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Cao Y, Aryal M, Li P, Lee C, Schipper M, You D, Jaworski E, Gharzai L, Shah J, Eisbruch A, Mierzwa M. Diffusion MRI correlation with p16 status and prediction for tumor progression in locally advanced head and neck cancer. Front Oncol 2023; 13:998186. [PMID: 38188292 PMCID: PMC10771284 DOI: 10.3389/fonc.2023.998186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 11/06/2023] [Indexed: 01/09/2024] Open
Abstract
Purpose To investigate p16 effects on diffusion image metrics and associations with tumor progression in patients with locally advanced head and neck cancers. Methods Diffusion images pretreatment and after 20 Gy (2wk) of RT were analyzed in patients with cT4/N3 p16+ oropharynx cancer (OPSCC) (N=51) and locoregionally advanced head and neck squamous cell carcinoma (LAHNSCC) (N=28), enrolled onto a prospective adaptive RT trial. Mean ADC values, subvolumes with ADC <1.2 um2/ms (TVLADC), and peak values of low (µL) and high (µH) components of ADC histograms in primary and total nodal gross tumor volumes were analyzed for prediction of freedom from local, distant, or any progression (FFLP, FFDP or FFLRDP) using multivariate Cox proportional-hazards model with clinical factors. P value with false discovery control <0.05 was considered as significant. Results With a mean follow up of 36 months, 18 of LAHNSCC patients and 16 of p16+ OPSCC patients had progression. After adjusting for p16, small µL and ADC values, and large TVLADC of primary tumors pre-RT were significantly associated with superior FFLRDP, FFLP and FFDP in the LAHNSCC (p<0.05), but no diffusion metrics were significant in p16+ oropharynx cancers. Post ad hoc analysis of the p16+ OPSCC only showed that large TVLADC of the total nodal burden pre-RT was significantly associated with inferior FFDP (p=0.05). Conclusion ADC metrics were associated with different progression patterns in the LAHNSCC and p16+ OPSCC, possibly explained by differences in cancer biology and morphology. A deep understanding of ADC metrics is warranted to establish imaging biomarkers for adaptive RT in HNSCC.
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Affiliation(s)
- Yue Cao
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
- Department of Radiology, University of Michigan, Ann Arbor, MI, United States
- Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, United States
| | - M. Aryal
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
| | - P. Li
- Department of Biostatistics, University of Michigan, Ann Arbor, MI, United States
| | - C. Lee
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
| | - M. Schipper
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
- Department of Biostatistics, University of Michigan, Ann Arbor, MI, United States
| | - D. You
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
| | - E. Jaworski
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
| | - L. Gharzai
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
| | - J. Shah
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
- Department of Radiation Oncology, VA Ann Arbor Healthcare System, Ann Arbor, MI, United States
| | - A. Eisbruch
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
| | - Michelle Mierzwa
- Departments of Radiation Oncology, University of Michigan, Ann Arbor, MI, United States
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Garden A, Harris J, Eisbruch A, Chao K, Morrison W, Harari P, Swanson T, Jones C, Yom S, Spencer S, Scrimger R, Shenouda G, Shukla M, Lau H, Mierzwa M, Torres-Saavedra P, Le Q. Final Report of NRG Oncology RTOG 0022: A Phase I/II Study of Conformal and Intensity Modulated Radiation for Oropharyngeal Cancer. Int J Radiat Oncol Biol Phys 2021. [DOI: 10.1016/j.ijrobp.2021.07.322] [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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Rosen B, Mierzwa M, Lee C, Wilkie J, Schonewolf C, Shah J, Chapman C, Eisbruch A, Aryal M, Cao Y, Balter J. Dixon-based Magnetic Resonance Imaging for Early Prediction of Patient-Reported Acute Xerostomia following Head and Neck Radiotherapy. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2020.07.2187] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Ridge J, Ringash J, Yao M, Blakaj D, Razaq M, Colevas A, Beitler J, Jones C, Dunlap N, Seaward S, Spencer S, Galloway T, Dignam J, Le Q, Gillison M, Sturgis E, Phan J, Trotti A, Harris J, Eisbruch A, Harari P, Adelstein D, Koyfman S, Burtness B. Abstract IA20: Radiotherapy plus cetuximab or cisplatin in human papilloma-virus positive oropharyngeal cancer (NRG 1016): A randomized multicenter noninferiority trial*. Clin Cancer Res 2020. [DOI: 10.1158/1557-3265.aacrahns19-ia20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Patients with HPV-related oropharynx cancer have high survival when treated with radiotherapy plus cisplatin. Whether replacement of cisplatin with cetuximab can preserve high survival and reduce toxicity is unknown. We performed a randomized trial comparing survival and toxicity in 987 patients enrolled at 182 health care centers in the US and Canada between July 2011 and July 2014.
