Whole Breast Irradiation Versus IntraoperativeElectronRadiationTherapy for Breast Conserving Therapy: A Large Mature Single Institution Matched-Pair Evaluation of True Local Relapse, Progression Free Survival, and Overall Survival. Comparative outcome data after intraoperative radiation therapy and whole breast irradiation (WBI) for breast cancer at >10 years median follow-up are rare. We present a mature, single-institution, matched-pair comparison reporting survival and relapse rates in patients treated with either modality. Complete data sets for 258 intraoperativeelectronradiationtherapy (IOERT) patients treated between 2000 and 2010 were matched with 258 patients postoperatively treated with WBI by age/histology/tumor size, grading/lymph-node-status/hormone receptors/type
Accelerated Partial Breast Irradiation Using External Beam or IntraoperativeElectronRadiationTherapy: 5-Year Oncological Outcomes of a Prospective Cohort Study. To evaluate the ipsilateral breast tumor recurrence (IBTR) after 2 accelerated partial breast irradiation (APBI) techniques (intraoperativeelectronradiationtherapy [IOERT] and external beam APBI [EB-APBI]) in patients with early
Long-term experience with intraoperativeelectronradiationtherapy boost in extremity sarcoma. In patients with extremity soft tissue sarcoma (eSTS), we describe outcomes of preoperative external beam radiation therapy (EBRT), limb-sparing surgery (LSS), and intraoperativeelectronradiationtherapy (IOERT). One hundred and eighteen patients with eSTS treated between October 17, 2002 and July
The role of intraoperativeelectronradiotherapy in centrally located hepatocellular carcinomas treated with narrow-margin (<1 cm) hepatectomy: a prospective, phase 2 study. Postoperative radiotherapy (RT) is known to play an important role in the treatment of hepatocellular carcinomas (HCCs), but the specific role of intraoperativeelectronradiotherapy (IOERT) in HCCs remains unclear. The aim
Fatigue following radiotherapy of low-risk early breast cancer - a randomized controlled trial of intraoperativeelectronradiotherapy versus standard hypofractionated whole-breast radiotherapy: the COSMOPOLITAN trial (NCT03838419). Fatigue is one of the most common and distressing side-effects of breast cancer radiotherapy. According to current guidelines, accelerated partial breast irradiation 12th, 2019: Clinicaltrials.gov, NCT03838419. "IntraoperativeElectronRadiotherapy for Low-risk Early Breast Cancer (COSMOPOLITAN)". Ongoing study. Start of recruitment was December 2019.
IntraoperativeElectronRadiationTherapy Combined with External Beam Radiation Therapy after Gross Total Resection in Extremity Soft Tissue Sarcoma: A European Pooled Analysis. We report a pooled analysis evaluating the combination of gross complete limb-sparing surgery, intraoperativeelectronradiationtherapy (IOERT), and external beam radiation therapy (EBRT) in patients with extremity soft
IntraoperativeElectronRadiationTherapy in Retroperitoneal Sarcoma. To report our experience with surgery, intraoperative radiation therapy (IORT), and external beam radiation therapy (EBRT) in retroperitoneal soft-tissue sarcoma. We conducted a retrospective evaluation of 156 patients (69 primary, 87 recurrent) treated with IORT since 1991. The dominant histology was dedifferentiated
In vivo dosimetry using Gafchromic films during pelvic intraoperativeelectronradiationtherapy (IOERT) To characterize in vivo dose distributions during pelvic intraoperativeelectronradiationtherapy (IOERT) for rectal cancer and to assess the alterations introduced by irregular irradiation surfaces in the presence of bevelled applicators. In vivo measurements were performed with Gafchromic
Outcome of patients with local recurrent gynecologic malignancies after resection combined with intraoperativeelectronradiationtherapy (IOERT) Treatment of recurrent gynecologic cancer is a challenging issue. Aim of the study was to investigate clinical features and outcomes of patients with recurrent gynecologic malignancies who underwent resection including IOERT (intraoperativeelectronradiationtherapy) with regard to clinical outcome and potential predictive factors or subgroups that benefit most from this radical treatment regime. A total of 36 patients with recurrent gynecologic malignancies (cervical (n = 18), endometrial (n = 12) or vulvar cancer (n = 6)) were retrospectively identified through hospital databases in accordance with institutional ethical policies. Patient
Practical issues regarding angular and energy response in in vivo intraoperativeelectronradiotherapy dosimetry To estimate angular response deviation of MOSFETs in the realm of intraoperativeelectronradiotherapy (IOERT), review their energy dependence, and propose unambiguous names for detector rotations. MOSFETs have been used in IOERT. Movement of the detector, namely rotations, can spoil
Effect of surgical wound fluids after intraoperativeelectronradiotherapy on the cancer stem cell phenotype in a panel of human breast cancer cell lines The wound healing process after surgery alters the area surrounding the original tumor and around the scar, and the modified microenvironment is more favorable for tumor recurrence. Intraoperative radiotherapy (IORT) is one of the more novel in a panel of BC cell lines. Post-operative wound fluids were derived from patients with BC who underwent a tumor resection (quadrantectomy) plus intraoperativeelectronradiotherapy using a single dose of ≤10 Gy on the tumor bed and surrounding tissues, or from those who underwent a tumor resection without IOERT. Cell lines were incubated with 10% wound fluids, and after 4 days, the cluster
Implementation of an intraoperativeelectronradiotherapy in vivo dosimetry program Intraoperativeelectronradiotherapy (IOERT) is a highly selective radiotherapy technique which aims to treat restricted anatomic volumes during oncological surgery and is now the subject of intense re-evaluation. In vivo dosimetry has been recommended for IOERT and has been identified as a risk-reduction
IntraoperativeElectronRadiotherapy in Rectal Cancer - A Feasibility Trial Single centre double-blinded three-arm randomised controlled trial of extended margin surgery + IOERT at standard dose (10 Gy) versus extended margin surgery + IOERT at higher dose (15 Gy) versus extended margin surgery alone in a 1:1:1 ratio in patients with Locally Advanced Rectal Cancer (LARC) or Locally Recurrent
IntraoperativeElectronRadiationTherapy (IOERT) in the management of locally recurrent rectal cancer. To evaluate disease control, overall survival and prognostic factors in patients with locally recurrent rectal cancer after IOERT-containing multimodal therapy. Between 1991 and 2006, 97 patients with locally recurrent rectal cancer have been treated with surgery and IOERT. IOERT was preceded
improve local control, allows targeted delivery of a high fraction of radiation to a resection bed intraoperatively and is available as high-dose rate IORT and intraoperativeelectronradiationtherapy. Although reported doses range between 10 Gy and 20 Gy, the exact dose is tailored to margin status and the nature of the radi-ated tissue.149The utility of IORT remains controversial
Perfusion (ISP) IMRT Intensity modulated radiotherapy IMT Inflammatory myofibroblastic tumour INKA Information network for cancer patients and relatives IOERT Intraoperativeelectronradiationtherapy IORT Intraoperative radiotherapy IRLM International Registry of Lung Metastases ISG Italian Sarcoma Group ISKS International Sarcoma Kindred Study KIT KIT protooncogene KM Contrast agent LDH Lactate