1
|
Dosimetric characteristics of fabricated germanium doped optical fibres for a postal audit of therapy electron beams. Radiat Phys Chem Oxf Engl 1993 2022. [DOI: 10.1016/j.radphyschem.2022.110346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|
2
|
PO-1492 Characterising anatomical changes of head and neck cancer patients during radiotherapy treatment. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03456-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
3
|
SP-0035. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03886-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
4
|
Folate Depletion as a Radiosensitizing Strategy for Solid Tumors. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.835] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
5
|
PO-1577 Evaluation of a new Automated TLD Reader for silica bead radiotherapy dosimetry. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)08028-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
6
|
Catheter ablation for atrial arrhythmias in adults with congenital heart disease: recurrence rates and predictors of acute procedural success. Europace 2021. [DOI: 10.1093/europace/euab116.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
Heart rhythm disorders are an important cause of morbidity and emergency hospitalisation in patients with adult congenital heart disease (ACHD), and this is due to a combination of surgical scar, residual haemodynamic lesions, and cardiac chamber dilatation. The most effective available treatment is catheter ablation, although this can be extremely challenging owing to abnormal anatomy and problems accessing intra cardiac sites critical to the arrhythmia mechanism. However, outcomes of catheter ablation and analysis of factors which may predict recurrence of arrhythmia remain poorly defined.
Purpose
To define the cohort of ACHD patients undergoing catheter ablation for atrial arrhythmia in a large tertiary centre, characterise outcomes, and determine factors associated with arrhythmia recurrence.
Methods
Retrospective study of all catheter ablations for atrial arrhythmias in ACHD patients between April 13, 2016 and December 16, 2019 at our institution. Patients were identified using a field search through a centralised database; and pre-specified clinical and procedural data of interest, and time from ablation to recurrence were determined from the computerised electronic record. Binary logistical regression and cox regression analysis were used to determine potential predictors of acute procedural success and arrhythmia recurrence respectively.
Results
Among 90 patients (mean age 43 ± 15 years) who underwent catheter ablation for atrial arrhythmia, 39 (43%) were treated for macro-reentrant atrial tachycardia, 19 (21%) for focal atrial tachycardia, 9 (10%) for multifocal atrial tachycardia, 10 (10%) for atrial fibrillation, 7 (8%) for atrioventricular nodal reentrant tachycardia, and 6 (7%) for atrioventricular reentrant tachycardia. 35 (39%) of patients had "severe" complexity ACHD as per the Bethesda classification. 35 (39%) experienced recurrent arrhythmia with a median time to recurrence of 120 days. Age, gender, body mass index, complexity of congenital heart disease, and previous surgical repair were not identified as being significantly associated with recurrence, however univariate cox regression analysis showed a significantly longer time to recurrence in cases utilising electroanatomical mapping and demonstrating non-inducibility of arrhythmia in the lab post ablation (p < 0.001). There was 1 case of post-ablation bradycardia requiring pacemaker implantation, but no other complications.
Conclusion
Catheter ablation for atrial arrhythmia in ACHD patients is safe and effective, with a majority of patients achieving multiple arrhythmia-free months. Non-inducibility of arrhythmia post procedure and use of electroanatomical mapping are predictors of freedom from recurrence of atrial arrhythmia, suggesting effective characterisation and ablation of the arrhythmia mechanism is more important than the underlying substrate. These findings may aid management decisions for recurrent arrhythmia in ACHD patients.
Collapse
|
7
|
ICRP Publication 146: Radiological Protection of People and the Environment in the Event of a Large Nuclear Accident : Update of ICRP PUBLICATIONS 109 AND 111. Ann ICRP 2020; 49:11-135. [PMID: 33291942 DOI: 10.1177/0146645320952659] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
|
8
|
OC-0449: Pre-clinical evaluation of combining radiation with Notch signalling inhibition in melanoma. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00471-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
9
|
PO-1307: IPEM Code of Practice for high-energy photon dosimetry based on the NPL dose calibration service. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01325-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
10
|
OC-0638: Multivariate log file analysis for MLC failure prediction. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00660-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
11
|
PD-0193: Validation of a multi-centre knowledge-based planning model for radiotherapy of cervical cancer. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)00217-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
12
|
PO-1554: Radiogenomics: A ‘Virtual Biopsy’ in Nonsmall Cell Lung Cancer? Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01572-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
13
|
Microscope cover-slip glass for TLD applications. Appl Radiat Isot 2020; 160:109132. [DOI: 10.1016/j.apradiso.2020.109132] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 03/10/2020] [Accepted: 03/13/2020] [Indexed: 10/24/2022]
|
14
|
Abstract
This paper studies the sensitivity of a range of image texture parameters used in radiomics to: (i) the number of intensity levels, (ii) the method of quantisation to select the intensity levels and (iii) the use of an intensity threshold. 43 commonly used texture features were studied for the gross target volume outlined on the CT component of PET/CT scans of 50 patients with non-small cell lung carcinoma (NSCLC). All cases were quantised for all values between 4 and 128 intensity levels using four commonly used quantisation methods. All results were analysed with and without a threshold range of -200 HU to 300 HU. Cases were ranked for each texture feature and for all quantisation methods with the Spearman's rank correlation coefficient determined to evaluate stability. Results showed large fluctuations in ranking, particularly for low numbers of levels, differences between quantisation methods and with the use of a threshold, with values Spearman's Rank Correlation for many parameters below 0.2. Our results demonstrated the sensitivity of radiomics features to the parameters used during analysis and highlight the risk of low reproducibility comparing studies with slightly different parameters. In terms of the lung cancer CT datasets, this study supports the use of 128 intensity levels, the same uniform quantiser applied to all scans and thresholding of the data. It also supports several of the features recommended in the literature for such studies such as skewness and kurtosis. A recommended framework is presented for curation of the data analysis process to ensure stability of results.
