The Experts below are selected from a list of 126 Experts worldwide ranked by ideXlab platform

Ankur M. Sharma - One of the best experts on this subject based on the ideXlab platform.

  • Novel Use of Biphasic Cuirass Ventilation During Definitive Radiotherapy: A Technical Report.
    Practical radiation oncology, 2020
    Co-Authors: William B. Clinkscales, Matthew N. Spence, John Gleysteen, Neil Hayes, Enrique W. Izaguirre, Daniel V. Wakefield, David L. Schwartz, Isaac B. Rhea, Cristobal Risquez, Ankur M. Sharma
    Abstract:

    The use of biphasic cuirass ventilator supported radiotherapy has never been documented. We present the first technical report here. A 57-year-old man with obstructive sleep apnea presented with a T0N1M0 right sided, human papillomavirus related head and neck cancer diagnosed with excisional lymph node biopsy. On further work-up, the cancer was found to originate in the right tonsil and was staged as T1N1. The patient started definitive treatment with concurrent chemo-radiotherapy, but after 5 treatments, was no longer able to lay in a supine position for treatment. Diagnostic imaging work-up eventually revealed an idiopathic right sided hemi-Diaphragm Eventration. After consultation with cardiology, pulmonology and head and neck surgery, recommendation was made for tracheostomy in order to tolerate supine radiotherapy position, but the patient refused. Instead, CT simulation for radiotherapy re-planning was performed using a combination of biphasic cuirass ventilation, home continuous positive airway pressure and oxygen. The patient then tolerated definitive treatment to a dose of 69.96 Gray in 33 fractions with concurrent chemotherapy, with no unexpected side effects. Although complex, daily treatment set-up was consistent. Daily onboard imaging was precise and accurate. The patient continues to follow-up with radiation oncology, medical oncology and pulmonology. This is the first use of biphasic cuirass ventilator supported radiotherapy reported in the scientific literature. Although daily treatment set-up is complex, its use could be considered in patients unable to tolerate radiotherapy treatment positioning as an alternative to tracheostomy.

  • Novel Use of Biphasic Cuirass Ventilation During Definitive Radiation Therapy: A Technical Report.
    Practical radiation oncology, 2020
    Co-Authors: William B. Clinkscales, Matthew N. Spence, John Gleysteen, Neil Hayes, Enrique W. Izaguirre, Daniel V. Wakefield, David L. Schwartz, Isaac B. Rhea, Cristobal Risquez, Ankur M. Sharma
    Abstract:

    Abstract The use of biphasic cuirass ventilator supported radiation therapy has never been documented. We present the first technical report here. A 57-year-old man with obstructive sleep apnea presented with a T0N1M0 right sided, human papillomavirus related head and neck cancer diagnosed on excisional lymph node biopsy. On further workup, the cancer was found to have originated in the right tonsil and was staged as T1N1. The patient started definitive treatment with concurrent chemo-radiation therapy, but after 5 treatments was no longer able to lay in a supine position for treatment. Diagnostic imaging workup eventually revealed an idiopathic right sided hemi-Diaphragm Eventration. After consultation with cardiology, pulmonology, and head and neck surgery, recommendation was made for tracheostomy to tolerate supine radiotherapy position, but the patient refused. Instead, computed tomography simulation for radiotherapy replanning was performed using a combination of biphasic cuirass ventilation, home continuous positive airway pressure and oxygen. The patient then tolerated definitive treatment to a dose of 69.96 Gray in 33 fractions with concurrent chemotherapy and experienced no unexpected side effects. Although complex, daily treatment setup was consistent. Daily onboard imaging was precise and accurate. The patient continues to follow up with radiation oncology, medical oncology, and pulmonology. This is the first use of biphasic cuirass ventilator supported radiotherapy reported in the scientific literature. Although daily treatment setup is complex, its use could be considered in patients unable to tolerate radiation therapy treatment positioning as an alternative to tracheostomy.

Sisodia Anula - One of the best experts on this subject based on the ideXlab platform.

