Publications by authors named "J O Gasho"

Osimertinib is first-line treatment for epidermal growth factor (EGFR)-mutated non-small cell lung cancer (NSCLC) and has been associated with cardiotoxicity. However, the nature of cardiac remodeling and associated risk factors remains incompletely understood. Retrospective analysis of NSCLC patients with ≥1 echocardiogram post-osimertinib between 2007 and 2022 was performed.

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Article Synopsis
  • - The study investigated how different types of arrhythmias (irregular heartbeats) correlate with radiation doses to specific parts of the heart in patients receiving radiotherapy for non-small cell lung cancer.
  • - Out of 748 patients, 17.1% developed serious arrhythmias over a median of 2 years, with atrial fibrillation being the most common (8.0% incidence at 2 years).
  • - Various radiation doses to specific cardiac structures were linked to different arrhythmia types, highlighting the importance of targeted radiation delivery for reducing heart-related side effects after cancer treatment.
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Efforts to mitigate radiation therapy (RT)-associated cardiotoxicity have focused on constraining mean heart dose. However, recent studies have shown greater predictive power with cardiac substructure dose metrics, such as the left anterior descending (LAD) coronary artery volume (V) receiving 15 Gy (V15Gy) ≥10%. Herein, we investigated the feasibility of LAD radiation sparing in contemporary intensity modulated RT (IMRT)/volumetric modulated arc therapy (VMAT) lung cancer plans.

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Background And Purpose: Major adverse cardiac events(MACE) are prevalent in patients with locally advanced-non-small cell lung cancer(LA-NSCLC) following radiotherapy(RT). The model, incorporating coronary heart disease(HD),pertension(HTN),ogarithmic ADV15 was developed and internally-validated to predict MACE among LA-NSCLC patients. We sought to externally validate CHyLL to predict MACE in an independent LA-NSCLC cohort.

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3D cell culture models have been developed to better mimic the physiological environments that exist in human diseases. As such, these models are advantageous over traditional 2D cultures for screening drug compounds. However, the practicalities of transitioning from 2D to 3D drug treatment studies pose challenges with respect to analysis methods.

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