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Craft D, Woodward W, Kanke J, Kry S, Salehpour M, Howell R. TU-H-BRC-08: Use and Validation of Flexible 3D Printed Tissue Compensators for Post-Mastectomy Radiation Therapy. Med Phys 2016. [DOI: 10.1118/1.4957615] [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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Han T, Smith B, Salehpour M, Gifford K. SU-E-J-209: Verification of 3D Surface Registration Between Stereograms and CT Images. Med Phys 2014. [DOI: 10.1118/1.4888262] [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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Loupot S, Han T, Salehpour M, Gifford K. SU-F-19A-01: APBI Brachytherapy Treatment Planning: The Impact of Heterogeneous Dose Calculations. Med Phys 2014. [DOI: 10.1118/1.4889027] [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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Dabaja B, Wang H, Voong K, Pinnix C, Shihadeh F, Reed V, Salehpour M, Arzu I, Garcia J. Image Guided Radiation Therapy Proves its Benefit in Detecting the Daily Unpredictable Shape Change of the Stomach: A Study of Patients Treated for Stomach Lymphoma. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.421] [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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Dabaja B, Voong K, McSpadden K, Pinnix C, Shihadeh F, Reed V, Salehpour M, Arzu I, Wang H, Garcia J. Intensity Modulated Radiation Therapy (IMRT) Using Butterfly Technique Offers a Dosimetric Advantage to Critical Organs in Young Female Patients With Mediastinal Hodgkin Lymphoma. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.422] [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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Wang X, Zhang X, Li X, Amos RA, Shaitelman SF, Hoffman K, Howell R, Salehpour M, Zhang SX, Sun TL, Smith B, Tereffe W, Perkins GH, Buchholz TA, Strom EA, Woodward WA. Accelerated partial-breast irradiation using intensity-modulated proton radiotherapy: do uncertainties outweigh potential benefits? Br J Radiol 2013; 86:20130176. [PMID: 23728947 PMCID: PMC3755395 DOI: 10.1259/bjr.20130176] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 05/22/2013] [Accepted: 05/29/2013] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVE Passive scattering proton beam (PSPB) radiotherapy for accelerated partial-breast irradiation (APBI) provides superior dosimetry for APBI three-dimensional conformal photon radiotherapy (3DCRT). Here we examine the potential incremental benefit of intensity-modulated proton radiotherapy (IMPT) for APBI and compare its dosimetry with PSPB and 3DCRT. METHODS Two theoretical IMPT plans, TANGENT_PAIR and TANGENT_ENFACE, were created for 11 patients previously treated with 3DCRT APBI and were compared with PSPB and 3DCRT plans for the same CT data sets. The impact of range, motion and set-up uncertainties as well as scanned spot mismatching between fields of IMPT plans was evaluated. RESULTS IMPT plans for APBI were significantly better regarding breast skin sparing (p<0.005) and other normal tissue sparing than 3DCRT plans (p<0.01) with comparable target coverage (p=ns). IMPT plans were statistically better than PSPB plans regarding breast skin (p<0.002) and non-target breast (p<0.007) in higher dose regions but worse or comparable in lower dose regions. IMPT plans using TANGENT_ENFACE were superior to that using TANGENT_PAIR in terms of target coverage (p<0.003) and normal tissue sparing (p<0.05) in low-dose regions. IMPT uncertainties were demonstrated for multiple causes. Qualitative comparison of dose-volume histogram confidence intervals for IMPT suggests that numeric gains may be offset by IMPT uncertainties. CONCLUSION Using current clinical dosimetry, PSPB provides excellent dosimetry compared with 3DCRT with fewer uncertainties compared with IMPT. ADVANCES IN KNOWLEDGE As currently delivered in the clinic, PSPB planning for APBI provides as good or better dosimetry than IMPT with less uncertainty.
