Radiosurgery Improves QOL for Patients with Facial Pain
|
By MedImaging International staff writers Posted on 13 Jul 2017 |
|
Image: A new study suggests SRS can help relieve trigeminal neuralgia (Photo courtesy of DioMedia).
A new study suggests that stereotactic radiosurgery (SRS) can improve the quality of life (QOL) of patients with trigeminal neuralgia and also reduce their depression.
Researchers at Case Western Reserve University (CWRU; Cleveland, OH, USA) and the Cleveland Clinic (CC; OH, USA) conducted a study in 50 patients with TN treated with SRS. The researchers prospectively collected EuroQOL 5-Dimension (EQ-5D) and Patient Health Questionnaire 9 (PHQ-9) data before and after the procedure, and pain response and treatment-related facial numbness were classified using Barrow Neurological Institute (BNI) scales. The patients’ answers were analyzed before treatment and at each follow-up appointment.
The results showed that following SRS, 12-month freedom from pain was 92%, while 12-month freedom from facial numbness was 89%. Significant improvements in the EQ-5D index and PHQ-9 were observed. At 12 months following SRS, the actuarial rates of improvements in EQ-5D, and PHQ-9 were 55% and 59%, respectively. Overall, patients reported improved QOL and lower rates of depression after SRS. The benefit of treatment was strongly driven by improvements in pain and discomfort, as well as self-care.
“People go and see their neurologist and get the pain under control with medication, but they don’t realize how lousy this can make them feel. Pain and the medication to stop the pain make it difficult for people with TN to go outside and live life,” said corresponding author Samuel Chao, MD, of CC. “With radiosurgery, we can reduce pain, improve quality of life and decrease depression; people can go out and enjoy life without worrying they will have a random attack. Giving options empowers the patient to be more aware of themselves and manage their own condition.”
Trigeminal neuralgia, also called tic douloureux, is a chronic pain condition that affects the trigeminal (5th) cranial nerve, one of the most widely distributed nerves in the head. Typical Type 1 neuropathic pain causes extreme, sporadic, sudden burning or shock-like facial pain that lasts anywhere from a few seconds to as long as two minutes per episode. The atypical form, Type 2, is characterized by constant aching, burning, stabbing pain of somewhat lower intensity. Both forms of pain may occur in the same person, sometimes at the same time.
Related Links:
Case Western Reserve University
Cleveland Clinic
Researchers at Case Western Reserve University (CWRU; Cleveland, OH, USA) and the Cleveland Clinic (CC; OH, USA) conducted a study in 50 patients with TN treated with SRS. The researchers prospectively collected EuroQOL 5-Dimension (EQ-5D) and Patient Health Questionnaire 9 (PHQ-9) data before and after the procedure, and pain response and treatment-related facial numbness were classified using Barrow Neurological Institute (BNI) scales. The patients’ answers were analyzed before treatment and at each follow-up appointment.
The results showed that following SRS, 12-month freedom from pain was 92%, while 12-month freedom from facial numbness was 89%. Significant improvements in the EQ-5D index and PHQ-9 were observed. At 12 months following SRS, the actuarial rates of improvements in EQ-5D, and PHQ-9 were 55% and 59%, respectively. Overall, patients reported improved QOL and lower rates of depression after SRS. The benefit of treatment was strongly driven by improvements in pain and discomfort, as well as self-care.
“People go and see their neurologist and get the pain under control with medication, but they don’t realize how lousy this can make them feel. Pain and the medication to stop the pain make it difficult for people with TN to go outside and live life,” said corresponding author Samuel Chao, MD, of CC. “With radiosurgery, we can reduce pain, improve quality of life and decrease depression; people can go out and enjoy life without worrying they will have a random attack. Giving options empowers the patient to be more aware of themselves and manage their own condition.”
Trigeminal neuralgia, also called tic douloureux, is a chronic pain condition that affects the trigeminal (5th) cranial nerve, one of the most widely distributed nerves in the head. Typical Type 1 neuropathic pain causes extreme, sporadic, sudden burning or shock-like facial pain that lasts anywhere from a few seconds to as long as two minutes per episode. The atypical form, Type 2, is characterized by constant aching, burning, stabbing pain of somewhat lower intensity. Both forms of pain may occur in the same person, sometimes at the same time.
