Models / TSBreastBrachialPlexus / BrachialPlex_L

Structure Detail

BrachialPlex_L

Lateralized Structure LEFT
0.430 Avg Dice
Median Dice
Avg HD95 (mm)
Avg MDC (mm)

Delineation Information

Modality
CT
Guideline
The guideline used is Hall WH, Guiou M, Lee NY, Dublin A, rayan S, Vijayakumar S, et al. Development and validation of a standardized method for contouring the brachial plexus: prelimiry dosimetric alysis among patients treated with IMRT for head-and-neck cancer. Int J Radiat Oncol Biol Phys 2008;72:1362–7. https://doi.org/10.1016/j.ijrobp.2008.03.004.
Method
Manual drawn using a brush of 5 mm diameter

Anatomical Boundaries

Cranial
The C5 vertebra is the cranial landmark
Caudal
The T2 vertebrae is the cranial landmark
Medial
Medially the contour extends upto the spil cord contour
Lateral
Laterally the contour should extend to the axilla upto the level where the axillary vessels seem to turn upwards
Ventral
In the neck region the scalenus anterior muscle is the anterior boundary and in the axillary region, the anterior or ventral boundary is the axillary artery.
Dorsal
In the cervical region, the scalenus medius is the dorsal or posterior boundary. Further laterally the dorsal boundary is formed by the rib (1st rib) and further laterally 5 mm behind the artery

Additional Metrics

Average MSD
Median MSD
Median HD95
Median MDC
Avg Undercontouring MDC
Avg Overcontouring MDC
Average Volume