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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Pulmonary Angiogram
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Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
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Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.

Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

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Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
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Radiological Investigation I: X-ray and CT01:30

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and the...

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Voluntary Breath-hold Technique for Reducing Heart Dose in Left Breast Radiotherapy
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Complications of thoracic radiotherapy.

Cyrus Chargari1, François Riet, Marianne Mazevet

  • 1Université Paris-Sud, institut Gustave-Roussy, LabEx Lermit - DHU Torino, radiothérapie moléculaire, Inserm 1030, 94805 Villejuif, France.

Presse Medicale (Paris, France : 1983)
|August 27, 2013
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Chest irradiation can cause serious cardiac and pulmonary side effects, impacting patient survival. Understanding dosimetric factors and patient-specific risks is crucial for minimizing radiation toxicity and improving outcomes.

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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies
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Proton Therapy Delivery and Its Clinical Application in Select Solid Tumor Malignancies

Published on: February 6, 2019

Area of Science:

  • Oncology
  • Radiotherapy
  • Cardiology
  • Pulmonology

Background:

  • Chest irradiation is a critical treatment for various cancers but poses significant toxicity risks.
  • Acute and delayed side effects, including cardiac and pulmonary complications, can negatively impact patient prognosis and quality of life.

Purpose of the Study:

  • To review chest complications associated with radiation therapy, focusing on cardiac and pulmonary radio-induced side effects.
  • To highlight the role of dosimetric factors and other contributing elements in radiation toxicity.
  • To discuss strategies for preventing and managing these toxicities.

Main Methods:

  • Review of clinical studies and existing literature on thoracic radiation therapy complications.
  • Analysis of dosimetric factors influencing lung and cardiac toxicity.
  • Consideration of contributing factors such as chemotherapy, smoking, and patient sensitivity.

Main Results:

  • Chest irradiation can lead to acute radiation pneumonitis and late lung fibrosis, with dosimetric factors like V20 and mean lung dose being key risk indicators.
  • Cardiac toxicity is a significant concern, influenced by dosimetric factors and concurrent systemic agents.
  • Many radiographic changes are asymptomatic, but symptomatic complications can severely affect patients.

Conclusions:

  • Optimizing radiation techniques and understanding dosimetric factors are essential for lung toxicity reduction.
  • Preventing cardiac toxicity requires careful consideration of dose, systemic agents, and long-term patient follow-up.
  • Further research into biological pathways is needed for developing effective prevention strategies against radiation-induced cardiac and pulmonary damage.