dc.contributor.author | Davey, A | |
dc.contributor.author | Pan, S | |
dc.contributor.author | Bryce-Atkinson, A | |
dc.contributor.author | Mandeville, H | |
dc.contributor.author | Janssens, GO | |
dc.contributor.author | Kelly, SM | |
dc.contributor.author | Hol, M | |
dc.contributor.author | Tang, V | |
dc.contributor.author | Davies, LSC | |
dc.contributor.author | Siop-Europe Radiation Oncology Working Group | |
dc.contributor.author | Aznar, M | |
dc.coverage.spatial | Ireland | |
dc.date.accessioned | 2024-04-30T15:52:58Z | |
dc.date.available | 2024-04-30T15:52:58Z | |
dc.date.issued | 2023-11-01 | |
dc.identifier | ARTN 100681 | |
dc.identifier | S2405-6308(23)00106-4 | |
dc.identifier.citation | Clinical and Translational Radiation Oncology, 2023, 43 pp. 100681 - | |
dc.identifier.issn | 2405-6308 | |
dc.identifier.uri | https://repository.icr.ac.uk/handle/internal/6210 | |
dc.identifier.eissn | 2405-6308 | |
dc.identifier.eissn | 2405-6308 | |
dc.identifier.doi | 10.1016/j.ctro.2023.100681 | |
dc.identifier.doi | 10.1016/j.ctro.2023.100681 | |
dc.description.abstract | BACKGROUND AND PURPOSE: Children receiving radiotherapy for head-and-neck tumours often experience severe dentofacial side effects. Despite this, recommendations for contouring and dose constraints to dentofacial structures are lacking in clinical practice. We report on a survey aiming to understand current practice in contouring and dose assessment to dentofacial structures. METHODS: A digital survey was distributed to European Society for Paediatric Oncology members of the Radiation Oncology Working Group, and member-affiliated centres in Europe, Australia, and New Zealand. The questions focused on clinical practice and aimed to establish areas for future development. RESULTS: Results from 52 paediatric radiotherapy centres across 27 countries are reported. Only 29/52 centres routinely delineated some dentofacial structures, with the most common being the mandible (25 centres), temporo-mandibular joint (22), dentition (13), orbit (10) and maxillary bone (eight). For most bones contoured, an 'As Low As Reasonably Achievable' dose objective was implemented. Only four centres reported age-adapted dose constraints.The largest barrier to clinical implementation of dose constraints was firstly, the lack of contouring guidance (49/52, 94%) and secondly, that delineation is time-consuming (33/52, 63%). Most respondents who routinely contour dentofacial structures (25/27, 90%) agreed a contouring atlas would aid delineation. CONCLUSION: Routine delineation of dentofacial structures is infrequent in paediatric radiotherapy. Based on survey findings, we aim to 1) define a consensus-contouring atlas for dentofacial structures, 2) develop auto-contouring solutions for dentofacial structures to aid clinical implementation, and 3) carry out treatment planning studies to investigate the importance of delineation of these structures for planning optimisation. | |
dc.format | Electronic-eCollection | |
dc.format.extent | 100681 - | |
dc.language | eng | |
dc.language.iso | eng | |
dc.publisher | ELSEVIER IRELAND LTD | |
dc.relation.ispartof | Clinical and Translational Radiation Oncology | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Contouring | |
dc.subject | Dentofacial | |
dc.subject | Dose-volume constraints | |
dc.subject | Late adverse effects | |
dc.subject | Paediatrics | |
dc.subject | Radiotherapy | |
dc.title | The need for consensus on delineation and dose constraints of dentofacial structures in paediatric radiotherapy: Outcomes of a SIOP Europe survey. | |
dc.type | Journal Article | |
dcterms.dateAccepted | 2023-09-21 | |
dc.date.updated | 2024-04-16T14:45:39Z | |
rioxxterms.version | VoR | |
rioxxterms.versionofrecord | 10.1016/j.ctro.2023.100681 | |
rioxxterms.licenseref.startdate | 2023-11-01 | |
rioxxterms.type | Journal Article/Review | |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/37790584 | |
pubs.organisational-group | ICR | |
pubs.organisational-group | ICR/Primary Group | |
pubs.organisational-group | ICR/Primary Group/ICR Divisions | |
pubs.organisational-group | ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging | |
pubs.organisational-group | ICR/Primary Group/Royal Marsden Clinical Units | |
pubs.organisational-group | ICR/Primary Group/ICR Divisions/Radiotherapy and Imaging/Paediatric and Adolescent Radiotherapy | |
pubs.publication-status | Published online | |
pubs.publisher-url | http://dx.doi.org/10.1016/j.ctro.2023.100681 | |
pubs.volume | 43 | |
icr.researchteam | Paed & Adolesc Radiother | |
dc.contributor.icrauthor | Mandeville, Henry | |
icr.provenance | Deposited by Henry Mandeville on 2024-04-16. Deposit type is initial. No. of files: 1. Files: The need for consensus on delineation and dose constraints of dentofacial structures in paediatric radiotherapy Outcomes of .pdf | |