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Affiliation(s)
- X Wang
- Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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Wang X, Salehpour M, Howell R, Melancon A, Sun T, Woodward W, Smith B. SU-E-J-12: Evaluation of Setup Uncertainties for Electron Boost Field Treated Using Compression Device for Breast Cancer Irradiation. Med Phys 2013. [DOI: 10.1118/1.4814224] [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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Han T, Tailor R, Melancon A, Howell R, Mourtada F, Salehpour M. SU-C-137-07: A Comprehensive Investigation of Dosimetric Uncertainties in Junction Region of Breast Superclavicular and Tangential Fields. Med Phys 2013. [DOI: 10.1118/1.4813938] [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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Han T, Tailor R, LaNeave S, Howell R, Mourtada F, Salehpour M. SU-E-T-528: Appraisal of Acorus XB and Convolution Dose Algorithms in Field Junction of Breast Tangential/superclavicular Fields. Med Phys 2012; 39:3827. [DOI: 10.1118/1.4735617] [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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Han T, Mourtada F, Repchak R, Tonigan J, Mikell J, Howell R, Salehpour M, Molineu A, Followill D. SU-E-T-519: Experimental Evaluation of Deterministic Acuros XB Radiation Transport Algorithm for Heterogeneity Dose Calculation Using the Radiological Physics Center's Lung Phantom. Med Phys 2012; 39:3825. [DOI: 10.1118/1.4735608] [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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Burmeister J, Coffey C, Salehpour M, Ibbott G. TU-C-218-02: Effective Oncology Physics Education. Med Phys 2012; 39:3906. [DOI: 10.1118/1.4735943] [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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Xiao Y, Hurksman C, Cui Y, Doemer A, Brown N, Salehpour M, Mallah J, Mihailidis D, Palta J, Salter B, Galvin J, Moran J. WE-C-214-07: A Global Digital Benchmark and QA Data Center for Radiotherapy Quality Assurance. Med Phys 2011. [DOI: 10.1118/1.3613338] [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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Han T, Mikell J, Salehpour M, Mourtada F. MO-F-BRB-02: Dosimetric Comparison of Acuros XB Deterministic Radiation Transport Method with Monte Carlo and Model-Based Convolution Methods in Heterogeneous Media. Med Phys 2011. [DOI: 10.1118/1.3613003] [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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Wang X, Zhang X, Amos R, Salehpour M, Zhang S, Sun T, Strom E, Buchholz T, Hoffman K, Woodward W. SU-E-T-776: External Beam Accelerated Partial Breast Irradiation Using Intensity Modulated Proton Therapy (IMPT). Med Phys 2011. [DOI: 10.1118/1.3612740] [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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Joy S, Balter P, Starkschall G, Kry S, Salehpour M. SU-E-T-861: Assessment of Collimator Jaw Optimization in Reducing Normal Tissue Irradiation with Intensity Modulated Radiation Therapy. Med Phys 2011. [DOI: 10.1118/1.3612825] [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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Lindberg M, Patel H, Woodward W, Salehpour M, Kanke J, Durbin R, Yu T, Buchholz T, Dong L. Dosimetric Analysis of RTOG-defined Target Volumes for Postmastectomy Radiation Therapy. Int J Radiat Oncol Biol Phys 2010. [DOI: 10.1016/j.ijrobp.2010.07.503] [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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Wang X, Woodward W, Zhang X, Taddei P, Amos R, Salehpour M, Zhang S, Buchholz T, Strom E. Non-target Tissue Sparing with Passive Scattered Proton Partial-breast Irradiation Planning. Int J Radiat Oncol Biol Phys 2009. [DOI: 10.1016/j.ijrobp.2009.07.463] [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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Heard M, Ibbott G, Followill D, Jackson E, Salehpour M, White A. SU-FF-T-263: Evaluation of a PAGAT Gel for Use in An Anthropomorphic Phantom. Med Phys 2009. [DOI: 