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Full-Text Articles in Medicine and Health Sciences

Hospice Providers Awareness Of The Benefits And Availability Of Single-Fraction Palliative Radiotherapy, Jessica Schuster, Tatiana Han, Mitchell S. Anscher, Drew Moghanaki Jan 2014

Hospice Providers Awareness Of The Benefits And Availability Of Single-Fraction Palliative Radiotherapy, Jessica Schuster, Tatiana Han, Mitchell S. Anscher, Drew Moghanaki

Radiation Oncology Publications

Radiotherapy effectively palliates malignant sources of pain. However, once enrolled on hospice, patients are rarely referred for this treatment. To develop educational strategies that can improve access to care, a survey of hospice providers investigated potential misconceptions about its benefits and availability. Individual surveys were distributed to administrators, nursing directors, and medical directors at 16 licensed hospices within 25 miles of a radiation oncology facility. Ninety-three percent of hospice professionals stated radiotherapy provides pain relief and is appropriate for patients with more than 1 month of life expectancy. However, less than 1% of their cancer patients had been referred to …


Respiratory Motion Variability Of Primary Tumors And Lymph Nodes During Radiotherapy Of Locally Advanced Non-Small-Cell Lung Cancers, Nuzhat Jan, Geoffrey D. Hugo, Nitai Mukhopadhyay, Elisabeth Weiss Jan 2014

Respiratory Motion Variability Of Primary Tumors And Lymph Nodes During Radiotherapy Of Locally Advanced Non-Small-Cell Lung Cancers, Nuzhat Jan, Geoffrey D. Hugo, Nitai Mukhopadhyay, Elisabeth Weiss

Radiation Oncology Publications

Background and purpose: The need for target adjustment due to respiratory motion variation and the value of carina as a motion surrogate is evaluated for locally advanced non-small-cell lung cancer. Material and methods: Using weekly 4D CTs (with audio-visual biofeedback) of 12 patients, respiratory motion variation of primary tumors (PT), lymph nodes (LN) and carina (C) were determined. Results: Mean (SD) 3D respiratory motion ranges of PT, LN and C were 4 (3), 5 (3) and 5 (3) mm. PT and LN (p = 0.003), and LN and C motion range were correlated (p = 0.03). Only 20 %/5 % …