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Article ; Online: Benefit of respiratory gating in the Danish Breast Cancer Group partial breast irradiation trial.

Høgsbjerg, Kristine W / Maae, Else / Nielsen, Mette H / Stenbygaard, Lars / Pedersen, Anders N / Yates, Esben / Berg, Martin / Lorenzen, Ebbe L / Jensen, Ingelise / Josipovic, Mirjana / Thomsen, Mette S / Offersen, Birgitte V

Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology

2024 Volume 194, Page(s) 110195

Abstract: Background and purpose: Partial breast irradiation (PBI)has beenthe Danish Breast Cancer Group(DBCG) standard for selected breast cancer patients since 2016 based onearlyresults from the DBCG PBI trial.During trial accrual, respiratory-gated ... ...

Abstract	Background and purpose: Partial breast irradiation (PBI)has beenthe Danish Breast Cancer Group(DBCG) standard for selected breast cancer patients since 2016 based onearlyresults from the DBCG PBI trial.During trial accrual, respiratory-gated radiotherapy was introduced in Denmark. This study aims to investigate the effect of respiratory-gating on mean heart dose (MHD). Patients and methods: From 2009 to 2016 the DBCG PBI trial included 230 patientswith left-sided breast cancer receiving external beam PBI, 40 Gy/15 fractions/3 weeks.Localization of the tumor bed on the planning CT scan, the use of respiratory-gating, coverage of the clinical target volume (CTV), and doses to organs at risk were collected. Results: Respiratory-gating was used in 123 patients (53 %). In 176 patients (77 %) the tumor bed was in the upper and in 54 patients (23 %) in the lower breast quadrants. The median MHD was 0.37 Gy (interquartile range 0.26-0.57 Gy), 0.33 Gy (0.23-0.49 Gy) for respiratory-gating, and 0.49 Gy (0.31-0.70 Gy) for free breathing, p < 0.0001. MHD was < 1 Gy in 206 patients (90 %) and < 2 Gy in 221 patients (96 %). Respiratory-gating led to significantly lower MHD for upper-located, but not for lower-located tumor beds, however, all MHD were low irrespective of respiratory-gating. Respiratory-gating did not improve CTV coverage or lower lung doses. Conclusions: PBI ensured a low MHD for most patients. Adding respiratory-gating further reduced MHD for upper-located but not for lower-located tumor beds but did not influence target coverage or lung doses. Respiratory-gating is no longer DBCG standard for left-sided PBI.
MeSH term(s)	Humans ; Female ; Middle Aged ; Organs at Risk/radiation effects ; Denmark ; Aged ; Breast Neoplasms/radiotherapy ; Breast Neoplasms/pathology ; Unilateral Breast Neoplasms/radiotherapy ; Radiotherapy Dosage ; Heart/radiation effects ; Radiotherapy Planning, Computer-Assisted/methods ; Respiratory-Gated Imaging Techniques/methods ; Adult
Language	English
Publishing date	2024-03-03
Publishing country	Ireland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	605646-5
ISSN	1879-0887 ; 0167-8140
ISSN (online)	1879-0887
ISSN	0167-8140
DOI	10.1016/j.radonc.2024.110195
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Article ; Online: Volume matters: Breast induration is associated with irradiated breast volume in the Danish Breast Cancer Group phase III randomized Partial Breast Irradiation trial.

Thomsen, Mette S / Alsner, Jan / Nielsen, Hanne M / Jakobsen, Erik H / Nielsen, Mette H / Møller, Mette / Pedersen, Anders N / Yates, Esben / Berg, Martin / Lorenzen, Ebbe / Jensen, Ingelise / Josipovic, Mirjana / Overgaard, Jens / Offersen, Birgitte V

Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology

2022 Volume 177, Page(s) 231–235

Abstract: Purpose: The relation between breast induration grade 2-3 at 3 years after radiation therapy and irradiated breast volume was investigated for patients in the Danish Breast Cancer Group (DBCG) Partial Breast Irradiation (PBI) trial. METHODS Treatment ... ...

Abstract	Purpose: The relation between breast induration grade 2-3 at 3 years after radiation therapy and irradiated breast volume was investigated for patients in the Danish Breast Cancer Group (DBCG) Partial Breast Irradiation (PBI) trial. METHODS Treatment plan data was obtained from the Danish radiotherapy plan database. Dosimetric parameters for breast and organs at risk were determined. Breast induration data was obtained from the DBCG database. The volume of the whole breast (CTVp_breast) treated to various dose levels was determined for treatment plans in both arms. Logistic regression was used to assess the frequency of induration on breast volume irradiated to ≥40 Gy. RESULTS PBI and WBI was given to 433 and 432 patients, respectively. Median and interquartile ranges (IQR) for CTVp_breast were 710 mL (467-963 mL; PBI) and 666 mL (443-1012 mL; WBI) (p = 0.98). Median and IQR for CTVp_breast treated to ≥40 Gy was 24.9% (18.6-32.6%; PBI) and 59.8% (53.6-68.5%; WBI). Grade 2-3 induration was observed in 5% (PBI) and 10% (WBI) of the patients. A dose-response relationship was established between irradiated breast volume and frequency of breast induration. From the model, 5% and 10% risks of breast induration were observed for ≥40 Gy delivered to CTVp_breast volumes of 177 mL (95%CI, 94-260 mL) and 426 mL (95%CI, 286-567 mL), respectively. CONCLUSION The frequency of breast induration increased significantly with increasing irradiated breast volume, strongly favouring small volumes and PBI. Thus, treated breast volume - not the breast size itself - is the risk factor for induration. This is the first report directly linking the 40 Gy irradiated breast volume to breast induration.
MeSH term(s)	Female ; Humans ; Breast/radiation effects ; Breast Neoplasms/radiotherapy ; Breast Neoplasms/surgery ; Denmark ; Mastectomy, Segmental ; Radiometry
Language	English
Publishing date	2022-10-17
Publishing country	Ireland
Document type	Clinical Trial, Phase III ; Journal Article ; Randomized Controlled Trial
ZDB-ID	605646-5
ISSN	1879-0887 ; 0167-8140
ISSN (online)	1879-0887
ISSN	0167-8140
DOI	10.1016/j.radonc.2022.09.024
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Article ; Online: Breast cancer, breast cancer-directed radiation therapy and risk of hypothyroidism: A systematic review and meta-analysis.