10.1118/1.3181740] [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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Vassiliev O, Wareing T, McGhee J, Failla G, Salehpour M, Mourtada F. SU-EE-A2-02: Validation of a Grid-Based Boltzmann Solver for 6 and 18 MV Photon Beams Impinging On a Heterogeneous Phantom. Med Phys 2009. [DOI: 10.1118/1.3181100] [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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Jamaati-e-Somarin S, Salehpour M, Ebadi A, Izadi M. Evaluation of Water Stress and Nitrogen Fertilizer Effects on Relative Water Content, Membrane Stability Index, Chlorophyll and Some Other Traits of Lentils (Lens culinaris L.) Under Hydroponics Conditions. ACTA ACUST UNITED AC 2009. [DOI: 10.3923/rjes.2009.103.109] [Citation(s) in RCA: 5] [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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Wang X, Yu T, Salehpour M, Zhang S, Liang T, Buchholz T. Breast Cancer Regional Radiation Fields for Supraclavicular (SC) and Axillary (AX) Lymph Nodes Treatment: Is a Posterior Axillary Boost Field Technique Optimal? Int J Radiat Oncol Biol Phys 2008. [DOI: 10.1016/j.ijrobp.2008.06.1500] [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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Bellon M, Followill D, Ibbott G, White R, Salehpour M, Mahajan A, Kry S, Ding C. TH-D-AUD A-07: Risk of Secondary Fatal Malignancies From Cyberknife Radiosurgery. Med Phys 2008. [DOI: 10.1118/1.2962900] [Citation(s) in RCA: 2] [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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Wang Z, Kry S, Burgett E, Howell R, Tailor R, Oliver J, Followill D, Smith A, Salehpour M. TH-D-AUD A-02: Measurement of Neutron Spectrum and Ambient Dose Equivalent Around a Mini-Phantom at a Proton Therapy Facility. Med Phys 2008. [DOI: 10.1118/1.2962894] [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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Kry S, Price M, Wang Z, Mourtada F, Salehpour M. SU-GG-T-275: Investigation Into the Use of a MOSFET Dosimeter as An Implantable Fiducial Marker. Med Phys 2008. [DOI: 10.1118/1.2962027] [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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Heard M, Followill D, White R, Jackson E, Salehpour M, Ibbott G. TU-C-AUD B-08: Identification of a 3D Dosimeter Best-Suited for Use by the RPC. Med Phys 2008. [DOI: 10.1118/1.2962444] [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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Vera R, Eifel P, Jhingran A, Salehpour M. Intensity-Modulated Radiation Therapy (IMRT) in the Treatment of Carcinoma of the Vagina. Int J Radiat Oncol Biol Phys 2007. [DOI: 10.1016/j.ijrobp.2007.07.1519] [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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Wang X, Du W, Smith S, Stovall M, Buchholz T, Salehpour M. The Radiation Exposure to the Contra Lateral Breast From Portal Images During the Course of Breast Radiotherapy. Int J Radiat Oncol Biol Phys 2007. [DOI: 10.1016/j.ijrobp.2007.07.2285] [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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Kry S, Salehpour M, Titt U, Stovall M, White R, Followill D. SU-FF-T-24: A Monte Carlo Study of the Out-Of-Field Dose From IMRT. Med Phys 2007. [DOI: 10.1118/1.2760669] [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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Lazar S, Followill D, Gibbons J, Mahajan A, Salehpour M, Stovall M, White R. WE-C-M100F-01: Risk of Secondary Fatal Malignancies From Hi-Art Tomotherapy IMRT. Med Phys 2007. [DOI: 10.1118/1.2761519] [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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Kry S, Followill D, Salehpour M. SU-FF-T-316: Neutron Dose Equivalent at Depth in a Phantom. Med Phys 2007. [DOI: 10.1118/1.2760978] [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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Håkansson P, Kamensky I, Salehpour M, Sundqvist B, Widdiyasekera S. Molecular size effects in fast heavy ion induced desorption of biomolecules. ACTA ACUST