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https://www.readbyqxmd.com/read/28205307/segmentation-of-organs-at-risks-in-head-and-neck-ct-images-using-convolutional-neural-networks
#1
Bulat Ibragimov, Lei Xing
PURPOSE: Accurate segmentation of organs-at-risks (OARs) is the key step for efficient planning of radiation therapy for head and neck (HaN) cancer treatment. In the work, we proposed the first deep learning-based algorithm, for segmentation of OARs in HaN CT images, and compared its performance against state-of-the-art automated segmentation algorithms, commercial software, and interobserver variability. METHODS: Convolutional neural networks (CNNs)-a concept from the field of deep learning-were used to study consistent intensity patterns of OARs from training CT images and to segment the OAR in a previously unseen test CT image...
February 2017: Medical Physics
https://www.readbyqxmd.com/read/28194862/patterns-of-care-and-survival-of-adjuvant-radiation-for-major-salivary-adenoid-cystic-carcinoma
#2
Anna Lee, Babak Givi, Virginia W Osborn, David Schwartz, David Schreiber
OBJECTIVES/HYPOTHESIS: National Cancer Care Network guidelines suggest consideration of adjuvant radiation even for early stage adenoid cystic carcinoma of the salivary glands. We used the National Cancer Data Base (NCDB) to analyze practice patterns and outcomes of postoperative radiotherapy for adenoid cystic carcinomas. STUDY DESIGN: Retrospective NCDB review. METHODS: Patients with nonmetastatic adenoid cystic carcinoma of the parotid, submandibular, or another major salivary gland from 2004 to 2012 were identified...
February 14, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28170182/primary-salivary-human-stem-progenitor-cells-undergo-microenvironment-driven-acinar-like-differentiation-in-hyaluronate-hydrogel-culture
#3
Padma Pradeepa Srinivasan, Vaishali N Patel, Shuang Liu, Daniel A Harrington, Matthew P Hoffman, Xinqiao Jia, Robert L Witt, Mary C Farach-Carson, Swati Pradhan-Bhatt
Radiotherapy for head and neck cancer often has undesirable effects on salivary glands that lead to xerostomia or severe dry mouth, which can increase oral infections. Our goal is to engineer functional, three-dimensional (3D) salivary gland neotissue for autologous implantation to provide permanent relief. An immediate need exists to obtain autologous adult progenitor cells as the use of embryonic and induced pluripotent stem cells potentially pose serious risks such as teratogenicity and immunogenic rejection...
January 2017: Stem Cells Translational Medicine
https://www.readbyqxmd.com/read/28170130/cyclical-hypofractionated-radiotherapy-also-known-as-quad-shot-alone-using-intensity-modulated-radiotherapy-for-squamous-cell-carcinoma-of-the-parotid-gland-in-an-85-year-old-patient-with-multiple-comorbidities
#4
Whoon Jong Kil, Kevin Camphausen
BACKGROUND: Palliative radiotherapy (RT) is not commonly offered to patients with head and neck cancer because of the belief that toxicity from the RT would not provide great palliative benefits. The purpose of this study was for us to report the advantages of cyclical hypofractionated RT (QUAD Shot) using intensity-modulated RT (IMRT) for an elderly comorbid patient with head and neck cancer. METHODS: An 85-year-old multiple comorbid man with squamous cell carcinoma in the left parotid gland with left facial pain received the IMRT-QUAD Shot (14 Gy/4 fractions, twice-daily treatment with 6 hours interval, on 2 consecutive days) to lesions, which were repeated every 4 weeks 3 times...
February 7, 2017: Head & Neck
https://www.readbyqxmd.com/read/28168934/a-comparative-evaluation-of-3-different-free-form-deformable-image-registration-and-contour-propagation-methods-for-head-and-neck-mri
#5
Sara Broggi, Elisa Scalco, Maria Luisa Belli, Gerlinde Logghe, Dirk Verellen, Stefano Moriconi, Anna Chiara, Anna Palmisano, Renata Mellone, Claudio Fiorino, Giovanna Rizzo
PURPOSE: To validate and compare the deformable image registration and parotid contour propagation process for head and neck magnetic resonance imaging in patients treated with radiotherapy using 3 different approaches-the commercial MIM, the open-source Elastix software, and an optimized version of it. MATERIALS AND METHODS: Twelve patients with head and neck cancer previously treated with radiotherapy were considered. Deformable image registration and parotid contour propagation were evaluated by considering the magnetic resonance images acquired before and after the end of the treatment...
