Shane Mesko
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View article: Optimizing Outpatient Radiation Oncology Consult Workflow by Using Time-Driven Activity-Based Costing: Efficiency and Financial Impacts
Optimizing Outpatient Radiation Oncology Consult Workflow by Using Time-Driven Activity-Based Costing: Efficiency and Financial Impacts Open
PURPOSE Clinical efficiency is a key component of value-based health care. Our objective here was to identify workflow inefficiencies by using time-driven activity-based costing (TDABC) and evaluate the implementation of a new clinical wor…
View article: Investigation of autosegmentation techniques on T2‐weighted MRI for off‐line dose reconstruction in MR‐linac workflow for head and neck cancers
Investigation of autosegmentation techniques on T2‐weighted MRI for off‐line dose reconstruction in MR‐linac workflow for head and neck cancers Open
Background In order to accurately accumulate delivered dose for head and neck cancer patients treated with the Adapt to Position workflow on the 1.5T magnetic resonance imaging (MRI)‐linear accelerator (MR‐linac), the low‐resolution T2‐wei…
View article: Using Patient Flow Analysis with Real-Time Patient Tracking to Optimize Radiation Oncology Consultation Visits
Using Patient Flow Analysis with Real-Time Patient Tracking to Optimize Radiation Oncology Consultation Visits Open
Purpose : Clinical efficiency is a key component of the value-based care model and a driver of patient satisfaction. The purpose of this study was to identify and address inefficiencies at a high-volume radiation oncology clinic. Methods a…
View article: Investigation of Autosegmentation Techniques on T2-Weighted MRI for Off-line Dose Reconstruction in MR-Linac Adapt to Position Workflow for Head and Neck Cancers
Investigation of Autosegmentation Techniques on T2-Weighted MRI for Off-line Dose Reconstruction in MR-Linac Adapt to Position Workflow for Head and Neck Cancers Open
Purpose In order to accurately accumulate delivered dose for head and neck cancer patients treated with the Adapt to Position workflow on the 1.5T magnetic resonance imaging (MRI)-linear accelerator (MR-linac), the low-resolution T2-weight…
View article: Survival in Patients With Brain Metastases: Summary Report on the Updated Diagnosis-Specific Graded Prognostic Assessment and Definition of the Eligibility Quotient
Survival in Patients With Brain Metastases: Summary Report on the Updated Diagnosis-Specific Graded Prognostic Assessment and Definition of the Eligibility Quotient Open
PURPOSE Conventional wisdom has rendered patients with brain metastases ineligible for clinical trials for fear that poor survival could mask the benefit of otherwise promising treatments. Our group previously published the diagnosis-speci…
View article: Evaluating single-institution resource costs of consolidative radiotherapy for oligometastatic non-small cell lung cancer using time-driven activity-based costing
Evaluating single-institution resource costs of consolidative radiotherapy for oligometastatic non-small cell lung cancer using time-driven activity-based costing Open
This analysis uses TDABC to estimate the relative internal costs of various RT strategies associated with treating oligometastatic NSCLC. This methodology will become increasingly relevant to each organization in context of the anticipated…
View article: Estrogen/progesterone receptor and HER2 discordance between primary tumor and brain metastases in breast cancer and its effect on treatment and survival
Estrogen/progesterone receptor and HER2 discordance between primary tumor and brain metastases in breast cancer and its effect on treatment and survival Open
Background Breast cancer treatment is based on estrogen receptors (ERs), progesterone receptors (PRs), and human epidermal growth factor receptor 2 (HER2). At the time of metastasis, receptor status can be discordant from that at initial d…
View article: Nasopharyngeal carcinoma presenting as an inconspicuous primary lesion with extensive cavernous sinus involvement and temporal lobe extension: a case report and review of literature
Nasopharyngeal carcinoma presenting as an inconspicuous primary lesion with extensive cavernous sinus involvement and temporal lobe extension: a case report and review of literature Open
Key Clinical Message Detection of nodal metastasis in the neck or adjacent structures is common in nasopharyngeal carcinoma ( NPC ) when there is frank primary disease. Intracranial extension without obvious nasopharyngeal disease is not c…
View article: Imaging and Pathology Correlations for Different Risk Stratification Models for Intermediate-risk Prostate Cancer
Imaging and Pathology Correlations for Different Risk Stratification Models for Intermediate-risk Prostate Cancer Open
Both models demonstrated a correlation with higher MTD for unfavorable IR patients. This is likely a driver of worse clinical outcomes.
View article: Enhanced skin toxicity with concurrent ipilimumab and radiation in vaginal/vulvar melanoma: a case report and literature review
Enhanced skin toxicity with concurrent ipilimumab and radiation in vaginal/vulvar melanoma: a case report and literature review Open
Ipilimumab is a monoclonal cytotoxic T-lymphocyte-associated protein 4 antibody that has demonstrated improved survival in cutaneous melanoma. Little is known about the clinical impact of combining anti-cytotoxic T-lymphocyteassociated pro…