Interobserver Variability in Clinical Target Volume Delineation in Tangential Breast Irradiation: A Comparison between Radiation Oncologists and Radiation Therapists

Clinical Oncology

Volumn 23, Issue 2, 2011, Pages 108-113

  Batumalai, V ^a   Koh, E S ^a,b   Delaney, G P ^a,b   Holloway, L C ^a,c,d   Jameson, M G ^a,d   Papadatos, G ^a   Lonergan, D M ^a,b  

^a LIVERPOOL HOSPITAL   (Australia)

^b UNIVERSITY OF NEW SOUTH WALES   (Australia)

^c UNIVERSITY OF SYDNEY   (Australia)

^d UNIVERSITY OF WOLLONGONG   (Australia)

Author keywords

Breast radiotherapy; Interobserver variability; Target volume delineation

Indexed keywords

ADULT; ARTICLE; BREAST CARCINOMA; CANCER RADIOTHERAPY; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CORRELATION ANALYSIS; CORRELATION COEFFICIENT; FEMALE; GOLD STANDARD; HEALTH CARE PERSONNEL; HUMAN; OBSERVER VARIATION; OUTCOME ASSESSMENT; PRIORITY JOURNAL; STUDENT T TEST; TREATMENT OUTCOME; TUMOR VOLUME;

AGED; BREAST NEOPLASMS; CLINICAL PROTOCOLS; FEMALE; HUMANS; MIDDLE AGED; OBSERVER VARIATION; PROSPECTIVE STUDIES; RADIATION ONCOLOGY; RADIOLOGY; RADIOTHERAPY PLANNING, COMPUTER-ASSISTED; TOMOGRAPHY, X-RAY COMPUTED; TUMOR BURDEN;

EID: 79251608175     PISSN: 09366555     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clon.2010.10.004     Document Type: Article

References (21)

1. Koukourakis G. Radiation therapy for early breast cancer. Clin Trans Oncol 2009, 11:596-603.
2. Health N.S.W. 2008 radiotherapy management information system report 2008, NSW Health, Sydney.
3. Delaney G., Barton M., Jacob S. Estimation of an optimal radiotherapy utilization rate for breast carcinoma: a review of the evidence. Cancer 2003, 98:1977-1986.
4. Clarke K.H. A system of dosage estimation for the tangential irradiation of the breast without bolus. Br J Radiol 1950, 23:593-597.
5. Hurkmans C.W., Borger J.H., Pieters B.R., Russell N.S., Jansen E.P.M., Mijnheer B.J. Variability in target volume delineation on CT scans of the breast. Int J Radiat Oncol Biol Phys 2001, 50:1366-1372.
6. Pitkanen M.A., Holli K.A., Ojala A.T., Laippala P. Quality assurance in radiotherapy of breast cancer - variability in planning target volume delineation. Acta Oncol 2001, 40:50-55.
7. Struikmans H., Warlam-Rodenhuis C., Stam T., et al. Interobserver variability of clinical target volume delineation of glandular breast tissue and of boost volume in tangential breast irradiation. Radiother Oncol 2005, 76:293-299.
8. Wong E.K., Truong P.T., Kader H.A., et al. Consistency in seroma contouring for partial breast radiotherapy: impact of guidelines. Int J Radiat Oncol Biol Phys 2006, 66:372-376.
9. Song W.Y., Chiu B., Bauman G.S., et al. Prostate contouring uncertainty in megavoltage computed tomography images acquired with a helical tomotherapy unit during image-guided radiation therapy. Int J Radiat Oncol Biol Phys 2006, 65:595-607.
10. Kepka L., Bujko K., Garmol D., et al. Delineation variation of lymph node stations for treatment planning in lung cancer radiotherapy. Radiother Oncol 2007, 85:450-455.
11. Breen S.L., Publicover J., De Silva S., et al. Intraobserver and interobserver variability in GTV delineation on FDG-PET-CT images of head and neck cancers. Int J Radiat Oncol Biol Phys 2007, 68:763-770.
12. McJury M., Dyker K., Nakielny R., Conway J., Robinson M.H. Optimizing localization accuracy in head and neck, and brain radiotherapy. Br J Radiol 2006, 79:672-680.
13. Steenbakkers R.J.H.M., Duppen J.C., Fitton I., et al. Reduction of observer variation using matched CT-PET for lung cancer delineation: a three dimensional analysis. Int J Radiat Oncol Biol Phys 2006, 64:435-448.
14. Yakobi J., Jameson M. The effectiveness of a head and neck contouring atlas in critical structure delineation [abstract]. J Med Imaging Radiat Oncol 2009, 53:A194.
15. Jena R., Kirkby N.F., Burton K.E., Hoole A.C.F., Tan L.T., Burnet N.G. A novel algorithm for the morphometric assessment of radiotherapy treatment planning volumes. Br J Radiol 2010, 83:44-51.
16. Petersen R.P., Truong P.T., Kader H.A., et al. Target volume delineation for partial breast radiotherapy planning: clinical characteristics associated with low interobserver concordance. Int J Radiat Oncol Biol Phys 2007, 69:41-48.
17. Valicenti R.K., Sweet J.W., Hauck W.W., et al. Variation of clinical target volume definition in three-dimensional conformal radiation therapy for prostate cancer. Int J Radiat Oncol Biol Phys 1999, 44:931-935.
18. SPSS Statistical Program, Version 14 2006, SPSS, Chicago.
19. Weiss E., Hess C.F. The impact of gross tumor volume (GTV) and clinical target volume (CTV) definition on the total accuracy in radiotherapy theoretical aspects and practical experiences. Strahlenther Onkol 2003, 179:21-30.
20. Jefferies S., Taylor A., Reznek R. Results of a national survey of radiotherapy planning and delivery in the UK in 2007. Clin Oncol 2009, 21:204-217.
21. Li X.A., Tai A., Arthur D.W., et al. Variability of target and normal structure delineation for breast cancer radiotherapy: an RTOG multi-institutional and multiobserver study. Int J Radiat Oncol Biol Phys 2009, 73:944-951.