Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer.
We aimed to evaluate the inter-clinician variability in the clinical target volume (CTV) for postoperative radiotherapy (PORT) for biliary tract cancer (BTC) including extrahepatic bile duct cancer (EBDC) and gallbladder cancer (GBC). Nine experienced radiation oncologists delineated PORT CTVs for d...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0273395 |
| _version_ | 1811211388040773632 |
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| author | Taeryool Koo Kwang-Ho Cheong Kyubo Kim Hae Jin Park Younghee Park Hyeon Kang Koh Byoung Hyuck Kim Eunji Kim Kyung Su Kim Jin Hwa Choi |
| author_facet | Taeryool Koo Kwang-Ho Cheong Kyubo Kim Hae Jin Park Younghee Park Hyeon Kang Koh Byoung Hyuck Kim Eunji Kim Kyung Su Kim Jin Hwa Choi |
| author_sort | Taeryool Koo |
| collection | DOAJ |
| description | We aimed to evaluate the inter-clinician variability in the clinical target volume (CTV) for postoperative radiotherapy (PORT) for biliary tract cancer (BTC) including extrahepatic bile duct cancer (EBDC) and gallbladder cancer (GBC). Nine experienced radiation oncologists delineated PORT CTVs for distal EBDC (pT2N1), proximal EBDC (pT2bN1) and GBC (pT2bN1) patients. The expectation maximization algorithm for Simultaneous Truth and Performance Level Estimation (STAPLE) was used to quantify expert agreements. We generated volumes with a confidence level of 80% to compare the maximum distance to each CTV in six directions. The degree of agreement was moderate; overall kappa values were 0.573 for distal EBDC, 0.513 for proximal EBDC, and 0.511 for GBC. In the distal EBDC, a larger variation was noted in the right, post, and inferior direction. In the proximal EBDC, all borders except the right and left direction showed a larger variation. In the GBC, a larger variation was found in the anterior, posterior, and inferior direction. The posterior and inferior borders were the common area having discrepancies, associated with the insufficient coverage of the paraaortic node. A consensus guideline is needed to reduce inter-clinician variability in the CTVs and adequate coverage of regional lymph node area. |
| first_indexed | 2024-04-12T05:13:19Z |
| format | Article |
| id | doaj.art-fd9769953dcd462caa774796ddca02e1 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T05:13:19Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-fd9769953dcd462caa774796ddca02e12022-12-22T03:46:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179e027339510.1371/journal.pone.0273395Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer.Taeryool KooKwang-Ho CheongKyubo KimHae Jin ParkYounghee ParkHyeon Kang KohByoung Hyuck KimEunji KimKyung Su KimJin Hwa ChoiWe aimed to evaluate the inter-clinician variability in the clinical target volume (CTV) for postoperative radiotherapy (PORT) for biliary tract cancer (BTC) including extrahepatic bile duct cancer (EBDC) and gallbladder cancer (GBC). Nine experienced radiation oncologists delineated PORT CTVs for distal EBDC (pT2N1), proximal EBDC (pT2bN1) and GBC (pT2bN1) patients. The expectation maximization algorithm for Simultaneous Truth and Performance Level Estimation (STAPLE) was used to quantify expert agreements. We generated volumes with a confidence level of 80% to compare the maximum distance to each CTV in six directions. The degree of agreement was moderate; overall kappa values were 0.573 for distal EBDC, 0.513 for proximal EBDC, and 0.511 for GBC. In the distal EBDC, a larger variation was noted in the right, post, and inferior direction. In the proximal EBDC, all borders except the right and left direction showed a larger variation. In the GBC, a larger variation was found in the anterior, posterior, and inferior direction. The posterior and inferior borders were the common area having discrepancies, associated with the insufficient coverage of the paraaortic node. A consensus guideline is needed to reduce inter-clinician variability in the CTVs and adequate coverage of regional lymph node area.https://doi.org/10.1371/journal.pone.0273395 |
| spellingShingle | Taeryool Koo Kwang-Ho Cheong Kyubo Kim Hae Jin Park Younghee Park Hyeon Kang Koh Byoung Hyuck Kim Eunji Kim Kyung Su Kim Jin Hwa Choi Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer. PLoS ONE |
| title | Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer. |
| title_full | Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer. |
| title_fullStr | Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer. |
| title_full_unstemmed | Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer. |
| title_short | Variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer. |
| title_sort | variation in clinical target volume delineation in postoperative radiotherapy for biliary tract cancer |
| url | https://doi.org/10.1371/journal.pone.0273395 |
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