8 results match your criteria: "Northwestern Medicine Cancer Center Warrenville and Northwestern Medicine Proton Center[Affiliation]"

Article Synopsis
  • * The trial involved 518 adults, with HA-WBRT + memantine resulting in less cognitive decline and lower reported symptom burdens at 6 and 12 months compared to standard treatment.
  • * Although HA-WBRT + memantine improved cognitive outcomes and symptom reporting, both treatment groups had similar overall survival rates and side effects.
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•Improvement of therapeutic ratio by novel unconventional radiotherapy approaches.•Immunomodulation using high-dose spatially fractionated radiotherapy.•Boosting radiation anti-tumor effects by adding an immune-mediated cell killing.

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Whole-brain radiotherapy has been the standard palliative treatment for patients with brain metastases due to its effectiveness, availability, and ease of administration. Recent clinical trials have shown that limiting radiation dose to the hippocampus is associated with decreased cognitive toxicity. In this study, we updated an existing Knowledge Based Planning model to further reduce dose to the hippocampus and improve other dosimetric plan quality characteristics.

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Given the impact of radiotherapy on survival outcomes for patients with glioblastoma (GBM), intensification of radiotherapy through dose-escalation and/or dose-per-fraction escalation has been an important area of ongoing investigation. Prior to the introduction of temozolomide, radiotherapy intensification beyond 60-Gy conventionally fractionated radiotherapy did not yield a survival benefit. With the emergence of temozolomide and its radio-sensitizing properties, as well as greater understanding of the patterns of first progression after 60-Gy radiotherapy, hypotheses regarding the impact of radiotherapy intensification have arisen.

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Missing Data in Clinical Studies.

Int J Radiat Oncol Biol Phys

August 2021

NRG Oncology Statistical and Data Management Center, American College of Radiology, Philadelphia, Pennsylvania.

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Reply to S.G. Chun et al, A. Levy et al, and N. Andratschke et al.

J Clin Oncol

October 2020

Vinai Gondi, MD, Northwestern Medicine Cancer Center Warrenville and Northwestern Medicine Proton Center, Warrenville, IL; and Paul D. Brown, MD, Mayo Clinic, Rochester, MN.

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Purpose: Radiation dose to the neuroregenerative zone of the hippocampus has been found to be associated with cognitive toxicity. Hippocampal avoidance (HA) using intensity-modulated radiotherapy during whole-brain radiotherapy (WBRT) is hypothesized to preserve cognition.

Methods: This phase III trial enrolled adult patients with brain metastases to HA-WBRT plus memantine or WBRT plus memantine.

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