A5060345840- Advanced Radiotherapy Techniques
- Lung Cancer Diagnosis and Treatment
- Salivary Gland Tumors Diagnosis and Treatment
- Medical Imaging Techniques and Applications
- Tracheal and airway disorders
- Prostate Cancer Diagnosis and Treatment
- Dysphagia Assessment and Management
- Glioma Diagnosis and Treatment
- Radiomics and Machine Learning in Medical Imaging
- Obstructive Sleep Apnea Research
- Voice and Speech Disorders
- Radiation Therapy and Dosimetry
- Head and Neck Surgical Oncology
- Management of metastatic bone disease
- Minimally Invasive Surgical Techniques
- Sinusitis and nasal conditions
- Meningioma and schwannoma management
- Facial Nerve Paralysis Treatment and Research
- Colorectal Cancer Surgical Treatments
- Nasal Surgery and Airway Studies
- Head and Neck Cancer Studies
- Brain Metastases and Treatment
- Ear Surgery and Otitis Media
- Oral and gingival health research
- Colorectal and Anal Carcinomas
Lovely Professional University
2025
University of Minnesota
2020-2024
Bradford Royal Infirmary
2001-2022
University Hospital Coventry
2022
Bradford Teaching Hospitals NHS Foundation Trust
2004-2021
Alder Hey Children's NHS Foundation Trust
2021
University of Kansas
2014-2021
Hospital Braga
2020
King's College Hospital NHS Foundation Trust
2020
University Hospitals Coventry and Warwickshire NHS Trust
2020
This is the official guideline endorsed by specialty associations involved in care of head and neck cancer patients UK. Salivary gland tumours are rare have very wide histological heterogeneity, thus making it difficult to generate high level evidence. paper provides recommendations on assessment management with originating from salivary glands neck. Recommendations • Ultrasound guided fine needle aspiration cytology recommended for all should be reported an expert histopathologist. (R)...
To describe imaging features of primary and metastatic alveolar soft part sarcoma (ASPS).In this institutional review board-approved Health Insurance Portability Accountability Act-compliant retrospective study, 25 patients (14 males; mean age, years; range, 18-40 years) with pathologically proven ASPS seen at our institute between 1995 2013 were included. Imaging tumours in 5 follow-up reviewed by 2 radiologists consensus. Clinical information was obtained from electronic medical...
The purpose of this study was to retrospectively investigate the accuracy, plan quality, and efficiency using intensity-modulated arc therapy (IMAT) for whole brain radiotherapy (WBRT) patients with sparing not only hippocampus (following RTOG 0933 compliance criteria) but also other organs at risk (OARs). A total 10 previously treated nonconformal opposed laterals whole-brain (NC-WBRT) were replanned hippocampal IMAT treatment planning. volumetrically contoured on fused diagnostic...
To present our linac-based SRS procedural technique for medically and/or surgically refractory trigeminal neuralgia (TN) treatment and simultaneously report clinical outcomes.Twenty-seven TN patients who were treated with a single fraction of 80 Gy to TN. Treatment delivery was performed 4 mm cone size using 7-arc arrangement differential-weighting Novalis-TX six MV-SRS (1000 MU/min) beam minimized dose the brainstem. Before each treatment, Winston-Lutz quality assurance (QA) submillimeter...
Despite advances in neuro-otological techniques permanent complete facial palsy may still occur up to 10% of patients undergoing removal cerebellopontine angle tumours. Hypoglossal-facial nerve anastomosis is the procedure choice our unit for reanimation such and below we report results hypoglossal-facial performed on 29 patients. Assessment patient benefit from was obtained using a questionnaire based Glasgow Benefit Inventory. The showed all have an improvement their House Brackmann grade...
Introduction: Many surgical techniques have been described for the treatment of pharyngeal pouches but there is no single choice.The aim this study was to determine current practice in pouch surgery by UK otolaryngologists. Methods: A postal questionnaire sent all UK-based consultant members British Association Otolaryngologists -Head and Neck Surgeons (BAO-HNS).Results: Endoscopic stapling diverticulotomy most commonly performed procedure, 89% surgeons, followed excision.Of those...
Radiofrequency ablation (RFA) aims to produce lesions that interrupt reentrant circuits or block the spread of electrical activation from sites abnormal activity. Today, there are limited means for real-time visualization cardiac muscle tissue injury during RFA procedures. We hypothesized fluorescence endogenous NADH could be used as a marker epicardial Studies were conducted in blood-free and blood-perfused hearts healthy adult Sprague-Dawley rats New Zealand rabbits. was applied surface...
Proctitis after radiation therapy for prostate cancer remains an ongoing clinical challenge and critical quality of life issue. SBRT could minimize rectal toxicity by reducing the volume rectum receiving high doses offers potential radiobiologic benefits hypofractionation. This study sought to evaluate incidence severity proctitis following cancer. Between February 2008 July 2011, 269 men with clinically localized were treated definitively monotherapy at Georgetown University Hospital. All...
Abstract Introduction: Post-operative facial palsy is the most important potential complication of parotid surgery for benign lesions. The published prevalence weakness up to 57 per cent temporary and 7 permanent weakness. We aimed identify risk factors post-operative palsy. Materials methods: One hundred fifty patients who had undergone disease were retrospectively reviewed. Tumour (size, location histopathology), patient (age sex) operative (operation, surgeon grade, specialty use...
The benefit of using a sternocleidomastoid flap following parotidectomy to reduce the incidence symptomatic gustatory sweating (Frey's syndrome) was reviewed. A retrospective study undertaken review subjective and objective symptoms Frey's syndrome in two groups patients, one whom had undergone superficial with rotated at time surgery second group patients who standard parotidectomy. total 22 randomly sampled willing attend, were evaluated postoperatively, median from 42 months (range 23-82...
The purpose of the study was to evaluate Monte Carlo-generated dose distributions with X-ray Voxel Carlo (XVMC) algorithm in treatment peripheral lung cancer patients using stereotactic body radiotherapy (SBRT) non-protocol dose-volume normalization and assess plan outcomes utilizing RTOG 0915 dosimetric compliance criteria. Radiation Therapy Oncology Group (RTOG) protocols for non-small cell (NSCLC) currently require radiation be calculated tissue density heterogeneity corrections....
Abstract Objective: There is currently no standardised management protocol following functional endoscopic sinus surgery. This study assessed frequent cleaning versus minimal intervention in the early post-operative period such Study design: Prospective, randomised controlled, single-blinded, within-subject trial involving 24 patients with bilateral chronic rhinosinusitis undergoing Main outcome measure: The primary measure was ethmoid cavity healing, based on appearance, graded using a...
The treatment of apical lung tumors with stereotactic body radiation therapy (SBRT) is challenging due to the proximity brachial plexus and concern for nerve damage.Between June 2009 February 2017, a total 75 consecutive patients underwent SBRT T1-T3N0 non-small cell cancer involving upper lobe lung. All were treated 4-dimensional computed tomography (CT)-based image guided dose 40 60 Gy in 3 5 fractions. For dosimetric analysis, only as defined by location tumor epicenter superior aortic...
The treatment of pharyngeal pouches by endoscopic stapling diverticulotomy has gained popularity over the last few years. We assessed results this technique in 44 patients means a clinical questionnaire and reviewing case records. Thirty-six (82 per cent) commenced oral intake within 18 hours procedure 37 (84 were discharged 48 hours. Five had complications that included throat discomfort, loose incisor tooth, shoulder pain, perforation one mortality due to mediastinitis. Of completed...