Publications by authors named "David Fuentes"

Purpose: The human papillomavirus (HPV) is a significant cause of cervical cancer. We hypothesized that detecting viral cell-free HPV DNA (cfDNA) before, during, and after chemoradiation (chemoRT) could provide insights into disease extent, clinical staging, and treatment response.

Experimental Design: Sixty-six patients with locally advanced cervical cancer were enrolled between 2017 and 2023.

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Leadership positions with enormous responsibilities are challenging; at times leaders may feel isolated or lonely. A mastermind team is a small group of peer mentors or a personal board of directors, who meet on a recurring basis to share ideas for feedback, groupsource solutions, and to celebrate/commiserate on events. Joining a mastermind team helps leaders receive psychological support, encouragement, inspiration, suggestions for solving problems, and resources to manage challenges.

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The growth rate of in situ-induced hepatic lesions in an Oncopig large animal model is quantitatively assessed. Oncopigs (n = 9) received baseline triple-phase CT scans prior to lesion induction. Lesions were subsequently induced by delivering the Ad-Cre vector to four locations in the liver.

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Article Synopsis
  • The study focuses on using radiomic features from contrast-enhanced CT scans to distinguish between osteoradionecrosis (ORN) and normal mandibular bone in head and neck cancer patients treated with radiotherapy.
  • Data from 150 patients was analyzed, with feature extraction performed using PyRadiomics and a Random Forest classifier used to identify key features, resulting in an accuracy of 88%.
  • The findings highlight specific radiomic features that can differentiate ORN from healthy tissue, paving the way for future research on early detection and intervention strategies.
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Objective: Innovative therapies such as thermoembolization are expected to play an important role in improving care for patients with diseases such as hepatocellular carcinoma. Thermoembolization is a minimally invasive strategy that combines thermal ablation and embolization in a single procedure. This approach exploits an exothermic chemical reaction that occurs when an acid chloride is delivered via an endovascular route.

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Background/purpose: The use of artificial intelligence (AI) in radiotherapy (RT) is expanding rapidly. However, there exists a notable lack of clinician trust in AI models, underscoring the need for effective uncertainty quantification (UQ) methods. The purpose of this study was to scope existing literature related to UQ in RT, identify areas of improvement, and determine future directions.

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Article Synopsis
  • Image segmentation of the liver is crucial for liver cancer treatment planning, but manual methods are impractical due to scale, leading to a shift towards deep learning models for automation.
  • This study focuses on developing a generalizable deep learning model that segments the liver in T1-weighted MR images using three architectures: nnUNet, PocketNet, and Swin UNETR, with data from six different institutions totaling 819 images.
  • The results show that nnUNet and PocketNet achieved high similarity scores in liver segmentation, suggesting they can effectively perform segmentation on a diverse dataset, benefiting both intra- and inter-institutional applications.
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This study aimed to determine the relationship between geometric and dosimetric agreement metrics in head and neck (H&N) cancer radiotherapy plans. A total 287 plans were retrospectively analyzed, comparing auto-contoured and clinically used contours using a Dice similarity coefficient (DSC), surface DSC (sDSC), and Hausdorff distance (HD). Organs-at-risk (OARs) with ≥200 cGy dose differences from the clinical contour in terms of D (D0.

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Article Synopsis
  • This commentary discusses how offices of academic affairs (OAAs) in Doctor of Pharmacy programs contribute to the professional identity formation (PIF) of various stakeholders, including students and faculty.
  • It identifies five key areas where OAAs can positively influence PIF: curriculum design and operations, leadership, professional development, student support, and accreditation.
  • By focusing on these areas, OAAs can collaborate with other university units to enhance graduates' self-awareness, confidence, and leadership skills in the pharmacy profession.
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Human saliva was used to develop non-invasive liquid biopsy biomarkers to establish saliva as an alternate to blood and plasma in translational research. The present study focused on understanding the impact of sample storage conditions on the extraction of RNA from saliva and the RNA yield, to be applied in clinical diagnosis. In this study, genes related to asthma were used to test the method developed.

