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Hong L, Zarepisheh M, Zhou Y, Huang Q, Jhanwar G, Yang J, Pham H, Cervino L, Yamada J, Deasy J. OC-0472 Automated and clinical-criteria-driven optimal planning: clinical experience with over 3400 patients. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06921-8] [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: 11/30/2022]
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Iyer A, Chen I, Thor M, Wu A, Apte A, Rimner A, Gomez D, Deasy J, Jackson A. PD-0785 Personalized fractionation of ultracentral lung tumors using modeled outcomes from treated patients. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)07064-x] [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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Hong L, Zhou Y, Yang J, Mechalakos J, Hunt M, Yang J, Yamada J, Deasy J, Zarepisheh M. OC-0221: Clinical experience of automated SBRT planning with Constrained Hierarchical Optimization. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00245-0] [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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Oh J, Katsoulakis E, Riaz N, Yu Y, Apte A, Leeman J, Katabi N, Morris L, Chan T, Hatzoglou V, Lee N, Deasy J. PO-1550: Radiomics characteristics correlate with immune activation and HPV status in head and neck cancer. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01568-1] [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: 10/22/2022]
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Palma G, Monti S, Thor M, Rimner A, Deasy J, Cella L. PD-0430: Radiation induced dyspnea in lung cancer patients treated with stereotactic body radiation therapy. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00452-7] [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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Thor M, Deasy J, Iyer A, Bendau E, Fontanella A, Apte A, Yorke E, Rimner A, Jackson A. Toward personalized dose-prescription in locally advanced non-small cell lung cancer: Validation of published normal tissue complication probability models. Radiother Oncol 2019; 138:45-51. [PMID: 31146070 DOI: 10.1016/j.radonc.2019.05.011] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2018] [Revised: 05/06/2019] [Accepted: 05/08/2019] [Indexed: 12/23/2022]
Abstract
PURPOSE To identify published normal tissue complication probability (NTCP) models suitable for patient-specific dose-prescription in locally advanced non-small cell lung cancer (LA-NSCLC) through in-house validation. MATERIAL AND METHODS From eight previously published candidate NTCP models (≥grade 2 acute esophagitis and radiation pneumonitis; AE2, RP2), patient-specific dose-responses were calculated using model variables and fractionation-corrected doses for 241 LA-NSCLC patients treated with chemo-IMRT to 50-80 Gy@1.8-2.0 Gy between 2004 and 2014 (AE2/RP2 rate: 50%/12%). A model was judged final if it significantly predicted AE2 or RP2 (p ≤ 0.05), was discriminative and well calibrated (AUC > 0.60; Hosmer-Lemeshow test pHL > 0.05), which were assessed as the median over 1000 bootstrap samples. RESULTS Models for AE2 had superior discrimination to RP2 models (AUC = 0.63-0.65 vs. 0.51-0.65). The final AE2 model included mean esophageal dose and concurrent chemotherapy (AUC = 0.65; p < 0.0001). The final RP2 model was a slightly adjusted version of the RP2 model with the best discrimination, and included age, mean lung dose, and pulmonary comorbidity (AUC = 0.73; p < 0.0001). CONCLUSION Of the eight investigated and published NTCP models, one model successfully described AE2 and one slightly adjusted model successfully described RP2 in the independent cohort. Estimates from these two NTCP models will, therefore, be considered internally when prescribing patient-specific doses in LA-NSCLC patients.
