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Data-Based Radiation Oncology - Design of Clinical Trials

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Book Series: Frontiers Research Topics ISSN: 16648714 ISBN: 9782889454389 Year: Pages: 109 DOI: 10.3389/978-2-88945-438-9 Language: English
Publisher: Frontiers Media SA
Subject: Medicine (General) --- Oncology
Added to DOAB on : 2018-11-16 17:17:57
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In radiation oncology as in many other specialties clinical trials are essential to investigate new therapy approaches. Usually, preparation for a prospective clinical trial is extremely time consuming until ethics approval is obtained. To test a new treatment usually many years pass before it can be implemented in the routine care. During that time, already new interventions emerge, new drugs appear on the market, technical & physical innovations are being implemented, novel biology driven concepts are translated into clinical approaches while we are still investigating the ones from years ago. Another problem is associated with molecular diagnostics and the growing amount of tumor specific biomarkers which allows for a better stratification of patient subgroups. On the other side, this may result in a much longer time for patient recruiting and consequently in larger multicenter trials. Moreover, all of the relevant data must be readily available for treatment decision making, treatment as well as follow-up, and ultimately for trial evaluation. This challenges even more for agreed standards in data acquisition, quality and management. How could we change the way currently clinical trials are performed in a way they are safe and ethically justifiable and speed up the initiation process, so we can provide new and better treatments faster for our patients?Further, while we rely on various quantitative information handling distributed, large heterogeneous amounts of data efficiently is very important. Thus data management becomes a strong focus. A good infrastructure helps to plan, tailor and conduct clinical trials in a way they are easy and quickly analyzable.In this research topic we want to discuss new ideas for intelligent trial designs and concepts for data management.

Branching and Rooting Out with a CT Scanner: The Why, the How, and the Outcomes, Present and Possibly Future

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Book Series: Frontiers Research Topics ISSN: 16648714 ISBN: 9782889197910 Year: Pages: 91 DOI: 10.3389/978-2-88919-791-0 Language: English
Publisher: Frontiers Media SA
Subject: Botany --- Science (General)
Added to DOAB on : 2017-02-03 17:04:57
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Until recently, a majority of the applications of X-ray computed tomography (CT) scanning in plant sciences remained descriptive; some included a quantification of the plant materials when the root-soil isolation or branch-leaf separation was satisfactory; and a few involved the modeling of plant biology processes or the assessment of treatment or disease effects on plant biomass and structures during growth. In the last decade, repeated CT scanning of the same plants was reported in an increasing number of studies in which moderate doses of X-rays had been used. Besides the general objectives of Frontiers in Plant Science research topics, “Branching and Rooting Out with a CT Scanner” was proposed to meet specific objectives: (i) providing a non-technical update on knowledge about the application of CT scanning technology to plants, starting with the type of CT scanning data collected (CT images vs. CT numbers) and their processing in the graphical and numerical approaches; (ii) drawing the limits of the CT scanning approach, which because it is based on material density can distinguish materials with contrasting or moderately overlapping densities (e.g., branches vs. leaves, roots vs. non-organic soils) but not the others (e.g., roots vs. organic soils); (iii) explaining with a sufficient level of detail the main procedures used for graphical, quantitative and statistical analyses of plant CT scanning data, including fractal complexity measures and statistics appropriate for repeated plant CT scanning, in experiments where the research hypotheses are about biological processes such as light interception by canopies, root disease development and plant growth under stress conditions; (iv) comparing plant CT scanning with an alternative technology that applies to plants, such as the phenomics platforms which target leaf canopies; and (v) providing current and potential users of plant CT scanning with up-to-date information and exhaustive documentation, including clear perspectives and well-defined goals for the future, for them to be even more efficient or most efficient from start in their research work.

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