76
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Rana S. PR41 Assessment of QOL in young breast cancer patients. Breast 2014. [DOI: 10.1016/s0960-9776(14)70051-7] [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] Open
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77
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Rana S. PR80 Opinions/choices of breast-cancer patients and nurses. Breast 2014. [DOI: 10.1016/s0960-9776(14)70090-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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78
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Lu I, Rana S, El-Nimr G. I10 Thermoregulation In Huntington's Disease. J Neurol Psychiatry 2014. [DOI: 10.1136/jnnp-2014-309032.172] [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]
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79
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Rana S, Bag S, Patra T, Maiti D. Catalytic Electrophilic Halogenations and Haloalkoxylations by Non-Heme Iron Halides. Adv Synth Catal 2014. [DOI: 10.1002/adsc.201400316] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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80
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Lu I, Rana S, El-Nimr G. THERMOREGULATION IN HUNTINGTON'S DISEASE. Journal of Neurology, Neurosurgery and Psychiatry 2014. [DOI: 10.1136/jnnp-2014-308883.40] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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81
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Rana S, Angadi PV, Hallikerimath S, Kale AD. Detection of metastases in oral squamous cell carcinoma: still a diagnostic impasse. Gulf J Oncolog 2014; 1:108-115. [PMID: 25316402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2014] [Indexed: 06/04/2023]
Abstract
Oral squamous cell carcinoma (OSCC) being the most common malignancy of the oral cavity poses a significant public health problem due its impact on the speech, mastication, taste, swallowing and esthetics. Moreover, the presence of metastasis either regional or distant worsens the prognosis and reduces the survival rate in these patients. This makes it imperative to diagnose metastasis at an early stage to facilitate appropriate therapeutic management to reduce the morbidity and mortality associated with this disease. There have been several modalities that have been developed and in wide-use for recognition of metastasis with their inherent advantages and disadvantages making it a perplexing dilemma to the clinician and surgeon alike. This paper aims to give an insight into the diagnostic workup available for the evaluation of metastasis in patients with OSCC and reinforces the need for further research to develop more accurate methods.
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82
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Zhao L, Rana S, Zheng Y. SU-E-T-528: Robustness Evaluation for Fiducial-Based Accelerated Partial Breast Proton Therapy. Med Phys 2014. [DOI: 10.1118/1.4888862] [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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83
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Rana S, Zhao L, Ramirez E, Singh H, Zheng Y. SU-E-T-170: Evaluation of Rotational Errors in Proton Therapy Planning of Lung Cancer. Med Phys 2014. [DOI: 10.1118/1.4888499] [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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84
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Rana S, Zheng Y. SU-E-T-201: Impact of Gantry and Table Angles On Proton Range in XiO Treatment Planning System. Med Phys 2014. [DOI: 10.1118/1.4888531] [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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85
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Pokharel S, Rana S. SU-E-T-344: Validation and Clinical Experience of Eclipse Electron Monte Carlo Algorithm (EMC). Med Phys 2014. [DOI: 10.1118/1.4888677] [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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86
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Turajlic S, Furney SJ, Stamp G, Rana S, Ricken G, Oduko Y, Saturno G, Springer C, Hayes A, Gore M, Larkin J, Marais R. Whole-genome sequencing reveals complex mechanisms of intrinsic resistance to BRAF inhibition. Ann Oncol 2014; 25:959-67. [PMID: 24504448 PMCID: PMC3999800 DOI: 10.1093/annonc/mdu049] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2014] [Accepted: 02/03/2014] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND BRAF is mutated in ∼42% of human melanomas (COSMIC. http://www.sanger.ac.uk/genetics/CGP/cosmic/) and pharmacological BRAF inhibitors such as vemurafenib and dabrafenib achieve dramatic responses in patients whose tumours harbour BRAF(V600) mutations. Objective responses occur in ∼50% of patients and disease stabilisation in a further ∼30%, but ∼20% of patients present primary or innate resistance and do not respond. Here, we investigated the underlying cause of treatment failure in a patient with BRAF mutant melanoma who presented primary resistance. METHODS We carried out whole-genome sequencing and single nucleotide polymorphism (SNP) array analysis of five metastatic tumours from the patient. We validated mechanisms of resistance in a cell line derived from the patient's tumour. RESULTS We observed that the majority of the single-nucleotide variants identified were shared across all tumour sites, but also saw site-specific copy-number alterations in discrete cell populations at different sites. We found that two ubiquitous mutations mediated resistance to BRAF inhibition in these tumours. A mutation in GNAQ sustained mitogen-activated protein kinase (MAPK) signalling, whereas a mutation in PTEN activated the PI3 K/AKT pathway. Inhibition of both pathways synergised to block the growth of the cells. CONCLUSIONS Our analyses show that the five metastases arose from a common progenitor and acquired additional alterations after disease dissemination. We demonstrate that a distinct combination of mutations mediated primary resistance to BRAF inhibition in this patient. These mutations were present in all five tumours and in a tumour sample taken before BRAF inhibitor treatment was administered. Inhibition of both pathways was required to block tumour cell growth, suggesting that combined targeting of these pathways could have been a valid therapeutic approach for this patient.