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Affiliation(s)
- M Thor
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States.
| | - Jo Deasy
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States
| | - A Iyer
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States
| | - E Bendau
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States
| | - A Fontanella
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States
| | - A Apte
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States
| | - E Yorke
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States
| | - A Rimner
- Dept. of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, United States
| | - A Jackson
- Dept. of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, United States
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Lee S, Oh J, Kerns S, Rosenstein B, Ostrer H, Deasy J. PV-0564: Predicting Genitourinary Toxicity by Machine Learning on Genome-Wide Single Nucleotide Polymorphisms. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30874-0] [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: 10/14/2022]
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Deasy J, Lee S, Oh J, Kerns S, Orstrer H, Rosenstein B. SP-0484: Machine Learning of radiogenomics SNP GWAS to predict complication risk and to identify key biological correlates. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30794-1] [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: 10/14/2022]
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Thor M, Hotca A, Jackson A, Yorke E, Rimner A, Deasy J. SP-0112: Dose to cardiac substructures predicts survival in non-small cell lung cancer chemo-radiotherapy. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30422-5] [Citation(s) in RCA: 2] [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: 11/15/2022]
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10
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Reynolds IS, Deasy J, Burke JP, McNamara DA. Response to: shift in paradigm of clinical management of anastomotic leak. Colorectal Dis 2017; 19:943-944. [PMID: 28746794 DOI: 10.1111/codi.13825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 07/21/2017] [Indexed: 02/08/2023]
Affiliation(s)
- I S Reynolds
- Department of Colorectal Surgery, Beaumont Hospital, Dublin, Republic of Ireland
| | - J Deasy
- Department of Colorectal Surgery, Beaumont Hospital, Dublin, Republic of Ireland
| | - J P Burke
- Department of Colorectal Surgery, Beaumont Hospital, Dublin, Republic of Ireland
| | - D A McNamara
- Department of Colorectal Surgery, Beaumont Hospital, Dublin, Republic of Ireland
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Reynolds IS, Boland MR, Reilly F, Deasy A, Majeed MH, Deasy J, Burke JP, McNamara DA. C-reactive protein as a predictor of anastomotic leak in the first week after anterior resection for rectal cancer. Colorectal Dis 2017; 19:812-818. [PMID: 28273409 DOI: 10.1111/codi.13649] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2016] [Accepted: 01/04/2017] [Indexed: 12/12/2022]
Abstract
AIM Anastomotic leak (AL) after anterior resection results in increased morbidity, mortality and local recurrence. The aim of this study was to assess the ability of C-reactive protein (CRP) to predict AL in the first week after anterior resection for rectal cancer. METHOD A retrospective review of a prospectively maintained database that included all patients undergoing anterior resection between January 2008 and December 2013 was performed. The ability of CRP to predict AL was assessed using area under the receiver-operating characteristics (AUC) curves. The severity of AL was defined using the International Study Group of Rectal Cancer (ISREC) grading system. RESULTS Two-hundred and eleven patients were included in the study. Statistically significant differences in mean CRP values were found between those with and without an AL on postoperative days 5, 6 and 7. A CRP value of 132 mg/l on postoperative day 5 had an AUC of 0.75, corresponding to a sensitivity of 70%, a specificity of 76.6%, a positive predictive value of 16.3% and a negative predictive value of 97.5%. Multivariable analysis found that a CRP of > 132 mg/l on postoperative day 5 was the only statistically significant patient factor that was linked to an increased risk of AL (HR = 8.023, 95% CI: 1.936-33.238, P = 0.004). CONCLUSION Early detection of AL may minimize postoperative complications. CRP is a useful negative predictive test for the development of AL following anterior resection.
