Dose–volume metrics alone incompletely explains mandibular osteoradionecrosis (ORN) following proton therapy. LET-based aggregate approaches such as dose–LET volume histograms (DLVH) implicitly assume uniform LET contribution across dose levels. This study in...
Author profile
Nancy Lee, MD
Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center
While 30% of lung cancer patients cannot tolerate breath-hold, free-breathing(FB) proton pencil-beam-scanning(PBS) deliveries compromise target coverage from the interplay effects of large motion. This study presents a novel FB-gated spirometer-based respirat...
Tumor hypoxia drives radio-resistance in Head & Neck cancer (HNC) and can guide radiation dose de-escalation. Tumor hypoxia can be imaged using 18F-fluoromisonidazole (FMISO-PET; non-standard-of-care). Because hypoxia drives glycolysis, we assessed correlatio...
Linear energy transfer (LETd) has been implicated in mandibular osteoradionecrosis (ORN) following proton therapy; however, its strong spatial coupling with dose has limited interpretation of whether LETd contributes independently to ORN risk. This study aims...