Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline

Abstract Purpose Radiotherapy is, with surgery, one of the main therapeutic treatment strategies for meningiomas. No prospective study has defined a consensus for the delineation of target volumes for meningioma radiotherapy. Therefore, target volume definition is mainly based on information from re...

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Main Authors: Nicolas Martz, Julia Salleron, Frédéric Dhermain, Guillaume Vogin, Jean-François Daisne, Raphaelle Mouttet-Audouard, Ronan Tanguy, Georges Noel, Matthieu Peyre, Isabelle Lecouillard, Julian Jacob, Justine Attal, Marie Charissoux, Ovidiu Veresezan, Chantal Hanzen, Aymeri Huchet, Igor Latorzeff, Alexandre Coutte, Jérôme Doyen, Dinu Stefan, Loic Feuvret, Gabriel C. T. E. Garcia, Philippe Royer
Format: Article
Language:English
Published: BMC 2023-07-01
Series:Radiation Oncology
Subjects:
Online Access:https://doi.org/10.1186/s13014-023-02300-w
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author Nicolas Martz
Julia Salleron
Frédéric Dhermain
Guillaume Vogin
Jean-François Daisne
Raphaelle Mouttet-Audouard
Ronan Tanguy
Georges Noel
Matthieu Peyre
Isabelle Lecouillard
Julian Jacob
Justine Attal
Marie Charissoux
Ovidiu Veresezan
Chantal Hanzen
Aymeri Huchet
Igor Latorzeff
Alexandre Coutte
Jérôme Doyen
Dinu Stefan
Loic Feuvret
Gabriel C. T. E. Garcia
Philippe Royer
author_facet Nicolas Martz
Julia Salleron
Frédéric Dhermain
Guillaume Vogin
Jean-François Daisne
Raphaelle Mouttet-Audouard
Ronan Tanguy
Georges Noel
Matthieu Peyre
Isabelle Lecouillard
Julian Jacob
Justine Attal
Marie Charissoux
Ovidiu Veresezan
Chantal Hanzen
Aymeri Huchet
Igor Latorzeff
Alexandre Coutte
Jérôme Doyen
Dinu Stefan
Loic Feuvret
Gabriel C. T. E. Garcia
Philippe Royer
author_sort Nicolas Martz
collection DOAJ
description Abstract Purpose Radiotherapy is, with surgery, one of the main therapeutic treatment strategies for meningiomas. No prospective study has defined a consensus for the delineation of target volumes for meningioma radiotherapy. Therefore, target volume definition is mainly based on information from retrospective studies that include heterogeneous patient populations. The aim is to describe delineation guidelines for meningioma radiotherapy as an adjuvant or definitive treatment with intensity-modulated radiation therapy and stereotactic radiation therapy techniques. This guideline is based on a consensus endorsed by a multidisciplinary group of brain tumor experts, members of the Association of French-speaking Neuro-oncologists (ANOCEF). Materials and methods A 3-step procedure was used. First, the steering group carried out a comprehensive review to identify divergent issues on meningiomas target volume delineation. Second, an 84-item web-questionnaire has been developed to precisely define meningioma target volume delineation in the most common clinical situations. Third, experts members of the ANOCEF were requested to answer. The first two rounds were completed online. A third round was carried out by videoconference to allow experts to debate and discuss the remaining uncertain questions. All questions remained in a consensus. Results Limits of the target volume were defined using visible landmarks on computed tomography and magnetic resonance imaging, considering the pathways of tumor extension. The purpose was to develop clear and precise recommendations on meningiomas target volumes. Conclusion New recommendations for meningiomas delineation based on simple anatomic boundaries are proposed by the ANOCEF. Improvement in uniformity in target volume definition is expected.
