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Mattes MD, Patel SU, Franco II, Vapiwala N, Deville C. Pilot Study Assessing Student Interest in Combined Residency Training Pathways with Radiation Oncology. Int J Radiat Oncol Biol Phys 2023; 117:e532-e533. [PMID: 37785651 DOI: 10.1016/j.ijrobp.2023.06.1816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Radiation oncology (RO) is a small, highly specialized field, which most medical students have limited exposure to before having to decide what specialty to apply to for their graduate medical education (GME). This may ultimately limit the number and diversity of RO applicants. The purpose of this pilot study was to determine students' views on a combined pathway program between RO with internal medicine (IM), as well as other related medical specialties, as a potential means of overcoming some of these barriers to student interest in RO and the early decision point to solo training in RO. MATERIALS/METHODS An electronic survey was sent to 299 United States student members of the American Society for Radiation Oncology (ASTRO) between July-August 2022. Multiple choice and Likert-type questions were used to assess students' views on the potential advantages and disadvantages of a combined IM/RO training pathway, and interest in this potential combined pathway as well as other combined pathway programs with RO and other related subspecialties. The Mann-Whitney U and Kruskal-Wallis tests were used to compare the responses of subgroups of students stratified according to their gender identity, race, or ethnicity. The Wilcoxon signed rank test was used to compare all participants' interest in different combined pathway programs compared to RO/IM. RESULTS Eighty participants completed the survey (response rate 27%). Thirty-four participants (43%) were either very or extremely interested in pursuing a combined IM/RO residency (median Likert-type rating 3, IQR 2-4). The duration of a combined IM/RO training considered most preferable or ideal was five years (n = 57, 71%) or six years (n = 21, 26%). The most important potential advantages of a combined IM/RO pathway included greater flexibility in employment options (n = 51, 64%), enhanced general medical knowledge to facilitate ambitions in other career pathways (n = 46, 58%), improved patient care (n = 43, 54%), and having a pathway for combined hematologic/oncology and RO board certification (n = 46, 58%). In comparison to IM/RO, participants were significantly more interested in a combined RO and hematology/oncology program (median Likert-type rating 5, IQR 5-5, p = 0.005). Among the subgroup of 26 students who believed that it was less likely that they would be applying for RO residency, 18 (69%) believed that the availability of an IM/RO pathway would increase their interest in applying to RO (median Likert-type rating 4, IQR 3-5). Interest in IM/RO did not differ by gender, race, or ethnicity. CONCLUSION Combined training pathways involving RO were viewed positively by most survey respondents, comprised of student members of ASTRO. Such programs may be particularly appealing to those students who are interested, but less committed to pursuing, a career in RO. Further research will help guide recommendations for the creation of these programs.
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Affiliation(s)
- M D Mattes
- Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ
| | - S U Patel
- Rutgers New Jersey Medical School, Newark, NJ
| | - I I Franco
- Department of Radiation Oncology, Harvard Medical School, Boston, MA
| | - N Vapiwala
- Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA
| | - C Deville
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
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Khullar K, Deek R, Nelson B, Gaines DK, Corrigan KL, LeCompte MC, Deville C, Deek MP, Jabbour SK. Gender and the Receipt of the Association of Residents in Radiation Oncology (ARRO) Educator of the Year Award. Int J Radiat Oncol Biol Phys 2023; 117:e29. [PMID: 37785072 DOI: 10.1016/j.ijrobp.2023.06.712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) Despite an increase in female physicians in recent years, a gender disparity remains in the field of radiation oncology. We hypothesized that there may be a gender disparity in the receipt of ARRO educator awards. MATERIALS/METHODS Using a database provided by the American Society for Radiation Oncology (ASTRO), annual award recipients were identified from 2010-2022. Data on Academic Institution, Year of Award, and Repeat Awardee Status were obtained through the ASTRO database. Publicly available websites were accessed to obtain data regarding gender, years post residency graduation, percent female/male faculty, size of residency program, and program director designation. H- indices were obtained from Scopus and used as a marker of academic productivity. Basic summary statistics, stratified by gender, were calculated for award year, years since graduation, percent of male faculty, and program size. A one-sample Z-test for proportions was utilized to assess if the proportion of female ARRO award winners each year from 2010 to 2022 was significantly less than the population average, defined as the proportion of female radiation oncology faculty members in the nominating universities that year. Secondary analyses used univariable binary logistic regression to identify any global associations between gender, year since gradation, or program size. RESULTS The lowest proportion of female awardees occurred in 2013 (8 [14.3%] females vs. 48 [85.7%] males) and the greatest proportion of female awardees occurred in 2022 (19 [30.6%] females vs. 43 [69.4%] males). As compared to the proportion of female faculty members in nominating programs for that respective year, there were significantly fewer female awardees in the years of 2010 (18% female awardees vs. 32% female faculty members, p = 0.02) and 2013 (14% female awardees vs. 31% female faculty members, p = 0.01). There was a statistically significant rise in female awardees over the study period (p<0.01). On logistic regression analysis, large program size (10+ residents) (odds ratio [OR]: 6.86, 95% confidence interval [CI]: 2.71-23.1, p<0.001) and medium program size (5-9 residents) (OR: 4.05, 95% CI: 1.60-13.7, p<0.001) were associated with a greater proportion of female awardees as compared to small program size (1-4 residents). There was no association between awardee gender and years since graduation. CONCLUSION A gender disparity is present in the receipt of ARRO Educator Awards. At an institutional level, residency Chiefs, Program Directors, and Chairs should work to ensure that a diverse slate of faculty are considered annually for the ARRO Educator Award with self-assessment of awardees over time to ensure demographic representation and inclusion. Efforts should also be made to recognize biases in resident evaluations of faculty with continued education about inherent biases.
