R. Upadhyay, H. Perlow, Evan M. Thomas, S. Beyer, R. Raval, J. Grecula, D. Blakaj, A. Chakravarti, W. Slone, P. Giglio, J. Elder
{"title":"Role of Boswellia Serrata in Management of CNS Radiation Necrosis After Radiosurgery for Brain Metastases","authors":"R. Upadhyay, H. Perlow, Evan M. Thomas, S. Beyer, R. Raval, J. Grecula, D. Blakaj, A. Chakravarti, W. Slone, P. Giglio, J. Elder","doi":"10.37549/aro1337","DOIUrl":"https://doi.org/10.37549/aro1337","url":null,"abstract":"no other distant metastases. She underwent video-assisted thoracoscopic surgery (VATS) biopsy of parietal pleural nodules, which confirmed metastatic renal cell carcinoma. Baseline contrast-enhanced MRI of brain was negative for intracranial metastases. She was started on first-line systemic therapy with pembrolizumab and axitinib. Restaging scans revealed good response with improvement in small pulmonary nodules with minimal residual pleural thickening in the right lung base. About 6 months after initial diagnosis, the patient presented with headaches and left-sided neck pain. A brain MRI with and without contrast revealed interval development of a 1.5 × 1.4-cm enhancing nodule in the left frontal lobe with mild to moderate surrounding vasogenic edema and mass effect. She also had an MRI of the cervical spine, which demonstrated multilevel degenerative changes but no metastatic disease. She was started on a short course of tapering Abstract Radiation necrosis (RN) is a concerning late toxicity after radiation therapy for brain metastases. The management of RN primarily depends on the extent of edema on imaging and presence of symptoms. Oral corticosteroids are the mainstay of management; however, they are not optimal for long-term management because of multiple side effects and drug interactions. Boswellia serrata is an extract derived from Indian frankincense, which is available as an over-the-counter supplement, and has been traditionally used in the treatment of asthma, arthritis and colitis due to its anti-inflammatory properties. Recent data have reported the benefits of Boswellia on reducing cerebral edema. We discuss a case report involving a patient with brain metastases treated with stereotactic radiosurgery who developed early RN and had a good response with resolution of postradiation edema with the use of Boswellia.","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42930062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Polce, C. Noldner, S. Ailawadi, Samuel Ryu, A. Stessin
{"title":"Radiation Therapy in Cancer of Accessory Breast Tissue: Questions for Treatment Guidelines, Case Series, and Literature Review","authors":"S. Polce, C. Noldner, S. Ailawadi, Samuel Ryu, A. Stessin","doi":"10.37549/aro1332","DOIUrl":"https://doi.org/10.37549/aro1332","url":null,"abstract":"","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42149760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Sud, M. Bussière, T. Botticello, A. Niemierko, Adam Schwartz, H. Shih
{"title":"Dosimetric Comparison of Proton Versus Photon Stereotactic Radiosurgery for Treatment of Vestibular Schwannom","authors":"S. Sud, M. Bussière, T. Botticello, A. Niemierko, Adam Schwartz, H. Shih","doi":"10.37549/aro1336","DOIUrl":"https://doi.org/10.37549/aro1336","url":null,"abstract":"","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46845089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Navigating Radiation Oncology Emergencies: Are We Maximizing Inpatient Call for Residents?","authors":"Rituraj Upadhyay, B. Facer","doi":"10.37549/aro1333","DOIUrl":"https://doi.org/10.37549/aro1333","url":null,"abstract":"","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45838774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Personalizing Approaches to Patient Education Throughout the Radiation Oncology Workflow","authors":"Jodi Goldman, K. Lin, Valeria Londoño, S. Hoffe","doi":"10.37549/aro1331","DOIUrl":"https://doi.org/10.37549/aro1331","url":null,"abstract":"health care providers during which patients’ unique needs and learning styles can be individualized. Demographic characteristics including male gender and older age have been associated with lower requests for information during RT consultation. 10 Abstract For cancer patients who undergo radiation therapy (RT) at some part of their treatment journey, new knowledge regarding the principles underlying RT, workflow, and side effects can become overwhelming and lead to patient fear and anxiety. Various patient education tools have been implemented in radiation oncology clinics internationally including virtual reality, educational videos, educational sessions, websites, and pamphlets. Although studies have demonstrated that such tools can increase patient knowledge regarding RT and its side effects while also decreasing patient anxiety, it is unclear how best to personalize each patient’s education. Similarly, patient characteristics such as age, gender, literacy level, and cultural considerations can also impact a patient’s need or desire for specific educational tools. Barriers to optimization include cost and resource availability with virtual reality, online misinformation, and pamphlets that may be written at an educational level higher than the average population reading level. The efficacy of different educational methods has been studied at various time points throughout the radiation oncology workflow. Overall, early educational intervention with continued reinforcement throughout the treatment course through an individualized multimodal learning approach is likely to be most effective.","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46151049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Appalanaido, S. A. Shukor, H. Hussin, Leow Voon Meng, N. Mustaffa, M. Z. A. Aziz
{"title":"High-Dose-Rate Brachytherapy (HDRBT) Followed by Concurrent Chemoradiotherapy for Esophageal Adenocarcinoma","authors":"G. Appalanaido, S. A. Shukor, H. Hussin, Leow Voon Meng, N. Mustaffa, M. Z. A. Aziz","doi":"10.37549/aro1324","DOIUrl":"https://doi.org/10.37549/aro1324","url":null,"abstract":"","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47240081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yvonne Su, Sana S Dastgheyb, N. Balzer-Haas, J. W. Song, Joshua Jones
{"title":"Teaching Case: Radiation Myonecrosis Following Stereotactic Body Radiation Therapy in Metastatic Renal Cell Carcinoma","authors":"Yvonne Su, Sana S Dastgheyb, N. Balzer-Haas, J. W. Song, Joshua Jones","doi":"10.37549/aro1328","DOIUrl":"https://doi.org/10.37549/aro1328","url":null,"abstract":"","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44870250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Yoh, M. Tazhibi, Z. Englander, Cheng-Chia Wu, G. Baltuch
{"title":"Focused Ultrasound for Ablation in Neurosurgery — Present Use and Future Directions","authors":"N. Yoh, M. Tazhibi, Z. Englander, Cheng-Chia Wu, G. Baltuch","doi":"10.37549/aro1329","DOIUrl":"https://doi.org/10.37549/aro1329","url":null,"abstract":"","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44257120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Phuong, L. Ni, H. Thomas, Benjamin Li, J. Chen, K. Lichter, Steve E. Braunstein, S. Sinha
{"title":"Resident-Led Education Committee: Fostering Leaders and Impactful Change in Radiation Oncology Education","authors":"C. Phuong, L. Ni, H. Thomas, Benjamin Li, J. Chen, K. Lichter, Steve E. Braunstein, S. Sinha","doi":"10.37549/aro1326","DOIUrl":"https://doi.org/10.37549/aro1326","url":null,"abstract":"","PeriodicalId":72265,"journal":{"name":"Applied radiation oncology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45632135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}