scholarly journals Ultrasound-Guided Brachytherapy for Cervical Cancer - A Tool for Quality Improvement in Brachytherapy?

2021 ◽  
Author(s):  
Ekkasit Tharavichitkul ◽  
Razvan M. Galalae
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Cancer ◽  
Limited Resource ◽  
Treatment Quality ◽  
Uterine Perforation ◽  
Normal Tissues ◽  
Image Guided ◽  
Previous Decade ◽  
Magnetic Resonance Imaging Mri

Nowadays, brachytherapy is one of the major components to treat inoperable cervical cancer. Brachytherapy yields a higher dose to the target (cervix) while sparing normal tissues. Developments of brachytherapy stepped forward in the previous decade by image-guided brachytherapy (IGBT) turning brachytherapy from point-based planning to volume-based planning and IGBT improves the treatment quality for cervical cancer. Magnetic resonance imaging (MRI) or computed tomography (CT) is utilized in brachytherapy and showed promising results internationally. However, in a limited-resource area, the implementation of IGABT is difficult due to many causes (manpower, equipment, or budgets). To improve the quality in limited resources, ultrasound is introduced. The utilization of ultrasound in brachytherapy practice is to prevent uterine perforation during application. With present data, measurement by ultrasound showed the correlation to MRI measurement in uterine dimensions. With these aspects, there are many researches using ultrasound to improve the quality of treatment in brachytherapy, for example, to guide contouring on CT or to support brachytherapy planning. The use of ultrasound improves the quality of brachytherapy in comparison to conventional planning and supports the improvement in brachytherapy for cervical cancer.

PO-1132: Magnetic resonance imaging (mri) based image-guided adaptive brachytherapy in cervical cancer.

2020 ◽  
Vol 152 ◽  
pp. S597-S598
Author(s):  
M.F. Ropero Carmona ◽  
J. Quirós Rivero ◽  
J.L. Muñoz Garcia ◽  
J. Cabrera Rodriguez ◽  
Y. Ríos Kavadoy ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Cancer ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Image Guided ◽  
Magnetic Resonance Imaging Mri

scholarly journals Image‐Guided Adaptive Brachytherapy for Cervical Cancer Using Magnetic Resonance Imaging: Overview and Experience

Radiotherapy ◽  
10.5772/67382 ◽  
2017 ◽  
Author(s):  
Kenji Yoshida ◽  
Ryo Nishikawa ◽  
Daisuke Miyawaki ◽  
Yasuhiko Ebina ◽  
Ryohei Sasaki
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Cancer ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Image Guided

scholarly journals A study of the sensitivity and specificity of the Magnetic Resonance Imaging (MRI) technique used in the diagnosis of endometriosis versus the intraoperative appearance considered the reference standard in the diagnosis of endometriosis

2021 ◽  
Vol 28 (1) ◽  
pp. 55-61
Author(s):  
Alexandra RADU ◽  
◽  
Elvira BRATILA ◽  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Sensitivity And Specificity ◽  
Reference Standard ◽  
Resonance Imaging ◽  
First Line ◽  
Magnetic Resonance Imaging Mri ◽  
Asymptomatic Women ◽  
Bladder Invasion

Endometriosis is a gynecological pathology with chronic symptoms, which negatively affects the patient’s quality of life. The prevalence of endometriosis in asymptomatic women is between 2% and 50%, depending on the populations studied and the method of diagnosis. The severity of the symptoms as well as the probability of diagnosing endometriosis increases with age9. Because endometriosis is a gynecological condition with a nonspecific clinical picture, sometimes even asymptomatic, imaging technology can be considered the first line of diagnosis for this pathology. The main objective of this study is to evaluate the sensitivity and specificity of nuclear magnetic resonance imaging (MRI) used in the diagnosis of endometriotic lesions depending on their location, and compare the results obtained with the intraoperative appearance considered a reference standard in the diagnosis of endometriosis. Our study revealed the highest specificity for MRI in the case of endometriotic bladder invasion, respectively the highest sensitivity for endometriotic rectal nodules.

scholarly journals CORRELATION OF LUMBAR FORAMINAL STENOSIS DEGREE ON SAGITTAL MRI WITH JOABPEQ (JAPANESE ORTHOPAEDIC ASSOCIATION BACKPAIN QUESTIONNAIRE) AND ODI (OSWESTRY DISABILITY INDEX) ON LUMBAR FORAMINAL STENOSIS L5-S1 PATIENTS

Biomedika ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 68-73
Author(s):  
Bagas Widhiarso ◽  
Anggita Tri Yurisworo ◽  
Andhi Prijosedjati ◽  
Pamudji Utomo ◽  
Handry Tri Handojo
Keyword(s):  
Quality Of Life ◽  
Magnetic Resonance Imaging ◽  
Oswestry Disability Index ◽  
Japanese Orthopaedic Association ◽  
Foraminal Stenosis ◽  
Resonance Imaging ◽  
Lumbar Foraminal Stenosis ◽  
Pain Evaluation ◽  
Magnetic Resonance Imaging Mri