January 1, 2017: Technology in Cancer Research & Treatment
https://www.readbyqxmd.com/read/28131913/the-paraguayan-rhinella-toad-venom-implications-in-the-traditional-medicine-and-proliferation-of-breast-cancer-cells
#6
Guillermo Schmeda-Hirschmann, Celeste Vega Gomez, Antonieta Rojas de Arias, Alberto Burgos-Edwards, Jorge Alfonso, Miriam Rolon, Francisco Brusquetti, Flavia Netto, Félix A Urra, César Cárdenas
ETHNOPHARMACOLOGICAL RELEVANCE: Toads belonging to genus Rhinella are used in Paraguayan traditional medicine to treat cancer and skin infections. AIM OF THE STUDY: The objective of the study was to determine the composition of venoms obtained from three different Paraguayan Rhinella species, to establish the constituents of a preparation sold in the capital city of Paraguay to treat cancer as containing the toad as ingredient, to establish the effect of the most active Rhinella schneideri venom on the cell cycle using human breast cancer cells and to assess the antiprotozoal activity of the venoms...
January 25, 2017: Journal of Ethnopharmacology
https://www.readbyqxmd.com/read/28106504/insulin-like-growth-factor-1-mediated-dna-repair-in-irradiated-salivary-glands-is-sirtuin-1-dependent
#7
S Meyer, A M Chibly, R Burd, K H Limesand
Ionizing radiation is one of the most common cancer treatments; however, the treatment leads to a wide range of debilitating side effects. In patients with head and neck cancer (HNC), the surrounding normal salivary gland is extremely sensitive to therapeutic radiation, and damage to this tissue results in various oral complications and decreased quality of life (QOL). In the current study, mice treated with targeted head and neck radiation showed a significant increase in double-stranded breaks (DSB) in the DNA of parotid salivary gland cells immediately after treatment, and this remained elevated 3 h posttreatment...
February 2017: Journal of Dental Research
https://www.readbyqxmd.com/read/28071626/prognostic-factors-in-postoperative-radiotherapy-in-salivary-gland-carcinoma-a-single-institution-experience-from-turkey
#8
M Kandaz, G Soydemir, Z Bahat, E Canyılmaz, A Yöney
BACKGROUND: We reviewed clinical characteristics, treatment outcomes, local and distant failure and prognostic factors in patients with salivary gland carcinoma treated with surgery and postoperative radiotherapy. MATERIALS AND METHODS: We retrospectively reviewed 75 patients with salivary gland cancer. 69 (%92) patients had cancer of the parotid gland, 3 (%4) patients had cancer of the submandibular gland and 3 (%4) patients had cancer of the minor salivary gland...
April 2016: Indian Journal of Cancer
https://www.readbyqxmd.com/read/28061862/bulbar-conjunctival-metastasis-from-mucoepidermoid-carcinoma-of-parotid-a-case-report-and-review-of-literature
#9
Rajshri Yadav, Azhar J Battoo, Abdul W Mir, Altaf G Haji
BACKGROUND: Mucoepidermoid carcinoma of salivary glands usually metastasizes to the lungs, liver, bone, brain, and skin. We report a rare case of distant metastasis of high-grade mucoepidermoid carcinoma of the parotid to the ipsilateral bulbar conjunctiva of the eye. CASE PRESENTATION: Sixty-year-old male of Kashmiri origin presented to our tertiary care referral cancer institute with exophytic lesion of the left bulbar conjunctiva following his treatment for mucoepidermoid cancer of ipsilateral parotid gland, 9 months back...
