Deepa Joseph
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View article: A Dosimetric Comparison of Coplanar Versus Noncoplanar Volumetric Modulated Arc Therapy (VMAT) for High Grade Glioma
A Dosimetric Comparison of Coplanar Versus Noncoplanar Volumetric Modulated Arc Therapy (VMAT) for High Grade Glioma Open
This study highlights equal PTV coverage, homogeneity, and conformity indices between cVMAT and NcVMAT plans. A better dosimetric profile of the optic chiasma, cochlea, and equal MU per fraction favors the NcVMAT technique for treating hig…
View article: Comparison of Quality of Life in Postoperative High-Grade Glioma Patients Treated Using EORTC and RTOG Target Delineation Techniques for Postoperative Radiotherapy
Comparison of Quality of Life in Postoperative High-Grade Glioma Patients Treated Using EORTC and RTOG Target Delineation Techniques for Postoperative Radiotherapy Open
High-grade gliomas (HGGs) have dismal prognosis even with multimodality treatment entailing surgery, radiotherapy, and chemotherapy. Hence, assessment of improvement in quality of life (QOL) for evaluating treatment is critical. Target del…
View article: Analysis of clinicopathological factors associated with recurrence after post operative radiotherapy in oral cavity squamous cell carcinoma
Analysis of clinicopathological factors associated with recurrence after post operative radiotherapy in oral cavity squamous cell carcinoma Open
Introduction: Surgery is the primary course of treatment for most patients with oral cavity tumors; however, adjuvant radiation is advised to increase the likelihood of locoregional cancer control in the presence of adverse risk factors su…
View article: Neuroendocrine carcinoma of left adnexa: A case report of rare histology in female gynecological tract
Neuroendocrine carcinoma of left adnexa: A case report of rare histology in female gynecological tract Open
The treatment of primary neuroendocrine neoplasms (NENs) of the female genital tract is difficult since they are rare, aggressive, have a high recurrence rate, and have poor prognosis. As no established guidelines exist, diagnosing and tre…
View article: Prospective evaluation of impact of adaptive radiotherapy on quality of life in patients with locally advanced head and neck cancers
Prospective evaluation of impact of adaptive radiotherapy on quality of life in patients with locally advanced head and neck cancers Open
View article: Assessment of Volumetric Changes Using Megavoltage-Cone Beam Computed Tomography (MV-CBCT) for Adaptive Radiotherapy in Head and Neck Cancer: A Case Series
Assessment of Volumetric Changes Using Megavoltage-Cone Beam Computed Tomography (MV-CBCT) for Adaptive Radiotherapy in Head and Neck Cancer: A Case Series Open
View article: Dual Malignancies in Geriatric Cancer Patients: A Radiation Oncologist’s Perspective of Clinical Care
Dual Malignancies in Geriatric Cancer Patients: A Radiation Oncologist’s Perspective of Clinical Care Open
Background: Data pertaining to dual malignancies in the geriatric population are not only sparse but also heterogeneous. The present study evaluated the pattern of care for geriatric dual malignancy patients at a tertiary care center. Mate…
View article: Review of Two Cases of Borderline Phyllodes Tumor of the Breast with Metastasis
Review of Two Cases of Borderline Phyllodes Tumor of the Breast with Metastasis Open
The case series outlines two cases of borderline phyllodes tumor which later on transformed into malignant phyllodes with metastasis. Malignant phyllodes tumors, although rare, exhibit unique clinicopathological features that necessitate p…
View article: MV CBCT based assessment of setup uncertainties and planning target volume margin in head and neck cancer
MV CBCT based assessment of setup uncertainties and planning target volume margin in head and neck cancer Open
An isometric PTV margin of 5 mm may be considered safe if daily imaging is not being done. In case daily online pretreatment imaging is being utilized, further reduction of PTV margin is possible.
View article: A Prospective Randomized Study of Sequential Boost vs Simultaneous Integrated Boost Intensity-Modulated Radiation Therapy with Concurrent Chemotherapy in Locally Advanced Head and Neck Cancer
A Prospective Randomized Study of Sequential Boost vs Simultaneous Integrated Boost Intensity-Modulated Radiation Therapy with Concurrent Chemotherapy in Locally Advanced Head and Neck Cancer Open
Background: In modern radiotherapy era of Intensity Modulated Radiotherapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT), boost of locally advanced head and neck cancer (LAHNC) can be delivered as a sequential or simultaneous integrat…
View article: Comparison of Clinicopathological Characteristics of Patients with Early and Late-onset Colorectal Adenocarcinoma: A Cross-sectional Study
Comparison of Clinicopathological Characteristics of Patients with Early and Late-onset Colorectal Adenocarcinoma: A Cross-sectional Study Open
Introduction: Colorectal Cancer (CRC) has been primarily considered a disease of the elderly, but recent data have shown an alarming rise among young people. It has also been suggested that young age is associated with aggressive histopath…
View article: Pattern of Occurrence and Management of Dual Malignancy: Our Institutional Experience
Pattern of Occurrence and Management of Dual Malignancy: Our Institutional Experience Open
Background: Management of dual malignancies is challenging in the present scenario of advanced techniques and increased life expectancy. Objectives: To determine the demographic and clinical profile of patients with dual malignancies and t…
View article: Primary Intracranial Extraskeletal Mesenchymal Chondrosarcoma of the Brain in a Pediatric Patient: A Case Report and Review of Literature
Primary Intracranial Extraskeletal Mesenchymal Chondrosarcoma of the Brain in a Pediatric Patient: A Case Report and Review of Literature Open
Intracranial extraskeletal mesenchymal chondrosarcoma, which is characterized by undifferentiated mesenchymal cells in the presence of occasional pockets of mature hyaline cartilage, is rare in our clinical practice and commonly seen in yo…
View article: Managing unpredictable challenge of a metastatic nodule in radiation treatment field—a case report