UNITED AC 2006. [DOI: 10.1080/00337578408222496] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.1] [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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Lindsay P, Zhu X, Zhang L, Wu R, Kudchadker R, Salehpour M, Liu R, Mohan R, Gillin M, Dong L. TH-D-ValA-05: Effect of Measured Cone-Beam CT-Density Calibration On Dose Calculations. Med Phys 2006. [DOI: 10.1118/1.2241927] [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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Howell R, Kry S, Followill D, Hertel N, Wang Z, Salehpour M. WE-D-224C-04: Investigation of MLC Effects On Secondary Neutron Spectra for Varian, Siemens, and Elekta. Med Phys 2006. [DOI: 10.1118/1.2241783] [Citation(s) in RCA: 2] [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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36
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Followill D, Kry S, Salehpour M. WE-C-224A-04: Measurements of Secondary Radiation for Electron and Proton Accelerators. Med Phys 2006. [DOI: 10.1118/1.2241736] [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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37
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Kry S, Vassiliev O, Kuban D, Poenisch F, Salehpour M, Gillin M, Mohan R, Titt U. SU-FF-T-438: Treatment Planning Study of Prostate Cancer IMRT with a Flattening Filter Free Accelerator. Med Phys 2006. [DOI: 10.1118/1.2241357] [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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38
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Kry S, Followill D, White R, Salehpour M. WE-E-224C-05: Uncertainty Analysis of Risk of Secondary Fatal Malignancies From Radiotherapy Treatments Including IMRT. Med Phys 2006. [DOI: 10.1118/1.2241814] [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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39
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Homann K, Gates B, Salehpour M, Followill D, Kirsner S, Buchholz T, White R, Prado K. SU-FF-T-196: Evaluation of the Dose Within the Abutment Region Between Tangential and Supraclavicular Fields for Various Breast Irradiation Techniques. Med Phys 2005. [DOI: 10.1118/1.1997924] [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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Kry S, Titt U, Poenisch F, Followill D, Vassiliev O, Mohan R, Salehpour M. SU-CC-J-6C-02: A Monte Carlo Simulation of Out-Of-Field Radiation From An 18-MV Beam. Med Phys 2005. [DOI: 10.1118/1.1997408] [Citation(s) in RCA: 2] [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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Kry S, Titt U, Poenisch F, Vassiliev O, Salehpour M, Gillin M, Mohan R. WE-E-T-617-01: A Reduction in Neutron Production Through the Use of a Flattening-Filter-Free Accelerator. Med Phys 2005. [DOI: 10.1118/1.1998602] [Citation(s) in RCA: 2] [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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Abstract
In this paper, we report on measurements performed on a new prototype implantable radiation detector that uses metal-oxide semiconductor field effect transistors (MOSFETs) designed for in vivo dosimetry. The dosimeters, which are encapsulated in hermetically sealed glass cylinders, are used in an unbiased mode during irradiation, unlike other MOSFET detectors previously used in radiotherapy applications. They are powered by radio frequency telemetry for dose measurements, obviating the need for a power supply within each capsule. We have studied the dosimetric characteristics of these MOSFET detectors in vitro under irradiation from a 60Co source. The detectors show a dose reproducibility generally within 5% or better, with the main sources of error being temperature fluctuations occurring between the pre- and post-irradiation measurements as well as detector orientation. A better temperature-controlled environment leads to a reproducibility within 2%. Our preliminary in vitro results show clearly that true non-invasive in vivo dosimetry measurements are feasible and can be performed remotely using telemetric technology.