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spelling doaj.art-a0daca6eeef845cdae8957579f73acf42023-07-09T11:20:20ZengBMCRadiation Oncology1748-717X2023-07-011811910.1186/s13014-023-02300-wTarget volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guidelineNicolas Martz0Julia Salleron1Frédéric Dhermain2Guillaume Vogin3Jean-François Daisne4Raphaelle Mouttet-Audouard5Ronan Tanguy6Georges Noel7Matthieu Peyre8Isabelle Lecouillard9Julian Jacob10Justine Attal11Marie Charissoux12Ovidiu Veresezan13Chantal Hanzen14Aymeri Huchet15Igor Latorzeff16Alexandre Coutte17Jérôme Doyen18Dinu Stefan19Loic Feuvret20Gabriel C. T. E. Garcia21Philippe Royer22Academic Department of Radiation Therapy & Brachytherapy, Institut de Cancérologie de Lorraine - Alexis-Vautrin Cancer CenterCellule Data-biostatistiques, Institut de Cancérologie de Lorraine, Université de LorraineDepartment of Radiation Oncology, Gustave Roussy University HospitalAcademic Department of Radiation Therapy & Brachytherapy, Institut de Cancérologie de Lorraine - Alexis-Vautrin Cancer CenterDepartment of Radiation Oncology, University Hospitals Leuven, Catholic University of Leuven (KU Leuven)Academic Department of Radiotherapy, Oscar Lambret Comprehensive Cancer CentreDepartment of Radiotherapy, Léon Bérard Cancer CentreRadiation Oncology Department, Paul Strauss Cancer CentreDepartment of Neurosurgery, Sorbonne Université, Groupe Hospitalier Pitié-SalpêtrièreDepartment of Radiation Oncology, Eugène Marquis Cancer CentreDepartment of Radiation Oncology, Hôpital Pitié-Salpêtrière Charles Foix, APHPRadiotherapy Department, Institut Claudius Regaud, Toulouse University Institute for Cancer (IUCT-Oncopole)Radiation Oncology Department, Centre Val d’AurelleDepartment of Radiation Oncology, Cancer Centre Henri BecquerelDepartment of Radiation Oncology, Centre Hospitalier et UniversitaireDepartment of Radiation Oncology, Centre Hospitalier et UniversitaireDepartment of Radiotherapy, Groupe ONCORAD Garonne and Clinique PasteurDepartment of Radiation Therapy, CHU d’AmiensDepartment of Radiation Therapy, Antoine Lacassagne Cancer Center, University of Nice- SophiaDepartment of Radiation Oncology, François Baclesse Cancer CentreDepartment of Radiation Oncology, Hôpital Pitié-Salpêtrière Charles Foix, APHPDepartment of Diagnostic Radiology, Gustave RoussyAcademic Department of Radiation Therapy & Brachytherapy, Institut de Cancérologie de Lorraine - Alexis-Vautrin Cancer CenterAbstract Purpose Radiotherapy is, with surgery, one of the main therapeutic treatment strategies for meningiomas. No prospective study has defined a consensus for the delineation of target volumes for meningioma radiotherapy. Therefore, target volume definition is mainly based on information from retrospective studies that include heterogeneous patient populations. The aim is to describe delineation guidelines for meningioma radiotherapy as an adjuvant or definitive treatment with intensity-modulated radiation therapy and stereotactic radiation therapy techniques. This guideline is based on a consensus endorsed by a multidisciplinary group of brain tumor experts, members of the Association of French-speaking Neuro-oncologists (ANOCEF). Materials and methods A 3-step procedure was used. First, the steering group carried out a comprehensive review to identify divergent issues on meningiomas target volume delineation. Second, an 84-item web-questionnaire has been developed to precisely define meningioma target volume delineation in the most common clinical situations. Third, experts members of the ANOCEF were requested to answer. The first two rounds were completed online. A third round was carried out by videoconference to allow experts to debate and discuss the remaining uncertain questions. All questions remained in a consensus. Results Limits of the target volume were defined using visible landmarks on computed tomography and magnetic resonance imaging, considering the pathways of tumor extension. The purpose was to develop clear and precise recommendations on meningiomas target volumes. Conclusion New recommendations for meningiomas delineation based on simple anatomic boundaries are proposed by the ANOCEF. Improvement in uniformity in target volume definition is expected.https://doi.org/10.1186/s13014-023-02300-wMeningiomasRadiotherapyDelineationTarget volumeConsensus guidelines
spellingShingle Nicolas Martz
Julia Salleron
Frédéric Dhermain
Guillaume Vogin
Jean-François Daisne
Raphaelle Mouttet-Audouard
Ronan Tanguy
Georges Noel
Matthieu Peyre
Isabelle Lecouillard
Julian Jacob
Justine Attal
Marie Charissoux
Ovidiu Veresezan
Chantal Hanzen
Aymeri Huchet
Igor Latorzeff
Alexandre Coutte
Jérôme Doyen
Dinu Stefan
Loic Feuvret
Gabriel C. T. E. Garcia
Philippe Royer
Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline
Radiation Oncology
Meningiomas
Radiotherapy
Delineation
Target volume
Consensus guidelines
title Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline
title_full Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline
title_fullStr Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline
title_full_unstemmed Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline
title_short Target volume delineation for radiotherapy of meningiomas: an ANOCEF consensus guideline
title_sort target volume delineation for radiotherapy of meningiomas an anocef consensus guideline
topic Meningiomas
Radiotherapy
Delineation
Target volume
Consensus guidelines
url https://doi.org/10.1186/s13014-023-02300-w
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