January 7, 2017: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28048945/organotypic-spheroid-culture-to-mimic-radiation-induced-salivary-hypofunction
#10
H S Shin, H Y An, J S Choi, H J Kim, J Y Lim
Radiation treatment often leads to irreversible damage to normal salivary glands (SGs) because of their proximity to head and neck cancers. Optimization of the in vitro model of irradiation (IR)-induced SG damage is warranted to investigate pathophysiology and monitor treatment outcome. Here, we present an organotypic spheroid culture model to investigate the impact of IR on SGs and the mechanisms underlying IR-induced structural and functional changes. Human parotid epithelial cells were obtained from human parotid glands and plated on either plastic plates or Matrigel...
December 1, 2016: Journal of Dental Research
https://www.readbyqxmd.com/read/28048914/su-g-brc-02-a-novel-multi-criteria-optimization-approach-to-generate-deliverable-intensity-modulated-radiation-therapy-imrt-treatment-plans
#11
G Kirlik, W D'Souza, H Zhang
PURPOSE: To present a novel multi-criteria optimization (MCO) solution approach that generates treatment plans with deliverable apertures using column generation. METHODS: We demonstrate our method with 10 locally advanced head-and-neck cancer cases retrospectively. In our MCO formulation, we defined an objective function for each structure in the treatment volume. This resulted in 9 objective functions, including 3 distinct objectives for primary target volume, high-risk and low-risk target volumes, 5 objectives for each of the organs-at-risk (OARs) (two parotid glands, spinal cord, brain stem and oral cavity), and one for the non-target non-OAR normal tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048821/mo-g-201-02-comparing-sample-size-requirements-for-knowledge-based-treatment-planning
#12
J J Boutilier, A D C Babier, T Craig, A L McNiven, M B Sharpe, T C Y Chan
PURPOSE: To compare how training set size affects the accuracy of a knowledge-based planning (KBP) model applied to prostate and head and neck (HN) cancer. METHODS: We selected a KBP model from the literature that uses distance-to-target histograms and organ volumes to predict an achievable dose-volume-histogram (DVH) curve for each organ-at-risk (OAR). We trained both the prostate and HN model using training set sizes of n=10, 20, 30, 50,75, and 100. We set aside 100 randomly selected treatment plans from each of the two respective cohorts of 218 to serve as a validation set for all experiments...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048650/su-f-t-195-systematic-constraining-of-contralateral-parotid-gland-led-to-improved-dosimetric-outcomes-for-multi-field-optimization-with-scanning-beam-proton-therapy-promising-results-from-a-pilot-study-in-patients-with-base-of-tongue-carcinoma
#13
R Wu, C Crowford, R Georges, A Liu, M Amin, T Sio, B Gunn, F Poenisch, M Palmer, M Gillin, S Frank, X Zhu
PURPOSE: Treatment planning for Intensity Modulated Proton Therapy (IMPT) for head and neck cancer is time-consuming due to the large number of organs-at-risk (OAR) to be considered. As there are many competing objectives and also wide range of acceptable OAR constraints, the final approved plan may not be most optimal for the given structures. We evaluated the dose reduction to the contralateral parotid by implementing standardized constraints during optimization for scanning beam proton therapy planning...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048503/su-d-204-04-correlations-between-dosimetric-indices-and-follow-up-data-for-salivary-glands-six-months-after-radiation-therapy-for-head-and-neck-cancer
#14
B Chera, A Price, M Kostich, R Amdur, W Mendenhall, N Sheets, R Green, L Marks, S Das, P Mavroidis
PURPOSE: To investigate the correlation between different dosimetric indices of salivary glands (as separate or combined structures) to patient-reported dry mouth 6 months post radiotherapy using the novel patient reported outcome version of the CTCAE (PRO-CTCAE). METHODS: Forty-three patients with oropharyngeal squamous cell carcinoma were treated on a prospective multi-institutional study. All patients received de-intensified 60 Gy intensity modulated radiotherapy...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048265/su-g-brc-03-a-novel-multi-criteria-optimization-method-for-volumetric-modulated-arc-therapy-vmat-treatment-planning
#15
G Kirlik, W D'Souza, H Zhang