Related Links:
Case Western Reserve University
Cleveland Clinic
Gold Member
Ultrasound System
FUTUS LE
Gold Member
Electrode Solution and Skin Prep
Signaspray
Bladder Scanner
PBSV3.2
Fetal Doppler
Sonicaid FD1 / FD3
Latest Nuclear Medicine News
- New SPECT/CT Technique Could Change Imaging Practices and Increase Patient Access
- New Radiotheranostic System Detects and Treats Ovarian Cancer Noninvasively
- AI System Automatically and Reliably Detects Cardiac Amyloidosis Using Scintigraphy Imaging
- Early 30-Minute Dynamic FDG-PET Acquisition Could Halve Lung Scan Times
- New Method for Triggering and Imaging Seizures to Help Guide Epilepsy Surgery
- Radioguided Surgery Accurately Detects and Removes Metastatic Lymph Nodes in Prostate Cancer Patients
- New PET Tracer Detects Inflammatory Arthritis Before Symptoms Appear
- Novel PET Tracer Enhances Lesion Detection in Medullary Thyroid Cancer
- Targeted Therapy Delivers Radiation Directly To Cells in Hard-To-Treat Cancers
- New PET Tracer Noninvasively Identifies Cancer Gene Mutation for More Precise Diagnosis
- Algorithm Predicts Prostate Cancer Recurrence in Patients Treated by Radiation Therapy
- Novel PET Imaging Tracer Noninvasively Identifies Cancer Gene Mutation for More Precise Diagnosis
- Ultrafast Laser Technology to Improve Cancer Treatment
- Low-Dose Radiation Therapy Demonstrates Potential for Treatment of Heart Failure
- New PET Radiotracer Aids Early, Noninvasive Detection of Inflammatory Bowel Disease
- Combining Amino Acid PET and MRI Imaging to Help Treat Aggressive Brain Tumors
Channels
Radiography
view channel
Novel Breast Imaging System Proves As Effective As Mammography
Breast cancer remains the most frequently diagnosed cancer among women. It is projected that one in eight women will be diagnosed with breast cancer during her lifetime, and one in 42 women who turn 50... Read more
AI Assistance Improves Breast-Cancer Screening by Reducing False Positives
Radiologists typically detect one case of cancer for every 200 mammograms reviewed. However, these evaluations often result in false positives, leading to unnecessary patient recalls for additional testing,... Read more
MRI
view channel
PET/MRI Improves Diagnostic Accuracy for Prostate Cancer Patients
The Prostate Imaging Reporting and Data System (PI-RADS) is a five-point scale to assess potential prostate cancer in MR images. PI-RADS category 3 which offers an unclear suggestion of clinically significant... Read more
Next Generation MR-Guided Focused Ultrasound Ushers In Future of Incisionless Neurosurgery
Essential tremor, often called familial, idiopathic, or benign tremor, leads to uncontrollable shaking that significantly affects a person’s life. When traditional medications do not alleviate symptoms,... Read more
Two-Part MRI Scan Detects Prostate Cancer More Quickly without Compromising Diagnostic Quality
Prostate cancer ranks as the most prevalent cancer among men. Over the last decade, the introduction of MRI scans has significantly transformed the diagnosis process, marking the most substantial advancement... Read more
Ultrasound
view channel
Deep Learning Advances Super-Resolution Ultrasound Imaging
Ultrasound localization microscopy (ULM) is an advanced imaging technique that offers high-resolution visualization of microvascular structures. It employs microbubbles, FDA-approved contrast agents, injected... Read more
Novel Ultrasound-Launched Targeted Nanoparticle Eliminates Biofilm and Bacterial Infection
Biofilms, formed by bacteria aggregating into dense communities for protection against harsh environmental conditions, are a significant contributor to various infectious diseases. Biofilms frequently... Read more
General/Advanced Imaging
view channel
New AI Method Captures Uncertainty in Medical Images
In the field of biomedicine, segmentation is the process of annotating pixels from an important structure in medical images, such as organs or cells. Artificial Intelligence (AI) models are utilized to... Read more.jpg "Image: CT coronary angiography for diagnosing coronary artery disease offers advantages over other diagnostic tests (Photo courtesy of 123RF)")
CT Coronary Angiography Reduces Need for Invasive Tests to Diagnose Coronary Artery Disease
Coronary artery disease (CAD), one of the leading causes of death worldwide, involves the narrowing of coronary arteries due to atherosclerosis, resulting in insufficient blood flow to the heart muscle.... Read more
Novel Blood Test Could Reduce Need for PET Imaging of Patients with Alzheimer’s
Alzheimer's disease (AD), a condition marked by cognitive decline and the presence of beta-amyloid (Aβ) plaques and neurofibrillary tangles in the brain, poses diagnostic challenges. Amyloid positron emission... Read more.jpg "Image: Exemplary illustration of the labeling and segmentation process (Photo courtesy of TUM)")
CT-Based Deep Learning Algorithm Accurately Differentiates Benign From Malignant Vertebral Fractures
The rise in the aging population is expected to result in a corresponding increase in the prevalence of vertebral fractures which can cause back pain or neurologic compromise, leading to impaired function... Read moreImaging IT
view channel
New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible
Medical imaging is a critical tool used to diagnose patients, and there are billions of medical images scanned globally each year. Imaging data accounts for about 90% of all healthcare data1 and, until... Read more
Global AI in Medical Diagnostics Market to Be Driven by Demand for Image Recognition in Radiology
The global artificial intelligence (AI) in medical diagnostics market is expanding with early disease detection being one of its key applications and image recognition becoming a compelling consumer proposition... Read more
Industry News
view channel
Bayer and Google Partner on New AI Product for Radiologists
Medical imaging data comprises around 90% of all healthcare data, and it is a highly complex and rich clinical data modality and serves as a vital tool for diagnosing patients. Each year, billions of medical... Read more