Methods: Eligibility included histologically confirmed HPV positive carcinoma, clinical stage TI-T2, N2-N3 or T3-T4, N0-N3. Zubrod status 0 or 1. All patients received intensity modulated radiotherapy (IMRT) delivered in 35 fractions to 70 gray over 6 weeks using 6 fractions per week. High-dose cisplatin at 100 mg/m² was given every 3 weeks for 2 cycles in arm A (standard of care) versus arm B loading dose cetuximab plus weekly cetuximab. Patients were stratified by T category, N category, Zubord performance status, and smoking history.
Primary analysis was based on modified intention to treat for all patients meeting eligibility criteria. 849 patients were randomly assigned to radiation plus cetuximab (425) or radiotherapy plus cisplatin (424). Median follow-up is 4.5 years.
Results: Radiotherapy plus cetuximab did not meet the non-inferiority criteria for overall survival. Estimated 5-year overall survival was 78% in the cetuximab group versus 85% in the cisplatin group (p=0.016). Progression-free survival was 67% versus 78% (p=0.0002). Local-regional failure was higher in the cetuximab group, 17% versus 10% (p=0.005). High-grade acute toxicity was similar at 77% for both groups. Late toxicity was also similar.
Conclusions: For HPV-positive oropharyngeal carcinoma, radiotherapy plus cetuximab showed inferior overall survival, progression-free survival, and locoregional control compared with radiation plus cisplatin. This study defines radiation using IMRT plus cisplatin as the standard of care for this population.
*Lancet. Vol 393, p 40-50, January 5, 2019
Citation Format: J.A. Ridge, J. Ringash, M. Yao, D.M. Blakaj, M.A. Razaq, A.D. Colevas, J.J. Beitler, C.U. Jones, N.E. Dunlap, S.A. Seaward, S. Spencer, T.J. Galloway, J.J. Dignam, Q.T. Le, M.L. Gillison, E.M. Sturgis, J. Phan, A.M. Trotti, J. Harris, A. Eisbruch, P.M. Harari, D.J. Adelstein, S.A. Koyfman, B. Burtness. Radiotherapy plus cetuximab or cisplatin in human papilloma-virus positive oropharyngeal cancer (NRG 1016): A randomized multicenter noninferiority trial [abstract]. In: Proceedings of the AACR-AHNS Head and Neck Cancer Conference: Optimizing Survival and Quality of Life through Basic, Clinical, and Translational Research; 2019 Apr 29-30; Austin, TX. Philadelphia (PA): AACR; Clin Cancer Res 2020;26(12_Suppl_2):Abstract nr IA20.
