CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1,...

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CT-based delineation of lymph node levels in the N0 neck: DAHANCA, EORTC, GORTEC, RTOG consensus guidelines. Vincent Grégoire, Radiation Oncology Peter Levendag*, Radiation Oncology UCL St-Luc University Hospital, Brussels, Belgium and *Erasmus Medical Center, Rotterdam, The Netherlands

Transcript of CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1,...

Page 1: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

CT-based delineation of lymph node levels in the N0 neck: DAHANCA,

EORTC, GORTEC, RTOG consensus guidelines.

Vincent Grégoire, Radiation OncologyPeter Levendag*, Radiation Oncology

UCL St-Luc University Hospital, Brussels, Belgium and *Erasmus Medical Center, Rotterdam, The Netherlands

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Collaborators:Kian K. Ang1, Radiation OncologyJacques Bernier2, Radiation OncologyMarijel Braaksma3, Radiation OncologyVolker Budach4, Radiation OncologyCliff Chao1, Radiation OncologyEmmanuel Coche5, RadiologyJay Cooper1, Radiation OncologyGuy Cosnard5, RadiologyAvraham Eisbruch1, Radiation OncologyBahman Emami1, Radiation OncologyAdam Garden1, Radiation OncologyCai Grau6, Radiation OncologistMarc Hamoir5, Head & Neck SurgeryNancy Lee1, Radiation OncologyPhilippe Maingon7, Radiation OncologyKarin Muller3, Radiation OncologyHervé Reychler5, Maxillo-facial Surgery6DAHANCA, 4EORTC radiotherapy group, 2EORTC H&N group, 3Erasmus Medical Center, 7GORTEC, 1RTOG H&N group, 5UCL St-Luc University Hospital, DAHANCA

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The materials presented in this website illustrates the consensus reached among cooperatives groups with respect to the delineation of the lymph node levels in the node negative neck.

Authors are not responsible for any use of these guidelines by third parties.

Disclaimer

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Page 5: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation
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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

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Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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IIA

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

IB

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IIA

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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IA

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Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

IB

IIB

IIA

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

IB

IIB

IIA

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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IIB

IIA

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 33: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 39: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 40: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 41: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 43: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 45: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 46: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

Page 47: CT-based delineation of lymph node levels in the N0 …Marc Hamoir5, Head & Neck Surgery Nancy Lee1, Radiation Oncology Philippe Maingon7, Radiation Oncology Karin Muller3, Radiation

Level ILevel IILevel IIILevel IV

Level VLevel VIRP

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