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Gerard IJ, Anglesio V, Bernier ML, Hijal T, Konermann S, Kopek N, Pater P, Stroian G, Toscani Gomes Da Si B, Alfieri J. One Year Follow-up and Toxicity Review in a Series of 6 Patients Receiving Stereotactic Arrhythmia Radioablation for Ventricular Tachycardia. Int J Radiat Oncol Biol Phys 2023; 117:e175-e176. [PMID: 37784788 DOI: 10.1016/j.ijrobp.2023.06.1021] [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) Stereotactic body radiation therapy (SBRT) to arrhythmogenic scar regions defined by noninvasive cardiac mapping has recently been described for patients with treatment refractory ventricular tachycardia (VT). Long-term outcomes and both intra- and extra-cardiac toxicities are not well described in this patient population. We report the outcomes following at least 1-year post-treatment along with toxicity for 6 patients treated with this technique in our institution. MATERIALS/METHODS A total of 6 patients treated between 2019 and 2022 with refractory VT with previously failed ablations and at least one anti-arrhythmic drug was treated at our institution. All were treated with 25 Gy in a single fraction to the suspected arrhythmogenic scar. Cardiac microstructure contouring was done following the atlas by Duane et al. 2017. Implantable cardioverter defibrillator (ICD) interrogation was performed regularly by the treating cardiologist to assess the number of VT and ICD events, and, patients were seen immediately following SBRT, and at 3, 6, and 12 months respectively. Computed tomography of the chest was done at 3 months to assess for radiation induced pneumonitis and transthoracic echocardiograms were done as per the cardiologist's discretion. Radiation toxicity was evaluated using CTCAE v5.0. RESULTS The median follow-up time for the 6 evaluated patients is 24 months. Three patients (50%) remained VT free during the one-year period post SBRT. Two of these patients remain VT free and are either on reduced or discontinued anti-arrhythmic drugs, while another failed at 24 months in an area of the arrhythmogenic substrate that was intentionally not irradiated due to organ at risk safety concerns. Among those that failed, the median time to failure was 4 months (range 3-5 months). All 6 patients tolerated treatment with no immediate acute side effects. Three (50%) of patients had no acute clinical or radiographic side effects. Grade 1 esophagitis, grade 1 fatigue, and grade 1 cough was reported in 1 (17%) patient each (all different patients), and 1 patient required hospitalization 4 months after SBRT for a heart failure exacerbation (potentially SBRT related). One patient (17%) died within 3 months following treatment but their death was not attributed to radiation treatment. No cardiac microstructure toxicity has been reported to date. CONCLUSION Despite increasing reports in the literature, there are no established criteria to predict success for SBRT in the context of treatment-refractory VT, or the optimal treatment dose for success, making it difficult to identify optimal patients. Current limited evidence suggests that this technique may be a relatively safe approach to provide an acute reduction in VT burden for those refractory to standard of care and has an acceptable acute toxicity profile however longer term follow-up is required. Long term toxicity, specifically to cardiac microstructures, and dose optimization is currently are the focus of ongoing study.
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Affiliation(s)
- I J Gerard
- McGill University Health Centre, Division of Radiation Oncology, Montreal, QC, Canada
| | - V Anglesio
- McGill University Health Centre, Division of Cardiology, Montreal, QC, Canada
| | - M L Bernier
- McGill University Health Centre, Division of Cardiology, Montreal, QC, Canada
| | - T Hijal
- McGill University Health Centre, Division of Radiation Oncology, Montreal, QC, Canada
| | - S Konermann
- McGill University Health Centre, Medical Physics Unit, Montreal, QC, Canada
| | - N Kopek
- McGill University Health Centre, Division of Radiation Oncology, Montreal, QC, Canada
| | - P Pater
- McGill University Health Centre, Medical Physics Unit, Montreal, QC, Canada