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Affiliation(s)
- J.A. Ridge
- 1Fox Chase Cancer Center, Philadelphia, PA,
| | - J. Ringash
- 2Princess Margaret Cancer Centre and the University of Toronto, Toronto, ON, Canada,
| | - M. Yao
- 3Case Western Reserve/University Hospitals Seidman Cancer Center, Cleveland, OH,
| | | | - M.A. Razaq
- 5University of Oklahoma Health Sciences Center, Oklahoma City, OK,
| | | | | | - C.U. Jones
- 7Sutter Cancer Research Consortium, Novato, CA,
| | - N.E. Dunlap
- 8James Graham Brown Cancer Center, University of Louisville, Louisville, KY,
| | | | - S. Spencer
- 10University of Alabama at Birmingham Medical Center, Birmingham, AL,
| | | | - J.J. Dignam
- 11University of Chicago, Chicago, IL; American College of Radiology, Philadelphia, PA,
| | - Q.T. Le
- 6Stanford University, Stanford, CA,
| | - M.L. Gillison
- 12The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - E.M. Sturgis
- 12The University of Texas MD Anderson Cancer Center, Houston, TX,
| | - J. Phan
- 12The University of Texas MD Anderson Cancer Center, Houston, TX,
| | | | - J. Harris
- 14American College of Radiology, Philadelphia, PA,
| | - A. Eisbruch
- 15University of Michigan Comprehensive Cancer Center, Ann Arbor, MI,
| | - P.M. Harari
- 16University of Wisconsin Hospital and Clinics, Madison, WI,
| | - D.J. Adelstein
- 17Cleveland Clinic Taussig Cancer Institute, Cleveland, OH,
| | - S.A. Koyfman
- 17Cleveland Clinic Taussig Cancer Institute, Cleveland, OH,
| | - B. Burtness
- 18Yale School of Medicine and Yale Cancer Center, New Haven, CT
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Haring C, Swiecicki P, Jewell B, Worden F, Casper K, Chinn S, Shuman A, Spector M, Malloy K, Prince M, Bradford C, Stucken C, McKean E, Rosko A, Mclean S, Eisbruch A, Chapman C, Cao Y, Mierzwa M, Brenner J. Circulating Tumor HPV DNA Characteristics in High Risk Oropharyngeal Squamous Cell Carcinoma. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.120] [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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Risch Z, Bellile E, Townsend R, Swiecicki P, Casper K, Malloy K, Hogikyan N, Spector M, Shuman A, Stucken C, Chinn S, Chepeha D, Jolly S, Mierzwa M, Bradford C, Eisbruch A, Carey T, Prince M, Wolf G, Worden F. Low neutrophil to lymphocyte & high lymphocyte to monocyte ratios associated with improved overall survival & response to induction chemotherapy when selecting patients with locally advanced squamous cell of the larynx for combined chemoradiation. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.202] [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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Rosko A, Spector M, Chepeha D, Glazer T, Eisbruch A. The Role of SPECT-CT in Addition to PET for Lymphatic Drainage Mapping in Patients with HPV+ Oropharyngeal Squamous Cell Carcinoma. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Cao Y, Aryal M, Lee C, Chapman C, Owen D, Dragovic A, Swiecicki P, Casper K, Worden F, Lawrence T, Eisbruch A, Mierzwa M. Radiation Sensitivity of ADC in Head and Neck Cancers. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.166] [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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Wilkie J, Mierzwa M, Casper K, Schipper M, Mayo C, Eisbruch A, Worden F, El Naqa I, Viglianti B, Rosen B. Predicting Late Radiation-Induced Xerostomia with Parotid PET Biomarkers and Dose Metrics. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Cao Y, Hawkins P, Aryal M, Lee C, Chapman C, Schipper M, Eisbruch A, Mierzwa M. Multiparametric MRI for Progression Assessment in a Prospective Randomized Adaptive Chemoradiotherapy Trial for Head and Neck Cancer. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.06.286] [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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Hawkins P, Bellile E, Jackson W, Malloy K, Chinn S, Shuman A, Stucken C, Mclean S, Bradford C, Prince M, Carey T, Worden F, Swiecicki P, Taylor J, Wolf G, Eisbruch A, Casper K, Mierzwa M. Impact of AJCC 8th Edition Clinical T- and N-Classifications on Oncologic Outcomes and Patterns of Failure in HPV-Related Oropharyngeal Carcinoma. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Wilkie J, Mierzwa M, Yao J, Eisbruch A, Mayo C. Identifying Potential Associations Between Patient Reported Outcomes and Normal Structure Dose Metrics in Head and Neck Cancer Patients Using a Big Data Approach. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wilkie J, Mierzwa M, Yao J, Eisbruch A, Mayo C. Big Data Analysis of Associations Between Patient Reported Outcomes and Physician Reported Toxicities in Head and Neck Cancer Patients Treated with Radiation Therapy. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Hawkins P, Lee J, Li P, Lee C, Mierzwa M, Aryal M, Arnould G, Worden F, Swiecicki P, Spector M, Schipper M, Cao Y, Eisbruch A. Adaptive Chemoradiation Therapy for Head and Neck Cancer Based on Multiparametric MRI: Interim Results of a Prospective Randomized Trial. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2017.12.038] [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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Hawkins P, Lee J, Mao Y, Li P, Worden F, Swiecicki P, Mierzwa M, Spector M, Schipper M, Eisbruch A. Sparing All Salivary Glands With IMRT for Head and Neck Cancer: Longitudinal Study of Patient-Reported Xerostomia and Head and Neck Quality Of Life. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2017.12.210] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Casper K, Hawkins P, Mierzwa M, Bellile E, Malloy K, Chinn S, Spector M, Shuman A, Stucken C, Mclean S, Worden F, Swiecicki P, Taylor J, Bradford C, Prince M, Wolf G, Eisbruch A. Comparison of the 7 th and 8 th Editions of the AJCC/UICC Staging for Human Papillomavirus–Related Oropharynx Carcinoma. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2017.12.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mierzwa M, Shumway D, Guo C, Casper K, Shuman A, Spector M, Stenmark M, Griggs J, Eisbruch A, Banerjee M. Are We Overtreating Oropharynx Cancer? Trends in Multimodality Treatment of Squamous Cell Carcinoma of the Oropharynx. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Jackson W, Arnould G, Mierzwa M, Eisbruch A. Sparing the Submandibular Gland (SMG) When Treating Neck Level IB in Oral Squamous Cell Carcinoma (OSqCCA). Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Hawkins P, Lee J, Mao Y, Green M, Worden F, Swiecicki P, Spector M, Schipper M, Li P, Eisbruch A. Radiation Doses to All Salivary Glands Affect Patient-Reported Xerostomia and Quality of Life: A Longitudinal Study. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1412] [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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Samuels S, Tao Y, Lyden T, Haxer M, Spector M, Malloy K, Carol B, Worden F, Schipper M, Eisbruch A. Comparisons of Dysphagia and Quality of Life (QOL) in Matched Patients with HPV-positive Oropharyngeal Cancer Receiving Chemoirradiation or Cetuximab and Irradiation. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2015.12.059] [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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Sapir E, Tolpadi A, Samuels S, Ibrahim M, Elalfy E, McHugh J, Eisbruch A. Skin Cancer of the Head and Neck With Perineural Spread: Patterns of Failure. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2015.12.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Rosko A, Birkeland A, Shuman A, Prince M, Bradford C, Wolf G, Worden F, Eisbruch A, Srinivasan A, Spector M. The Value of Positron Emission Tomography–Computed Tomography in Predicting Occult Nodal Metastasis in Recurrent Laryngeal Cancer. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2015.12.159] [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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Swiecicki P, Dickerson E, Srinivasan A, Zhao L, Bellile E, Sacco A, Chepeha D, Dobrosotskaya I, Spector M, Shuman A, Malloy K, Moyer J, McKean E, Wolf G, Eisbruch A, Prince M, Bradford C, Carey T, Worden F. A Phase 2 Study Evaluating Axitinib in Patients With Unresectable, Recurrent, or Metastatic Head and Neck Cancer. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2015.12.269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Sapir E, Bredfeldt J, Schipper M, Masi K, Matuszak M, Eisbruch A. Acute Radiation Dermatitis in Head and Neck Patients Treated With VMAT Versus IMRT. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.2122] [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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Samuels S, Vainshtein J, Spector M, Ibrahim M, McHugh J, Tao Y, Schipper M, Francis W, Eisbruch A. Impact of Retropharyngeal Adenopathy on Distant Control and Survival in Human Papillomavirus–Positive Oropharyngeal Cancer Treated With Chemoradiation Therapy. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.185] [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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Samuels S, Lyden T, Haxer M, Spector M, Tao Y, Schipper M, Worden F, Eisbruch A. Comparisons of Dysphagia and Quality of Life (QOL) in Matched Patients With HPV-Positive Oropharyngeal Cancer Receiving Chemo-Irradiation or Cetuximab Irradiation. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.1306] [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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Samuels S, Vineberg K, Lee C, Matuszak M, Haken RKT, Eisbruch A, Brock K. Methods for Reducing Normal Tissue Complication Probabilities (NTCP) in Head and Neck Cancer (HNC): Dose Deescalation or PTV Elimination. Int J Radiat Oncol Biol Phys 2015. [DOI: 10.1016/j.ijrobp.2015.07.2115] [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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Brock K, Lee C, Samuels S, Robbe M, Lockhart C, Schipper M, Matuszak M, Eisbruch A. TU-AB-303-05: Clinical Guidelines for Determining When An Adaptive Replan May Be Warranted for Head and Neck Patients. Med Phys 2015. [DOI: 10.1118/1.4925522] [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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Bredfeldt JS, Sapir E, Masi KJ, Schipper MJ, Eisbruch A, Matuszak MM. TH-EF-BRD-11: Clinical Skin Toxicity Comparison and Phantom Dose Measurements for Head and Neck Patients Treated with IMRT Vs. VMAT. Med Phys 2015. [DOI: 10.1118/1.4926298] [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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You D, Aryal M, Samuels S, Eisbruch A, Cao Y. SU-E-J-241: Wavelet-Based Temporal Feature Extraction From DCE-MRI to Identify Sub-Volumes of Low Blood Volume in Head-And-Neck Cancer. Med Phys 2015. [DOI: 10.1118/1.4924327] [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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Moon D, Vainshtein J, DeYoung J, Feng F, Chepeha D, Stenmark M, Eisbruch A. Long-Term Quality of Life (QOL) After Chemo-IMRT for Locally Advanced Oropharyngeal Cancer (OPC): A Prospective Longitudinal Study. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.510] [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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Lee J, Wang C, Jackson W, Vainshtein J, Sullivan J, Wang S, Worden F, Eisbruch A, Jolly S. Clinically-Relevant Body Composition Changes in Head and Neck Cancer Patients Undergoing Chemoradiation. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.05.2073] [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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Brock K, Lee C, Lockhart C, Balter J, Ten HR, Eisbruch A. SU-E-CAMPUS-J-02: Implementation of Routine Clinical Daily Dose Evaluation for Patient Specific Quality Control. Med Phys 2014. [DOI: 10.1118/1.4889022] [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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34
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Brock K, Vineberg K, Lee C, Eisbruch A, Matuszak M. SU-E-T-612: Reducing Toxicity in HPV+ Head and Neck Patients: Dose De- Escalation Or PTV Elimination? Med Phys 2014. [DOI: 10.1118/1.4888948] [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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35
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Vainshtein J, Spector M, Byrd S, Stenmark M, Wong K, Worden F, Carey T, Chepeha D, Eisbruch A. Impact of EGFR Overexpression and Imaging Biomarkers on Risk Stratification for Locoregional Failure in HPV-Related Oropharyngeal Cancer. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2013.11.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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36
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Burgin S, Spector M, Light E, Worden F, Eisbruch A, Chepeha D. Long-Term Shoulder Function Among Survivors of Oropharyngeal Squamous Cell Carcinoma Treated With Chemoradiation. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2013.11.200] [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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37
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Vainshtein J, Spector M, Stenmark M, Carey T, Chepeha D, Wong K, Eisbruch A. Utility of Post-Chemoradiation Therapy FDG-PET/CT Response and PET Surveillance for Prediction of Locoregional Control in HPV-Related Oropharyngeal Cancer. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2013.11.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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38
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Vainshtein J, Spector M, Stenmark M, Carey T, Chepeha D, Wong K, Eisbruch A. Utility of Post-Chemoradiation Therapy FDG-PET/CT Response for Prediction of Locoregional Control in HPV-Related Oropharyngeal Cancer. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1150] [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: 11/17/2022]
