Journal of Medical Imaging and Radiation Oncology最新文献_第9页

Overview of cardiac toxicity from radiation therapy 放疗的心脏毒性概述。

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-20 DOI: 10.1111/1754-9485.13757

Vicky Chin, Robert N Finnegan, Paul Keall, James Otton, Geoff P Delaney, Shalini K Vinod

{"title":"Overview of cardiac toxicity from radiation therapy","authors":"Vicky Chin, Robert N Finnegan, Paul Keall, James Otton, Geoff P Delaney, Shalini K Vinod","doi":"10.1111/1754-9485.13757","DOIUrl":"10.1111/1754-9485.13757","url":null,"abstract":"<p>Radiotherapy is an essential part of treatment for many patients with thoracic cancers. However, proximity of the heart to tumour targets can lead to cardiac side effects, with studies demonstrating link between cardiac radiation dose and adverse outcomes. Although reducing cardiac dose can reduce associated risks, most cardiac constraint recommendations in clinical use are generally based on dose to the whole heart, as dose assessment at cardiac substructure levels on individual patients has been limited historically. Furthermore, estimation of an individual's cardiac risk is complex and multifactorial, which includes radiation dose alongside baseline risk factors, and the impact of systemic therapies. This review gives an overview of the epidemiological impact of cancer and cardiac disease, risk factors contributing to radiation-related cardiotoxicity, the evidence for cardiac side effects and future directions in cardiotoxicity research. A better understanding of the interactions between risk factors, balancing treatment benefit versus toxicity and the ongoing management of cardiac risk is essential for optimal clinical care. The emerging field of cardio-oncology is thus a multidisciplinary collaborative effort to enable better understanding of cardiac risks and outcomes for better-informed patient management decisions.</p>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"68 8","pages":"987-1000"},"PeriodicalIF":2.2,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Incidental findings in research brain MRI: Definition, prevalence and ethical implications 脑磁共振成像研究中的意外发现：定义、发生率和伦理意义。

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-20 DOI: 10.1111/1754-9485.13744

Kenneth J de Jong, Emma Poon, Michelle Foo, Julian Maingard, Hong Kuan Kok, Christen Barras, Anousha Yazdabadi, Benham Shaygi, Gregory J Fitt, Gary Egan, Mark Brooks, Hamed Asadi

{"title":"Incidental findings in research brain MRI: Definition, prevalence and ethical implications","authors":"Kenneth J de Jong, Emma Poon, Michelle Foo, Julian Maingard, Hong Kuan Kok, Christen Barras, Anousha Yazdabadi, Benham Shaygi, Gregory J Fitt, Gary Egan, Mark Brooks, Hamed Asadi","doi":"10.1111/1754-9485.13744","DOIUrl":"10.1111/1754-9485.13744","url":null,"abstract":"<div>\u0000 \u0000 <p>Radiological incidental findings (IFs) are previously undetected abnormalities which are unrelated to the original indication for imaging and are unexpectedly discovered. In brain magnetic resonance imaging (MRI), the prevalence of IFs is increasing. By reviewing the literature on IFs in brain MRI performed for research purposes and discussing ethical considerations of IFs, this paper provides an overview of brain IF research results and factors contributing to inconsistencies and considers how the consent process can be improved from an ethical perspective. We found that despite extensive literature regarding IFs in research MRI of the brain, there are major inconsistencies in the reported prevalence, ranging from 1.3% to 99%. Many factors appear to contribute to this broad range: lack of standardised definition, participant demographics variance, heterogenous MRI scanner strength and sequences, reporter variation and results classification. We also found significant discrepancies in the review, consent and clinical communication processes pertaining to the ethical nature of these studies. These findings have implications for future studies, particularly those involving artificial intelligence. Further research, particularly in relation to MRI brain IFs would be useful to explore the generalisability of study results.</p>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"69 1","pages":"35-45"},"PeriodicalIF":2.2,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Abstract 摘要

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-19 DOI: 10.1111/1754-9485.13766

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The RANZCR Artificial Intelligence Committee: Position statement on autonomous AI RANZCR 人工智能委员会：关于自主人工智能的立场声明。

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-19 DOI: 10.1111/1754-9485.13756

Daniel Roos, Amy Yuen Meei Teh, Kirsten Fitzpatrick, Martin Gunn, the RANZCR Artificial Intelligence Committee

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IRSA ASM 2024 Abstract IRSA ASM 2024摘要

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-19 DOI: 10.1111/1754-9485.13767

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Abstract 摘要

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-18 DOI: 10.1111/1754-9485.13760

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Abstract 摘要

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-18 DOI: 10.1111/1754-9485.13765

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IRSA ASM 2024 Abstract IRSA ASM 2024摘要

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-18 DOI: 10.1111/1754-9485.13769

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Abstract 摘要

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-18 DOI: 10.1111/1754-9485.13762

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IRSA ASM 2024 Abstract IRSA ASM 2024摘要

IF 2.2 4区医学

Journal of Medical Imaging and Radiation Oncology Pub Date : 2024-09-18 DOI: 10.1111/1754-9485.13768

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