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87
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Rana S, Cheng C. Radiobiological impact of planning techniques for prostate cancer in terms of tumor control probability and normal tissue complication probability. Ann Med Health Sci Res 2014; 4:167-72. [PMID: 24761232 PMCID: PMC3991934 DOI: 10.4103/2141-9248.129023] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Background: The radiobiological models describe the effects of the radiation treatment on cancer and healthy cells, and the radiobiological effects are generally characterized by the tumor control probability (TCP) and normal tissue complication probability (NTCP). Aim: The purpose of this study was to assess the radiobiological impact of RapidArc planning techniques for prostate cancer in terms of TCP and normal NTCP. Subjects and Methods: A computed tomography data set of ten cases involving low-risk prostate cancer was selected for this retrospective study. For each case, two RapidArc plans were created in Eclipse treatment planning system. The double arc (DA) plan was created using two full arcs and the single arc (SA) plan was created using one full arc. All treatment plans were calculated with anisotropic analytical algorithm. Radiobiological modeling response evaluation was performed by calculating Niemierko's equivalent uniform dose (EUD)-based Tumor TCP and NTCP values. Results: For prostate tumor, the average EUD in the SA plans was slightly higher than in the DA plans (78.10 Gy vs. 77.77 Gy; P = 0.01), but the average TCP was comparable (98.3% vs. 98.3%; P = 0.01). In comparison to the DA plans, the SA plans produced higher average EUD to bladder (40.71 Gy vs. 40.46 Gy; P = 0.03) and femoral heads (10.39 Gy vs. 9.40 Gy; P = 0.03), whereas both techniques produced NTCP well below 0.1% for bladder (P = 0.14) and femoral heads (P = 0.26). In contrast, the SA plans produced higher average NTCP compared to the DA plans (2.2% vs. 1.9%; P = 0.01). Furthermore, the EUD to rectum was slightly higher in the SA plans (62.88 Gy vs. 62.22 Gy; P = 0.01). Conclusion: The SA and DA techniques produced similar TCP for low-risk prostate cancer. The NTCP for femoral heads and bladder was comparable in the SA and DA plans; however, the SA technique resulted in higher NTCP for rectum in comparison with the DA technique.
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88
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Maji A, Rana S, Akanksha, Maiti D. Synthesis of bis(heteroaryl) ketones by removal of benzylic CHR and CO groups. Angew Chem Int Ed Engl 2014; 53:2428-32. [PMID: 24481978 DOI: 10.1002/anie.201308785] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2013] [Revised: 12/10/2013] [Indexed: 12/20/2022]
Abstract
A copper-catalyzed method for synthesis of diaryl ketones (Ar-CO-Ar') through removal of benzylic -CH2-, -CO-, and -CHR- groups from Ar-CO-CXR-Ar' has been discovered. A number of symmetrical and unsymmetrical heterocyclic ketones, which are usually difficult to synthesize, can be prepared in good to excellent yields. This method was applied to the synthesis of the nonsteroidal anti-inflammatory drug suprofen (47% yield over three steps). Based on preliminary mechanistic and kinetic studies, an active Cu/O2 species is proposed to mediate the rearrangement reaction.