Collapse
|
15
|
PO-0947 The impact of dose deviations arising within the dosimetry chain on clinical outcomes. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)31367-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
16
|
OC-0185 A multi-centre knowledge-based treatment planning model for radiotherapy of cervical cancer. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30605-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
17
|
Arrhythmogenic right ventricular cardiomyopathy (ARVC) mimics: the knot unravelled by cardiovascular MRI. Clin Radiol 2019; 74:228-234. [DOI: 10.1016/j.crad.2018.12.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2017] [Accepted: 12/06/2018] [Indexed: 10/27/2022]
|
18
|
Thermoluminescence measurements of eye-lens dose in a multi-centre stereotactic radiosurgery audit. Radiat Phys Chem Oxf Engl 1993 2019. [DOI: 10.1016/j.radphyschem.2018.08.030] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
19
|
PO-0970: Robustness of Texture as a Biomarker in Radiomics Applications. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)31280-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
20
|
OC-0611: Modelling the clinical impact of machine specific dose variations on outcome using national data. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)30921-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
21
|
EP-2312: Biological validation of a high-throughput in-vitro radiobiology platform. Radiother Oncol 2018. [DOI: 10.1016/s0167-8140(18)32621-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
22
|
692Focal atrial tachycardia arising from the crista terminals; detailed electrophysiology and long-term ablation outcomes. Europace 2018. [DOI: 10.1093/europace/euy015.337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
23
|
Feasibility study of silica bead thermoluminescence detectors (TLDs) in an external radiotherapy dosimetry audit programme. Radiat Phys Chem Oxf Engl 1993 2017. [DOI: 10.1016/j.radphyschem.2017.07.021] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
|
24
|
Coupling Monte Carlo simulations with thermal analysis for correcting microdosimetric spectra from a novel micro-calorimeter. Radiat Phys Chem Oxf Engl 1993 2017. [DOI: 10.1016/j.radphyschem.2017.02.055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
25
|
Feasibility of employing thick microbeams from superficial and orthovoltage kVp x-ray tubes for radiotherapy of superficial cancers. Radiat Phys Chem Oxf Engl 1993 2017. [DOI: 10.1016/j.radphyschem.2017.02.047] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
26
|
Development of a calibration protocol for quantitative imaging for molecular radiotherapy dosimetry. Radiat Phys Chem Oxf Engl 1993 2017. [DOI: 10.1016/j.radphyschem.2017.02.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
27
|
51Cardiac arrest in the absence of an acute coronary artery occlusion: characteristics and outcomes of patients with primary arrhythmic arrest in a UK tertiary centre. Europace 2017. [DOI: 10.1093/europace/eux283.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
28
|
Commercial glass beads as TLDs in radiotherapy produced by different manufacturers. Radiat Phys Chem Oxf Engl 1993 2017. [DOI: 10.1016/j.radphyschem.2015.12.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
29
|
OC-0540: A national cranial stereotactic radiosurgery end-to-end dosimetry audit. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)30980-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
30
|
PO-0757: Variation of mean dose output from 204 UK linacs (Jan-June 2015) and its potential clinical impact. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31194-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
31
|
EP-1562: A Dose Painting Study Based on CT Intratumoural Heterogeneity vs. FDG PET Uptake in NSCLC. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31997-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
32
|
Changes in Patterns of Intensity-modulated Radiotherapy Verification and Quality Assurance in the UK. Clin Oncol (R Coll Radiol) 2016; 28:e28-34. [DOI: 10.1016/j.clon.2016.01.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2015] [Revised: 12/08/2015] [Accepted: 01/05/2016] [Indexed: 10/22/2022]
|
33
|
Adapting clinical gamma cameras for body monitoring in the event of a large-scale radiological incident. JOURNAL OF RADIOLOGICAL PROTECTION : OFFICIAL JOURNAL OF THE SOCIETY FOR RADIOLOGICAL PROTECTION 2016; 36:363-381. [PMID: 27270958 DOI: 10.1088/0952-4746/36/2/363] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
