Skin Elasticity as a Measure of Radiation Fibrosis
Identifieur interne : 002517 ( Main/Exploration ); précédent : 002516; suivant : 002518Skin Elasticity as a Measure of Radiation Fibrosis
Auteurs : Nhu-Tram A. Nguyen [Canada] ; David Roberge [Canada] ; Carolyn R. Freeman [Canada] ; Cindy Wong [Canada] ; Jerod Hines [Canada] ; Robert E. Turcotte [Canada]Source :
- Technology in Cancer Research & Treatment [ 1533-0346 ] ; 2014.
Abstract
Current means of measuring RT-induced fibrosis are subjective. We evaluated the DermaLab suction cup system to measure objectively skin deflection as a surrogate for fibrosis. Sixty-nine patients with E-STS were treated with limb-sparing surgery and 50-66 Grays (Gy) of RT. Using a “scleroderma” DermaLab Suction Cup, the skin stiffness was measured by two clinicians. The National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) scale, the Musculoskeletal Tumor Rating Scale (MSTS) and Toronto Extremity Salvage Score (TESS) questionnaires were completed for each patient. Levels of agreement between measurers were estimated using the Kappa (κ) coefficient and the concordance correlation coefficient (CCC). All sixty-nine patients were included. The level of agreement between measurers for NCI-CTCAE grading was moderate (range κ = 0.41-0.59). The CCC for the elasticity measurements were higher, with CCC = 0.82 for fibrotic skin and CCC = 0.84 for normal skin. The elasticity measurements were significantly higher when MSTS scores were <30 and or TESS scores were <90. Suction Cup measurement of skin elasticity is more reproducible than CTCAE grading and shows promise in generating reproducible measurements for radiation-induced skin fibrosis. Furthermore, it correlates well with the MSTS and TESS.
Url:
DOI: 10.7785/tcrtexpress.2013.600257
PubMed: 24000984
PubMed Central: 4527462
Affiliations:
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Nguyen</name><affiliation wicri:level="1"><nlm:aff id="aff1-tcrtexpress.2013.600257">Division of Radiation Oncology, McMaster, University, Juravinski Regional Cancer Centre, 699 Concession Street, Hamilton, ON, L8V 5C2, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Radiation Oncology, McMaster, University, Juravinski Regional Cancer Centre, 699 Concession Street, Hamilton, ON, L8V 5C2</wicri:regionArea><wicri:noRegion>L8V 5C2</wicri:noRegion></affiliation></author><author><name sortKey="Roberge, David" sort="Roberge, David" uniqKey="Roberge D" first="David" last="Roberge">David Roberge</name><affiliation wicri:level="1"><nlm:aff id="aff2-tcrtexpress.2013.600257">Department of Radiation Oncology, Université de Montréal, Centre Hospitalier de l’Université de Montréal, 1560 East Sherbrooke Street, Montreal, QC, H2L 4M1, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Radiation Oncology, Université de Montréal, Centre Hospitalier de l’Université de Montréal, 1560 East Sherbrooke Street, Montreal, QC, H2L 4M1</wicri:regionArea><wicri:noRegion>H2L 4M1</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3-tcrtexpress.2013.600257">Division of Radiation Oncology, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Radiation Oncology, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4</wicri:regionArea><wicri:noRegion>H3G 1A4</wicri:noRegion></affiliation></author><author><name sortKey="Freeman, Carolyn R" sort="Freeman, Carolyn R" uniqKey="Freeman C" first="Carolyn R." last="Freeman">Carolyn R. Freeman</name><affiliation wicri:level="1"><nlm:aff id="aff3-tcrtexpress.2013.600257">Division of Radiation Oncology, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Radiation Oncology, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4</wicri:regionArea><wicri:noRegion>H3G 1A4</wicri:noRegion></affiliation></author><author><name sortKey="Wong, Cindy" sort="Wong, Cindy" uniqKey="Wong C" first="Cindy" last="Wong">Cindy Wong</name><affiliation wicri:level="1"><nlm:aff id="aff4-tcrtexpress.2013.600257">Division of Orthopaedic Surgery, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Orthopaedic Surgery, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4</wicri:regionArea><wicri:noRegion>H3G 1A4</wicri:noRegion></affiliation></author><author><name sortKey="Hines, Jerod" sort="Hines, Jerod" uniqKey="Hines J" first="Jerod" last="Hines">Jerod Hines</name><affiliation wicri:level="1"><nlm:aff id="aff4-tcrtexpress.2013.600257">Division of Orthopaedic Surgery, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Orthopaedic