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Yang J, Xu T, Gomez DR, Yuan X, Nguyen Q, Jeter M, Song Y, Komaki R, Hu Y, Hahn SM, Liao Z. Nomograms incorporating genetic variants in BMP/Smad4/Hamp pathway to predict disease outcomes after definitive radiotherapy for non-small cell lung cancer. Cancer Med 2018; 7:2247-2255. [PMID: 29745043 PMCID: PMC6010922 DOI: 10.1002/cam4.1349] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2017] [Revised: 12/27/2017] [Accepted: 12/28/2017] [Indexed: 12/20/2022] Open
Abstract
Hepcidin is crucial in regulating iron metabolism, and increased serum levels were strongly linked with poor outcomes in various malignancies. Thus, we investigated if genetic variants in the BMP/Smad4/Hamp hepcidin-regulating pathway were associated with outcomes in patients receiving definitive radiotherapy for NSCLC. Subjects were 664 NSCLC patients who received ≥60 Gy radiotherapy for NSCLC retrospectively identified from a single-institution database. Potentially, functional and tagging single nucleotide polymorphisms (SNPs) of BMP2 (rs170986, rs1979855, rs1980499, rs235768, and rs3178250), BMP4 (rs17563, rs4898820, and rs762642), Smad4 (rs12456284), and Hamp (rs1882694, rs10402233, rs10421768, and rs12971321) were genotyped by TaqMan real-time polymerase chain reaction. Cox proportional hazard's analyses were used to assess potential influences of SNPs on overall survival (OS), local-regional progression-free survival (LRPFS), progression-free survival (PFS), and distant metastasis-free survival (DMFS). Nomogram of each endpoint model was developed using R project. The median patient age was 66 years. Most (488 [73.2%]) had stage III NSCLC. Age, disease stage, receipt of concurrent chemotherapy, and gross tumor volume were independent factors of OS. Hamp rs1882694 AC/CC genotypes were associated with poor OS, LRPFS, PFS, and DMFS in multivariate analyses. Besides, BMP2 rs1979855, rs3178250, and rs1980499 associated with PFS; Hamp rs10402233 and BMP2 rs1979855 associated with LRPFS; BMP2 rs3178250 associated with DMFS after adjustment for clinical factors. After adding SNPs to each model, all the likelihood ratios were increased; the nomograms were improved significantly to predict LRPFS (P < 0.001) and PFS (P < 0.001), and marginally to predict OS (P = 0.056) and DM (P = 0.057). Our nomograms incorporating significant SNPs in the BMP/Smad4/Hamp hepcidin-regulating pathway could improve the prediction of outcomes in patients given definitive radiotherapy for NSCLC. Intensified follow-ups would be recommended for patients with unfavorable outcomes identified in nomograms. Due to the rapid developments of targeted therapies and immunotherapies for NSCLC, it is necessary to further validate our findings in patients receiving such treatments.
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Minwell G, Buethe J, Liddell R, Nguyen Q, Reynolds D, Brock M, Frangakis C, Georgiades C. Abstract No. 591 Percutaneous ethanol sympatholysis for treatment of primary craniofacial hyperhidrosis. J Vasc Interv Radiol 2018. [DOI: 10.1016/j.jvir.2018.01.636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
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Nguyen Q, Wu C, Odden M, Kim D. MULTIMORBIDITY PATTERNS PROVIDE ADDED PROGNOSTIC INFORMATION BEYOND FRAILTY STATUS IN OLDER ADULTS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Holliday EB, Kuban DA, Levy LB, Bolukbasi Y, Master P, Choi S, Nguyen Q, McGuire SE, Mahmood U, Frank SJ, Hoffman KE. Select men benefit from androgen deprivation therapy delivered with salvage radiation therapy after prostatectomy. Prostate Cancer Prostatic Dis 2017; 20:389-394. [PMID: 28462945 DOI: 10.1038/pcan.2017.24] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Revised: 03/07/2017] [Accepted: 03/13/2017] [Indexed: 11/09/2022]
Abstract
BACKGROUND Which men benefit most from adding androgen deprivation therapy (ADT) to salvage radiation therapy (SRT) after prostatectomy has not clearly been defined; therefore, we evaluated the impact of ADT to SRT on failure-free survival (FFS) in men with a rising or persistent PSA after prostatectomy. METHODS We identified 332 men who received SRT after prostatectomy from 1987 to 2010. Recursive partitioning analysis (RPA) identified favorable, intermediate and unfavorable groups based on the risk of failure after SRT alone. Kaplan-Meier and log-rank tests compared FFS with and without ADT. RESULTS Forty-three percent received SRT alone and 57% received SRT with ADT (median 6.6 months (interquartile range (IQR) 5.8-18.1) ADT). Median SRT dose was 70 Gy (IQR 70-70), and median follow-up after SRT was 6.7 years (IQR 4.5-10.8). On Cox's proportional hazard regression, ADT improved FFS (adjusted hazard ratio 0.60, 95% confidence interval: 0.42-0.86; P=0.006). RPA classified unfavorable disease as negative surgical margins (SMs) and preradiation PSA of ⩾0.5 ng ml-1. Favorable disease had neither adverse factor, and intermediate disease had one adverse factor. The addition of ADT to SRT improved 5-year FFS for men with unfavorable disease (70.3% vs 23.4%; P<0.001) and intermediate disease (69.8% vs 48.0%; P=0.003), but not for men with favorable disease (81.2% vs 78.0%; P=0.971). CONCLUSIONS The addition of ADT to SRT appears to improve FFS for men with a preradiation PSA of ⩾0.5 ng ml-1 or with negative SM at prostatectomy. Men with involved surgical margins and PSA <0.5 ng ml-1 appear to be at a lower risk of failure after SRT alone and may not derive as much benefit from the administration of ADT with SRT. These results are hypothesis-generating only, and further prospective data are required to see if ADT can safely be omitted in this select group of men.
