Publications by authors named "K Terhaag"

Article Synopsis
  • Glioblastoma (GBM) treatment typically uses large radiotherapy margins, but this study evaluates the safety of reducing the clinical target volume (CTV) margin from 20 mm to 15 mm around the tumor to minimize radiation exposure to healthy brain tissue.* -
  • The analysis involved comparing two patient groups treated with different CTV margins, revealing significant reductions in volume and radiation dose to surrounding organs, while maintaining similar recurrence patterns and survival outcomes.* -
  • The findings suggest that a 15 mm CTV margin in GBM patients undergoing chemoradiation is safe and may reduce treatment-related toxicity without compromising effectiveness.*
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Study Design: Retrospective analysis of a registered cohort of patients treated and irradiated for metastases in the spinal column in a single institute.

Objective: This is the first study to develop and internally validate radiomics features for predicting six-month survival probability for patients with spinal bone metastases (SBM).

Background Data: Extracted radiomics features from routine clinical CT images can be used to identify textural and intensity-based features unperceivable to human observers and associate them with a patient survival probability or disease progression.

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Monte Carlo proton dose calculations requires mass densities calculated from the patient CT image. This work investigates the impact of different single-energy CT (SECT) and dual-energy CT (DECT) to density conversion methods in proton dose distributions for brain tumours. Head CT scans for four patients were acquired in SECT and DECT acquisition modes.

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In radiotherapy, computed tomography (CT) datasets are mostly used for radiation treatment planning to achieve a high-conformal tumor coverage while optimally sparing healthy tissue surrounding the tumor, referred to as organs-at-risk (OARs). Based on CT scan and/or magnetic resonance images, OARs have to be manually delineated by clinicians, which is one of the most time-consuming tasks in the clinical workflow. Recent multi-atlas (MA) or deep-learning (DL) based methods aim to improve the clinical routine by an automatic segmentation of OARs on a CT dataset.

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Brain metastases (BM) frequently occur in non-small cell lung cancer (NSCLC) patients. Most patients with BM have a limited life expectancy, measured in months. Selected patients may experience a very long progression-free survival, for example, patients with a targetable driver mutation.

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