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Figure 2 | Radiation Oncology

Figure 2

From: Clinical target volume delineation including elective nodal irradiation in preoperative and definitive radiotherapy of pancreatic cancer

Figure 2

Anatomical structures for the high risk lymph nodal regions of the body/tail pancreatic cancer. Transverse CT slices through high risk lymph node regions of the body/tail pancreatic cancer from cranial to caudal direction. The abdominal artery and the anatomical structures were identified as a surrogate target for lymph node regions. A margin of 10 mm was added to the artery to delineate lymph node area, including the soft tissue with lymphatic and neural plexus. Abbreviations: Ao = Aorta; CeLn = Celiac Lymph nodes; CHA = Common Hepatic Artery; ChLn = Common hepatic and hepatoduodenal ligament Lymph nodes; CT = Celiac Trunk; 1st D = first part of Duodenum; Ga = Gallbladder; IBLn = Inferior Body Lymph nodes; IMA = Inferior Mesenteric Artery; InLn = Infrapyloric Lymph nodes; IPA = Inferior Pancreatic Artery; IVC = Inferior Vena Cava; JA = Jejunal Artery; MCA = Medial Colic Artery; PaLn = Paraaortic Lymph nodes; Ph = Pancreatic head; Pyl = Pylorus; PV = Portal Vein; 2nd D = second part of Duodenum; SpA = Splenic Artery; SpLn = hilus of the spleen and Splenic Lymph nodes; SMA = Superior Mesenteric Artery; SMLn = Superior Mesenteric Lymph nodes; SMV = Superior Mesenteric Vein; 3rd D = third part of Duodenum; * = pillar of the diaphragm.

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