Medicine and Health Sciences Commons^™

Reporting Number Needed To Treat In Clinical Trials Published In Physical Therapy Specific Literature 1989 - 2018, Susan Ann Talley

Wayne State University Dissertations

Evidence-based practice requires physical therapists to make clinical decisions about the best intervention to use when providing services to patients/clients. Although null hypothesis significance testing (NHST) is frequently used to interpret the outcome of a clinical trial investigating the comparative effectiveness of an intervention, statistical significance does not directly translate into clinical importance. Number needed to treat (NNT) is a measure of effect size (ES) that may be particularly useful when translating the results from clinical trials to PT clinical practice. The purpose of this study was to conduct a bibliometric content analysis of the methods of reporting research results …

High Frequency Percussive Ventilation For Tumor Motion Immobilization, Ina Marina Sala

Wayne State University Dissertations

This work investigates the use of High Frequency Percussive Ventilation as a technique for respiratory motion mitigation in radiotherapy. This technique was extensively investigated in several prospective and retrospective studies.

In an initial prospective study, we evaluated the feasibility of HFPV and chest-wall motion reduction, by recruiting 15 healthy volunteers to undergo HFPV with three commercially available interfaces. For direct tumor motion immobilization, a second prospective study was performed in which with ten lung cancer patients underwent HFPV while imaged with high frame rate fluoroscopy. Diaphragm motion and image artifacts were quantified in a prospective study of a healthy volunteer …

Utilizing Log Files For Treatment Planning And Delivery Qa In Radiotherapy, Carl W. Stanhope

Wayne State University Theses

Purpose: Monte Carlo-based log file quality assurance (LF-MC QA) is investigated as an alternative method to phantom-based patient-specific quality assurance in radiotherapy (e.g. ArcCHECK QA (AC QA)).

Methods: First, the shortcomings of AC QA were investigated. The sensitivity dependence of ArcCHECK diodes on dose rate (in-field) and energy (primarily out-of-field) was quantified. LF-MC QA was then analyzed on the phantom geometry. Planned (‘Plan’) and LF-reconstructed CS and MC doses were compared with each other and AC measurement via statistical (mean ± StdDev(σ)) and gamma analyses to isolate dosimetric uncertainties and quantify the relative accuracies of AC QA and LF-MC QA. …