TY - JOUR
T1 - The SIOP-Renal Tumour Study Group consensus statement on flank target volume delineation for highly conformal radiotherapy
AU - Janssens, Geert O.
AU - Melchior, Patrick
AU - Mul, Joeri
AU - Saunders, Daniel
AU - Bolle, Stephanie
AU - Cameron, Alison L.
AU - Claude, Line
AU - Gurtner, Kristin
AU - van de Ven, Kees P.
AU - van Grotel, Martine
AU - Harrabi, Semi
AU - Lassen-Ramshad, Yasmin
AU - Lavan, Naomi
AU - Magelssen, Henriette
AU - Muracciole, Xavier
AU - Boterberg, Tom
AU - Mandeville, Henry
AU - Godzinski, Jan
AU - Graf, Norbert
AU - van den Heuvel-Eibrink, Marry M.
AU - Rübe, Christian
N1 - Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/11
Y1 - 2020/11
N2 - For decades, radiotherapy with two opposing photon beams has been the standard technique used to cover the flank target volume in paediatric patients with renal tumours. Nowadays, many institutes are implementing advanced radiotherapy techniques that spare healthy tissue. To decrease the radiotherapy dose to healthy structures while preserving oncological efficacy, the conventional approach of flank irradiation has been adapted into a guideline for highly conformal flank target-volume delineation by paediatric radiation oncologists and representatives of the International Society of Paediatric Oncology's Renal Tumour Study Group (SIOP-RTSG) board during four live international consensus meetings. The consensus was refined by delineation exercises and videoconferences by ten collaborating paediatric radiation oncologists. The final guideline includes eight chronological steps to generate the tumour bed and clinical, internal, and planning target volumes, and it describes the optional use of surgical clips to optimise treatment planning. This guideline will be added into the radiotherapy guideline of the UMBRELLA SIOP-RTSG protocol for paediatric renal tumours to improve international consistency of highly conformal flank target-volume delineation.
AB - For decades, radiotherapy with two opposing photon beams has been the standard technique used to cover the flank target volume in paediatric patients with renal tumours. Nowadays, many institutes are implementing advanced radiotherapy techniques that spare healthy tissue. To decrease the radiotherapy dose to healthy structures while preserving oncological efficacy, the conventional approach of flank irradiation has been adapted into a guideline for highly conformal flank target-volume delineation by paediatric radiation oncologists and representatives of the International Society of Paediatric Oncology's Renal Tumour Study Group (SIOP-RTSG) board during four live international consensus meetings. The consensus was refined by delineation exercises and videoconferences by ten collaborating paediatric radiation oncologists. The final guideline includes eight chronological steps to generate the tumour bed and clinical, internal, and planning target volumes, and it describes the optional use of surgical clips to optimise treatment planning. This guideline will be added into the radiotherapy guideline of the UMBRELLA SIOP-RTSG protocol for paediatric renal tumours to improve international consistency of highly conformal flank target-volume delineation.
UR - http://www.scopus.com/inward/record.url?scp=85092488685&partnerID=8YFLogxK
U2 - 10.1016/S2352-4642(20)30183-8
DO - 10.1016/S2352-4642(20)30183-8
M3 - Review article
C2 - 33068550
AN - SCOPUS:85092488685
SN - 2352-4650
SN - 2352-4642
VL - 4
SP - 846
EP - 852
JO - The Lancet Child and Adolescent Health
JF - The Lancet Child and Adolescent Health
IS - 11
ER -