SlideShare a Scribd company logo
CT-based delineation of lymph node
levels in the N0 neck: DAHANCA,
EORTC, GORTEC, RTOG consensus
guidelines.
Vincent Grégoire, Radiation Oncology
Peter Levendag*, Radiation Oncology
UCL St-Luc University Hospital, Brussels, Belgium
and *Erasmus Medical Center, Rotterdam, The
Netherlands
Collaborators:
Kian K. Ang1, Radiation Oncology
Jacques Bernier2, Radiation Oncology
Marijel Braaksma3, Radiation Oncology
Volker Budach4, Radiation Oncology
Cliff Chao1, Radiation Oncology
Emmanuel Coche5, Radiology
Jay Cooper1, Radiation Oncology
Guy Cosnard5, Radiology
Avraham Eisbruch1, Radiation Oncology
Bahman Emami1, Radiation Oncology
Adam Garden1, Radiation Oncology
Cai Grau6, Radiation Oncologist
Marc Hamoir5, Head & Neck Surgery
Nancy Lee1, Radiation Oncology
Philippe Maingon7, Radiation Oncology
Karin Muller3, Radiation Oncology
Hervé Reychler5, Maxillo-facial Surgery
6DAHANCA, 4EORTC

radiotherapy group, 2EORTC H&N group, 3Erasmus Medical Center,
7GORTEC, 1RTOG H&N group, 5UCL St-Luc University Hospital, DAHANCA
Disclaimer
The materials presented in this website illustrates the consensus
reached among cooperatives groups with respect to the delineation of
the lymph node levels in the node negative neck.
Authors are not responsible for any use of these guidelines by third
parties.
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IA

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IA

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IA

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IA

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

IB
IIA
IIB

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Level I
Level II
Level III
Level IV

Level V
Level VI
RP
Atlas consenso DAHANCA
Atlas consenso DAHANCA

More Related Content

More from Teresa Muñoz Migueláñez

Carpe diem y sus historias
Carpe diem y sus historiasCarpe diem y sus historias
Carpe diem y sus historias
Teresa Muñoz Migueláñez
 
Avances en tumores ginecológicos: Cáncer de cérvix.
Avances en tumores ginecológicos: Cáncer de cérvix.Avances en tumores ginecológicos: Cáncer de cérvix.
Avances en tumores ginecológicos: Cáncer de cérvix.Teresa Muñoz Migueláñez
 
Tratamiento Adyuvante en el Cáncer de Cabeza y Cuello
Tratamiento Adyuvante en el Cáncer de Cabeza y CuelloTratamiento Adyuvante en el Cáncer de Cabeza y Cuello
Tratamiento Adyuvante en el Cáncer de Cabeza y Cuello
Teresa Muñoz Migueláñez
 
PENTOCLO
PENTOCLOPENTOCLO
Screening and Prostate-Cancer Mortality in a Randomized European Study
Screening and Prostate-Cancer Mortality  in a Randomized European StudyScreening and Prostate-Cancer Mortality  in a Randomized European Study
Screening and Prostate-Cancer Mortality in a Randomized European StudyTeresa Muñoz Migueláñez
 
Deciding what information is necessary: do patients with advanced cancer want...
Deciding what information is necessary: do patients with advanced cancer want...Deciding what information is necessary: do patients with advanced cancer want...
Deciding what information is necessary: do patients with advanced cancer want...Teresa Muñoz Migueláñez
 
Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?
Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?
Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?Teresa Muñoz Migueláñez
 
Radioterapia holocraneal
Radioterapia holocranealRadioterapia holocraneal
Radioterapia holocraneal
Teresa Muñoz Migueláñez
 

More from Teresa Muñoz Migueláñez (9)

Carpe diem y sus historias
Carpe diem y sus historiasCarpe diem y sus historias
Carpe diem y sus historias
 
Avances en tumores ginecológicos: Cáncer de cérvix.
Avances en tumores ginecológicos: Cáncer de cérvix.Avances en tumores ginecológicos: Cáncer de cérvix.
Avances en tumores ginecológicos: Cáncer de cérvix.
 
Preservación de la fertilidad clínica mayo
Preservación de la fertilidad clínica mayoPreservación de la fertilidad clínica mayo
Preservación de la fertilidad clínica mayo
 
Tratamiento Adyuvante en el Cáncer de Cabeza y Cuello
Tratamiento Adyuvante en el Cáncer de Cabeza y CuelloTratamiento Adyuvante en el Cáncer de Cabeza y Cuello
Tratamiento Adyuvante en el Cáncer de Cabeza y Cuello
 
PENTOCLO
PENTOCLOPENTOCLO
PENTOCLO
 
Screening and Prostate-Cancer Mortality in a Randomized European Study
Screening and Prostate-Cancer Mortality  in a Randomized European StudyScreening and Prostate-Cancer Mortality  in a Randomized European Study
Screening and Prostate-Cancer Mortality in a Randomized European Study
 
Deciding what information is necessary: do patients with advanced cancer want...
Deciding what information is necessary: do patients with advanced cancer want...Deciding what information is necessary: do patients with advanced cancer want...
Deciding what information is necessary: do patients with advanced cancer want...
 
Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?
Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?
Providing Hope in Terminal Cancer: When is it Appropriate and When is it Not?
 
Radioterapia holocraneal
Radioterapia holocranealRadioterapia holocraneal
Radioterapia holocraneal
 

Recently uploaded

Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Dr Jeenal Mistry
 
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 UpakalpaniyaadhyayaCharaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Dr KHALID B.M
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 
24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
DrSathishMS1
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #GirlsFor Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
Savita Shen $i11
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
GL Anaacs
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Savita Shen $i11
 
How to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for DoctorsHow to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for Doctors
LanceCatedral
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
MedicoseAcademics
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
Shweta
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
NEHA GUPTA
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Savita Shen $i11
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
kevinkariuki227
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
DR SETH JOTHAM
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Sapna Thakur
 

Recently uploaded (20)

Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdfAlcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf
 
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 UpakalpaniyaadhyayaCharaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
Charaka Samhita Sutra sthana Chapter 15 Upakalpaniyaadhyaya
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #GirlsFor Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
For Better Surat #ℂall #Girl Service ❤85270-49040❤ Surat #ℂall #Girls
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 
How to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for DoctorsHow to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for Doctors
 
Physiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of TastePhysiology of Special Chemical Sensation of Taste
Physiology of Special Chemical Sensation of Taste
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptxMaxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
 
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIONDACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND
 
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control programNVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
 

Atlas consenso DAHANCA