Prostate and Pelvic Lymph Node Anatomy for …...Prostate and Pelvic Lymph Node Anatomy for...

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Prostate and Pelvic Lymph Node Anatomy for Contouring I-Chow Joe Hsu, MD University of California San Francisco 2011 AAPM/COMP Meeting July 31-August 4 Vancouver, Canada

Transcript of Prostate and Pelvic Lymph Node Anatomy for …...Prostate and Pelvic Lymph Node Anatomy for...

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Prostate and Pelvic Lymph NodeAnatomy for Contouring

I-Chow Joe Hsu, MD

University of California San Francisco

2011 AAPM/COMP MeetingJuly 31-August 4

Vancouver, Canada

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Prostate Anatomy

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L. aniMuscle

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Urethra

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C. spongiosum

Bulb

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CT Contouring

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1. Spiral CT2. ≤ 3 mm thick3. Limit FOV

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1. Bladder wall2. Contrast use3. Bladder wall thickness

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Pelvic Lymph Node Anatomy

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Psoas M.Iliacus M.

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Piriformis M.

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Obturator internus M.

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CT Contouring

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C. Iliac Nodes: 7-mm margin around vessels: extend posterior and lateral borders to psoas and vertebral body

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Presacral Nodes: 10-mm strip over anterior sacrum

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E. Iliac Nodes: 7-mm margin around vessels; extend anterior border by additional 10-mm anterolaterally along iliopsoas muscle to include lateral external nodes

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I. Iliac Nodes: 7-mm margin around vessels; extend lateral borders to pelvic sidewall

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Obturator Nodes: Join external and internal iliac region with 18-mm-wide strip along pelvic sidewall

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Peritoneal flap for lymphocele prophylaxis following ...Peritoneal flap for lymphocele prophylaxis following robotic-assisted laparoscopic radical prostatectomy with pelvic lymph node

Peritoneal flap for lymphocele prophylaxis following ...Peritoneal flap for lymphocele prophylaxis following robotic-assisted laparoscopic radical prostatectomy with pelvic lymph node

PELVIC VISCERA Urinary bladder, ureter, urethra Sigmoid colon, rectum Male genital organs: vas deferens, seminal vesicles, prostate Female genital.

PELVIC VISCERA Urinary bladder, ureter, urethra Sigmoid colon, rectum Male genital organs: vas deferens, seminal vesicles, prostate Female genital.

CASE REPORT Open Access Retroperitoneal solitary ......intra-abdominal lymph node enlargement. Therefore, surgery was performed. The tumor was found in the retroperitoneal pelvic area

CASE REPORT Open Access Retroperitoneal solitary ......intra-abdominal lymph node enlargement. Therefore, surgery was performed. The tumor was found in the retroperitoneal pelvic area

PET and MRI of Prostate Cancer - DiVA portal953219/... · 2016-09-06 · Lymph node metastasis in prostate cancer Most cancer related deaths are a result of metastasis (21). Lymph

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Evaluation of a Pelvic Mass...– Pelvic pressure, constipation – abd mass, pelvic mass • Endometriosis – Cyclic pelvic pain, Infertility – Pelvic mass – “chocolate”

Invitation - Convention Linakge, Inc. · PDF fileConference Secretariat ... Functional MRI to improve Pelvic Lymph Node Staging ... CT Enterography for obscure GI bleeding and small

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Lymphatic System A&P Chapter 15 Pg 461. Introduction Consists of : lymph, lymph vessels, lymph nodes, and lymph tissue.

Lymphatic System A&P Chapter 15 Pg 461. Introduction Consists of : lymph, lymph vessels, lymph nodes, and lymph tissue.

LYMPHATIC SYSTEM. LYMPHATIC SYSTEM IS LYMPH LYMPH VESSELS LYMPH NODES LYMPH TISSUE.

LYMPHATIC SYSTEM. LYMPHATIC SYSTEM IS LYMPH LYMPH VESSELS LYMPH NODES LYMPH TISSUE.

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PELVIC WALL JOINTS OF THE PELVIS PELVIC FLOOR. PELVIC WALL.

Incontinence and Prostate Cancer John C. Hairston, MD Associate Professor of Urology Integrated Pelvic Health Program Northwestern Feinberg School of Medicine.

Incontinence and Prostate Cancer John C. Hairston, MD Associate Professor of Urology Integrated Pelvic Health Program Northwestern Feinberg School of Medicine.

Ovarian cancer GC - Obermair · Ovarian cancer in QLD ... • Radical TAH & BSO, omentectomy, resection of parietal peritoneum, debulking of pelvic/aortic lymph nodes.

Ovarian cancer GC - Obermair · Ovarian cancer in QLD ... • Radical TAH & BSO, omentectomy, resection of parietal peritoneum, debulking of pelvic/aortic lymph nodes.

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Pelvic Trauma Pelvic Trauma

Identification and Localization of Prostate Cancer with Combined … · 2013. 12. 24. · lands) by using a 4-channel standard pelvic-phased array coil. Whole prostate and seminal

Identification and Localization of Prostate Cancer with Combined … · 2013. 12. 24. · lands) by using a 4-channel standard pelvic-phased array coil. Whole prostate and seminal

The Pelvic Flaw - Cherry Baker Education...Prostate Cancer ! Most commonly cancer diagnosed in men ! Affects 1 in 8 men ! It is estimated that by 2030, Prostate cancer will be the

The Pelvic Flaw - Cherry Baker Education...Prostate Cancer ! Most commonly cancer diagnosed in men ! Affects 1 in 8 men ! It is estimated that by 2030, Prostate cancer will be the

Semmelweis Universitysemmelweis.hu/noi1/files/2017/03/ovarian_neoplasm.pdf · • resection of omentum + samples from peritoneal fluid • peritoneum + pelvic lymph node sampling

Semmelweis Universitysemmelweis.hu/noi1/files/2017/03/ovarian_neoplasm.pdf · • resection of omentum + samples from peritoneal fluid • peritoneum + pelvic lymph node sampling

Human Anatomy and Physiology · PROSTATE Lymph glands, Spine, Bones, Lungs COLON Lymph glands, Liver, Lungs BRAIN - Rarely to lymph nodes PREFERENTIAL SITES OF CANCER SPREAD. ...

Human Anatomy and Physiology · PROSTATE Lymph glands, Spine, Bones, Lungs COLON Lymph glands, Liver, Lungs BRAIN - Rarely to lymph nodes PREFERENTIAL SITES OF CANCER SPREAD. ...

Lymphatic System r. axillary lymph nodes l. cervical lymph nodes r. supratrochlear lymph nodes l. inguinal lymph nodes lymph vessels bone marrow right.

Lymphatic System r. axillary lymph nodes l. cervical lymph nodes r. supratrochlear lymph nodes l. inguinal lymph nodes lymph vessels bone marrow right.

Lymphotrophic nanoparticle-enhanced magnetic resonance … · 2012-11-01 · Pelvic Lymph Node Topography for Radiotherapy Treatment Planning from Ferumoxtran-10 Contrast-Enhanced

Lymphotrophic nanoparticle-enhanced magnetic resonance … · 2012-11-01 · Pelvic Lymph Node Topography for Radiotherapy Treatment Planning from Ferumoxtran-10 Contrast-Enhanced