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Affiliation(s)
- K Khullar
- Department of Radiation Oncology. Perelman Center for Advanced Medicine, University of Pennsylvania, Philadelphia, PA
| | - R Deek
- Department of Biostatistics, Epidemiology, and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA
| | - B Nelson
- Department of Radiation Oncology, University of Cincinnati, Cincinnati, OH
| | - D K Gaines
- Vanderbilt University Medical Center, Nashville, TN
| | - K L Corrigan
- Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
| | - M C LeCompte
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - C Deville
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - M P Deek
- Rutgers Cancer Institute of New Jersey, Department of Radiation Oncology, New Brunswick, NJ
| | - S K Jabbour
- Rutgers Cancer Institute of New Jersey, Department of Radiation Oncology, New Brunswick, NJ
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McCammack E, Alcorn SR, LaVigne A, Wright JL, DeWeese TL, Yegnasubramanian S, Deville C. Stereotactic Radiotherapy Deserts are Under-Represented among Radiation Oncology Alternative Payment Model Sites. Int J Radiat Oncol Biol Phys 2023; 117:e605. [PMID: 37785824 DOI: 10.1016/j.ijrobp.2023.06.1973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) In bundled payment models including the proposed Radiation Oncology Alternative Payment Model (RO-APM), reimbursement favors shorter treatment paradigms like stereotactic radiotherapy (SRT). However, SRT requires specialized equipment, staff, and quality assurance procedures not available across the US. To understand the geospatial distribution of SRT and its impact on bundled payment models, we investigated the interplay between SRT resources with sociodemographic characteristics and oncologic outcomes for an index site of prostate cancer (PC). MATERIALS/METHODS We constructed an ecologic study model using data from the HRSA Area Health Resources, AMA Physician Masterfile, USDA Agriculture Economic Research Service, Medicare Provider and Service Files, and NIH Cancer State Profiles. SRT use was operationalized as the presence of Medicare SRT billing codes. Sociodemographic variables included county racial distributions, %poverty, and rural vs. urban classification. Provider to patient at risk density (PPRD) was defined as number of radiation oncologists per 100,000 males ≥65 years. PC incidence and death rates were evaluated. Uni- and multivariable logistic regressions examined links between SRT use, proposed RO-APM status, PPRD, sociodemographic variables, and PC oncologic outcomes at the US county level. All listed statistics demonstrated p <0.05. RESULTS SRT use was identified in 13% of all 3140 counties and in 49% of counties with documented RO providers. In univariable analyses, odds of SRT use was higher in counties that were metro [odds ratio (OR) 19.9] and with higher %Black constituents (OR 6.95); odds decreased with higher %poverty (OR 0.92). Among counties with RO providers, odds of SRT use increased with higher PPRD (OR 1.01). Odds of SRT use was associated with higher PC incidence (1.01) but lower death rates (OR 0.99). SRT use was more common in participating RO-APM counties (OR 2.66); moreover, magnitude and direction of associations between sociodemographic variables and RO-APM participation were similar to those for SRT use. In multivariable analysis, SRT use remained significantly associated with metro status, %Black constituents, PPRD, and PC death rates. CONCLUSION Both SRT use and proposed RO-APM participation were most prevalent in metro counties with higher PPRD and %Black populations, likely reflecting presence of densely populated cities with high health resources. If SRT is incentivized in future reimbursement models, then rural, lower resource communities without SRT may be disadvantaged. Lack of association between SRT and PC incidence indicates the presence of "SRT deserts"-counties with high oncologic need but no SRT. To enable visualization of SRT deserts and encourage interventions aimed at reducing disparities in SRT access, our results will be included in an interactive web platform (bit.ly/density maps).
