Delineation of the neck node levels for head and neck tumors: A 2013 update. DAHANCA, EORTC, HKNPCSG, NCIC CTG, NCRI, RTOG, TROG consensus guidelines

Gregoire, Vincent, Ang, Kian, Budach, Wilfried, Grau, Cai, Hamoir, Marc, Langendijk, Johannes A., Lee, Anne, Quynh-Thu Le, Maingon, Philippe, Nutting, Chris, O'Sullivan, Brian, Porceddu, Sandro V. and Lengele, Benoit (2014) Delineation of the neck node levels for head and neck tumors: A 2013 update. DAHANCA, EORTC, HKNPCSG, NCIC CTG, NCRI, RTOG, TROG consensus guidelines. Radiotherapy and Oncology, 110 1: 172-181. doi:10.1016/j.radonc.2013.10.010

Attached Files (Some files may be inaccessible until you login with your UQ eSpace credentials)
Name Description MIMEType Size Downloads

Author Gregoire, Vincent
Ang, Kian
Budach, Wilfried
Grau, Cai
Hamoir, Marc
Langendijk, Johannes A.
Lee, Anne
Quynh-Thu Le
Maingon, Philippe
Nutting, Chris
O'Sullivan, Brian
Porceddu, Sandro V.
Lengele, Benoit
Title Delineation of the neck node levels for head and neck tumors: A 2013 update. DAHANCA, EORTC, HKNPCSG, NCIC CTG, NCRI, RTOG, TROG consensus guidelines
Journal name Radiotherapy and Oncology   Check publisher's open access policy
ISSN 1879-0887
0167-8140
Publication date 2014-01-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.radonc.2013.10.010
Open Access Status Not yet assessed
Volume 110
Issue 1
Start page 172
End page 181
Total pages 10
Place of publication Shannon,Ireland
Publisher Elsevier Ireland
Language eng
Abstract In 2003, a panel of experts published a set of consensus guidelines for the delineation of the neck node levels in node negative patients (Radiother Oncol, 69: 227-36,2003). In 2006, these guidelines were extended to include the characteristics of the node positive and the post-operative neck (Radiother Oncol, 79: 15-20,2006). These guidelines did not fully address all nodal regions and some of the anatomic descriptions were ambiguous, thereby limiting consistent use of the recommendations.
Formatted abstract
In 2003, a panel of experts published a set of consensus guidelines for the delineation of the neck node levels in node negative patients (Radiother Oncol, 69: 227-36, 2003). In 2006, these guidelines were extended to include the characteristics of the node positive and the post-operative neck (Radiother Oncol, 79: 15-20, 2006) these guidelines did not fully address all nodal regions and some of the anatomic descriptions were ambiguous, thereby limiting consistent use of the recommendations.

In this framework, a task force comprising opinion leaders in the field of head and neck radiation oncology from European, Asian, Australia/New Zealand and North American clinical research organizations was formed to review and update the previously published guidelines on nodal level delineation.

Based on the nomenclature proposed by the American Head and Neck Society and the American Academy of Otolaryngology-Head and Neck Surgery, and in alignment with the TNM atlas for lymph nodes in the neck, 10 node groups (some being divided into several levels) were defined with a concise description of their main anatomic boundaries, the normal structures juxtaposed to these nodes, and the main tumor sites at risk for harboring metastases in those levels. Emphasis was placed on those levels not adequately considered previously (or not addressed at all); these included the lower neck (e.g. supraclavicular nodes), the scalp (e.g. retroauricular and occipital nodes), and the face (e.g. buccal and parotid nodes). Lastly, peculiarities pertaining to the node-positive and the post-operative clinical scenarios were also discussed.

In conclusion, implementation of these guidelines in the daily practice of radiation oncology should contribute to the reduction of treatment variations from clinician to clinician and facilitate the conduct of multi-institutional clinical trials.
Keyword Head and neck tumors
IMRT
Lymph node levels
Neck nodes
Worldwide consensus
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 107 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 118 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 07 Oct 2014, 19:46:30 EST by System User on behalf of Medicine - Princess Alexandra Hospital