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Affiliation(s)
- I S Reynolds
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - M R Boland
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - F Reilly
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - A Deasy
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - M H Majeed
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - J Deasy
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - J P Burke
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - D A McNamara
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
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Deasy J, Thor M, Oh J, Rimner A. SP-0578: New NTCP data in the thoracic region: probing 'dark toxicity'. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31018-6] [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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Boland MR, Reynolds I, McCawley N, Galvin E, El-Masry S, Deasy J, McNamara DA. Liberal perioperative fluid administration is an independent risk factor for morbidity and is associated with longer hospital stay after rectal cancer surgery. Ann R Coll Surg Engl 2017; 99:113-116. [PMID: 27659363 PMCID: PMC5392825 DOI: 10.1308/rcsann.2016.0280] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/07/2016] [Indexed: 12/12/2022] Open
Abstract
INTRODUCTION Recent studies have advocated the use of perioperative fluid restriction in patients undergoing major abdominal surgery as part of an enhanced recovery protocol. Series reported to date include a heterogenous group of high- and low-risk procedures but few studies have focused on rectal cancer surgery alone. The aim of this study was to assess the effects of perioperative fluid volumes on outcomes in patients undergoing elective rectal cancer resection. METHODS A prospectively maintained database of patients with rectal cancer who underwent elective surgery over a 2-year period was reviewed. Total volume of fluid received intraoperatively was calculated, as well as blood products required in the perioperative period. The primary outcome was postoperative morbidity (Clavien-Dindo grade I-IV) and the secondary outcomes were length of stay and major morbidity (Clavien-Dindo grade III-IV). RESULTS Over a 2-year period (2012-2013), 120 patients underwent elective surgery with curative intent for rectal cancer. Median total intraoperative fluid volume received was 3680ml (range 1200-9670ml); 65/120 (54.1%) had any complications, with 20/120 (16.6%) classified as major (Clavien-Dindo grade III-IV). Intraoperative volume >3500ml was an independent risk factor for the development of postoperative all-cause morbidity (P=0.02) and was associated with major morbidity (P=0.09). Intraoperative fluid volumes also correlated with length of hospital stay (Pearson's correlation coefficient 0.33; P<0.01). CONCLUSIONS Intraoperative fluid infusion volumes in excess of 3500ml are associated with increased morbidity and length of stay in patients undergoing elective surgery for rectal cancer.
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Affiliation(s)
- M R Boland
- Department of Colorectal Surgery, Beaumont Hospital , Dublin , Ireland
| | - I Reynolds
- Department of Colorectal Surgery, Beaumont Hospital , Dublin , Ireland
| | - N McCawley
- Department of Colorectal Surgery, Beaumont Hospital , Dublin , Ireland
| | - E Galvin
- Department of Anaesthesia, Beaumont Hospital , Dublin 9 , Ireland
| | - S El-Masry
- Department of Colorectal Surgery, Beaumont Hospital , Dublin , Ireland
| | - J Deasy
- Department of Colorectal Surgery, Beaumont Hospital , Dublin , Ireland
| | - D A McNamara
- Department of Colorectal Surgery, Beaumont Hospital , Dublin , Ireland
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Reynolds IS, Majeed MH, Soric I, Whelan M, Deasy J, McNamara DA. Endoscopic tattooing to aid tumour localisation in colon cancer: the need for standardisation. Ir J Med Sci 2016; 186:75-80. [PMID: 27645221 DOI: 10.1007/s11845-016-1502-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2016] [Accepted: 09/10/2016] [Indexed: 01/26/2023]
Abstract
BACKGROUND/AIMS An increasing number of colon and rectal tumours are being resected using laparoscopic techniques. Identifying these tumours intraoperatively can be difficult. The use of tattooing can facilitate an easier resection; however, the lack of standardised guidelines can potentially lead to errors intraoperatively and potentially result in worse outcomes for patients. The aim of this study was to identify the most reliable method of preoperative tumour localisation from the available literature to date. METHODS A literature review was undertaken to identify any articles related to endoscopic tattooing and tumour localisation during colorectal surgery. RESULTS To date there is still mixed evidence regarding tattooing techniques and the choice of ink that should be used. There are numerous studies demonstrating safe tattooing techniques and highlighting the risks and benefits of different types of ink available. CONCLUSION Based on the available studies we have recommended a standardised approach to endoscopic tattooing of colorectal tumours prior to laparoscopic resection.
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Affiliation(s)
- I S Reynolds
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland.
| | - M H Majeed
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - I Soric
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - M Whelan
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - J Deasy
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland
| | - D A McNamara
- Department of Colorectal Surgery, Beaumont Hospital, Dublin 9, Ireland.