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Affiliation(s)
| | - S R Alcorn
- Department of Radiation Oncology, University of Minnesota Medical School, Minneapolis, MN
| | - A LaVigne
- Johns Hopkins University School of Medicine, Baltimore, MA
| | - J L Wright
- Johns Hopkins Medicine, Department of Radiation Oncology, Baltimore, MD
| | - T L DeWeese
- Johns Hopkins University School of Medicine, Department of Radiation Oncology and Molecular Radiation Sciences, Baltimore, MD
| | - S Yegnasubramanian
- Department of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD
| | - C Deville
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
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Gogineni E, Chen H, Li H, Istl AC, Johnston F, Narang A, Deville C. Comparison of Estimated Late Toxicities between IMRT and IMPT when Treating Retroperitoneal Sarcoma Preoperatively with Ultra-Hypofractionation. Int J Radiat Oncol Biol Phys 2023; 117:e298-e299. [PMID: 37785090 DOI: 10.1016/j.ijrobp.2023.06.2311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) While preoperative radiation did not improve abdominal recurrence-free survival for retroperitoneal sarcoma (RPS) in the randomized STRASS trial, it did reduce rates of local recurrence. The risk of radiation-associated toxicity is substantial, with 77% of irradiated patients experiencing grade ≥3 lymphopenia in STRASS. Thus, finding methods to mitigate the issues of delaying surgery and irradiating normal tissue may provide a path towards affording the benefits of radiation while limiting its downside. One potential solution involves the use of hypofractionation to limit delay from radiation initiation to surgery, and proton therapy to limit dose to surrounding organs at risk (OARs). We conducted a dosimetric comparison of preoperative ultra-hypofractionated intensity-modulated photon radiotherapy (IMRT) and proton therapy (IMPT) for RPS, comparing estimated rates of late toxicity using published normal tissue complication probability (NTCP) models. MATERIALS/METHODS Volumetric modulated arc therapy IMRT and IMPT plans were generated on 10 RPS patients previously treated with preoperative radiation. The prescription was 25 Gy radiobiological equivalent (GyE) to the clinical target volume (CTV) and 30 GyE to the margin-at-risk, all in five fractions. Proton doses were calculated using a radiobiological effective dose of 1.1. NTCPs were calculated for each OAR as a function of equivalent uniform dose. The ΔNTCP (difference in absolute NTCP between IMRT and IMPT plans) for each of the toxicity domains was calculated. Student T-tests were used to compare differences in dosimetric and NTCP outcomes. RESULTS CTV coverage was met for all IMRT and IMPT plans with >99% of CTVs receiving ≥100% of prescription doses. The following endpoints were significantly lower with IMPT than IMRT: mean doses to liver, bone, and all analyzed genitourinary and gastrointestinal OARs; bowel, kidney, and bone V5-V20; stomach V15; liver V5; maximum doses to stomach, spinal canal, and body; and whole-body integral dose. No OAR endpoint was significantly higher with IMPT. The average ΔNTCP for grade 3 bowel ulceration/perforation and renal toxicity was 1.9% (p = .037) and 43.0% (p = .023), respectively, favoring IMPT. Using a model-based selection threshold of any ΔNTCP >10%, 50% (n = 5) of patients would be eligible for IMPT. CONCLUSION IMPT maintained target coverage while significantly reducing dose to adjacent OARs and integral dose compared to IMRT. This translated to significantly lower risks of estimated late gastrointestinal and renal toxicities with IMPT. Further investigation is warranted to validate these findings and potential clinical benefit in the management of RPS. A prospective trial treating RPS with preoperative ultra-hypofractionated IMPT at our institution is currently being pursued (NCT05302570).
