardo; Muraglia, A.; Lastrucci, Luciana; Manzo, Roberto; Gambaro, G.; Caspiani, Orietta; Miccichè, Francesco; Deodato, Francesco; Pergolizzi, Stefano; Franco, Pierfrancesco; Corvò, Renzo; Russi, Elvio; Sanguineti, Giuseppe

doi:10.1186/s13014-014-0264-9

Cited by 91 publications

(64 citation statements)

References 169 publications

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“…The entity of this uncertainty depends on several factors, such as the type and quality of images used for delineation, the experience and professional background of observers, and the existence of tools to help and drive the contouring process. Contouring guidelines can lead to a higher precision in larynx delineation [9,20], as well as a reduction in the interobserver variability with consequent implications on the dose distribution to OARs. Moreover, atlases of radiologic anatomy, case examples, and contouring courses could further improve the accuracy in volume delineation.…”

Section: Discussionmentioning

confidence: 99%

Delineation of the larynx as organ at risk in radiotherapy: a contouring course within “Rete Oncologica Piemonte-Valle d’Aosta” network to reduce inter- and intraobserver variability

et al. 2016

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Mean percentage of intersection and DC strongly increased after the course, rising from 57.76 to 93.83 % and from 0.68 to 0.89, respectively. CI enhanced from 0.06 to 0.31. Conclusions This study shows an improvement in larynx definition after the contouring course with lower interobserver variability and major consistency compared to the reference volume. Other specific educational activities may further increase the quality of radiation therapy contouring in this setting.

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Section: Discussionmentioning

confidence: 99%

Delineation of the larynx as organ at risk in radiotherapy: a contouring course within “Rete Oncologica Piemonte-Valle d’Aosta” network to reduce inter- and intraobserver variability

et al. 2016

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“…Concerns have been raised recently regarding long-term mortality of concurrent chemoradiation, while treatment regimens employing induction chemotherapy and cetuximab are presently under investigation. Finally, radiotherapy has a crucial role in the combined modality treatment of thoracic malignancies and head and neck cancers (106). Thus, young radiation oncologists will need to acquire a multidisciplinary profile in terms of knowledge, skills, and attitude to be able to properly fit into the multimodality bent of modern clinical oncology.…”

Section: Resultsmentioning

confidence: 99%

Combined Modality Therapy for Thoracic and head and Neck Cancers: A Review of Updated Literature Based on a Consensus Meeting

Franco

Fiorentino

Dionisi³

et al. 2016

Tumori

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Purpose: Combined modality therapy is a mainstay option for thoracic malignancies and head and neck cancers. The integration of different strategies is based on the multidisciplinary approach of modern clinical oncology. Radiation oncologists have to be educated, trained, and updated to provide state-of-the-art care to cancer patients and thus educational meetings are crucial. Methods: The Italian Association of Radiation Oncology Young Members Working Group (AIRO Giovani) organized its 8 th national meeting, focused on combination therapy in lung, esophageal, and head and neck cancer (with a specific focus on larynx-preservation strategies for larynx/hypopharynx tumors), involving young professionals working in Italy. The meeting was addressed to young radiation oncologists, presenting state-of-the-art knowledge, based on the latest evidence in this field. We performed a review of the current literature based on the highlights of the Congress. Results: The multimodality approach of head and neck and thoracic malignancies includes surgery, chemotherapy, and radiotherapy, but also has to take into account new information and data coming from basic and translational research and including molecular biology, genetics, and immunology. All these aspects are crucial for the treatment of non-small-cell lung cancer and esophageal, esophagogastric junction, and larynx/hypopharynx malignancies. The integration of different treatments in the clinical decision-making process to combine therapies is crucial. Conclusions: Combination therapy has proved to be a consolidated approach in these specific oncologic settings, highlighting the importance of multimodality management in modern clinical oncology. Dedicated meetings on specific topics are helpful to improve knowledge and skills of young professionals in radiation oncology.

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“…Each patient underwent PET/ CT acquisition at least 60 min after 18 F-FDG injection, following good hydration. All the patients had fasted for at least 6 h and at the time of 18 F-FDG administration, blood glucose levels were below 150 mg dl 21 . Injected activity was 3.7 MBq/kg.…”

Section: Permeability Surface Productmentioning

confidence: 99%

Role of perfusion CT in the evaluation of functional primary tumour response after radiochemotherapy in head and neck cancer: preliminary findings

Ursino¹,

Faggioni

Guidoccio³

et al. 2016

BJR

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Technical guidelines for head and neck cancer IMRT on behalf of the Italian association of radiation oncology - head and neck working group

Cited by 91 publications

References 169 publications

Delineation of the larynx as organ at risk in radiotherapy: a contouring course within “Rete Oncologica Piemonte-Valle d’Aosta” network to reduce inter- and intraobserver variability

Delineation of the larynx as organ at risk in radiotherapy: a contouring course within “Rete Oncologica Piemonte-Valle d’Aosta” network to reduce inter- and intraobserver variability

Combined Modality Therapy for Thoracic and head and Neck Cancers: A Review of Updated Literature Based on a Consensus Meeting

Role of perfusion CT in the evaluation of functional primary tumour response after radiochemotherapy in head and neck cancer: preliminary findings

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