Lumbar Foraminal Stenosis (LFS) dapat secara signifikan mengurangi fungsi dan kualitas hidup pasien dan Magnetic Resonance Imaging (MRI) adalah alat pendukung yang umum digunakan untuk mengukur beratnya stenosis. Lee score umumnya digunakan untuk mengukur derajat LFS pada MRI sagital. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) dan Oswestry Disability Index (ODI) digunakan untuk menilai disabilitas dan skor fungsional pada pasien LFS. Penelitian ini bertujuan untuk mengetahui korelasi antara derajat LFS pada MRI sagital dengan kualitas hidup pada pasien dengan LFS. Penelitian ini merupakan penelitian analitik observasional yang melibatkan 25 pasien dengan gejala klinis LFS di RS. X Surakarta. Pasien dinilai dengan mengisi kuesioner JOABPEQ dan ODI, kemudian dilakukan evaluasi MRI sagittal lumbar untuk menentukan derajat Lee score, kemudian melakukan uji korelasi pada data yang diperoleh. Penelitian ini menunjukkan korelasi yang signifikan antara Skor Lee dengan JOABPEQ dan ODI. Tingkat LFS berdasarkan Lee Score memiliki korelasi yang signifikan dengan tingkat disabilitas menggunakan JOABPEQ dan ODI. JOABPEQ memiliki korelasi yang lebih signifikan dengan Skor Lee dibandingkan dengan ODI. Kata Kunci : Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI Lumbar Foraminal Stenosis (LFS) can significantly reduce the patient’s function and quality of life and Magnetic Resonance Imaging (MRI) is commonly used supporting tool to measure the degree of stenosis. Lee Score is commonly used to measure the degree of LFS on sagittal MRI. Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and Oswestry Disability Index (ODI) to assess disability and functional scores in LFS patients. This study was conducted to determine the correlation between the degree of LFS on sagittal MRI images with quality of life in patients with LFS.This study is an observational analytics study involving 25 patients with clinical symptoms of LFS in X Hospital Surakarta. Patients were assessed by filling JOABPEQ dan ODI questionnaires, then performed sagittal lumbar MRI evaluation to determine the degree of Lee Score, then performed correlation test on the data obtained.This study shows a significant correlation between Lee Score with JOABPEQ and ODI. The degree of LFS based on Lee Score has a significant correlation with the degree of disability using JOABPEQ and ODI. JOABPEQ has a more significant correlation to Lee Score compared with ODI. Keywords:Lumbar Foraminal Stenosis, Lee Score, JOABPEQ, ODI

PO-1278 Uterine Perforation During Image-Guided Adaptive Brachytherapy in Cervical Cancer Patients

2021 ◽  
Vol 161 ◽  
pp. S1055
Author(s):  
G. Yavas ◽  
C. Yavas ◽  
G. Inan ◽  
M. Duzova ◽  
O.V. Gul ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Patients ◽  
Uterine Perforation ◽  
Image Guided

scholarly journals The departmental impact of magnetic resonance imaging in the management of cervical cancer brachytherapy: a discussion paper

2011 ◽  
Vol 11 (4) ◽  
pp. 201-208 ◽  
Author(s):  
M.J. Warren ◽  
A. Eddy
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Cancer ◽  
Magnetic Resonance ◽  
Treatment Planning ◽  
Great Promise ◽  
Resonance Imaging ◽  
Discussion Paper ◽  
Image Guided ◽  
Clinical Series ◽  
The Impact

AbstractThis discussion paper will explore the impact of using Magnetic Resonance Imaging (MRI) in the treatment of cervical cancer with brachytherapy. It is written from the perspective of current departmental practice in the UK and aims to highlight the issues associated with using MRI as a tool for image guided brachytherapy planning. To support the discussion, a literature review was undertaken focussing specifically on the use of MRI in brachytherapy treatment planning for cervical cancer. Results from planning case studies and clinical series were analysed, and the literature showed that image guided brachytherapy treatment planning is a promising development. MRI assisted planning could theoretically be implemented in centres that have access to a MRI scanner. Alternative brachytherapy technologies (e.g. Computed Tomography (CT) assisted planning), and alternative radiotherapy modalities (e.g. an external beam radiotherapy boost), were not found to be superior in effect or of implementation. Although MRI shows great promise, the evidence base for MRI in brachytherapy planning for cervical cancer is currently limited and therefore careful implementation and evaluation is required. It is suggested by the authors that new methods of working are devised to ensure consistency and quality in implementation and delivery, and that outcomes are measured and audited to evaluate efficacy.

scholarly journals EP-1599: Uterine perforation during three-dimensional image guided brachytherapy in cervical cancer ñ 3-year experience

2015 ◽  
Vol 115 ◽  
pp. S876-S877
Author(s):  
C. Ferreira ◽  
A. Alzamora ◽  
A. Pinho ◽  
S. Pinto ◽  
T. Viterbo ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Three Dimensional ◽  
Uterine Perforation ◽  
Dimensional Image ◽  
Image Guided
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