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Affiliation(s)
- E Gogineni
- Department of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, OH
| | - H Chen
- Provision Healthcare, Knoxville, TN
| | - H Li
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - A C Istl
- Department of Surgical Oncology, Medical College of Wisconsin, Milwaukee, WI
| | - F Johnston
- Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD
| | - A Narang
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - C Deville
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
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Chen H, Gogineni E, Li H, Han-Oh S, Jia X, Deville C, Narang A. Inaugural Experience with Real-time Gated Liver Proton SBRT and Treatment Plan Quality Improvement. Int J Radiat Oncol Biol Phys 2023; 117:e286. [PMID: 37785061 DOI: 10.1016/j.ijrobp.2023.06.1274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/04/2023]
Abstract
PURPOSE/OBJECTIVE(S) DIBH SBRT is routinely used for liver proton therapy. While intra-fraction target motion is limited with DIBH, acquisition of DIBH CT simulations in triplicate, as is done at our institution, reveals that variation does exist between each DIBH scan. The related target position can also vary correspondingly. The most common setup uncertainty for robust proton SBRT liver plan used at our institution is 5 mm sup-inf (SI) and 3 mm radially. Real-time gated proton therapy (RGPT) has the potential to provide instantaneous feedback for intra-fraction target motion to maximize patient safety and inform optimal treatment planning. Our first RGPT liver SBRT with intra-fraction motion under deep inspiration breath hold (DIBH). The potential treatment plan quality improvement brought by RGPT is investigated. MATERIALS/METHODS The following metrics were used in establishing our RGPT proton DIBH SBRT liver program: the iso center is always set at the fiducial mark; the beam orientation is selected to achieve both good plan quality and tracking performance; daily CBCTs are acquired and verified using fiducial maker position with kV images; robust uncertainty is determined by the gating tolerance; SBRT plan has three beams with uniform dose. Target motion was monitored throughout treatment. To evaluate dose sparing for surrounding OARs, a plan with tighter gating tolerance (3 mm SI and 2 mm radially) is optimized for dosimetric comparison. Statistical analyses were conducted using a programming environment. RESULTS Each of the three proton beams were delivered using DIBH over a total of 120-140 seconds. The average beam on time were 61.4, 66.9 and 62.8 seconds. The intra-fraction motion showed that targets could move up to 3 mm within the same DIBH. The motion increased with time. The table details the mean, maximum, standard deviation, and estimated upper 95% of directional shifts for three beams. Based on these results, plan delivery efficiency was maintained even with tighter gating tolerance. The comparison plan with tight gating tolerance showed significantly less dose (-25%) to the stomach in coronal view. CONCLUSION RGPT successfully tracked fiducial marker motion for DIBH SBRT liver treatment. Despite target drift during DIBH, the uncertainty of our DIBH SBRT procedure was sufficient to cover target motion throughout treatment. Based on the target drift value, a maximum of 25 seconds for breath hold time should be employed. Utilizing a tighter gating tolerance of 3 mm SI and 2 mm radially has the potential to maintain target coverage while significantly reducing OAR dose. Aggregated RGPT-derived data may provide optimal treatment planning parameters such as variable uncertainty based on target location.
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Affiliation(s)
- H Chen
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - E Gogineni
- Department of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, OH
| | - H Li
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - S Han-Oh
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - X Jia
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - C Deville
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - A Narang
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
