Target Volume Determination 2015

Learning Objectives: Lung Cancer • To understand chest anatomy • To comprehend the staging system used for lung cancer • To appreciate the imaging features of lung cancer – CT – MRI and PET (/CT) • To appreciate the limitations of current imaging techniques

Windowing

ESTRO Course: Target Volume Definition

Center: -650 Width: 1500

Imaging for Determining the Gross Tumor Volume (GTV):

Cortical bone

Lung Cancer Stefan Delorme

Center: 40 Width: 400

Cancellous bone Soft tissue Water Fat Lung Air

Supraaortic level I

Supraaortic level II

Aortic arch

Braciocephalic trunc

Braciocephalic trunc

Anonymous vein

Anonymous vein

Anonymous vein

Carotid artery

Brachiocephalic trunc

Thyroid

Superior vena cava

Carotid artery

Subclavian artery

Subclavian vein

Subclavian vein

Tracha

Tracha

Tracha

Oesophagus

Oesophagus

Oesophagus

Aortic arch

Aortic arch

Subclavian artery