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Purpose: The quality of radiotherapy auto-segmentation training data, primarily derived from clinician observers, is of utmost importance. However, the factors influencing the quality of clinician-derived segmentations are poorly understood; our study aims to quantify these factors.

Methods: Organ at risk (OAR) and tumor-related segmentations provided by radiation oncologists from the Contouring Collaborative for Consensus in Radiation Oncology data set were used.

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Background/purpose: The use of artificial intelligence (AI) in radiotherapy (RT) is expanding rapidly. However, there exists a notable lack of clinician trust in AI models, underscoring the need for effective uncertainty quantification (UQ) methods. The purpose of this study was to scope existing literature related to UQ in RT, identify areas of improvement, and determine future directions.

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Article Synopsis
  • Image segmentation is crucial for treating liver cancer, but doing it manually on a large scale is impractical, so deep learning models are increasingly used for automation.
  • This study focuses on developing a deep learning model using T1w MR images to enhance liver segmentation, evaluating three different architectures with data from 819 images across six datasets.
  • The nnUNet model showed strong performance, achieving over 90% in Dice-Sorensen similarity coefficients, indicating that it can effectively segment livers even with variations in imaging techniques and disease types.
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The breakdown of plant material fuels soil functioning and biodiversity. Currently, process understanding of global decomposition patterns and the drivers of such patterns are hampered by the lack of coherent large-scale datasets. We buried 36,000 individual litterbags (tea bags) worldwide and found an overall negative correlation between initial mass-loss rates and stabilization factors of plant-derived carbon, using the Tea Bag Index (TBI).

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Background: Magnetic resonance imaging (MRI) scans are known to suffer from a variety of acquisition artifacts as well as equipment-based variations that impact image appearance and segmentation performance. It is still unclear whether a direct relationship exists between magnetic resonance (MR) image quality metrics (IQMs) (e.g.

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Background And Aims: Limited methods exist to accurately characterize the risk of malignant progression of liver lesions. Enhancement pattern mapping (EPM) measures voxel-based root mean square deviation (RMSD) of parenchyma and the contrast-to-noise (CNR) ratio enhances in malignant lesions. This study investigates the utilization of EPM to differentiate between HCC versus cirrhotic parenchyma with and without benign lesions.

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Although "implicit bias" has been a major focus in diversity, equity, inclusion, and antiracism educational efforts, less attention has been directed to "stereotype threat." This commentary aimed to bring increased awareness to the pharmacy academy about stereotype threat phenomena as well as explore its impact in the areas of education, with a specific focus on health professions education. In addition, potential and practical strategies are discussed to mitigate its occurrence in pharmacy education.

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Background: The treatment planning process from segmentation to producing a deliverable plan is time-consuming and labor-intensive. Existing solutions automate the segmentation and planning processes individually. The feasibility of combining auto-segmentation and auto-planning for volumetric modulated arc therapy (VMAT) for rectal cancers in an end-to-end process is not clear.

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The global COVID-19 pandemic impacted pharmacy education and changed the pharmacists' scope of practice at the federal and state levels. Based on the Amended Public Readiness and Emergency Preparedness Act, pharmacists were authorized to provide essential services, including testing, treatments, and immunizations at various practice settings. Specifically, the United States Food and Drug Administration issued emergency use authorization for several medications, vaccines, and medical devices.

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A successful choice of post-mining restoration activities in dry climates may depend on relevant features related to topographic characteristics, hydrological processes and vegetation development, which will determine functional recovery in these ecosystems. The combination of different restoration techniques to reestablish vegetation, such as sowing and plantation, implies the interspersion of bare-soil areas with vegetated areas in early plant development stages, which may result in an associated mosaic of hydrologic functioning. In this study, we conducted a drone-based assessment to disentangle the role played by microsite-scale hydrological processes (i.

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