| | - G Stroian
- McGill University Health Centre, Medical Physics Unit, Montreal, QC, Canada
| | | | - J Alfieri
- McGill University Health Centre, Division of Radiation Oncology, Montreal, QC, Canada
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Volk J, Huntington J, Melton F, Minor B, Wang T, Anapalli S, Anderson R, Evett S, French A, Jasoni R, Bambach N, Kustas W, Alfieri J, Prueger J, Hipps L, McKee L, Castro S, Alsina M, McElrone A, Reba M, Runkle B, Saber M, Sanchez C, Tajfar E, Allen R, Anderson M. Post-processed data and graphical tools for a CONUS-wide eddy flux evapotranspiration dataset. Data Brief 2023; 48:109274. [PMID: 37383786 PMCID: PMC10294113 DOI: 10.1016/j.dib.2023.109274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 05/02/2023] [Accepted: 05/23/2023] [Indexed: 06/30/2023] Open
Abstract
Large sample datasets of in situ evapotranspiration (ET) measurements with well documented data provenance and quality assurance are critical for water management and many fields of earth science research. We present a post-processed ET oriented dataset at daily and monthly timesteps, from 161 stations, including 148 eddy covariance flux towers, that were chosen based on their data quality from nearly 350 stations across the contiguous United States. In addition to ET, the data includes energy and heat fluxes, meteorological measurements, and reference ET downloaded from gridMET for each flux station. Data processing techniques were conducted in a reproducible manner using open-source software. Most data initially came from the public AmeriFlux network, however, several different networks (e.g., the USDA-Agricultural Research Service) and university partners provided data that was not yet public. Initial half-hourly energy balance data were gap-filled and aggregated to daily frequency, and turbulent fluxes were corrected for energy balance closure error using the FLUXNET2015/ONEFlux energy balance ratio approach. Metadata, diagnostics of energy balance, and interactive graphs of time series data are included for each station. Although the dataset was developed primarily to benchmark satellite-based remote sensing ET models of the OpenET initiative, there are many other potential uses, such as validation for a range of regional hydrologic and atmospheric models.
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Affiliation(s)
- J.M. Volk
- Desert Research Institute, 2215 Raggio Pkwy, Reno, NV 89512 USA
| | - J.L. Huntington
- Desert Research Institute, 2215 Raggio Pkwy, Reno, NV 89512 USA
| | - F. Melton
- NASA Ames Research Center, Mail Stop 245-1, Moffett Field, CA 94035-1000 USA
- California State University, Monterey Bay, Seaside, CA 93955 USA
| | - B. Minor
- Desert Research Institute, 2215 Raggio Pkwy, Reno, NV 89512 USA
| | - T. Wang
- University of California, Berkeley, Berkeley, CA 94720 USA
| | - S. Anapalli
- USDA-ARS, Sustainable Water Management Research Unit, 4006 Old Leland Road, Stoneville, MS 38776 USA
| | - R.G. Anderson
- USDA-ARS US Salinity Laboratory, Agricultural Water Efficiency and Salinity Research Unit, 450 W Big Springs Rd Riverside, CA 92507-4617 USA
| | - S. Evett
- USDA-ARS Conservation & Production Research Laboratory, 300 Simmons Road, Bushland, TX 79012 USA
| | - A. French
- USDA-ARS US Arid-Land Agricultural Research Center, 21881 North Cardon Lane, Maricopa, AZ, 85238 USA
| | - R. Jasoni
- Desert Research Institute, 2215 Raggio Pkwy, Reno, NV 89512 USA
| | - N. Bambach
- University of California, Davis, CA 95616 USA
| | - W.P. Kustas
- USDA-ARS Hydrology and Remote Sensing Laboratory, Bldg. 007, Rm. 104, BARC-West, Beltsville, MD 20705-2350 USA
| | - J. Alfieri
- USDA-ARS Hydrology and Remote Sensing Laboratory, Bldg. 007, Rm. 104, BARC-West, Beltsville, MD 20705-2350 USA
| | - J. Prueger
- USDA-ARS National Laboratory for Agriculture and The Environment, 1015 N. University Blvd., AMES, IA 50011 USA
| | - L. Hipps
- Utah State University, Logan, UT 84322-0102 USA
| | - L. McKee
- USDA-ARS Hydrology and Remote Sensing Laboratory, Bldg. 007, Rm. 104, BARC-West, Beltsville, MD 20705-2350 USA
| | - S.J. Castro