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Tyagi N, Zhang J, Happersett L, Kadbi M, Mechalakos J, Deasy J, Hunt M. SU-G-JeP2-06: Dosimetric and Workflow Evaluation of First Commercial Synthetic CT Software for Clinical Use in Pelvis. Med Phys 2016. [DOI: 10.1118/1.4957026] [Citation(s) in RCA: 2] [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: 11/07/2022] Open
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Farjam R, Tyagi N, Veeraraghavan H, Apte A, Zakian K, Hunt M, Deasy J. TU-AB-BRA-03: Atlas-Based Algorithms with Local Registration-Goodness Weighting for MRI-Driven Electron Density Mapping. Med Phys 2016. [DOI: 10.1118/1.4957413] [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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Valdes G, Chan M, Scheuermann R, Deasy J, Solberg T. MO-FG-202-09: Virtual IMRT QA Using Machine Learning: A Multi-Institutional Validation. Med Phys 2016. [DOI: 10.1118/1.4957313] [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: 11/07/2022] Open
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Thor M, Tyagi N, Hazoglou V, Saleh Z, Riaz N, Lee N, Deasy J. WE-FG-202-07: An MRI-Based Approach to Quantify Radiation-Induced Normal Tissue Injury Applied to Trismus After Head and Neck Cancer Radiotherapy. Med Phys 2016. [DOI: 10.1118/1.4957919] [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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Thor M, Owosho A, Rosenburg H, Yom S, Oh J, Riaz N, Tsai J, Lee N, Huryn J, Estilo C, Deasy J. WE-AB-207B-08: Exploring and Refining the QUANTEC Guideline to Reduce Severe Hyposalivation Following IMRT for Head and Neck Cancer. Med Phys 2016. [DOI: 10.1118/1.4957789] [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: 11/07/2022] Open
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Yang G, Li X, Ma R, Yorke E, Mageras G, Tang X, Xiong W, Chan M, Reyngold M, Gewanter R, Wu A, Deasy J, Hunt M. SU-F-T-253: Volumetric Comparison Between 4D CT Amplitude and Phase Binning Mode. Med Phys 2016. [DOI: 10.1118/1.4956393] [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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Crispin-Ortuzar M, Grkovski M, Beattie B, Lee N, Riaz N, Humm J, Jeong J, Fontanella A, Deasy J. WE-AB-202-11: Radiobiological Modeling of Tumor Response During Radiotherapy Based On Pre-Treatment Dynamic PET Imaging Data. Med Phys 2016. [DOI: 10.1118/1.4957752] [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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Li X, Yang G, Ma R, Yorke E, Mageras G, Tang X, Xiong W, Chan M, Reyngold M, Gewanter R, Wu A, Deasy J, Hunt M. SU-G-JeP4-05: Effects of Irregular Respiratory Motion On the Positioning Accuracy of Moving Target with Free Breathing Cone-Beam Computerized Tomography. Med Phys 2016. [DOI: 10.1118/1.4957115] [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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Li G, Wei J, Zakian K, Hunt M, Deasy J. TH-EF-BRA-11: Feasibility of Super-Resolution Time-Resolved 4DMRI for Multi-Breath Volumetric Motion Simulation in Radiotherapy Planning. Med Phys 2016. [DOI: 10.1118/1.4958268] [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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Li G, Olek D, Wei J, Kadbi M, Tyagi N, Zakian K, Mechalakos J, Deasy J, Hunt M. TH-EF-BRA-09: Direct Comparison of T2-Based Respiratory-Correlated 4DMRI Reconstructed from Simultaneous Internal Navigator and External Bellows. Med Phys 2016. [DOI: 10.1118/1.4958266] [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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Lee S, Rimner A, Hayes S, Hunt M, Deasy J, Zauderer M, Rusch V, Tyagi N. WE-FG-206-06: Dual-Input Tracer Kinetic Modeling and Its Analog Implementation for Dynamic Contrast-Enhanced (DCE-) MRI of Malignant Mesothelioma (MPM). Med Phys 2016. [DOI: 10.1118/1.4957936] [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: 11/07/2022] Open
