Tricks and tips for target volume definition and delineation in breast cancer: Lessons learned from ESTRO breast courses

Orit Kaidar-Person; Birgitte V Offersen; Liesbeth Boersma; Icro Meattini; David Dodwell; Lynda Wyld; Marianne Aznar; Tibor Major; Thorsten Kuehn; Vratislav Strnad; Miika Palmu; Sandra Hol; Philip Poortmans

doi:10.1016/j.radonc.2021.07.015

Tricks and tips for target volume definition and delineation in breast cancer: Lessons learned from ESTRO breast courses

Radiother Oncol. 2021 Sep:162:185-194. doi: 10.1016/j.radonc.2021.07.015. Epub 2021 Jul 21.

Authors

Affiliations

¹ Sheba Medical Center, Ramat Gan, Israel; Sackler School of Medicine, Tel-Aviv University, Israel. Electronic address: Orit.KaidarPerson@sheba.health.gov.il.
² Department of Experimental Clinical Oncology, Aarhus University Hospital, Denmark.
³ Department of Radiation Oncology (Maastro), GROW School for Oncology, Maastricht University Medical Centre+, The Netherlands.
⁴ Department of Experimental and Clinical Biomedical Sciences "M. Serio", University of Florence & Radiation Oncology Unit - Oncology Department, Azienda Ospedaliero Universitaria Careggi, Florence, Italy.
⁵ Nuffield Department of Population Health, University of Oxford, UK.
⁶ Department of Oncology and Metabolism, University of Sheffield, UK.
⁷ Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, UK.
⁸ Center of Radiotherapy, National Institute of Oncology, Budapest, Hungary & Department of Oncology, Semmelweis University, Budapest, Hungary.
⁹ Department of Gynaecology and Obstetrics, Interdisciplinary Breast Center, Klinikum Esslingen, Germany.
¹⁰ Dept. of Radiation Oncology, University Hospital Erlangen, Erlangen, Germany.
¹¹ European SocieTy for Radiotherapy and Oncology, UK.
¹² Instituut Verbeeten, Tilburg, The Netherlands.
¹³ Iridium Netwerk and University of Antwerp, Belgium.

PMID: 34302915
DOI: 10.1016/j.radonc.2021.07.015

Abstract

Delineation of target and 'organ at risk' volumes is a critical part of modern radiation therapy planning, the next essential step after deciding the indication, patient discussion and image acquisition. Adoption of volume-based treatment planning for non-metastatic breast cancer has increased greatly along with the use of improved planning techniques, essential for modern therapy. However, identifying the volumes on a planning CT is no easy task. The current paper is written by ESTRO's breast course faculty, providing tricks and tips for target volume definition and delineation for optimal postoperative breast cancer irradiation.

Keywords: Breast cancer; Delineation; ESTRO; Lymph nodes; Radiation therapy.

Publication types

Review

MeSH terms

Breast
Breast Neoplasms*
Female
Humans
Radiotherapy Planning, Computer-Assisted

Abstract

Publication types

MeSH terms

Grants and funding