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39
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Chapman C, Popovtzer A, Feng F, Eisbruch A, Cao Y. Dose–Effect Relationship of MRI Perfusion Changes in the Pharyngeal Constrictors After Head and Neck Radiation Therapy. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.1255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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40
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Stenmark M, McHugh J, Schipper M, Walline H, Komarck C, Mukherji S, Prince M, Bradford C, Eisbruch A, Carey T. High Frequency of HPV-Associated Nasopharyngeal Carcinoma (NPC) in North American Patients: Association With Poor Prognosis. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.06.207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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41
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Vineberg K, Hunter K, Schipper M, McShan D, Antonuk A, Feng M, Balter J, Eisbruch A. The Influence of Rotation on Delivered Dose in Oropharyngeal Cancer. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.315] [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: 11/27/2022]
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42
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Zhou J, Prisciandaro J, Lee C, Schipper M, Eisbruch A, Jolly S. Single or Multichannel Vaginal Cuff HDR Brachytherapy -- Is Replanning Necessary Prior to Each Fraction? Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1191] [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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43
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Lee C, Hunter K, Vineberg K, Eisbruch A, Teo K, Kirk M, Lin A. Non-intensity Modulated Proton Versus Intensity Modulated Photon Planning for Complex Head-and-Neck Tumors. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1301] [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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44
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Hunter K, Lee O, Lyden T, Haxer M, Feng F, Schipper M, Chepeha D, Eisbruch A. Aspiration Pneumonia After Chemo-IMRT of Head-and-Neck Cancer and its Clinical and Dysphagia-related Predictors. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1241] [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: 11/28/2022]
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45
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Hunter K, Vineberg K, Schipper M, McShan D, Antonuk A, Cornwall C, Feng M, Balter J, Eisbruch A. The Effect of Differences in Planned and Delivered Parotid Doses on Salivary Output. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.534] [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: 10/27/2022]
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46
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Hunter K, Vineberg K, Eisbruch A. Dosimetric Predictors of Neck Spasm Following Chemoradiation for Head-and-Neck Cancer. Int J Radiat Oncol Biol Phys 2012. [DOI: 10.1016/j.ijrobp.2012.07.1355] [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: 10/27/2022]
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47
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Hunter K, Lyden T, Haxer M, Feng F, Chepeha D, Eisbruch A. What is the Clinical Relevance of Objective Swallow Studies in Head and Neck Cancer (HNC) Patients Receiving Chemoirradiation (CRT)? Analysis of Aspiration in Swallow Studies vs. Risk of Aspiration Pneumonia. Int J Radiat Oncol Biol Phys 2011. [DOI: 10.1016/j.ijrobp.2011.06.1685] [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: 10/16/2022]
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48
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Marks L, Haken RT, Yorke E, Bentzen S, Deasy J, Constine L, Jackson A, Eisbruch A. WE-E-BRA-03: Therapy Symposium: A Clinicianˈs View of Quantec. Med Phys 2011. [DOI: 10.1118/1.3613367] [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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49
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Deasy J, Bentzen S, Constine L, Eisbruch A, Jackson A, Marks L, Haken RT, Yorke E. WE-E-BRA-02: Methodological Issues and Key Results in the QUANTEC 2010 Review of Radiation-Induced Normal Tissue Toxicity. Med Phys 2011. [DOI: 10.1118/1.3613366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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50
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