Target volumes in radiotherapy for high-grade malignant glioma of the brain

被引：114

作者：

Jansen, EPM ^{[1
]}

Dewit, LGH ^{[1
]}

van Herk, M ^{[1
]}

Bartelink, H ^{[1
]}

机构：

[1] Antoni Van Leeuwenhoek Hosp, Netherlands Canc Inst, Dept Radiotherapy, NL-1066 CX Amsterdam, Netherlands

来源：

RADIOTHERAPY AND ONCOLOGY | 2000年 / 56卷 / 02期

关键词：

high-grade glioma; brain; radiotherapy; conformal radiotherapy; clinical target volume;

D O I：

10.1016/S0167-8140(00)00216-4

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Delineation of the clinical target volume (CTV) in radiation treatment planning of high-grade glioma is a controversial issue. The use of computerized tomography (CT) and magnetic resonance imaging (MRI) has greatly improved the accuracy of tumor localization in three-dimensional planning. This review aims at critically analyzing available literature data in which tumor extent of high-grade glioma has been assessed using CT and/or MRI and relating this to postmortem observations. Attention is given to the pattern of tumor spread at initial presentation and to tumor recurrence pattern after external beam irradiation. Special emphasis is given to the site of tumor regrowth after radiation treatment in relation to the boundaries of the CTV. Guidelines for delineating CTV will be inferred from this information, taking data on radiation effects on the normal brain into account. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：151 / 156

页数：6

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