Managing unpredictable challenge of a metastatic nodule in radiation treatment field—a case report Open
Background Despite the high prevalence of locally advanced head and neck cancer, treatment failure in the form of a cutaneous deposit in the treatment field during radiation is not common. There has never been a cytology-proven published c…
View article: Treatment Outcomes and Survival in Hypercalcemia of Malignancy: A Grave Metabolic Emergency
Treatment Outcomes and Survival in Hypercalcemia of Malignancy: A Grave Metabolic Emergency Open
View article: Cardiotoxicity in breast cancer treatment: Causes and mitigation
Cardiotoxicity in breast cancer treatment: Causes and mitigation Open
Survivorship issues and treatment related toxicities have considerably increased in breast cancer patients following improved therapeutic options. Cardiotoxicity has been a major treatment related side effects in these patients. Despite th…
View article: Analysis of prognostic factors in patients with brain metastases affecting survival
Analysis of prognostic factors in patients with brain metastases affecting survival Open
Introduction Brain metastases (BM) are associated with dismal prognosis as they cause significant morbidity and affect the quality of life of patients. Management of BM depends on the following factors: age, patient performance, size and t…
View article: Varied Clinical Presentation and Management of Calvarial Metastases
Varied Clinical Presentation and Management of Calvarial Metastases Open
Calvarium and skull base can be affected by a variety of benign, tumor-like, and malignant processes. Skull metastases (SMs) may be located in any layer of the skull and may be incidental or present with neurological symptoms during the di…
View article: Catastrophic expenditure and treatment attrition in patients seeking comprehensive colorectal cancer treatment in India: A prospective multicentre study
Catastrophic expenditure and treatment attrition in patients seeking comprehensive colorectal cancer treatment in India: A prospective multicentre study Open
This research was funded by the National Institute for Health Research (NIHR) (NIHR 16.136.79) using UK aid from the UK Government to support global health research, by the India Institute of the University of Birmingham and by the Global …
View article: Reconstruction with Extracorporeal Radiated Bone in a Primary Malignant Bone Tumour, A Doable Option
Reconstruction with Extracorporeal Radiated Bone in a Primary Malignant Bone Tumour, A Doable Option Open
View article: Audit of In-Hospital Mortality from a Medical Oncology and Hemato-Oncology Center with the Emphasis on Best Supportive Care
Audit of In-Hospital Mortality from a Medical Oncology and Hemato-Oncology Center with the Emphasis on Best Supportive Care Open
Background and Objectives The newly established medical oncology and hemato-oncology center at the All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India, provided us an opportunity to audit in-hospital mortalities …
View article: A Prospective Randomized Study of Intensity-Modulated Radiation Therapy Versus Three-Dimensional Conformal Radiation Therapy With Concurrent Chemotherapy in Locally Advanced Carcinoma Cervix
A Prospective Randomized Study of Intensity-Modulated Radiation Therapy Versus Three-Dimensional Conformal Radiation Therapy With Concurrent Chemotherapy in Locally Advanced Carcinoma Cervix Open
IMRT is associated with decreased acute hematological toxicity compared to 3DCRT with similar local control. Long-term follow-up is needed to assess any difference in long-term toxicity and survival between the two arms.
View article: Stage Migration in Head-and-Neck Cancers due to Extranodal Extension
Stage Migration in Head-and-Neck Cancers due to Extranodal Extension Open
Background: Extranodal extension (ENE) has been included as a factor for the staging of head-and-neck cancer (HNC) considering its prognostic value. Aim: The present study aimed to find out the percentage of patients with HNC getting upsta…
View article: Chemoradiation with Weekly Paclitaxel and Carboplatin in Esophageal Squamous Cell Carcinoma: A Prospective Study
Chemoradiation with Weekly Paclitaxel and Carboplatin in Esophageal Squamous Cell Carcinoma: A Prospective Study Open
Objective Neoadjuvant chemoradiation (CRT) using paclitaxel and carboplatin has significantly improved the survival rates in carcinoma esophagus, especially in squamous cell carcinoma (SCC). This regimen has not been adequately explored pr…
View article: Impact of COVID-19 on cancer care in India: a cohort study
Impact of COVID-19 on cancer care in India: a cohort study Open
View article: Use of complementary and alternative medicine among patients with cancer in a sub-Himalayan state in India: An exploratory study
Use of complementary and alternative medicine among patients with cancer in a sub-Himalayan state in India: An exploratory study Open
Using CAM benefitted a significant number of patients with cancer. However, there is an urgent need to integrate CAM with modern system of medicine.
View article: Impact of COVID-19 on Cancer Care in India
Impact of COVID-19 on Cancer Care in India Open
View article: Socioeconomic factors affecting trastuzumab usage in patients with breast cancer in a resource constrained setting in North India
Socioeconomic factors affecting trastuzumab usage in patients with breast cancer in a resource constrained setting in North India Open
Background: Trastuzumab is now the standard of care in patients with Her-2 positive breast cancer. Despite its availability, high cost of treatment of trastuzumab makes it out of reach for many patients. This study analyses access to trast…
View article: “A prospective study of assessment of neurocognitive function in illiterate patients with gliomas treated with chemoradiation”
“A prospective study of assessment of neurocognitive function in illiterate patients with gliomas treated with chemoradiation” Open
View article: Optimizing e-learning in oncology during the COVID-19 pandemic and beyond
Optimizing e-learning in oncology during the COVID-19 pandemic and beyond Open
The coronavirus disease 2019 (COVID-19) pandemic has profoundly impacted cancer care, research and residency training in oncology worldwide. Many countries canceled exams, shortened their residency program and medical school tenure. Tradit…