【精编医学资料】RTOG-放疗中胸部危及器官勾画-Organs-at-Risk-(OARs)-in-Thoracic.pptx

AtlasesforOrgansatRisk(OARs)inThoracicRadiationTherapy放疗中胸部危机器官勾画OutlineofContentRTOG1106RequiredOARsRTOG1106OptionalOARs结构结构Atlasoflungesophagusandspinalcord肺、食管、脊髓勾画第八页共一百零九页。EsophagusstartsatthelevelofcricoidLungisvisiblenowoftheleftapex食管从环状软骨开始此时左侧肺尖可见Thestructureofspinalcordshouldincludetheentirespinalcanaltodecreasecontouringvariations.脊髓应该包括整个椎管且向下勾画的轮廓在变化Esophaguslungandcordcontinue…Esophaguslungandcordcontinue…Esophaguslungandcordcontinue…EsophaguslungcordgreatvesselsandproximalbronchialtreeEsophaguslungcordgreatvesselsandproximalbronchialtreeEsophaguslungcordgreatvesselsandproximalbronchialtreecontinue…AA=ascendingaortaPA=pulmonaryarteryDA=descendingaortaSVC=superiorvenacavaEsophaguslungcordcontinue…Esophagusendsatgastric-esophagealjunctionLungandcordcontinue…LungendscordcontinuesuntilthebottomofL2Vertebralbody肺结束脊髓继续直到L2椎体AtlasforBrachialPlexus臂丛勾画LocatingtheBrachialPlexus定位臂丛LocatingtheBrachialPlexusBrachialplexusstartsbetweenC4C5臂丛从C4C5开始第二十五页共一百零九页。第二十六页共一百零九页。第二十七页共一百零九页。第二十八页共一百零九页。第二十九页共一百零九页。第三十页共一百零九页。第三十一页共一百零九页。VeinBrachialplexusnotvisibleanymorePBTshouldincludethedistal2cmofthetracheathecarinatherightandleftmainstembronchitherightandleftupperlobebronchitheintermediusbronchustherightmiddlelobebronchusthelingularbronchusandtherightandleftlowerlobebronchi(abcdefginthefigure)PBT应该包括器官远端2cm、隆突、左右主支气管、左右上叶支气管、中间支气管、右中叶支气管、舌叶支气管、和左右下叶支气管。ProximalBronchialTreePBTstartsat2cmabovecarinaPBT从隆突上2cm开始ProximalBronchusTreecontinues…ProximalBronchusTreeContinues…ProximalBronchusTreecontinues…第四十一页共一百零九页。第四十二页共一百零九页。第四十三页共一百零九页。第四十四页共一百零九页。第四十五页共一百零九页。第四十六页共一百零九页。第四十七页共一百零九页。第四十八页共一百零九页。第四十九页共一百零九页。第五十页共一百零九页。第五十一页共一百零九页。ProximalBronchusTreeEndsattheleveloflobarbronchusbifurcatingintosegmentalbronchusChestWallContoursChes