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Franco I, Paradis K, Ponce SB, Chaurasia A, Laucis A, Venkat P, Siker M, Suneja G, Deville C, Munbodh R, Mattes M. A Comprehensive Overview of Academic Radiation Oncology Departmental Efforts in Diversity, Equity, and Inclusion. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Gogineni E, Chen H, Narang A, Deville C. In Silico Dosimetric Comparison of Intensity-Modulated Proton Radiotherapy (IMPT) vs. Intensity-Modulated Photon Radiotherapy (IMRT) in the Preoperative Treatment of Retroperitoneal Sarcoma. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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LaVigne A, Fiksel J, Wright J, McNutt T, Kleinberg L, Redmond K, Song D, Deville C, Smith T, Zeger S, DeWeese T, Alcorn S. Evaluating and Optimizing Prognostic Modeling for Patients Undergoing Stereotactic Body Radiotherapy for Bone Metastases. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Mattes M, Munoz S, Thomas C, Deville C. Pilot Study Exploring the Feasibility and Value of Introducing Diverse Students in Premedical Programs to Multidisciplinary Oncology. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Cao Y, Chen H, Gogineni E, Li H, Deville C. Initial Experience with Real-Time Gated Proton Therapy (RGPT) in the Definitive Treatment of Prostate Cancer. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.2159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kaya E, Oliver A, Thomas R, Ponce SB, Franco I, Vidal G, Chaurasia A, Pardo DD, Chapman C, Longo J, Patel S, Vega RM, Mohindra P, Diaz R, Thomas C, Deville C, Mattes M. Assessing the Impact of Diverse Approaches of Promoting Virtual Radiation Oncology Educational Content to Medical Students. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Kosmadakis G, Necoara A, Fuentes F, Ramade N, Baudenon J, Deville C, Enache I, Gueret C, Haskour A, Rance N. Évolution des paramètres nutritionnels après la discontinuation des collations intradialytiques à cause de l’épidémie COVID-19. Nephrol Ther 2022. [PMCID: PMC9441520 DOI: 10.1016/j.nephro.2022.07.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Introduction Pendant l’épidémie par le COVID-19 plusieurs centres de dialyse ont arrêté de fournir des collations pendant la séance de dialyse par mesure de protection de propagation du virus. Le but de cette étude est d’évaluer l’état nutritionnel des patients hémodialysés chroniques avant et après la suspension des collations intradialytiques. Description Sur cette étude rétrospective on a étudié l’évolution des paramètres nutritionnelles de notre cohorte des patients hémodialysés pour 12 mois avant et après le 20/03/2020, date de suspension des collations pendant la dialyse à cause des mesures de protection contre la COVID-19. On a suivi l’évolution du poids, IMC, CRP, sérum Potassium et Phosphore avant la séance de dialyse, le taux d’albumine et prealbumine sérique ainsi que le nPCR (normalised Protein Catabolic Ratio). Méthodes Les résultats pour les paramètres continues sont présentés comme Moyenne ± Erreur standard moyenne. Pour l’analyse statistique on a effectué un t-test pour mesures indépendantes. Les résultats avec un p < 0,05 était considérés statistiquement significatifs. Résultats On a étudié 121 patients en hémodialyse (80 M,41F) avec un âge moyen à l’inclusion de 68,45 ± 0,45 ans. Ils étaient dialysés au moins depuis 6 mois dans un état stable. Un tiers de ces patients était diabétique. On a mesuré la moyenne des paramètres étudiés pour douze mois avant et après la suppression de collations intradialytiques (voir (Tableau 1). Ces collations comprenaient en moyenne de 395 kcal d’énergie (44 % des besoins journaliers), 13,3 g de protides (40 % des besoins journaliers). Il y avait une dégradation des paramètres nutritionnelles (poids, IMC, Albumine et Prealbumine serique ainsi que le nPCR après la suppression des collations confirmant leur rôle important sur l’état nutritionnel des patients hémodialysés chroniques. Conclusion En conclusion, la suppression des collations intradialytiques pendant la période épidémique de COVID-19 a aggravé les paramètres nutritionnels des patients en hémodialyse chronique.
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Kosmadakis G, Ramade N, Fuentes F, Gueret C, Necoara A, Haskour A, Enache I, Baudenon J, Deville C, Rance N. Effet néphroprotecteur des ketoanalogues indépendamment de la consommation des protéines pour patients avec maladie rénale chronique stade IV-V. Nephrol Ther 2022. [DOI: 10.1016/j.nephro.2022.07.308] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Feng S, Brouwer C, Korevaar E, Vapiwala N, Wang K, Deville C, Langendijk J, Both S, Aluwini S. PO-1500 Robustness evaluation of ultra hypo-fractionated IMPT for PCa on target and OAR dose-constraints. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03464-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Jeans E, Brower J, Burmeister J, Deville C, Fields E, Kavanagh B, Suh J, Tekian A, Vapiwala N, Zeman E, Golden D. Development of a United States Radiation Oncology Curricular Framework: A Stakeholder Delphi Consensus. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Williams V, Franco I, Tye K, Jagsi R, Sim A, Rivera A, Oladeru O, Deville C, Siker M, Suneja G, Halasz L, Balogun O, Agarwal A, Vapiwala N, Elmore S. Diversity, Equity, and Inclusion Perspectives Among Radiation Oncology Program Directors: A Knowledge, Attitudes, and Practices Survey. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.1029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Dee E, Taunk N, Deville C, Mahal B, Muralidhar V, Nguyen P, Winkfield K, Vapiwala N, Santos P. Trends in Receipt of Shorter Regimens of Radiation Therapy and Treatment Noncompletion Disparities Among Breast and Prostate Cancer Patients in the United States. