Breast Contouring Regional Nodes... a Walkthrough

This video teaches Breast contouring for regional nodal irradiation (RNI). We hope you find it fun, practical, and easy to understand!

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To watch this video with a full written transcript and searchable text, check out this link (and feel free to share!): https://share.descript.com/view/uaNZV...

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There are also several pdf resources that we recommend in case you have not seen them yet:

RADCOMP Atlas for IMRT treatment planning: https://www.nrgoncology.org/Portals/0...

Mapping out Regional Nodal Recurrences in Breast Cancer - DeSelm et al. 2021: https://www.ncbi.nlm.nih.gov/pmc/arti...

Comparison of different consensus guidelines in breast cancer and patterns of failure: https://onlinelibrary.wiley.com/doi/1...


Older Atlases for 3D-CRT (not covered in this video):
RTOG guidelines (USA, 3D-CRT = bone/muscle-based): https://www.nrgoncology.org/Portals/0...[74].pdf?ver=uflhUn_dY0Rwfp69kGkX-g%3d%3d

ESTRO guidelines (Europe, 3D-CRT = vascular-based):
- ESTRO consensus guideline for elective radiation therapy of early stage breast cancer - Offerson et al. 2015: https://www.thegreenjournal.com/artic...
- Updated version 1.1 - Offerson et al. 2016: https://www.thegreenjournal.com/artic...
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All information in this video is for educational purposes only. Even experts debate contours, but this is simply meant to provide a safe and acceptable example of contours :) Remember to always use your own clinical judgement when making treatment-related decisions!

All contours use names according to the AAPM TG-263 nomenclature guide: https://www.aapm.org/pubs/reports/rpt...

00:00 Breast Contouring Regional Nodes... a Walkthrough
00:57 Checklist of Key Points
04:52 Structure Set Template
06:53 OARs: Heart sub-structures
15:01 OARs: Shoulder
16:18 OARs: Brachial Plexus
17:59 Targets: Chest Wall
21:26 Targets: Regional Nodes
22:03 Axillary Level 2 Nodes
26:34 Axillary Level 3 Nodes
28:51 Axillary Level 1 Nodes
33:43 Internal Mammary Nodes
40:11 Supraclavicular Nodes
42:43 Posterior Triangle of Supraclavicular Nodes
45:14 Final Review
49:08 The End

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