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Deasy J. WE-G-204-02: So You Want to Do Research: Two Approaches to Beginning a Career in Medical Physics Research. Med Phys 2016. [DOI: 10.1118/1.4957960] [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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Oh J, Kerns S, Ostrer H, Rosenstein B, Deasy J. SU-D-204-06: Integration of Machine Learning and Bioinformatics Methods to Analyze Genome-Wide Association Study Data for Rectal Bleeding and Erectile Dysfunction Following Radiotherapy in Prostate Cancer. Med Phys 2016. [DOI: 10.1118/1.4955611] [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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Zhang P, Kuo L, Yorke E, Hu Y, Lockney N, Mageras G, Deasy J, Rimner A. SU-C-202-04: Adapting Biologically Optimized Dose Escalation Based On Mid-Treatment PET/CT for Non-Small-Cell Lung Cancer. Med Phys 2016. [DOI: 10.1118/1.4955572] [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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Farjam R, Tyagi N, Veeraraghavan H, Apte A, Zakian K, Hunt M, Deasy J. OC-0155: MR-guided multi-atlas based synthetic CT for MR-only radiotherapy of head and neck cancer patients. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)31404-9] [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: 10/21/2022]
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Oh J, Sutton E, Veeraraghavan H, Apte A, Morris E, Deasy J. TU-AB-BRA-09: Radiomics and Radiogenomics for Breast Cancer Using Magnetic Resonance Imaging. Med Phys 2015. [DOI: 10.1118/1.4925514] [Citation(s) in RCA: 3] [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: 11/07/2022] Open
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Flanagan L, Kehoe J, Fay J, Bacon O, Lindner AU, Kay EW, Deasy J, McNamara DA, Prehn JHM. High levels of X-linked Inhibitor-of-Apoptosis Protein (XIAP) are indicative of radio chemotherapy resistance in rectal cancer. Radiat Oncol 2015; 10:131. [PMID: 26071313 PMCID: PMC4480907 DOI: 10.1186/s13014-015-0437-1] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2015] [Accepted: 06/05/2015] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND The mainstay of treatment in rectal cancer is neoadjuvant radio chemotherapy prior to surgery, in an attempt to downstage the tumour, allowing for more complete removal during surgery. In 40 % of cases however, this neoadjuvant radio chemotherapy fails to achieve tumour regression, partly due insufficient apoptosis signaling. X-linked Inhibitor of Apoptosis Protein (XIAP) is an anti-apoptotic protein that has been reported to contribute to disease progression and chemotherapy resistance. METHODS We obtained rectal biopsy normal and matched tumour tissue from 29 rectal cancer patients with varying degrees of tumour regression, and using Western blot, examined anti-apoptotic XIAP and pro-apoptotic Smac protein levels in these tissues, with the aim to examine whether disturbed XIAP/Smac levels may be an indicator of neoadjuvant radio chemotherapy resistance. Expression of inhibitor of apoptosis proteins cIAP-1 and cIAP-2 was also examined. RESULTS We found that levels of XIAP increased in accordance with the degree of radio chemotherapy resistance of the tissue. Levels of this protein were also significantly higher in tumour tissue, compared to matched normal tissue in highly resistant tissue. In contrast, Smac protein levels did not increase with radio chemotherapy resistance, and the protein was similarly expressed in normal and tumour tissue, indicating a shift in the balance of these proteins. Post treatment surgical resection tissue was available for 8 patients. When we compared matched tissue pre- and post- radio chemotherapy we found that XIAP levels increased significantly during treatment in both normal and tumour tissue, while Smac levels did not change. cIAP-1 and cIAP-2 levels were not differentially expressed in varying degrees of radio chemotherapy resistance, and neoadjuvant therapy did not alter expression of these proteins. CONCLUSION These data indicate that disturbance of the XIAP/Smac balance may be a driver of radio chemotherapy resistance, and hence high levels of XIAP may be a useful indicator of neoadjuvant radio chemotherapy resistance in rectal cancer. Moreover, as XIAP levels increase with radio chemotherapy it is possible that a subset of more resistant tumour cells survive this treatment and may be resistant to further adjuvant treatment. Patients with resistant tumours highly expressing XIAP may benefit from alternative treatment strategies, such as Smac mimetics post neoadjuvant radio chemotherapy.
