Fig. 14.1 AP and lateral films for 3D conformal radiation planning. AP and lateral films demonstrating appropriate borders based on bony landmarks for radiation therapy. Colors: red gross tumor volume,…
Potentially resectable Borderline resectable Locally advanced Portal vein/SMV TVI <180° TVI ≥180° and/or reconstructable occlusion Unable to reconstruct Hepatic artery No TVI Reconstructable short-segment TVI of any degree Unable…
Fig. 4.1 The esophagus is divided into four regions by the AJCC. The cervical esophagus extends from the upper esophageal sphincter to the thoracic inlet. The upper thoracic esophagus extends…
Structure Unresectable/neoadjuvant recommendationsa Adjuvant/resected recommendationsb Kidney (right and left) Not more than 30 % of the total volume can receive ≥18 Gy. If only one kidney is functional, not more…
Fig. 12.1 Representative contours for postoperative external beam radiotherapy of a pT2N1M0 stage IIIB adenocarcinoma of the gallbladder. Representative axial (a) and coronal (b) sections of the tumor bed ITV…
Fig. 18.1 Patient with oligometastatic pancreatic cancer with an enlarging right hepatic lobe segment 6 lesion measuring 1.8 cm, treated with stereotactic body radiation, 54 Gy in three fractions. Axial…
Study Inclusion Number of patients Type of metastasis Total dose per fraction Toxicity Median follow-up (months) Local control rate Survival Herfarth et al. (2001) [38] 1–3 lesions 37 Not reported…
T1 ≤ 2 cm N1 Perirectal node(s) M0 No distant metastasis T2 2–5 cm N2 Unilateral internal iliac and/or inguinal node(s) M1 Distant metastasis T3 > 5 cm N3 Perirectal…
(1) Harvard Radiation Oncology Program, Boston, MA, USA (2) Brigham and Women’s Hospital and Dana-Farber Cancer Institute, Boston, MA, USA (3) Massachusetts General Hospital, Boston, MA, USA Sophia C. Kamran…
Isolated locoregional failure rate (%) Initial distant failure rate (%) Extrahepatic/hilar cholangiocarcinoma Surgery alone 4–34 24–40 +adjuvant chemoradiotherapy (SWOG 0809) 8 29 Gallbladder cancer Surgery alonea 3–33 15–51 +adjuvant…
