Publications by authors named "L Smeele"

Objective: Survivors of pediatric head and neck rhabdomyosarcoma (HNRMS) are at risk of developing endocrinopathies following local treatment, resulting from radiation damage to the pituitary gland, hypothalamus, or thyroid gland, often at a young age. Our aim was to determine the prevalence of endocrine dysfunction in long-term HNRMS survivors and compare the prevalence of anterior pituitary insufficiency (API) among different local treatment strategies: external beam radiation with photons, external beam radiation with protons, microscopically radical surgery combined with external irradiation, and macroscopic radical surgery combined with brachytherapy.

Design And Methods: Head and neck rhabdomyosarcoma survivors treated between 1993 and 2017, with ≥2 years of follow-up, without recurrent disease or secondary malignancy were eligible for this study.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess how myelosuppressive chemotherapy affects the oral microbiome and its correlation with oral mucositis (OM) and febrile neutropenia (FN) in cancer patients.
  • Researchers conducted a longitudinal analysis involving 46 patients, collecting oral rinsing samples at various stages of treatment, which were analyzed for changes in microbial diversity.
  • Significant alterations in the oral microbiome were found during chemotherapy and in the presence of OM, indicating a potential link between treatment and oral health complications, though more extensive studies are needed for confirmation.
View Article and Find Full Text PDF

Objectives: This study's objectives are (1) to investigate the registration accuracy from intraoperative ultrasound (US) to histopathological images, (2) to assess the agreement and correlation between measurements in registered 3D US and histopathology, and (3) to train a nnUNet model for automatic segmentation of 3D US volumes of resected tongue specimens.

Methods: Ten 3D US volumes were acquired, including the corresponding digitalized histopathological images (n = 29). Based on corresponding landmarks, the registrations between 3D US and histopathology images were calculated and evaluated using the target registration error (TRE).

View Article and Find Full Text PDF

Background: Histopathological analysis often shows close resection margins after surgical removal of tongue squamous cell carcinoma (TSCC). This study aimed to investigate the agreement between intraoperative 3D ultrasound (US) margin assessment and postoperative histopathology of resected TSCC.

Methods: In this study, ten patients were prospectively included.

View Article and Find Full Text PDF

Three-dimensional (3D) ultrasound can assess the margins of resected tongue carcinoma during surgery. Manual segmentation (MS) is time-consuming, labour-intensive, and subject to operator variability. This study aims to investigate use of a 3D deep learning model for fast intraoperative segmentation of tongue carcinoma in 3D ultrasound volumes.

View Article and Find Full Text PDF