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Affiliation(s)
- A S Beddar
- Division of Radiation Oncology, Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
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Kry S, Salehpour M, Followill D, Stovall M, Kuban D, White A, Rosen I. Risk assessment of secondary malignancies from IMRT treatments. Int J Radiat Oncol Biol Phys 2004. [DOI: 10.1016/j.ijrobp.2004.07.191] [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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Mahmoodi NO, Salehpour M. Direct Synthesis of -Substituted Phthalides by Cyclization of Benzyl Radicals Generated from o-(Arylmethyl)benzoic Acids*. Russian Journal of Organic Chemistry 2003. [DOI: 10.1023/b:rujo.0000019740.66204.fa] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Mahmoodi NO, Salehpour M. Direct synthesis of γ-substituted phthalidesvia ortho-aryl benzoic acid mediated benzyl radical cyclization. J Heterocycl Chem 2003. [DOI: 10.1002/jhet.5570400520] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Ahamad A, D’Souza W, Salehpour M, Iyer R, Thames H, Jhingran A, Eifel P. Intensity modulated radiation therapy (IMRT) for post-hysterectomy pelvic radiation: selection of patients and planning target volume (PTV). Int J Radiat Oncol Biol Phys 2002. [DOI: 10.1016/s0360-3016(02)03129-2] [Citation(s) in RCA: 3] [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: 10/27/2022]
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47
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Nguyen NP, Sallah S, Karlsson U, Vos P, Ludin A, Semer D, Tait D, Salehpour M, Jendrasiak G, Robiou C. Prognosis for papillary serous carcinoma of the endometrium after surgical staging. Int J Gynecol Cancer 2001; 11:305-11. [PMID: 11520370 DOI: 10.1046/j.1525-1438.2001.011004305.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND To investigate the pattern of failure and the prognosis following pathological staging for uterine papillary serous carcinoma (UPSC). PATIENTS AND METHODS A retrospective review was conducted of 22 patients with UPSC, treated between 1989 and 1998 at a single institution. All patients were surgically staged. Two patients with advanced disease received chemotherapy only. Two patients with early-stage disease were followed without further treatment. Eighteen patients received postoperative irradiation; eight patients received whole abdominal irradiation (WART), and the remaining 10 patients, pelvic irradiation (PRT). In addition, seven of these patients received vaginal cuff irradiation with low-dose-rate or high-dose-rate brachytherapy. Toxicity, pattern of failure, and survival were evaluated and compared to the literature. RESULTS Seven patients (32%) developed distant metastases, three out of seven (42%) after WART. Four out of seven patients who had distant metastases died from disease progression during subsequent chemotherapy. All patients with distant metastases had locally advanced-stage disease at presentation (six stage III, one stage IV). Four patients with pelvic recurrences developed concurrent (2) and subsequent (2) distant metastases. Three patients had isolated distant metastases. No patient with early stage-disease (stage I and II) died from disease progression. CONCLUSION Pathological staging should be performed for all patients with UPSC to determine the prognosis as well as to tailor the treatment. The role of abdominal irradiation in the treatment of UPSC is yet to be determined; however, such an approach may not be necessary for the control of disease for patients with early-stage (I and II) disease. Patients with locally advanced-stage (stage III) disease are at risk of local regional failures and distant metastases despite WART. Therefore, the benefit of WART for advanced-stage disease is also questionable. Paclitaxel-based chemotherapy is currently being investigated in this setting.
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Affiliation(s)
- N P Nguyen
- Department of Radiation Oncology, Southwestern University, Dallas, Texas 75216, USA.
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Semer D, Nguyen NP, Sallah S, Karlsson U, Vos P, Ludin A, Tait D, Salehpour M, Jendrasiak G, Robiou C. Prognosis for papillary serous carcinoma of the endometrium after surgical staging. Int J Gynecol Cancer 2001. [DOI: 10.1136/ijgc-00009577-200107000-00009] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Abstract.Nguyen NP, Sallah S, Karlsson U, Vos P, Ludin A, Semer D, Tait D, Salehpour M, Jendrasiak G, Robiou C. for papillary serous carcinoma of the endometrium after surgical staging.Background: To investigate the pattern of failure and the prognosis following pathological staging for uterine papillary serous carcinoma (UPSC).Patients and methods: A retrospective review was conducted of 22 patients with UPSC, treated between 1989 and 1998 at a single institution. All patients were surgically staged. Two patients with advanced disease received chemotherapy only. Two patients with early-stage disease were followed without further treatment. Eighteen patients received postoperative irradiation; eight patients received whole abdominal irradiation (WART), and the remaining 10 patients, pelvic irradiation (PRT). In addition, seven of these patients received vaginal cuff irradiation with low-dose-rate or high-dose-rate brachytherapy. Toxicity, pattern of failure, and survival were evaluated and compared to the literature.Results: Seven patients (32%) developed distant metastases, three out of seven (42%) after WART. Four out of seven patients who had distant metastases died from disease progression during subsequent chemotherapy. All patients with distant metastases had locally advanced-stage disease at presentation (six stage III, one stage IV). Four patients with pelvic recurrences developed concurrent (2) and subsequent (2) distant metastases. Three patients had isolated distant metastases. No patient with early stage-disease (stage I and II) died from disease progression.Conclusion: Pathological staging should be performed for all patients with UPSC to determine the prognosis as well as to tailor the treatment. The role of abdominal irradiation in the treatment of UPSC is yet to be determined; however, such an approach may not be necessary for the control of disease for patients with early-stage (I and II) disease. Patients with locally advanced-stage (stage III) disease are at risk of local regional failures and distant metastases despite WART. Therefore, the benefit of WART for advanced-stage disease is also questionable. Paclitaxel-based chemotherapy is currently being investigated in this setting.
