Article
Oncology
Wen-jun Fan, Feng Teng, Gang Liu, Da-wei Zhao, Jin-feng Li, Yan-rong Luo, Xin-xin Zhang, Lin Ma, Jian Guan
Summary: The study found that the SMG-sparing technique in HT significantly reduced ADC values and changes compared to non-spared SMGs. There was a dose-response relationship between radiation dose and Delta ADC of SMGs. The dynamic change trend of XQ-sum was closely related to ADC trends, showing a positive correlation in patients with unsparing SMGs.
RADIOTHERAPY AND ONCOLOGY
(2021)
Article
Medicine, Research & Experimental
Muemtaz Koeksal, Jonathan Baumert, Felix Schoroth, Davide Scafa, David Koch, Christina Leitzen, Gustavo R. Sarria, Frank A. Giordano, Georgios Chatzikonstantinou, Leonard C. Schmeel
Summary: Using helical tomotherapy (HT) to spare lung tissue is an effective method for reducing pulmonary complications in patients undergoing total body irradiation (TBI) for allogenic stem cell or bone marrow transplantation. This planning adjustment does not compromise the prescribed dose and quality of coverage received by the ribcage, making it a feasible tool in conditioning regimens for allogeneic bone marrow transplantation.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2022)
Article
Medicine, General & Internal
Jiaxin Lang, Xulei Cui, Jia Zhang, Yuguang Huang
Summary: Hemidiaphragmatic paralysis is a common complication of brachial plexus block, which can cause severe respiratory complications for patients with preexisting compromised cardiorespiratory function.
Article
Anesthesiology
Paige L. Georgiadis, Kamen V. Vlassakov, Megan E. Patton, Philipp B. Lirk, David R. Janfaza, Jose L. Zeballos, Aurora N. Quaye, Vijay Patel, Kristin L. Schreiber
Summary: The study compared the effects of supraclavicular and retroclavicular brachial plexus block on diaphragmatic function, with retroclavicular block being significantly less likely to affect ipsilateral diaphragmatic function than supraclavicular block.
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2021)
Article
Oncology
Kairui Jin, Jurui Luo, Xuanyi Wang, Zhaozhi Yang, Li Zhang, Xin Mei, Jinli Ma, Xingxing Chen, Xiaomeng Zhang, Zhirui Zhou, Xiaofang Wang, Zhimin Shao, Zhen Zhang, Xiaomao Guo, Xiaoli Yu
Summary: The study evaluated the incidence of symptoms related to brachial plexus neuropathy (BPN) and the dose distribution to the brachial plexus (BP) in breast cancer patients treated with supraclavicular (SCV) irradiation and boost. The results showed that an SCV boost of 10 Gy did not increase the incidence of BPN-related symptoms and the toxicity to the BP was acceptable. Comprehensive treatment including SCV irradiation and boost led to satisfactory survival outcomes in patients with breast cancer who had supraclavicular lymph node (SLN) metastasis.
PRACTICAL RADIATION ONCOLOGY
(2022)
Article
Anesthesiology
Mehmet Guzel, Emre Sertac Bingul, Emine Aysu Salviz, Emre Senturk, Mehmet Faruk Cosgun, Meltem Savran Karadeniz
Summary: This study compared the supraclavicular and costoclavicular approaches in pediatric patients and found that while costoclavicular block did not show superiority in pain management, it had a shorter block performance time and reduced the risk of ipsilateral hemidiaphragm paralysis.
JOURNAL OF ANESTHESIA
(2022)
Article
Health Care Sciences & Services
Boohwi Hong, Chahyun Oh, Yumin Jo, Woosuk Chung, Eunhye Park, Hanmi Park, Seokhwa Yoon
Summary: Intravenous dexamethasone can prolong the analgesia duration after supraclavicular brachial plexus block, but concurrent use of dexmedetomidine and dexamethasone did not provide additional benefit.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Medicine, Research & Experimental
Jinxu Wang, Lingli Deng, Aijun Xu
Summary: This study aims to assess the predictive effects of PI on the success of supraclavicular brachial plexus block in pediatric patients under sevoflurane or propofol general anesthesia.
