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dc.contributor.authorDavey, A
dc.contributor.authorPan, S
dc.contributor.authorBryce-Atkinson, A
dc.contributor.authorMandeville, H
dc.contributor.authorJanssens, GO
dc.contributor.authorKelly, SM
dc.contributor.authorHol, M
dc.contributor.authorTang, V
dc.contributor.authorDavies, LSC
dc.contributor.authorSiop-Europe Radiation Oncology Working Group
dc.contributor.authorAznar, M
dc.coverage.spatialIreland
dc.date.accessioned2024-04-30T15:52:58Z
dc.date.available2024-04-30T15:52:58Z
dc.date.issued2023-11-01
dc.identifierARTN 100681
dc.identifierS2405-6308(23)00106-4
dc.identifier.citationClinical and Translational Radiation Oncology, 2023, 43 pp. 100681 -
dc.identifier.issn2405-6308
dc.identifier.urihttps://repository.icr.ac.uk/handle/internal/6210
dc.identifier.eissn2405-6308
dc.identifier.eissn2405-6308
dc.identifier.doi10.1016/j.ctro.2023.100681
dc.identifier.doi10.1016/j.ctro.2023.100681
dc.description.abstractBACKGROUND 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.formatElectronic-eCollection
dc.format.extent100681 -
dc.languageeng
dc.language.isoeng
dc.publisherELSEVIER IRELAND LTD
dc.relation.ispartofClinical and Translational Radiation Oncology
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectContouring
dc.subjectDentofacial
dc.subjectDose-volume constraints
dc.subjectLate adverse effects
dc.subjectPaediatrics
dc.subjectRadiotherapy
dc.titleThe need for consensus on delineation and dose constraints of dentofacial structures in paediatric radiotherapy: Outcomes of a SIOP Europe survey.
dc.typeJournal Article
dcterms.dateAccepted2023-09-21
dc.date.updated2024-04-16T14:45:39Z
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1016/j.ctro.2023.100681
rioxxterms.licenseref.startdate2023-11-01
rioxxterms.typeJournal Article/Review
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/37790584
pubs.organisational-groupICR
pubs.organisational-groupICR/Primary Group
pubs.organisational-groupICR/Primary Group/ICR Divisions
pubs.organisational-groupICR/Primary Group/ICR Divisions/Radiotherapy and Imaging
pubs.organisational-groupICR/Primary Group/Royal Marsden Clinical Units
pubs.organisational-groupICR/Primary Group/ICR Divisions/Radiotherapy and Imaging/Paediatric and Adolescent Radiotherapy
pubs.publication-statusPublished online
pubs.publisher-urlhttp://dx.doi.org/10.1016/j.ctro.2023.100681
pubs.volume43
icr.researchteamPaed & Adolesc Radiother
dc.contributor.icrauthorMandeville, Henry
icr.provenanceDeposited 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


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