Publications by authors named "Raffaele Cardano"

Background: A CE- and FDA-approved cloud-based Deep learning (DL)-tool for automatic organs at risk (OARs) and clinical target volumes segmentation on computer tomography images is available. Before its implementation in the clinical practice, an independent external validation was conducted.

Methods: At least a senior and two in training Radiation Oncologists (ROs) manually contoured the volumes of interest (VOIs) for 6 tumoral sites.

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Background: The rates of local failure after curative radiotherapy for prostate cancer (PC) remain high despite more accurate locoregional treatments available, with one third of patients experiencing biochemical failure and clinical relapse occurring in 30-47% of cases. Today, androgen deprivation therapy (ADT) is the treatment of choice in this setting, but with not negligible toxicity and low effects on local disease. Therefore, the treatment of intraprostatic PC recurrence represents a challenge for radiation oncologists.

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Article Synopsis
  • The study aims to consolidate diverse recommendations on dose/volume constraints (DVCs) for organs at risk (OaRs) in radiotherapy into a single, comprehensive document for easier reference.
  • A multidisciplinary team reviewed over 650 sources to gather information about the anatomical definitions of OaRs, necessary imaging methods, and DVC guidelines across various treatment scenarios.
  • The findings are presented in a user-friendly tabular format, providing a practical tool for radiotherapy departments that could enhance clinical practices and pave the way for future improvements.
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Patients who undergo radium-223 treatment for metastatic castration-resistant prostate cancer (mCRPC) generally have a long history of androgen deprivation therapy and/or steroid therapy, which leads to bone loss and causes osteoporosis. Notably, Osteoporosis in combination with metastatic bone disease increases the risk of bone fracture. An 84-year-old man with multi-metastatic bone CRPC underwent six administrations of intravenous radium-223, which induced a good biochemical and clinical response.

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