- USDA-ARS US Salinity Laboratory, Agricultural Water Efficiency and Salinity Research Unit, 450 W Big Springs Rd Riverside, CA 92507-4617 USA
| | - M.M. Alsina
- E & J Gallo Winery, Viticulture, Chemistry and Enology, Modesto, CA USA
| | - A.J. McElrone
- Utah State University, Logan, UT 84322-0102 USA
- USDA-ARS Crops Pathology and Genetics Research Unit, Davis, CA, 95616 USA
| | - M. Reba
- USDA-ARS Delta Water Management Research, Jonesboro, AR, 72401 USA
| | - B. Runkle
- University of Arkansas, Fayetteville, AR 72701 USA
| | - M. Saber
- University of Arizona, Tucson, AZ 85721 USA
| | - C. Sanchez
- University of Arizona, Tucson, AZ 85721 USA
| | - E. Tajfar
- University of Arkansas, Fayetteville, AR 72701 USA
| | - R. Allen
- University of Idaho, Moscow, ID 83844 USA
- University of Nebraska-Lincoln, Lincoln, NE 68588 USA
| | - M. Anderson
- USDA-ARS Hydrology and Remote Sensing Laboratory, Bldg. 007, Rm. 104, BARC-West, Beltsville, MD 20705-2350 USA
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Barry A, Elliott M, Loewen S, Alfieri J, Bowes D, Stuckless T, Keyes M, Debenham B, Croke J, Quartey N, Papadakos J, Giuliani M. Exploring Caregiver and Parental Roles as Radiation Oncologists in Canada. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1792] [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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Gerard I, Bernier M, Hijal T, Kopek N, Pater P, Stroian G, Toscani Gomes Da Si B, Alfieri J. Single Institution Experience with Stereotactic Arrhythmia Radioablation for Ventricular Tachycardia. Int J Radiat Oncol Biol Phys 2022. [DOI: 10.1016/j.ijrobp.2022.07.1606] [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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Bambach N, Kustas W, Alfieri J, Gao F, Prueger J, Hipps L, McKee L, Castro SJ, Alsina MM, McElrone AJ. Inter-annual variability of land surface fluxes across vineyards: the role of climate, phenology, and irrigation management. Irrig Sci 2022; 40:463-480. [PMID: 36172253 PMCID: PMC9509312 DOI: 10.1007/s00271-022-00784-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Accepted: 03/08/2022] [Indexed: 06/16/2023]
Abstract
UNLABELLED Irrigation and other agricultural management practices play a key role in land surface fluxes and their interactions with atmospheric processes. California's Central Valley agricultural productivity is strongly linked to water availability associated with conveyance infrastructure and groundwater, but greater scrutiny over agricultural water use requires better practices particularly during extended and severe drought conditions. The future of irrigated agriculture in California is expected to be characterized neither by perpetual scarcity nor by widespread abundance. Thus, further advancing irrigation technologies and improving management practices will be key for California's agriculture sustainability. In this study, we present micrometeorological observations from the Grape Remote Sensing Atmospheric Profile and Evapotranspiration eXperiment (GRAPEX) project. Daily, seasonal, and inter-seasonal surface flux patterns and relationships across five vineyards over three distinct California wine production regions were investigated. Vineyard actual evapotranspiration showed significant differences at the sub-daily and daily scale when comparisons across wine production regions and varieties were performed. Water use in vineyards in the Central Valley was about 70% greater in comparison to the vineyards at the North Coast area due to canopy size, atmospheric demand, and irrigation inputs. Inter-annual variability of surface fluxes was also significant, even though, overall weather conditions (i.e., air temperature, vapor pressure deficit, wind speed, and solar radiation) were not significantly different. Thus, not only irrigation but also other management practices played a key role in seasonal water use, and given these differences, we conclude that further advancing ground-based techniques to quantify crop water use at an operational scale will be key to facing California's agriculture present and future water challenges. SUPPLEMENTARY INFORMATION The online version contains supplementary material available at 10.1007/s00271-022-00784-0.
