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How do you define involved field radiotherapy for lung cancer?

Does IFRT include only the involved lymph nodes + margin or the entire involved lymph node station as specified by the Michigan Atlas?
2 Answers
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Radiation Oncology · University of Washington School of Medicine
Answered on

Although, there is no consensus definition for “involved field” for the mediastinal nodes, my practice is to target mediastinal lymph nodes with involved field radiotherapy using the following algorithm: We start by contouring the lymph node GTV using a PET/CT with IV contrast. All FDG-avid and/or s...

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Mednet Member
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Radiation Oncology · Quillen VA Medical Center
Answered on

At the dawn of CT based treatment planning, we analyzed retrospectively "field size" at the University of Michigan, and found that as we attempted to "dose escalate" with aid of these then new tools, it was impractical to include "traditional" nodal targets, mostly supraclavicular nodes and contrala...

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