PURPOSE: To present a novel multi-criteria optimization (MCO) solution approach that generates treatment plans for VMAT. METHODS: We demonstrate our method with generating double-arc VMAT plans for 10 locally advanced head-and-neck cancer cases retrospectively. In our MCO formulation, we defined an objective function for each structure in the treatment volume. This resulted in 9 objective functions, including 3 distinct objectives for primary, high-risk and low-risk target volumes, 5 objectives for each of the organs-at-risk (OARs) (two parotid glands, spinal cord, brain stem and oral cavity), and one for the non-target non-OAR normal tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047950/su-f-t-343-dosimetric-investigation-for-fluence-smoothing-on-vmat-plans-in-monaco-for-head-neck-cancers
#16
K Jassal, B Sarkar, T Ganesh, H Kaur, U Giri, B Mohanti, A Munshi
PURPOSE: The study investigates the effect of fluence smoothing parameter on VMAT plans for ten head-neck cancer patients using Monaco5.00.04. METHODS: VMAT plans were created using Monaco5.00.04 planning system for 10 head-neck patients. Four plans were generated for each patient using available smoothing parameters i.e. high, medium, low and off. The number of monitor units required to deliver 1 cGy was defined as a modulation degree; and was taken as a measure of plan complexity...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047866/su-f-t-357-dosimetric-comparison-of-automatic-imrt-planning-and-manual-imrt-plan-for-head-and-neck-cancer
#17
X Chang, K Li, W Hu
PURPOSE: The purpose of this study is to compare dosimetric differences of Auto-planning and manual IMRT plan and investigate the feasibility and efficiency of the Auto-planning in the nasopharyngeal carcinoma (NPC). METHODS: Ten patients with NPC treated were enrolled in this study. Two IMRT plans were generated for each patient: manually optimized clinical plan and the automatically optimized plan using the Pinnacle Auto-planning (Auto plan). All the plan parameters such as gantry angle, the maximum number of iterations, the maximum number of control points, minimum segment MU and area are same, except the optimization method...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047821/su-f-t-523-radiobiological-comparison-of-helical-tomotherapy-and-vmat-in-the-treatment-of-head-and-neck-tumors
#18
R Woods, P Mavroidis, M Lehman-Davis, M Kostich, T Cook, B Chera, S Das, J Lian
PURPOSE: This study aims at comparing the efficacy of Helical Tomotherapy (TOMO) and Volumetric Modulated Arc Therapy (VMAT) in producing highly conformal dose distributions in challenging head & neck cancer patients. Furthermore, to interpret the dosimetric findings into expected tissue response rates in order to estimate their clinical impact. METHODS: Seven patients were studied and for each patient two treatment plans (one TOMO and one VMAT) were created. Structures used for optimization were: high risk PTV, standard risk PTV, brainstem, spinal cord, parotid gland, larynx, mandible and surrounding tissue...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047807/su-d-brb-02-combining-a-commercial-autoplanning-engine-with-database-dose-predictions-to-further-improve-plan-quality
#19
S P Robertson, J A Moore, X Hui, T L DeWeese, P Tran, H Quon, Z Cheng, K Bzdusek, P Kumar, T R McNutt
PURPOSE: Database dose predictions and a commercial autoplanning engine both improve treatment plan quality in different but complimentary ways. The combination of these planning techniques is hypothesized to further improve plan quality. METHODS: Four treatment plans were generated for each of 10 head and neck (HN) and 10 prostate cancer patients, including Plan_A: traditional IMRT optimization using clinically relevant default objectives; Plan_B: traditional IMRT optimization using database dose predictions; Plan_C: autoplanning using default objectives; and Plan_D: autoplanning using database dose predictions...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047669/we-h-brc-07-validation-of-a-commercial-atlas-based-auto-segmentation-package-for-automated-contour-quality-control
#20
S Berry, K Jedruszczuk, H Veeraraghavan, A Apte, Z Saleh, M Hunt
PURPOSE: To investigate whether a commercial atlas based auto-segmentation (ABAS) package can be used for automated review and quality control (QC) of physician segmentations, and if so, to determine action levels for future clinical implementation. METHODS: 42 head and neck cancer (HNC) patient plan CT scans with manually defined expert physician organ at risk (OAR) segmentations were retrospectively identified. Five representative patients were selected as ABAS models and were subsequently applied to each of the remaining 37 studies, resulting in 5 auto-segmentations (AS) per patient...
June 2016: Medical Physics
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