After a release of radionuclides, accidental or otherwise, there will be an urgent need to identify members of the general public who have received a significant intake of radioactive material, sufficient to require medical treatment or further investigation. A large number of people could be contaminated in such an incident. For gamma-ray emitting radionuclides this screening could be carried out using gamma camera medical imaging systems, such as those that are present in many large UK hospital sites. By making a number of simple reversible changes such as removal of collimators, these cameras could be employed as useful additional screening instruments as well as an aid in contamination control. A study was carried out to investigate which systems were present in sufficient number to offer wide scale coverage of UK population centres. Nine gamma cameras (eight dual head and one single head) were assessed using point source and bottle mannequin (BOMAB) phantom measurements so that a mathematical model could be developed for use with the MCNPX Monte Carlo radiation transport code. The gamma camera models were assessed for practical seated and supine geometries to give calibration factors for a list of target radionuclides that could be released in a radiological incident. The minimum detectable activities (MDAs) that were achieved for a five minute measurement demonstrated that these systems are sufficiently sensitive to be used for screening of the general public and are comparable to other body monitoring facilities. While gamma cameras have on-board software that are designed for imaging and provide for a gamma-ray energy range suitable for radionuclides for diagnostic imaging (such as 99mTc), they are not as versatile as custom-built body monitoring systems.
Collapse
|
34
|
2 Clinical application of cardiovascular magnetic resonance in patients with MR-conditional devices: safety, feasibility and clinical impact. BRITISH HEART JOURNAL 2016. [DOI: 10.1136/heartjnl-2016-309668.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
35
|
EP-1588: A methodology for deriving clinically indicative gamma index acceptance criteria. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32838-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
36
|
EP-1935: Impact of standardised codes of practice and related audit on radiotherapy dosimetry over 20 years. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)33186-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
37
|
EP-2060: Correlation of imaging data with knownpredictive/prognostic factors in Oropharyngeal cancer. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)33311-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
38
|
EP-1706: Evaluation of different radiosurgical planning techniques using iPlan®. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32957-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
39
|
EP-1560: Is EBT-XD film suitable for linac and Gamma Knife radiosurgery dosimetry verification and audit? Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)32810-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
40
|
Geant4 coupled with Comsol heat transfer simulations to determine correction factors of a novel micro-calorimeter. Radiother Oncol 2016. [DOI: 10.1016/s0167-8140(16)30083-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
41
|
PD-0452: Knowledge-based treatment planning of volumetric arc modulated radiotherapy for cervical cancer. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40448-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
42
|
EP-1432: Experiences in model creation using Varian Rapid PlanTM for 5 field IMRT prostate treatments. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41424-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
43
|
PO-1035: Monte Carlo derived correction factors for brachytherapy film dosimetry for audit and QC. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)41027-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
44
|
Isolation of the posterior left atrial wall for patients with persistent atrial fibrillation: Impact of adenosine testing for dormant posterior LA conduction. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
45
|
Progression of atrial remodelling in patients with high burden AF: implications for early ablative intervention. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
46
|
|
47
|
|
48
|
|
49
|
Glass beads and Ge-doped optical fibres as thermoluminescence dosimeters for small field photon dosimetry. Phys Med Biol 2014; 59:6875-89. [DOI: 10.1088/0031-9155/59/22/6875] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
|
50
|
The role of texture analysis in imaging as an outcome predictor and potential tool in radiotherapy treatment planning. Br J Radiol 2014; 87:20140369. [PMID: 25051978 DOI: 10.1259/bjr.20140369] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Predicting a tumour's response to radiotherapy prior to the start of treatment could enhance clinical care management by enabling the personalization of treatment plans based on predicted outcome. In recent years, there has been accumulating evidence relating tumour texture to patient survival and response to treatment. Tumour texture could be measured from medical images that provide a non-invasive method of capturing intratumoural heterogeneity and hence could potentially enable a prior assessment of a patient's predicted response to treatment. In this article, work presented in the literature regarding texture analysis in radiotherapy in relation to survival and outcome is discussed. Challenges facing integrating texture analysis in radiotherapy planning are highlighted and recommendations for future directions in research are suggested.
Collapse
|