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Uralets V, App M, Rana S, Morgan S, Ross W. Designer Phenethylamines Routinely Found in Human Urine: 2-Ethylamino-1-Phenylbutane and 2-Amino-1-Phenylbutane. J Anal Toxicol 2014; 38:106-9. [DOI: 10.1093/jat/bkt121] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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90
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Rana S, Cheng C. Radiobiological Impact of Planning Techniques for Prostate Cancer in Terms of Tumor Control Probability and Normal Tissue Complication Probability. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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91
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Rodrigues WC, Catbagan P, Rana S, Wang G, Moore C. Detection of Synthetic Cannabinoids in Oral Fluid Using ELISA and LC-MS-MS. J Anal Toxicol 2013; 37:526-33. [DOI: 10.1093/jat/bkt067] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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92
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Kenney J, Derby N, Aravantinou M, Rana S, Lifson JD, Piatak M, Gettie A, Blanchard J, Robbiani M. P2.091 A Repeated Low Dose Co-Challenge Model of SHIV-RT and HSV-2 in Rhesus Macaques. Br J Vener Dis 2013. [DOI: 10.1136/sextrans-2013-051184.0355] [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]
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93
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Rana S, Pokharel S. Verification of dose calculation algorithms in a multi-layer heterogeneous phantom using films. Gulf J Oncolog 2013; 1:63-69. [PMID: 23996869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2013] [Indexed: 06/02/2023]
Abstract
UNLABELLED The development of advanced radiation treatment techniques such as intensity modulated radiation therapy (IMRT) and volumetric intensity modulated arc therapy (VMAT) require more accurate dose calculation algorithms within the treatment planning systems (TPS) considering that the human body is composed of tissues of widely differing radiological properties and the characteristics of a therapeutic radiation treatment beam along a heterogeneous path will be different. The objective of this study was to evaluate the accuracy of 2D-isodose distributions predicted by pencil beam convolution algorithm (PBC) and anisotropic analytic algorithm (AAA) in a heterogeneous slab phantom composed of media equivalent to air, water and bone density. The measurements were done by using the films at multiple depths in the phantom for open field sizes 5 × 5 cm2 and 10 × 10 cm2. The results from this study indicated that the AAA had better agreement with the measurement compared to PBC for both the test field sizes at all selected depths; however, the limitation of AAA in predicting doses within and beyond low-density medium was observed, especially for a smaller field size (up to 32.7% and 34.0% for AAA and PBC, respectively). Furthermore, discrepancies up to -4.8% for AAA and -14.6% for PBC was seen in the high-density medium as well. Dose prediction errors by the AAA and PBC were more pronounced for a smaller test field size, especially in the low-density medium. KEYWORDS IMRT, dose calculation algorithms, Anisotropic Analytical Algorithm (AAA), Pencil Beam Convolution (PBC), Varian's Eclipse treatment planning system.
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Pokharel G, Rana S. SU-E-T-534: Evaluation of Eclipse Electron Monte Carlo Dose Calculation Algorithm in Inhomogeneous Medium. Med Phys 2013. [DOI: 10.1118/1.4814964] [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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96
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Oyewale S, Rana S. SU-E-T-576: Dosimetric Evaluation of Collapsed Cone Convolution (CCC) Algorithm in Predicting Dose Beyond Air Gap. Med Phys 2013. [DOI: 10.1118/1.4815004] [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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97
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Rana S, Zeidan O, Ramirez E, Rains M, Gao J, Zheng Y. SU-E-T-667: Accuracy of XiO Treatment Planning System in Predicting Lateral Penumbra for Different Air Gap and Compensator Thickness in Uniform Scanning Proton Therapy. Med Phys 2013. [DOI: 10.1118/1.4815094] [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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98
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Rana S, Cheng C. SU-E-T-611: Investigating VMAT Planning Technique to Reduce Rectal and Bladder Dose in Prostate Cancer Treatment Plans. Med Phys 2013. [DOI: 10.1118/1.4815039] [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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99
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Zheng Y, Ramirez E, Rana S, Pankuch M, Mah D, Wong T, Schreuder A. SU-E-T-138: Range Verification for Proton Therapy Systems: A Multi-Center Study. Med Phys 2013. [DOI: 10.1118/1.4814573] [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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100
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Ramirez E, Rains M, Rana S, Zheng Y. SU-E-T-190: Manufacturing Accuracy of Range Compensators - Analysis of Over 12,000 Milling Points. Med Phys 2013. [DOI: 10.1118/1.4814625] [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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