Consensus
Consensus and contouring atlas for the delineation of clinical target volume in pre-/post-operative image-guided intensity modulated radiotherapy for rectal cancer
Professional Committee of Radiotherapy for Colorectal Cancer of Chinese Medical Doctor Association, China Society for Radiation Oncology of Chinese Medical Association, Yuan Tang, Jing Jin, Yuan Zhu, Shixin Liu, Xianglin Yuan, Wenling Wang, Xiaohuo Wang, Zhen Zhang, Ye Tian, Yuanhong Gao, Hongyan Zhang, Yong Cai, Yihebali Chi, Liming Jiang, Zheng Liu, Bixiu Wen, Daxin Zhang, Dahai Yu, Junxin Wu, Shaomin Lin, Mei Shi, Yexiong Li
Published 2018-03-15
Cite as Chin J Radiat Oncol, 2018, 27(3): 227-234. DOI: 10.3760/cma.j.issn.1004-4221.2018.03.001
Abstract
ObjectiveTo establish a Chinese experts’ consensus for the delineation of clinical target volume (CTV) of pre-/post-operative radiotherapy for rectal cancer in the era of three dimensional conformal radiotherapy, and compile a high-resolution contouring atlas.
MethodsThe consensus and contouring atlas for the delineation of CTV of pre-/post-operative radiotherapy for rectal cancer were drafted by referring to international guidelines and treatment experience of domestic radiation centers. The details of draft were discussed and voted on the annual conference of Professional Committee of Radiotherapy for Colorectal Cancer of Chinese Medical Doctor Association. The final consensus was summarized by the steering committee.
ResultsBased on the strength of the evidence and the consistency of experts’ consensus, the grading recommendations for positioning technology, pre-/post-operative radiotherapy target definition, definition of organs at risk (OAR), radiotherapy dose and fraction were delivered. In addition, the atlas of CTV was demonstrated on high-resolution on CT scan images.
ConclusionsTo establish a Chinese experts’ consensus for radiotherapy of rectal cancer, standardize the radiotherapy process and reduce the variance in the delineation of CTV among different hospitals and radiologists.
Key words:
Rectal neoplasm/radiotherapy; Target volume delineation; Three-dimensional radiotherapy technology
Contributor Information
Professional Committee of Radiotherapy for Colorectal Cancer of Chinese Medical Doctor Association
China Society for Radiation Oncology of Chinese Medical Association
Yuan Tang
Department of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China
Jing Jin
Department of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China
Yuan Zhu
Department of Radiation Oncology, Zhejiang Cancer Hospital
Shixin Liu
Department of Radiation Oncology, Jilin Cancer Hospital
Xianglin Yuan
Department of Oncology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
Wenling Wang
Department of Radiation Oncology, Guizhou Cancer Hospital
Xiaohuo Wang
Department of Radiation Oncology, Gansu Provincial Cancer Hospital
Zhen Zhang
Department of Radiation Oncology, Cancer Hospital, Fudan University
Ye Tian
Department of Radiation Oncology, Second Affiliated Hospital of Soochow University
Yuanhong Gao
Department of Radiation Oncology, Sun Yat-sen University Cancer Center
Hongyan Zhang
Department of Radiation Oncology, Anhui Provincial Hospital
Yong Cai
Department of Radiation Oncology, Beijing University Cancer Hospital
Yihebali Chi
Department of Oncology Internal Medicine, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China
Liming Jiang
Department of Imaging Diagnostics, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China
Zheng Liu
Department of Colorectal Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China
Bixiu Wen
Department of Radiation Oncology, First Affiliated Hospital, Sun Yat-sen University
Daxin Zhang
Department of Radiation Oncology, First Affiliated Hospital, Haerbin Medical University
Dahai Yu
Department of Radiation Oncology, Jiangsu Province Hospital of TCM
Junxin Wu
Department of Radiation Oncology, Fujiang Province Cancer Hospital
Shaomin Lin
Department of Radiation Oncology, Hainan People’s Hospital
Mei Shi
Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University
Yexiong Li
Department of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China