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Nguyen Q, Faintuch S, Brook O, Sarwar A, Mehta S. Contribution of supply expenses to cost variation of interventional radiology embolization procedures. J Vasc Interv Radiol 2017. [DOI: 10.1016/j.jvir.2016.12.976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Roseland JM, Nguyen Q, Williams JR, Patterson KY, Douglass LW, Howe JC. Nutrient Values for Ground Beef Products Ranging from 3 to 30% Fat for 4 Cooking Methods, from USDA Research Study. MEAT AND MUSCLE BIOLOGY 2017. [DOI: 10.22175/rmc2016.090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Nguyen Q, Roseland J, Williams J. Nutrient Values for Different Types of Sausage, From USDA Research Studies. MEAT AND MUSCLE BIOLOGY 2017. [DOI: 10.22175/rmc2017.106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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Ziller V, Dobener F, Nguyen Q, Wrenzycki C, Wagner U, Chatterjee S. Polarisationsmikroskospie zur kontinuierlichen digitalfotographischen Beobachtung von Befruchtung, Wachstum und Entwicklung von Mausembryonen unter Inkubationsbedingungen. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Sanchez MN, Brauning R, Clarke SM, Nguyen Q, McCulloch A, Cockett NE, Zamani W, Pompanon F, Taberlet P, McWilliam S, Daetwyler H, Kijas J. S0125 Changing patterns of genomic variability following domestication of sheep. J Anim Sci 2016. [DOI: 10.2527/jas2016.94supplement413x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nguyen Q, Tellam RL, Kijas J, Barendse W, Dalrymple BP. P1037 Predicting regulatory SNPs within enhancers and promoters in cattle. J Anim Sci 2016. [DOI: 10.2527/jas2016.94supplement432a] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Nguyen Q, Ahn E, Tsai L. From vision to reality: a guide to the biomedical design and development process for interventional radiologists. J Vasc Interv Radiol 2016. [DOI: 10.1016/j.jvir.2015.12.689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Welsh J, Seyedin S, Hofstetter W, Ajani J, Chang J, Gomez D, Swisher S, Blum M, Nguyen Q, Minsky B, Erasmus J, Lee J, Bhutani M, Komaki R. Prospective Phase 1/2 Clinical Trial: Evaluating Dose-Escalation for Esophageal Cancer. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Zhou R, Gomez D, Nguyen Q, Zhuang Y, Xu T, Liu Y, Yang J, Levy L, Komaki R, Liao Z. Predictors of In-Field Local Control and Overall Survival in Inoperable Non-Small Cell Lung Cancer After Concurrent Chemoradiation Therapy. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.1623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Chance W, Nguyen Q, Mehran R, Welsh J, Gomez D, Balter P, Komaki R, Liao Z, Chang J. Stereotactic Ablative Radiation Therapy for Treatment of Adrenal Gland Metastasis: Toxicity, Patterns of Failure, and Factors Impacting Outcomes. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Choi S, Nguyen Q, Pugh T, Mahmood U, McGuire S, Hoffman K, Frank S, Kuban D, Lee A. Results of Scanning Beam Proton Therapy (SCBT) for the Treatment of Patients With High-Risk Prostate Cancer. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.1161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Yang J, Xu T, Gomez D, Nguyen Q, Yuan X, Song Y, Levy L, Komaki R, Liao Z. Single Nucleotide Polymorphisms in BMP2/BMP4/Smad4 Are Associated With Severe Radiation Pneumonitis in Patients Receiving Definitive Radiation Therapy for Non-Small Cell Lung Cancer. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.1669] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Wei X, Komaki R, Choi N, O'Reilly M, Fossella F, Chang J, Gomez D, Nguyen Q, Pisters K, Tsao A, Massarelli E, Zhuang Y, Xu T, Hernandez M, Mohan R, Liao Z. Radiation Dose-Escalation to the Gross Tumor Volume Using Simultaneous Integrated Boost Intensity Modulated Photon or Proton Therapy With Concurrent Chemotherapy for Stage II-III Non-Small Cell Lung Cancer: A Preliminary Report of a Phase 1 Protocol. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Zhou R, Yang J, Pan T, Milgrom S, Pinnix C, Shi A, Yang J, Liu Y, Nguyen Q, Gomez D, Dabaja B, Balter P, Court L, Liao Z. SU-E-J-129: Atlas Development for Cardiac Automatic Contouring Using Multi-Atlas Segmentation. Med Phys 2015. [DOI: 10.1118/1.4924215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Song Y, Gomez D, Lopez Guerra J, Zhuang Y, Nguyen Q, Levy L, Ting X, Liao Z. OC-0083: ATM rs189037 associates with DLCO change in patients with lung cancer treated with radiation therapy. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40083-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Nguyen Q, Park J, Kee S, McWilliams J, Lee E. The interventionalist’s guide to BRTO and modified BRTO (MBRTO): a pictorial review. J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.12.570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Nguyen Q, Brook O, Faintuch S, Brennan I, Collares F, Sacks B, Ahmed M, Sarwar A. History and physical exam for the interventional radiologist: key clinical assessments and decision making prior to and following common IR procedures. J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.12.457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Durst CR, Starke RM, Gaughen J, Nguyen Q, Patrie J, Jensen ME, Evans AJ. Vision outcomes and major complications after endovascular coil embolization of ophthalmic segment aneurysms. AJNR Am J Neuroradiol 2014; 35:2140-5. [PMID: 24994822 PMCID: PMC7965166 DOI: 10.3174/ajnr.a4032] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Accepted: 04/28/2014] [Indexed: 12/18/2022]
Abstract
BACKGROUND AND PURPOSE As aneurysms arising from the ophthalmic segment of the internal carotid artery increase in size, they can compress the optic nerve, prompting patients to present with visual disturbances. The purpose of this article is to describe the clinical and angiographic results with an emphasis on visual outcomes following the endovascular treatment of ophthalmic segment ICA aneurysms. MATERIALS AND METHODS The records of 1254 patients who presented for endovascular treatment of a cerebral aneurysm were retrospectively reviewed to identify 65 consecutive patients who underwent coil embolization of an ophthalmic segment ICA aneurysm. The clinical records, treatment reports, and imaging were reviewed with a focus on visual outcomes. RESULTS Twenty-two of the 65 patients (34%) who presented for treatment of an ophthalmic aneurysm reported a visual disturbance at presentation. Fifteen of the 22 patients (68%) experienced an improvement in their symptoms after treatment. Overall, patients with visual symptoms were significantly more likely to benefit from treatment than to have a decline in vision (P = .03). The overall morbidity was 4%, and mortality was 0%. The retreatment rate was high at 30%, though this was disproportionately weighted by an 86% retreatment rate in patients with ruptured aneurysms. CONCLUSIONS Patients with visual symptoms attributable to ophthalmic segment ICA aneurysms undergoing endovascular coil embolization were statistically more likely to experience an improvement in their vision than to have worsening or unchanged vision. Coiling was associated with a low morbidity rate, though an elevated retreatment rate.
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Komaki R, Allen P, Wei X, Liao Z, Skinner H, Welsh J, Gomez D, Nguyen Q, Lin S, Heymach J, Cox J. Predictors of Brain Metastasis After Prophylactic Cranial Irradiation for Limited-Stage Small Cell Lung Cancer. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.1854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Liu A, Xu T, Gomez D, O'Reilly M, Lin S, Nguyen Q, Levy L, Komaki R, Mohan R, Liao Z. Serum CRP Is Predictive if Survival in Non-Small-Cell Lung Cancer Patients Treated With Definitive Chemoradiation Therapy. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.2347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Reddy J, Liao Z, Levy L, Nguyen Q, Tang C, Vaporciyan A, Heymach J, Chang J, Komaki R, Gomez D. Influence of Surveillance PET/CT on Detection of Early Recurrence Following Chemoradiation in Stage III Non-Small Cell Lung Cancer. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.1957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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