What is the most efficient way to contour small and large bowel?

Topics: Radiation Oncology • Gastrointestinal Cancers

What are the best references to help distinguish small and large bowel during contouring, if still unclear despite giving PO contrast?

Answer from: Radiation Oncologist at Academic Institution

MIM has a very user friendly and I like airplane mode. In general, it can be sometimes difficult to determine small from large bowel but if there is air, it is usually a sign that it is large bowel and if it is only liquid, usually small bowel. The terminal ileum sometimes has air in it, and the col...

Comments

Radiation Oncologist at The Queen's Medical Center
Would add to verify your contours in all 3 planes....

Radiation Oncologist at Washington University School of Medicine
Agree, I don't find contrast particularly helpful....

Radiation Oncologist at Angelhaven LLC
I don't use traditional contrast due to the artifa...

Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
That's very creative. I will try that.

Radiation Oncologist at Penn Medicine
If lactose intolerant, I suppose you could use cal...

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