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Radiation Oncology, Washington University School of Medicine, Saint Louis, USA.
CT-guided adaptive radiotherapy (ART) for the treatment of pancreatic adenocarcinoma is rapidly increasing and has been shown to provide advanced treatment tools comparable to magnetic resonance imaging (MRI)-guided adaptive therapy. Here, we provide the first case report of a local pancreatic recurrence treatment after definitive resection using cone beam computed tomography (CBCT)-guided ART (CT-guided ART) enabled by HyperSight imaging (Varian Medical Systems, Inc., Palo Alto, CA, USA) for daily delineation of organs-at-risk (OARs) and target to improve the quality of online ART.
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Department of Medicine, Section of Pulmonary and Critical Care Medicine, Boston University, Boston, MA 02215, USA.
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Department of Thoracic and Endocrine Surgery and Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, Kuramoto-cho, Tokushima 770-8503, Japan.
: Computed tomography (CT)-guided transbronchial metallic coil marking is useful for identifying the locations of small peripheral pulmonary lesions. Even deeply located lesions may be accurately identified and resected with adequate margins. This method is also applicable to multiple lesions.
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Department of Neurotraumatology, Semmelweis University, 1081 Budapest, Hungary.
Background/objectives: Spinal metastases are a frequent and serious complication in cancer patients, often causing severe pain, instability, and neurological deficits. Thermal ablation techniques such as radiofrequency ablation (RFA), microwave ablation (MWA), and cryoablation (CA) have emerged as minimally invasive treatments. These techniques rely on precise imaging guidance to effectively target lesions while minimizing complications.
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Division of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic Florida, Jacksonville, FL, USA.
Article Synopsis
- Cystic and cavitary pulmonary lesions often need precise diagnosis, and the study evaluates the effectiveness of shape-sensing robotic-assisted bronchoscopy (ssRAB) combined with mobile cone beam CT (mCBCT) as a safer alternative to traditional biopsy methods.
- Conducted at Mayo Clinic Florida, the study analyzed 52 patients and found ssRAB had an 83% diagnostic yield and 97% sensitivity for identifying malignancies, while complications like pneumothorax occurred in just 4% of cases.
- The findings suggest that ssRAB is a reliable and low-risk option for diagnosing these types of pulmonary lesions, offering benefits like mediastinal staging during the same procedure.
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