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Affiliation(s)
- N. Bambach
- Department of Land, Air and Water Resources, University of California, Davis, Davis, CA 95616 USA
| | - W. Kustas
- Hydrology and Remote Sensing Laboratory, USDA-ARS, Beltsville, MD USA
| | - J. Alfieri
- Hydrology and Remote Sensing Laboratory, USDA-ARS, Beltsville, MD USA
| | - F. Gao
- Hydrology and Remote Sensing Laboratory, USDA-ARS, Beltsville, MD USA
| | - J. Prueger
- National Laboratory for Agriculture and the Environment, USDA-ARS, Ames, IA 50011 USA
| | - L. Hipps
- Department of Plants, Soils, and Climate, Utah State University, Logan, UT USA
| | - L. McKee
- Hydrology and Remote Sensing Laboratory, USDA-ARS, Beltsville, MD USA
| | - S. J. Castro
- Department of Viticulture and Enology, University of California, Davis, Davis, CA 95616 USA
| | - M. M. Alsina
- E & J Gallo Winery, Viticulture, Chemistry and Enology, Modesto, CA USA
| | - A. J. McElrone
- Department of Viticulture and Enology, University of California, Davis, Davis, CA 95616 USA
- Crops Pathology and Genetics Research Unit, USDA-ARS, Davis, CA 95616 USA
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Kordlouie S, David B, Strang B, Croke J, Giuliani M, Ingledew P, Alfieri J. Creation of a National In-Training Examination in Radiation Oncology ― Impact Evaluation. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.692] [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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Di Lalla V, Patrick H, Siriani-Ayoub N, Kildea J, Hijal T, Alfieri J. Delivering Cancer Care During a Pandemic: Patient and Healthcare Staff Experience in a High-Volume Radiation Oncology Department. Int J Radiat Oncol Biol Phys 2021. [PMCID: PMC8536252 DOI: 10.1016/j.ijrobp.2021.07.1062] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Purpose/Objective(s) Materials/Methods Results Conclusion
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Da-Ano R, Masson I, Lucia F, Doré M, Robin P, Alfieri J, Rousseau C, Mervoyer A, Reinhold C, Castelli J, De Crevoisier R, Rameé JF, Pradier O, Schick U, Visvikis D, Hatt M. Performance comparison of modified ComBat for harmonization of radiomic features for multicenter studies. Sci Rep 2020; 10:10248. [PMID: 32581221 PMCID: PMC7314795 DOI: 10.1038/s41598-020-66110-w] [Citation(s) in RCA: 97] [Impact Index Per Article: 24.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Accepted: 05/04/2020] [Indexed: 11/08/2022] Open
Abstract
Multicenter studies are needed to demonstrate the clinical potential value of radiomics as a prognostic tool. However, variability in scanner models, acquisition protocols and reconstruction settings are unavoidable and radiomic features are notoriously sensitive to these factors, which hinders pooling them in a statistical analysis. A statistical harmonization method called ComBat was developed to deal with the "batch effect" in gene expression microarray data and was used in radiomics studies to deal with the "center-effect". Our goal was to evaluate modifications in ComBat allowing for more flexibility in choosing a reference and improving robustness of the estimation. Two modified ComBat versions were evaluated: M-ComBat allows to transform all features distributions to a chosen reference, instead of the overall mean, providing more flexibility. B-ComBat adds bootstrap and Monte Carlo for improved robustness in the estimation. BM-ComBat combines both modifications. The four versions were compared regarding their ability to harmonize features in a multicenter context in two different clinical datasets. The first contains 119 locally advanced cervical cancer patients from 3 centers, with magnetic resonance imaging and positron emission tomography imaging. In that case ComBat was applied with 3 labels corresponding to each center. The second one contains 98 locally advanced laryngeal cancer patients from 5 centers with contrast-enhanced computed tomography. In that specific case, because imaging settings were highly heterogeneous even within each of the five centers, unsupervised clustering was used to determine two labels for applying ComBat. The impact of each harmonization was evaluated through three different machine learning pipelines for the modelling step in predicting the clinical outcomes, across two performance metrics (balanced accuracy and Matthews correlation coefficient). Before harmonization, almost all radiomic features had significantly different distributions between labels. These differences were successfully removed with all ComBat versions. The predictive ability of the radiomic models was always improved with harmonization and the improved ComBat provided the best results. This was observed consistently in both datasets, through all machine learning pipelines and performance metrics. The proposed modifications allow for more flexibility and robustness in the estimation. They also slightly but consistently improve the predictive power of resulting radiomic models.
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Affiliation(s)
- R Da-Ano
- INSERM, UMR 1101, LaTIM, University of Brest, Brest, France.