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.1006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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LaVigne A, DeWeese T, Yegnasubramanian S, Wright J, Deville C, Alcorn S. Radiotherapy Deserts: Impact of Race, Poverty and the Rural-Urban Continuum on Density of Radiation Oncologists in the United States. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Barsky A, Carmona R, Santos P, Verma V, Both S, Bekelman J, Christodouleas J, Vapiwala N, Deville C. Comparative Clinical Outcomes and Patterns of Failure of Proton-Beam Therapy (PBT) versus Intensity-Modulated Radiotherapy (IMRT) for Prostate Cancer in the Postoperative Setting. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Deek M, Taparra K, Phillips R, Isaacsson Velho P, Gao R, Deville C, Song D, Greco S, Carducci M, Eisenberger M, DeWeese T, Denmeade S, Pienta K, Paller C, Antonarakis E, Olivier K, Park S, Tran P, Stish B. Metastasis Directed Therapy Prolongs Efficacy of Systemic Therapy and Improves Clinical Outcomes in Oligoprogressive Castration-Resistant Prostate Cancer. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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21
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Seldon C, Ahmed A, Llorente R, Yoo S, Holliday E, Thomas C, Jagsi R, Deville C. Gender Diversity in Academic Oncology Programs in the United States and Abroad. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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22
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Taparra K, Deek M, Dao D, Chan L, Phillips R, Isaacsson Velho P, Gao R, Deville C, Song D, Greco S, Carducci M, Eisenberger M, DeWeese T, Denmeade S, Pienta K, Paller C, Antonarakis E, Park S, Tran P, Stish B. Modes of Failure Following Metastasis Directed Therapy in Patients with Oligometastatic Hormone Sensitive Prostate Cancer: A Multi-institutional Analysis. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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23
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Thomas R, Chen H, Fellows Z, Chen C, Li H, Deville C. Comparative in Silico Analysis of Pre-Operative Scanning Beam Proton Therapy, Intensity Modulated Photon Radiation Therapy, and 3D Conformal Photon Radiation Therapy in Adult Soft Tissue Sarcoma. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.1014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Atenza A, Deville C, Mulliez A, Garrouste C, Aniort J, Heng A. Étude EVIDENCE II : enjeux encadrant la décision thérapeutique d’initier ou non la dialyse auprès des néphrologues français. Nephrol Ther 2020. [DOI: 10.1016/j.nephro.2020.07.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Reyes DK, Rowe SP, Schaeffer EM, Allaf ME, Ross AE, Pavlovich CP, Deville C, Tran PT, Pienta KJ. Multidisciplinary total eradication therapy (TET) in men with newly diagnosed oligometastatic prostate cancer. Med Oncol 2020; 37:60. [PMID: 32524295 PMCID: PMC7286864 DOI: 10.1007/s12032-020-01385-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Accepted: 06/02/2020] [Indexed: 01/09/2023]
Abstract
To evaluate the outcomes of total eradication therapy (TET), designed to eradicate all sites of visible cancer and micrometastases, in men with newly diagnosed oligometastatic prostate cancer (OMPCa). Men with ≤ 5 sites of metastases were enrolled in a prospective registry study, underwent neoadjuvant chemohormonal therapy, followed by radical prostatectomy, adjuvant radiation (RT) to prostate bed/pelvis, stereotactic body radiation therapy (SBRT) to oligometastases, and adjuvant hormonal therapy (HT). When possible, the prostate-specific membrane antigen targeted 18F-DCFPyL PET/CT (18F-DCFPyL) scan was obtained, and abiraterone was added to neoadjuvant HT. Twelve men, median 55 years, ECOG 0, median PSA 14.7 ng/dL, clinical stages M0—1/12 (8%), M1a—3/12 (25%) and M1b—8/12 (67%), were treated. 18F-DCFPyL scan was utilized in 58% of cases. Therapies included prostatectomy 12/12 (100%), neoadjuvant [docetaxel 11/12 (92%), LHRH agonist 12/12 (100%), abiraterone + prednisone 6/12 (50%)], adjuvant radiation [RT 2/12 (17%), RT + SBRT 4/12 (33%), SBRT 6/12 (50%)], and LHRH agonist 12/12 (100%)]. 2/5 (40%) initial patients developed neutropenic fever (NF), while 0/6 (0%) subsequent patients given modified docetaxel dosing developed NF. Otherwise, TET resulted in no additive toxicities. Median follow-up was 48.8 months. Overall survival was 12/12 (100%). 1-, 2-, and 3-year undetectable PSA’s were 12/12 (100%), 10/12 (83%) and 8/12 (67%), respectively. Median time to biochemical recurrence was not reached. The outcomes suggest TET in men with newly diagnosed OMPCa is safe, does not appear to cause additive toxicities, and may result in an extended interval of undetectable PSA.