Surgery, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4</wicri:regionArea><wicri:noRegion>H3G 1A4</wicri:noRegion></affiliation></author><author><name sortKey="Turcotte, Robert E" sort="Turcotte, Robert E" uniqKey="Turcotte R" first="Robert E." last="Turcotte">Robert E. Turcotte</name><affiliation wicri:level="1"><nlm:aff id="aff4-tcrtexpress.2013.600257">Division of Orthopaedic Surgery, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Orthopaedic Surgery, McGill University Health Centre, 1650 Cedar Avenue, Montreal, QC, H3G 1A4</wicri:regionArea><wicri:noRegion>H3G 1A4</wicri:noRegion></affiliation></author></analytic><series><title level="j">Technology in Cancer Research & Treatment</title><idno type="ISSN">1533-0346</idno><idno type="eISSN">1533-0338</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Current means of measuring RT-induced fibrosis are subjective. We evaluated the DermaLab suction cup system to measure objectively skin deflection as a surrogate for fibrosis. Sixty-nine patients with E-STS were treated with limb-sparing surgery and 50-66 Grays (Gy) of RT. Using a “scleroderma” DermaLab Suction Cup, the skin stiffness was measured by two clinicians. The National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) scale, the Musculoskeletal Tumor Rating Scale (MSTS) and Toronto Extremity Salvage Score (TESS) questionnaires were completed for each patient. Levels of agreement between measurers were estimated using the Kappa (κ) coefficient and the concordance correlation coefficient (CCC). All sixty-nine patients were included. The level of agreement between measurers for NCI-CTCAE grading was moderate (range κ = 0.41-0.59). The CCC for the elasticity measurements were higher, with CCC = 0.82 for fibrotic skin and CCC = 0.84 for normal skin. The elasticity measurements were significantly higher when MSTS scores were <30 and or TESS scores were <90. Suction Cup measurement of skin elasticity is more reproducible than CTCAE grading and shows promise in generating reproducible measurements for radiation-induced skin fibrosis. Furthermore, it correlates well with the MSTS and TESS.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Robinson, Mh" uniqKey="Robinson M">MH Robinson</name></author><author><name sortKey="Keus, Rb" uniqKey="Keus R">RB Keus</name></author><author><name sortKey="Shasha, D" uniqKey="Shasha D">D Shasha</name></author><author><name sortKey="Harrison, Lb" uniqKey="Harrison L">LB Harrison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bell, Rs" uniqKey="Bell R">RS Bell</name></author><author><name sortKey="O Ullivan, B" uniqKey="O Ullivan B">B O’Sullivan</name></author><author><name sortKey="Davis, A" uniqKey="Davis A">A Davis</name></author><author><name sortKey="Langer, F" uniqKey="Langer F">F Langer</name></author><author><name sortKey="Cummings, B" uniqKey="Cummings B">B Cummings</name></author><author><name sortKey="Fornasier, Vl" uniqKey="Fornasier V">VL 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Cn" uniqKey="Catton C">CN Catton</name></author><author><name sortKey="Bell, Rs" uniqKey="Bell R">RS Bell</name></author><author><name sortKey="Griffin, Am" uniqKey="Griffin A">AM Griffin</name></author><author><name sortKey="Davis, Am" uniqKey="Davis A">AM Davis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alektiar, Km" uniqKey="Alektiar K">KM Alektiar</name></author><author><name sortKey="Brennan, Mf" uniqKey="Brennan M">MF Brennan</name></author><author><name sortKey="Singer, S" uniqKey="Singer S">S Singer</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Nguyen, Nhu Tram A" sort="Nguyen, Nhu Tram A" uniqKey="Nguyen N" first="Nhu-Tram A." last="Nguyen">Nhu-Tram A. Nguyen</name></noRegion><name sortKey="Freeman, Carolyn R" sort="Freeman, Carolyn R" uniqKey="Freeman C" first="Carolyn R." last="Freeman">Carolyn R. Freeman</name><name sortKey="Hines, Jerod" sort="Hines, Jerod" uniqKey="Hines J" first="Jerod" last="Hines">Jerod Hines</name><name sortKey="Roberge, David" sort="Roberge, David" uniqKey="Roberge D" first="David" last="Roberge">David Roberge</name><name sortKey="Roberge, David" sort="Roberge, David" uniqKey="Roberge D" first="David" last="Roberge">David Roberge</name><name sortKey="Turcotte, Robert E" sort="Turcotte, Robert E" uniqKey="Turcotte R" first="Robert E." last="Turcotte">Robert E. Turcotte</name><name sortKey="Wong, Cindy" sort="Wong, Cindy" uniqKey="Wong C" first="Cindy" last="Wong">Cindy Wong</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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