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Nguyen NP, Sallah S, Karlsson U, Ludin A, Vos P, Lepera P, Jendrasiak G, Chapman W, Robiou C, Salehpour M. Combined preoperative chemotherapy and radiation for locally advanced rectal carcinoma. Am J Clin Oncol 2000; 23:442-8. [PMID: 11039501 DOI: 10.1097/00000421-200010000-00003] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
To determine the efficacy of combined preoperative chemotherapy and radiation therapy for locally advanced rectal carcinoma and the rate of sphincter conservation, a retrospective survey of 39 patients with locally advanced rectal carcinoma treated with various 5-fluorouracil- and leukovorin-based chemotherapy regimens and radiation prior to surgery in a single institution was reviewed. Toxicity, local control and survival were evaluated and compared to previous studies with similarly staged patients. Long-term follow-up was available on 35 patients. The actuarial local failure was 5.7% while the actuarial 5-year survival was 87%. The mortality rate was low (2.5%) and the rate of long-term serious complications acceptable (11.4%). Combined preoperative chemotherapy and radiation provided excellent local regional control despite the poor prognostic factors associated with size, fixation, and the initial advanced tumor stage with acceptable morbidity. In addition, patients with tumors located in the lower third of the rectum may be able to undergo sphincter-sparing surgery. Although the median follow-up is relatively short (32.4 months), the results are in accordance with previous studies of neoadjuvant combined chemotherapy and radiation for locally advanced rectal carcinoma in terms of local and distant control.
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Affiliation(s)
- N P Nguyen
- Department of Radiation/Oncology, Southwestern University, VA North Texas Health Care System, Dallas 75216, USA
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Sweeney PJ, Vijayakumar S, Sibley GS, Salehpour M, Myrianthopoulos L, Rubin S, Sutton H. Comparison of CT-based treatment planning and retrograde urethrography in determining the prostatic apex at simulation. Med Dosim 1993; 18:21-8. [PMID: 8507356 DOI: 10.1016/0958-3947(93)90023-m] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
In 20 consecutive patients who underwent treatment planning, localization of the prostatic apex with CT-based techniques at simulation was compared to location of the apex as defined by retrograde urethrography. In addition, the location of the urethrogram-defined prostatic apex was compared with the bottom of the ischial tuberosities, which is often recommended as the inferior margin of the field. In 15% of the patients there was agreement between the CT-defined apex and the urethrogram-defined apex; in 85% there was discordance. In a majority of patients with discordance, the urethrogram apex was located caudad to the CT-defined apex (71%) with a median difference of .65 cm. In 29% of the patients the urethrogram apex was located superior to the CT-defined apex. Overall, 75% of the patients had discordance between the urethrogram apex and the CT apex of 0.5 cm or greater; 30% had an absolute difference of 1.0 cm or greater. Comparing the location of the prostatic apex with the bottom of the ischial tuberosities revealed that in 15% of the patients the apex was 1.0 cm or less from the bottom of the tuberosities and in 45% it was less than 1.5 cm. This would place the apex of the prostate in the penumbra region of the field and risk undertreatment of the prostate if the bottom of the ischial tuberosities was the inferior margin of the field. Measuring the location of the prostatic apex from the top of the symphysis pubis revealed that a distance of 4.9 cm encompassed the apex in all 20 patients.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- P J Sweeney
- Michael Reese/University of Chicago Center for Radiation Therapy, IL 60637
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