  • Eventration of Diaphragm presenting as recurrent respiratory tract infections – A case report
    Egyptian Journal of Chest Diseases and Tuberculosis, 2015
    Co-Authors: Patel Ravisagar, Singh Abhinav, Sisodia Anula
    Abstract:

    Eventration of the Diaphragm (ED) is a relatively rare condition. Eventration of the Diaphragm is an abnormal elevation of the dome of Diaphragm in which all or part of the Diaphragm is largely composed of fibrous tissue. Clinical manifestations range from asymptomatic to life threatening respiratory distress. Recurrent chest infections are also the presenting complaints in patients. We report a 7 year old boy who presented with recurrent chest infections with left Diaphragm Eventration treated by plication successfully.

  • Eventration of Diaphragm Presenting As Recurrent Respiratory Tract Infections- A Case Report
    IOSR Journal of Dental and Medical Sciences, 2014
    Co-Authors: Patel Ravisagar, Singh Abhinav, Sisodia Anula
    Abstract:

    Eventration of the Diaphragm (ED) is a relatively rare condition. Eventration of the Diaphragm is an abnormal elevation of the dome of Diaphragm in which all or part of the Diaphragm is largely composed of fibrous tissue. Clinical manifestations range from asymptomatic to life threatening respiratory distress. Recurrent chest infections are also the presenting complaints in patients. We report a 7 year old boy who presented with recurrent chest infections with left Diaphragm Eventration treated by plication successfully.

Jacob C Langer - One of the best experts on this subject based on the ideXlab platform.

  • Multimodality Imaging of the Pediatric Diaphragm: Anatomy and Pathologic Conditions
    RadioGraphics, 2010
    Co-Authors: Govind B. Chavhan, Paul S Babyn, Ronald A. Cohen, Jacob C Langer
    Abstract:

    Apart from serving as an important landmark for description and staging of pathologic conditions, the Diaphragm is also affected by various types of pathologic conditions in children. Congenital abnormalities affecting the Diaphragm include aplasia or hypoplasia, accessory Diaphragm, Eventration, and hernias. Congenital Diaphragmatic hernias (CDHs) include Bochdalek, Morgagni, and hiatal hernias. Although survival rates are improving with the advent of new therapies, there is still significant morbidity and mortality associated with CDH. The morbidity and mortality depend on the associated congenital anomalies, the size of the hernia, and the degree of lung hypoplasia. Newer surgical repair techniques for the Diaphragm have resulted in new postoperative complications and imaging appearances. Ultrasonography has become the modality of choice for evaluation of Diaphragmatic paralysis. The Diaphragm is uncommonly affected by trauma in children; when Diaphragmatic injury is present, it usually indicates high-impact trauma associated with other severe injuries. Primary Diaphragmatic tumors are very rare in children, with rhabdomyosarcoma being the most common. The Diaphragm may also be secondarily involved by invasion of an adjacent tumor. Radiologists should have an understanding of the embryology, anatomy, and anatomic variations of the Diaphragm and should be aware of the imaging appearances of pathologic conditions affecting the Diaphragm in children.

William B. Clinkscales - One of the best experts on this subject based on the ideXlab platform.

  • Novel Use of Biphasic Cuirass Ventilation During Definitive Radiotherapy: A Technical Report.
    Practical radiation oncology, 2020
    Co-Authors: William B. Clinkscales, Matthew N. Spence, John Gleysteen, Neil Hayes, Enrique W. Izaguirre, Daniel V. Wakefield, David L. Schwartz, Isaac B. Rhea, Cristobal Risquez, Ankur M. Sharma
    Abstract:

