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Multiple nodes were found in Barety's space, the pre-aortic space, and the left internal mammary nodes Figure 1.

Overall, it was classified T2N3M0. After three cycles of chemotherapy ADS PTV-338-EF Cisplatin and Vinorelbine, concomitant radio-chemotherapy with the same chemotherapy and a deep inspiration breath hold technique SDX, Dyn'R, Muret, France was proposed to the patient because of the tumor stability.

Contrast enhancement was used for the treatment planning CT Scan, without breathhold or 4D. Figure 1 Clinical case available to attendees. Three groups included a volume without FDG uptake inside the GTV even though it had been explained before delineation that it was considered as a thymic residue. Education and delineation This case was presented and delineated by students before and ADS PTV-338-EF a theoretical course provided by two lung cancer experts. The first one-hour lecture, conducted ADS PTV-338-EF a senior radiologist, covered radio-thoracic anatomy MB. The second one-hour lecture, taught by a senior radiotherapist, also dealt with irradiation techniques, with emphasis on the recommended volumes, processing techniques, and dose and margins to respect; all recommendations were based on the literature PG.

No discussion about the clinical case presented was made during the lectures by any of the two teachers. The software employs standard delineation tools pen, brush, multislice interpolation The residents ADS PTV-338-EF modify the image contrast and sagittal or coronal reconstructions as needed. The prescribed dose to the PTV was also collected. Among the residents registered, students participated in the two contouring sessions.

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Thirty evaluable groups were compared before and after the course. Each group consisted in four residents from different training years in order to have homogeneous groups. Delineation practice lasted 15 minutes for each group. Methods of comparison I - Volume comparison The evaluation of the variability of contours was benchmarked using a "reference" contour delineated by the expert ADS PTV-338-EF provided the clinical case PG. In the second step, different indices reflecting the correlation of the volume with the "expert reference contour" for all volumes were calculated [ 9 — 12 ]. Groups had no instructions regarding the size of the margins to apply. The observers were not allowed to adapt the CTV to the natural anatomical borders of tissue, The first family of ADS PTV-338-EF is based on volume ratios: The last step consisted of an analysis of variance between pre and post-course delineated volumes.

Figure 2 ADS PTV-338-EF II - Treatment planning comparison: The group with the lowest conformal indices KI and OV at the end of the course, i. This plan was then compared with the treatment plan developed with the reference contours.

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Figure 3 Dose: This delineation had been done under exactly the same conditions, with the same tools and the same clinical information as the residents; the contours were done after a training session on lung radiation similar to that taught to residents PG. The same indices were calculated in order to compare the GTV of residents and senior ADS PTV-338-EF.

Statistical Analysis Delineation evaluation was conducted prospectively and comparatively. Statistical analysis was ADS PTV-338-EF with SPSS Comparison between the volume obtained residents and senior physicians and the expert's volume was done with the Student t-test. Comparative analysis of indices before and after the course was done with the Student t-test for paired samples. ADS PTV-338-EF average GTV volume delineated by the students before the course was After the course, it was Conclusion There were no significant differences for the delineation of the GTV and CTV before and after the course, although the differences tended to decrease after the course.

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The good initial quality of the contours could explain the lack of difference. V20 for lung was higher in the residents group compared to the experts group View and Download ADS Technologies PTVEF ADS PTV-338-EF manual online.

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