Modern radiation therapy for nodal non-Hodgkin lymphom-target definition and dose guidelines from the international lymphoma radiation oncology group

VernacularTitle:国际淋巴瘤放射治疗协作组(ILROG)现代放射治疗靶区勾画及剂量指南——结内NHL
Author: Lllidge Tim ; Specht Lena ; Yahalom Joachim ; Aleman Berthe ; Berthelsen Kiil Anne ; Constine Louis ; Dabaja Bouthaina ; Dharmarajan Kavita ; Ng Andrea ; Ricardi Umberto ; Wirth Andrew ; Jianxiong Cui ; Yong Yang ; Shunang Qi
Keywords: lymphoma/radiotherapy; Delineation of target area; Application guide
From: Chinese Journal of Radiation Oncology 2017;26(8):845-852
CountryChina
Language:Chinese
Abstract: The guidelines represent an agreed consensus view of the ILROG steering committee on the use of RT in NHL in the modern era. The roles of reduced volume and reduced doses are addressed,integrating modern imaging with 3-dimensional planning and advanced techniques of RT delivery. In the modern era,combined-modality treatment with systemic therapy is appropriate. A new concept,involved-site RT,defines the clinical target volume. For indolent NHL,often treated with RT alone,larger fields should be considered. Newer treatment techniques,including intensity modulated RT,breath holding,image guided RT,and 4-dimensional imaging,should be implemented,and their use is expected to decrease significantly the risk for normal tissue damage while still achieving the primary goal of local tumor control.