    The use of biphasic cuirass ventilator supported radiotherapy has never been documented. We present the first technical report here. A 57-year-old man with obstructive sleep apnea presented with a T0N1M0 right sided, human papillomavirus related head and neck cancer diagnosed with excisional lymph node biopsy. On further work-up, the cancer was found to originate in the right tonsil and was staged as T1N1. The patient started definitive treatment with concurrent chemo-radiotherapy, but after 5 treatments, was no longer able to lay in a supine position for treatment. Diagnostic imaging work-up eventually revealed an idiopathic right sided hemi-Diaphragm Eventration. After consultation with cardiology, pulmonology and head and neck surgery, recommendation was made for tracheostomy in order to tolerate supine radiotherapy position, but the patient refused. Instead, CT simulation for radiotherapy re-planning was performed using a combination of biphasic cuirass ventilation, home continuous positive airway pressure and oxygen. The patient then tolerated definitive treatment to a dose of 69.96 Gray in 33 fractions with concurrent chemotherapy, with no unexpected side effects. Although complex, daily treatment set-up was consistent. Daily onboard imaging was precise and accurate. The patient continues to follow-up with radiation oncology, medical oncology and pulmonology. This is the first use of biphasic cuirass ventilator supported radiotherapy reported in the scientific literature. Although daily treatment set-up is complex, its use could be considered in patients unable to tolerate radiotherapy treatment positioning as an alternative to tracheostomy.

  • Novel Use of Biphasic Cuirass Ventilation During Definitive Radiation Therapy: A Technical Report.
    Practical radiation oncology, 2020
    Co-Authors: William B. Clinkscales, Matthew N. Spence, John Gleysteen, Neil Hayes, Enrique W. Izaguirre, Daniel V. Wakefield, David L. Schwartz, Isaac B. Rhea, Cristobal Risquez, Ankur M. Sharma
    Abstract:

    Abstract The use of biphasic cuirass ventilator supported radiation therapy has never been documented. We present the first technical report here. A 57-year-old man with obstructive sleep apnea presented with a T0N1M0 right sided, human papillomavirus related head and neck cancer diagnosed on excisional lymph node biopsy. On further workup, the cancer was found to have originated in the right tonsil and was staged as T1N1. The patient started definitive treatment with concurrent chemo-radiation therapy, but after 5 treatments was no longer able to lay in a supine position for treatment. Diagnostic imaging workup eventually revealed an idiopathic right sided hemi-Diaphragm Eventration. After consultation with cardiology, pulmonology, and head and neck surgery, recommendation was made for tracheostomy to tolerate supine radiotherapy position, but the patient refused. Instead, computed tomography simulation for radiotherapy replanning was performed using a combination of biphasic cuirass ventilation, home continuous positive airway pressure and oxygen. The patient then tolerated definitive treatment to a dose of 69.96 Gray in 33 fractions with concurrent chemotherapy and experienced no unexpected side effects. Although complex, daily treatment setup was consistent. Daily onboard imaging was precise and accurate. The patient continues to follow up with radiation oncology, medical oncology, and pulmonology. This is the first use of biphasic cuirass ventilator supported radiotherapy reported in the scientific literature. Although daily treatment setup is complex, its use could be considered in patients unable to tolerate radiation therapy treatment positioning as an alternative to tracheostomy.

Dong Man Seo - One of the best experts on this subject based on the ideXlab platform.

  • A case of PAGOD syndrome with hypoplastic left heart syndrome
    International journal of cardiology, 2006
    Co-Authors: Joon Bum Kim, Jeong-jun Park, Hyun Woo Goo, Young Hwe Kim, In Sook Park, Tae-jin Yun, Dong Man Seo
    Abstract:

    PAGOD syndrome is an extremely rare congenital malformation complex involving multiple organs. These include pulmonary artery and lung hypoplasia, Diaphragm defects, omphalocele, sex reversal or ambiguous genitalia, and complex cardiac defects. Eight cases have been reported to date. We report a case of PAGOD syndrome that is manifested by right Diaphragm Eventration, horseshoe lung with right lung hypoplasia, hypoplastic left heart syndrome (mitral atresia, aortic atresia), scimitar syndrome, agonadism with ambiguous genitalia. A karyotype revealed normal 46-XY. This patient received a modified Norwood procedure for hypoplastic left heart syndrome as an initial palliation and bidirectional cavopulmonary anastomosis as a second stage of operation. The postoperative courses were uneventful. This patient is waiting for Fontan operation.