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Affiliation(s)
- L Flanagan
- Department of Physiology and Medical Physics, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland. .,Centre for Systems Medicine, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland.
| | - J Kehoe
- Department of Physiology and Medical Physics, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland. .,Departments of Pathology, Beaumont Hospital, Dublin 9, Ireland. .,Departments of Surgery, Beaumont Hospital, Dublin 9, Ireland.
| | - J Fay
- Departments of Pathology, Beaumont Hospital, Dublin 9, Ireland.
| | - O Bacon
- Department of Physiology and Medical Physics, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland.
| | - A U Lindner
- Department of Physiology and Medical Physics, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland. .,Centre for Systems Medicine, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland.
| | - E W Kay
- Departments of Pathology, Beaumont Hospital, Dublin 9, Ireland.
| | - J Deasy
- Departments of Surgery, Beaumont Hospital, Dublin 9, Ireland.
| | - D A McNamara
- Departments of Surgery, Beaumont Hospital, Dublin 9, Ireland.
| | - J H M Prehn
- Department of Physiology and Medical Physics, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland. .,Centre for Systems Medicine, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin 2, Ireland.
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Tang X, Saleh Z, Volpe T, Margiasso R, Lovelock D, Li X, Chan M, Hunt M, Deasy J. SU-E-J-63: Initial Validation of the Surface Beacon Transponder. Med Phys 2015. [DOI: 10.1118/1.4924150] [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: 11/07/2022] Open
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Veeraraghavan H, Lakhman Y, Feier D, Vargas H, Hricak H, Deasy J, Sala E. SU-E-J-255: Automatic Segmentation Refined, Multiple Slice-Wise Voting Based Classification of Tumors From MRI. Med Phys 2015. [DOI: 10.1118/1.4924341] [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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Thor M, Tyagi N, Deasy J. SU-E-J-264: Using Magnetic Resonance Imaging-Derived Features to Quantify Radiotherapy-Induced Normal Tissue Morbidity. Med Phys 2015. [DOI: 10.1118/1.4924350] [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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Fontanella A, Jeong J, Sonke J, Bradley J, Chen C, Deasy J. TH-AB-304-03: Tumor Control Probability Applied to Lung Cancer: A Statistical Test of the Independence of Voxel Response. Med Phys 2015. [DOI: 10.1118/1.4926118] [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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Fehr D, Wibmer A, Gondo T, Matsumoto K, Vargas H, Sala E, Hricak H, Deasy J, Veeraraghavan H. TU-AB-BRA-01: Classification of Prostate Cancer Gleason Scores Through Machine Learning From Multiparametric MRI. Med Phys 2015. [DOI: 10.1118/1.4925506] [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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Deasy J. WE-B-304-02: Treatment Planning Evaluation and Optimization Should Be Biologically and Not Dose/volume Based. Med Phys 2015. [DOI: 10.1118/1.4925901] [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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Fehr D, Schmidtlein C, Hwang S, Deasy J, Veeraraghavan H. TU-G-204-02: Automatic Sclerotic Bone Metastases Detection in the Pelvic Region From Dual Energy CT. Med Phys 2015. [DOI: 10.1118/1.4925766] [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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Volpe T, Margiasso R, Saleh Z, Kuo L, Hong L, Ballangrud A, Gelblum D, Zinovoy M, Deasy J, Tang X. SU-E-T-18: A Comparison of Planning Techniques for Bilateral Reconstructed Chest Wall Patients Undergoing Whole Breast Irradiation. Med Phys 2015. [DOI: 10.1118/1.4924379] [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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Li G, Wei J, Tyagi N, Hunt M, Deasy J. SU-E-J-238: First-Order Approximation of Time-Resolved 4DMRI From Cine 2DMRI and Respiratory-Correlated 4DMRI. Med Phys 2015. [DOI: 10.1118/1.4924324] [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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41
