Target volume delineation variation in radiotherapy for early stage rectal cancer in the Netherlands.

Marcel Van Herk, Jasper Nijkamp, Danielle F M de Haas-Kock, Jannet C Beukema, Karen J Neelis, Dankert Woutersen, Heleen Ceha, Tom Rozema, Annerie Slot, Hanneke Vos-Westerman, Martijn Intven, Patty H Spruit, Yvette van der Linden, Debby Geijsen, Karijn Verschueren, Marcel B van Herk, Corrie A M Marijnen

    Research output: Contribution to journalArticlepeer-review

    Abstract

    PURPOSE: The aim of this study was to measure and improve the quality of target volume delineation by means of national consensus on target volume definition in early-stage rectal cancer. METHODS AND MATERIALS: The CTV's for eight patients were delineated by 11 radiation oncologists in 10 institutes according to local guidelines (phase 1). After observer variation analysis a workshop was organized to establish delineation guidelines and a digital atlas, with which the same observers re-delineated the dataset (phase 2). Variation in volume, most caudal and cranial slice and local surface distance variation were analyzed. RESULTS: The average delineated CTV volume decreased from 620 to 460 cc (p
    Original languageEnglish
    JournalRadiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
    Volume102
    Issue number1
    DOIs
    Publication statusPublished - Jan 2012

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