Article
Multidisciplinary Sciences
Xiujuan Zhao, Xianfeng Liu, Duke Chen, Yanan He
Summary: This study compared intensity-modulated radiation therapy (IMRT) and helical tomotherapy (TOMO) for bowel sparing in extended-field radiotherapy (EF-RT) for cervical cancer after surgical staging. The results showed that TOMO provided better uniformity for the target area and protection for other organs at risk compared to IMRT.
JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES
(2022)
Article
Surgery
Steven E. Dawson, Jeffrey N. Gross, Jessica M. Berns, Thomas Weinzerl, Joshua M. Adkinson, Gregory H. Borschel
Summary: This study presents a practical approach to the supraclavicular dissection of the brachial plexus, with emphasis on relevant anatomy and surgical landmarks. Intraoperative surgical imaging and illustrations are used to display the images. The results of the study demonstrate that the supraclavicular dissection of the brachial plexus is reliable with consistent landmarks and can be carried out in a stepwise fashion.
PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN
(2023)
Review
Rehabilitation
Susan R. Harris
Summary: Radiation-induced brachial plexopathy (RIBP) is a chronic and irreversible nerve injury caused by adjuvant radiotherapy, commonly seen in breast cancer survivors and other cancer patients. It is often misdiagnosed and missed due to the lack of awareness of this disorder among patients and healthcare providers. Physiatrists and rehabilitation professionals should be aware of RIBP and provide appropriate diagnoses and rehabilitation therapies, while oncology organizations should include RIBP in their long-term survivorship guidelines for breast cancer.
Article
Oncology
Pei-Yu Hou, Chen-Hsi Hsieh, Le-Jung Wu, Chen-Xiong Hsu, Deng-Yu Kuo, Yueh-Feng Lu, Hui-Ju Tien, Hsiu-Wen Hsiao, Pei-Wei Shueng, Shih-Ming Hsu
Summary: For patients receiving adjuvant radiotherapy (RT) with regional nodal irradiation (RNI) for left-breast cancer, VMAT has been shown to be more effective in reducing normal organ exposure compared to HT, especially when performing RNI with internal mammary node (IMN) irradiation.
Article
Oncology
Sebastian Hoefel, Matteo Gandalini, Michael K. Fix, Malte Drescher, Felix Zwicker
Summary: The study examined the clinical feasibility of superficial electron paramagnetic resonance (EPR) in-vivo dosimetry (IVD) for breast cancer patients undergoing helical intensity-modulated radiotherapy. Results showed that EPR IVD is suitable as an additional safeguard for dose delivery, with observed dose deviations at the ipsilateral breast being small compared to national reporting thresholds. This method may help detect critical dose errors during whole breast irradiations.
RADIATION ONCOLOGY
(2021)
Article
Medicine, General & Internal
Zeng Zeng, Nan Lin, Li-Tao Sun, Cong-Xian Chen
Summary: Brachial plexus metastasis from breast cancer is extremely rare. Ultrasound has great value in detecting brachial plexus metastasis of breast cancer. It is an easy, non-invasive and affordable method. Close attention should be paid to new grown out lesions in those patients who had a history of breast cancer when doing ultrasound review.
WORLD JOURNAL OF CLINICAL CASES
(2022)
Article
Oncology
Da-wei Zhao, Wen-jun Fan, Xue-mei Fang, Yan-rong Luo, Jian Wei, Nan-xiang Chen, Xin-xin Zhang, Gang Liu, Jin-feng Li, Xiao Zang, Meng Li, Lingling Meng, Lin Ma
Summary: The purpose of this study was to investigate the clinical significance of sparing submandibular glands (SMG) in reducing acute xerostomia in nasopharyngeal carcinoma patients treated with helical tomotherapy. The results showed that sparing SMG can decrease the occurrence of xerostomia and increase saliva flow rate.
RADIOTHERAPY AND ONCOLOGY
(2022)