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Thor M, Jackson A, Steineck G, Zelefsky M, Karlsdottir A, Hoyer M, Liu M, Nasser N, Petersen S, Moiseenko V, Deasy J. TH-AB-304-01: Dose-Volume Relations for Late Rectal Bleeding in 1001 Patients From Five Prostate Cancer Cohorts. Med Phys 2015. [DOI: 10.1118/1.4926116] [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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Apte A, Veeraraghavan H, Tyagi N, Kijewski P, Deasy J. SU-E-J-213: Visualization of Scans and Metrics for Longitudinal Informatics. Med Phys 2015. [DOI: 10.1118/1.4924299] [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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Saleh Z, Thor M, Sharp G, Tang X, Volpe T, Margiasso R, Veeraraghavan H, Muren L, Deasy J. SU-E-J-95: A Novel Objective Approach to Identify Scan Outliers in Deformable Image Registration for Longitudinal Datasets. Med Phys 2015. [DOI: 10.1118/1.4924182] [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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Apte A, Veeraraghavan H, Oh J, Kijewski P, Deasy J. SU-E-J-253: The Radiomics Toolbox in the Computational Environment for Radiological Research (CERR). Med Phys 2015. [DOI: 10.1118/1.4924339] [Citation(s) in RCA: 3] [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: 11/07/2022] Open
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Deasy J. TU-G-303-01: Radiomics: Quantitative Imaging in the Service of Improved Treatment Decision Making. Med Phys 2015. [DOI: 10.1118/1.4925761] [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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Tiwari P, Hong L, Apte A, Yang J, Mechalakos J, Mageras G, Hunt M, Chen Y, Deasy J. SU-E-T-502: Initial Results of a Comparison of Treatment Plans Produced From Automated Prioritized Planning Method and a Commercial Treatment Planning System. Med Phys 2015. [DOI: 10.1118/1.4924864] [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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Veeraraghavan H, Tyagi N, Hunt M, Lee N, Deasy J. SU-F-303-16: Multi-Atlas and Learning Based Segmentation of Head and Neck Normal Structures From Multi-Parametric MRI. Med Phys 2015. [DOI: 10.1118/1.4925243] [Citation(s) in RCA: 2] [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: 11/07/2022] Open
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Casares-Magaz O, Thor M, Muren L, Hopper A, Einck J, Cornell M, Knopp R, Deasy J, Moiseenko V. The need for dose re-calculation on cone-beam CTs in dose-response studies of pelvic normal tissues. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40953-3] [Citation(s) in RCA: 2] [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: 10/23/2022]
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Deasy J, Thor M, Olsson C, Oh J, Alsadius D, Pettersson N, Steineck G. PO-0908: Corpora cavernosa dose and patient-reported sexual dysfunction in prostate cancer radiotherapy. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40900-4] [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: 12/01/2022]
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Thor M, Olsson C, Oh J, Petersen S, Alsadius D, Høyer M, Pettersson N, Bentzen L, Deasy J, Muren L, Steineck G. Identifying Groups of Patient-Reported Gastro-Intestinal Symptoms Using Factor Analysis. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.2446] [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: 10/24/2022]
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