Article citationsMore>>
Mamounas, E., Bandos, H., White, J., Julian, T., Khan, A., Shaitelman, S., Torres, M., Vicini, F., Ganz, P., McCloskey, S., Paik, S., Gupta, N., Li, X., DiCostanzo, D., Costantino, J., Curran, W. and Wolmark, N. (2016) Abstract OT2-02-02: NRG Oncology/NSABP B-51/RTOG 1304: A Phase III Clinical Trial to Determine If Chest Wall and Regional Nodal Radiotherapy (CWRNRT) Post Mastectomy (Mx) or the Addition of RNRT to Breast RT Post Breast-Conserving Surgery (BCS) Will Reduce Invasive Cancer Events in Patients (pts) with Positive Axillary (Ax) Nodes Who Are ypN0 after Neoadjuvant Chemotherapy (NC). Cancer Research, 76, OT2-02-02.
http://cancerres.aacrjournals.org/content/76/4_Supplement/OT2-02-02
has been cited by the following article:
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TITLE:
Use of Three Dimensional Conformal Radiation Therapy for Node Positive Breast Cancer Does Not Result in Excess Lung and Heart Irradiation
AUTHORS:
Phillip Prior, Irina Sparks, J. Frank Wilson, Joseph Bovi, Adam Currey, Julie Bradley, Tracy Kelly, X. Allen Li, Julia R White
KEYWORDS:
Node Positive Breast Cancer, Dose-Volume Goals, Target Coverage, CT Based Planning
JOURNAL NAME:
International Journal of Medical Physics, Clinical Engineering and Radiation Oncology,
Vol.6 No.1,
January
11,
2017
ABSTRACT: Purpose: This work evaluates the use of target and organs at risk (OAR) dose-volume
goals in 3D conformal radiotherapy (3DCRT) planning for node positive breast
cancer (NPBC) patients undergoing regional nodal irradiation after
lumpectomy/mastectomy. Methods: Dosimetric data for 262 NPBC
patients receiving regional nodal and whole breast/chest wall (WB/CW) irradiation
from 2000-2009 were analyzed. In all cases, target & OAR volumes were
delineated on treatment CT scans for field generation and dose-volume
histograms (DVHs) were generated. Cases were analyzed to identify how
frequently they met treatment planning institutional dose-volume goals
(“institutional guidelines” & standardized in 2005) and how this would
affect OAR doses. Results: The incidence of cases from 2000-2009
meeting current institutional guidelines improved over the study period. Target
coverage improved from 2005-2009, when guidelines were followed as a part of the
plan approval. Those cases from 2000-2004 meeting acceptable target goals were
found to be significantly different from those cases from 2005-2009 (p Conclusions: The
use of institutional guidelines in 3DCRT for WB/CW and regional nodal
irradiation for NPBC patients improved target coverage without a statistically
significant increase in heart and lung doses.
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