| | - I Masson
- INSERM, UMR 1101, LaTIM, University of Brest, Brest, France
- Department of Radiation Oncology, Institut de cancérologie de l'Ouest René-Gauducheau, Saint-Herblain, France
| | - F Lucia
- INSERM, UMR 1101, LaTIM, University of Brest, Brest, France
- Radiation Oncology Department, University Hospital, Brest, France
| | - M Doré
- Department of Radiation Oncology, Institut de cancérologie de l'Ouest René-Gauducheau, Saint-Herblain, France
| | - P Robin
- Department of Nuclear Medicine, University of Brest, Brest, France
| | - J Alfieri
- Department of Radiation Oncology, McGill University Health Centre, Montreal, Quebec, Canada
| | - C Rousseau
- Department of Nuclear Medicine, Institut de cancerologie de l'Ouest René-Gauducheau, Saint-Herblain, France
- CRCINA, University of Nantes, INSERM UMR1232, CNRS-ERL6001, Nantes, France
| | - A Mervoyer
- Department of Radiation Oncology, Institut de cancérologie de l'Ouest René-Gauducheau, Saint-Herblain, France
| | - C Reinhold
- Department of Radiology, McGill University Health Centre, Montreal, Canada
| | - J Castelli
- Radiotherapy Department Cancer, Institute Eugene Marquis, Rennes, France
- University of Rennes 1, LTSI, Rennes, France
| | - R De Crevoisier
- Radiotherapy Department Cancer, Institute Eugene Marquis, Rennes, France
- University of Rennes 1, LTSI, Rennes, France
| | - J F Rameé
- Department of Medical Oncology, Centre Hospitalier de Vendee, La Roche sur Yon, France
| | - O Pradier
- INSERM, UMR 1101, LaTIM, University of Brest, Brest, France
- Radiation Oncology Department, University Hospital, Brest, France
| | - U Schick
- INSERM, UMR 1101, LaTIM, University of Brest, Brest, France
- Radiation Oncology Department, University Hospital, Brest, France
| | - D Visvikis
- INSERM, UMR 1101, LaTIM, University of Brest, Brest, France
| | - M Hatt
- INSERM, UMR 1101, LaTIM, University of Brest, Brest, France
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Tsui J, Garcia D, Samuel M, Riopel A, Royal-Preyra B, Matassa V, Bernier M, Alfieri J. Radiotherapy and Cardiovascular Implantable Electronic Devices – A Single-Institution Evidence-Based Guideline. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.1124] [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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Fawaz Z, Nancy P, Alfieri J. EP-1668 Creation and pilot-test of virtual cases for learning oncologic emergency management. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)32088-2] [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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Lucia F, Visvikis D, Vallières M, Desseroit M, Miranda O, Robin P, Bonaffini P, Alfieri J, Masson I, Mervoyer A, Reinhold C, Pradier O, Hatt M, Schick U. EP-1476 Validation of a combined PET and MRI radiomics model for prediction of recurrence in cervical cancer. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31896-1] [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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Leung E, D'Souza D, Alfieri J, Banerjee R, Bachand F, Barbera L, Barkati M, Barnes E, Bowes D, Fortin I, Foster W, Han K, Huang F, Patil N, Velker V, Vigneault E, Wiebe E, Wronski M, Ravi A. Contouring and Target Variability in Vaginal Tumors Treated with MR-Based Interstitial Brachytherapy: A Multi-institutional Contouring Study. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.263] [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: 11/25/2022]
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Barkati M, King B, Fortin I, Portelance L, Viswanathan A, Fyles T, Beriwal S, Alfieri J, Lim K, Harkenrider M, Small W, Klopp A, Stewart A, Yashar C, Bosch W, Jhingran A, Jolicoeur M, Gaffney D. Intensity Modulated Radiation Therapy for Vulvar Carcinoma: Changes in Practice Over 5 Years. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2016.06.1367] [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: 11/24/2022]
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Alfieri J, Steinert Y, McLeod P, Portelance L. Evaluation of a Web-based Learning Module for Radiologic Anatomy and Radiotherapy Treatment Planning. Int J Radiat Oncol Biol Phys 2009. [DOI: 10.1016/j.ijrobp.2009.07.209] [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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Alfieri J, Steinert Y, McLeod P, Portelance L. 45 THE EFFECTIVENESS OF WEB-BASED ANATOMY INSTRUCTION IN RADIATION ONCOLOGY. Radiother Oncol 2009. [DOI: 10.1016/s0167-8140(12)72432-5] [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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Fraccaroli L, Alfieri J, Larocca L, Calafat M, Mor G, Leiros CP, Ramhorst R. A potential tolerogenic immune mechanism in a trophoblast cell line through the activation of chemokine-induced T cell death and regulatory T cell modulation. Hum Reprod 2008; 24:166-75. [DOI: 10.1093/humrep/den344] [Citation(s) in RCA: 48] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Alfieri J, Portelance L, Souhami L, Artho G, Gallant F. Development of an Interactive, Web-based, Radiological Anatomy Learning Module for Radiation Oncology Residents: A Pilot. Int J Radiat Oncol Biol Phys 2005. [DOI: 10.1016/j.ijrobp.2005.07.592] [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: 10/25/2022]
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