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Affiliation(s)
- D K Reyes
- The James Buchanan Brady Urologic Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
| | - S P Rowe
- The James Buchanan Brady Urologic Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.,The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - E M Schaeffer
- Department of Urology, Feinberg School of Medicine, Northwestern University, Evanston, IL, USA
| | - M E Allaf
- The James Buchanan Brady Urologic Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - A E Ross
- Texas Urology Specialists, Mary Crowley Cancer Research, Dallas, TX, USA
| | - C P Pavlovich
- The James Buchanan Brady Urologic Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - C Deville
- Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - P T Tran
- The James Buchanan Brady Urologic Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.,Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.,Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - K J Pienta
- The James Buchanan Brady Urologic Institute and Department of Urology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.,Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
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Philipponnet C, Desenclos J, Brailova M, Aniort J, Kemeny JL, Deville C, Fremeaux-Bacchi V, Souweine B, Heng AE. Cobalamin c deficiency associated with antifactor h antibody-associated hemolytic uremic syndrome in a young adult. BMC Nephrol 2020; 21:96. [PMID: 32164588 PMCID: PMC7066776 DOI: 10.1186/s12882-020-01748-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Accepted: 02/27/2020] [Indexed: 02/06/2023] Open
Abstract
Background Thrombotic microangiopathy (TMA) syndromes are characterized by the association of hemolytic anemia, thrombocytopenia and organ injury due to arteriolar and capillary thrombosis. Case presentation We report the first case of adult onset cobalamin C (Cbl C) disease associated with anti-factor H antibody-associated hemolytic uremic syndrome (HUS). A 19-year-old woman was admitted to the nephrology department owing to acute kidney failure, proteinuria, and hemolytic anemia with schizocytes. TMA was diagnosed and plasma exchanges were started in emergency. Exhaustive analyses showed 1) circulating anti factor H antibody and 2) hyperhomocysteinemia, hypomethioninemia and high levels of methylmalonic aciduria pointing towards Clb C disease. Cbl C disease has been confirmed by methylmalonic aciduria and homocystinuria type C protein gene sequencing revealing two heterozygous pathogenic variants. The kidney biopsy showed 1) intraglomerular and intravascular thrombi 2) noticeable thickening of the capillary wall with a duplication aspect of the glomerular basement membrane and a glomerular capillary wall IgM associated with Cbl C disease related TMA. We initiated treatment including hydroxycobalamin, folinic acid, betaine and levocarnitine and Eculizumab. Rituximab infusions were performed allowing a high decrease in anti-factor H antibody rate. Six month after the disease onset, Eculizumab was weaning and vitaminotherapy continued. Outcome was favorable with a dramatic improvement in kidney function. Conclusion TMA with renal involvement can have a complex combination of risk factors including anti-FH autoantibody in the presence of cblC deficiency.
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Affiliation(s)
- C Philipponnet
- Nephrology, Dialysis and Transplantation Department, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France.
| | - J Desenclos
- Nephrology, Dialysis and Transplantation Department, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France
| | - M Brailova
- Biochemistry Department, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France
| | - J Aniort
- Nephrology, Dialysis and Transplantation Department, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France
| | - J L Kemeny
- Anatomy and Pathology Department, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France
| | - C Deville
- Nephrology, Dialysis and Transplantation Department, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France
| | - V Fremeaux-Bacchi
- Assistance Publique-Hopitaux de Paris; Laboratory of Immunology, Georges Pompidou Hospital, Paris, France
| | - B Souweine
- Médecine intensive et réanimation, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France
| | - A E Heng
- Nephrology, Dialysis and Transplantation Department, CHU Clermont Ferrand, University Clermont Auvergne, Clermont Ferrand, France
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Yu C, Deek M, Phillips R, Song D, Deville C, Greco S, DeWeese T, Antonarakis E, Markowski M, Paller C, Denmeade S, Carudcci M, Pienta K, Eisenberger M, Tran P. Clinical Outcomes in Oligometastatic Prostate Cancer Following Definitive Radiation Therapy. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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28
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Page B, Hill C, Kiess A, Narang A, Anderson R, Choflet A, Alcorn S, DeWeese T, Viswanathan A, Deville C. Establishing an American Sign Language (ASL) Inclusive Residency Training Program. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.2214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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29
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Hill C, Deville C, Alcorn S, Kiess A, Viswanathan A, Page B. Assessing and Providing Culturally Competent Care in Radiation Oncology for Deaf Cancer Patients. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Washington C, Ahmed A, Cruickshank I, Chapman C, Thomas C, Deville C. Representation Trends of Underrepresented Minority Physicians in the US Radiation Oncology (RO) Workforce. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.513] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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31
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Deek M, Yu C, Phillips R, Song D, Deville C, Greco S, DeWeese T, Antonarakis E, Markowski M, Paller C, Denmeade S, Carudcci M, Walsh P, Pienta K, Eisenberger M, Tran P. Radiotherapy In The Definitive Management Of Oligometastatic Prostate Cancer. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.05.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Tran P, Phillips R, Radwan N, Hether T, Vignali M, Kaplan I, Ross A, Deville C, Greco S, Song D, Wang H, Pienta K, DeWeese T, Dicker A, Eisenberger M. SABR Produces Systemic Adaptive Immune Responses in Castration-Sensitive Oligometastatic Prostate Cancer Patients. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.06.146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Chapman C, Burns J, Tsodikov A, Chang M, Deville C, Hollenbeck B, Skolarus T. Clinical Predictors and Disparities in Surveillance PSA Utilization after Prostate Cancer Treatment. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Phillips R, Da Silva A, Radwan N, Gorin M, Rowe S, Deville C, Song D, Greco S, Pienta K, Pomper M, DeWeese T, Wong J, Tran P, Wang K. PSMA-Directed Biologically-Guided Radiation Therapy of Castration-Sensitive Oligometastatic Prostate Cancer Patients. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.06.367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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35
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Montoya C, Deville C, Vapiwala N, Both S. Updated Acute and Late Gastrointestinal and Genitourinary Toxicity of Dose-Escalated Image-Guided Intensity Modulated Radiation Therapy for Prostate Cancer Using a Daily Water-Filled Endorectal Balloon. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Phillips R, Radwan N, Ross A, Rowe S, Gorin M, Antonarakis E, Deville C, Greco S, Denmeade S, Paller C, Song D, Wang H, Carudcci M, Pienta K, Pomper M, DeWeese T, Dicker A, Eisenberger M, Tran P. Interim Results of a Randomized Trial of Observation Versus SABR for Castration-Sensitive Oligometastatic Prostate Cancer. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.257] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Conley W, Bae H, Narang A, McNutt T, Greco S, Asrari F, Deville C, Tran P, DeWeese T, Song D. End-of-Treatment PSA Is Frequently Elevated Compared to Baseline PSA Following Hypofractionated Radiation Therapy. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Phillips R, Gorin M, Rowe S, Hayman J, Radwan N, Pomper M, Allaf M, Eisenberger M, Ross A, Pienta K, DeWeese T, Greco S, Song D, Deville C, Tran P. Changes in Radiotherapeutic Management of Prostate Cancer Following PSMA-based 18 F-DCFPyL PET Imaging: A Snapshot of Prospective Trials at a Single Institution. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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39
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Lin H, Shen J, Zhai H, Mcdonough J, Tochner Z, Lin A, Deville C, Both S. Scanning Beam Spot Preservation for Head and Neck Proton Therapy: Machine, Universal, or 3D-Printed Patient-Related Range Shifter? Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.2263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Green M, Ahmed A, Holliday E, Yoo S, Orman A, Deville C, Jagsi R, Wilson L. Practice Selection of Graduating Radiation Oncology Residents. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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41
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Ahmed A, Holliday E, Chapman C, Thomas C, Jagsi R, Deville C. Diversity in the Oncological Workforce: Losing Ground and Narrowing the Gap Comparison of Radiation Oncology (RO) and Hematology Oncology (HO). Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.1504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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42
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Ahmed A, Holliday E, Yoo S, Deville C, Jagsi R. Industry Funding in the Oncological Literature. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.1511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Higgins M, Richard C, Burgos R, Christina C, Deville C. A 20-year assessment of diversity by sex, race and Hispanic ethnicity of the United States vascular and interventional radiology (VIR) academic physician workforce. J Vasc Interv Radiol 2015. [DOI: 10.1016/j.jvir.2014.12.344] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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44
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Lin H, Kirk M, Zhai H, Ding X, Liu H, Hill-Kayser C, Lustig R, Tochner Z, Deville C, Vapiwala N, McDonough J, Both S. SU-E-T-262: Planning for Proton Pencil Beam Scanning (PBS): Applications of Gradient Optimization for Field Matching. Med Phys 2014. [DOI: 10.1118/1.4888593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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45
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Deville C, Hwang W, Both S, Thomas C, Chapman C. United States Radiation Oncology Residency Diversity Over the Past 20 Years. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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46
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Shukla G, Rosen M, Both S, Vapiwala N, Bekelman J, Christodouleas J, Tochner Z, Deville C. Dominant Intraprostatic Lesion Size Is Correlated With Rate of Biochemical Relapse in Patients With High- and Intermediate-Risk Prostate Cancer Treated With Intensity Modulated Radiation Therapy. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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47
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Tang S, Deville C, McDonough J, Tochner Z, Wang K, Vapiwala N, Both S. A Quantitative Assessment of the Interplay Effect of Prostate Intrafraction Motion in Proton Pencil Beam Scanning. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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48
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Kalbasi A, Vapiwala N, Christodouleas J, Keefe S, Bekelman J, Haas N, Mamtani R, Pfanzelter N, Guzzo T, Deville C. Early Outcomes and Treatment Toxicity of Whole Pelvis Intensity Modulated Radiation Therapy (WP IMRT) in Node-Positive Prostate Cancer (PCa). Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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49
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Yin L, Vapiwala N, Sutton D, Ding X, Swisher-McClure S, Bui V, Deville C, Tochner Z, Both S. SU-E-J-146: Effectiveness of Daily Endorectal Balloon for Post-Prostatectomy Patients Undergoing Pencil Beam Scanning Proton Therapy. Med Phys 2013. [DOI: 10.1118/1.4814358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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50
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Tang S, Deville C, McDonough J, Tochner Z, Wang K, Vapiwala N, Both S. SU-E-T-445: Prostate Motion Effect Evaluation in Proton Pencil Beam Scanning Delivery. Med Phys 2013. [DOI: 10.1118/1.4814879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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