Solmunde, Elisabeth / Falstie-Jensen, Anne Mette / Lorenzen, Ebbe L / Ewertz, Marianne / Reinertsen, Kristin V / Dekkers, Olaf M / Cronin-Fenton, Deirdre P

Breast (Edinburgh, Scotland)

2023 Volume 68, Page(s) 216–224

Abstract: Objective: Breast cancer and breast cancer-directed radiation therapy (RT) may increase the risk of late effects, such as hypothyroidism. We conducted a systematic review and meta-analysis to investigate the association between breast cancer, RT, and ... ...

Abstract	Objective: Breast cancer and breast cancer-directed radiation therapy (RT) may increase the risk of late effects, such as hypothyroidism. We conducted a systematic review and meta-analysis to investigate the association between breast cancer, RT, and risk of hypothyroidism in breast cancer survivors. Methods: Through February 2022, we searched PubMed, EMBASE, and references of relevant articles, to identify papers on breast cancer and breast cancer-directed RT and subsequent risk of hypothyroidism. Articles were screened by title and abstract and reviewed for eligibility. We used a pre-formed data extraction sheet and identified key design elements that could potentially introduce bias. The main outcome was the confounder-adjusted relative risk (RR) of hypothyroidism in breast cancer survivors versus women without breast cancer, and in breast cancer survivors according to the receipt of RT to the supraclavicular lymph nodes. We used a random-effects model to calculate pooled RRs and associated 95% confidence intervals (95% CI). Results: From 951 papers screened by title and abstract, 34 full-text papers were reviewed for eligibility. We included 20 studies published between 1985 and 2021-19 were cohort studies. Compared with women without breast cancer, the pooled RR of hypothyroidism in breast cancer survivors was 1.48 (95% CI: 1.17, 1.87), with highest risk associated with RT to the supraclavicular region (RR = 1.69, 95% CI: 1.16, 2.46). The most important limitations of the studies were small sample size yielding estimates with low precision, and lack of data on potential confounders. Conclusion: Breast cancer and radiation therapy to the supraclavicular lymph nodes is associated with an increased risk of hypothyroidism.
MeSH term(s)	Female ; Humans ; Breast Neoplasms/radiotherapy ; Breast Neoplasms/pathology ; Hypothyroidism/epidemiology ; Hypothyroidism/etiology ; Cohort Studies
Language	English
Publishing date	2023-02-18
Publishing country	Netherlands
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Review
ZDB-ID	1143210-x
ISSN	1532-3080 ; 0960-9776
ISSN (online)	1532-3080
ISSN	0960-9776
DOI	10.1016/j.breast.2023.02.008
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Zs.A 3620: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Very early onset inflammatory bowel disease with compound heterozygous variants in Nuclear Factor of Activated T cell 5.

Kirk, Nina V / Jensen, Jens M B / Petersen, Mikkel S / Al-Mousawi, A / Mogensen, Trine H / Christiansen, Mette / Larsen, Carsten S

European journal of immunology

2021 Volume 51, Issue 4, Page(s) 999–1001

Language	English
Publishing date	2021-02-26
Publishing country	Germany
Document type	Letter
ZDB-ID	120108-6
ISSN	1521-4141 ; 0014-2980
ISSN (online)	1521-4141
ISSN	0014-2980
DOI	10.1002/eji.202048602
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Zs.A 489: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Low-grade inflammation in persons with recently diagnosed type 2 diabetes: The role of abdominal adiposity and putative mediators.

Domazet, Sidsel L / Olesen, Thomas B / Stidsen, Jacob V / Svensson, Camilla K / Nielsen, Jens S / Thomsen, Reimar W / Jessen, Niels / Vestergaard, Peter / Andersen, Mette K / Hansen, Torben / Brøns, Charlotte / Jensen, Verena H / Vaag, Allan A / Olsen, Michael H / Højlund, Kurt

Diabetes, obesity & metabolism

2024

Abstract: Aims: To determine the magnitude of the association between abdominal adiposity and low-grade inflammation in persons with recently diagnosed type 2 diabetes (T2D) and to determine to what extent this association is mediated by low physical activity ... ...

Abstract	Aims: To determine the magnitude of the association between abdominal adiposity and low-grade inflammation in persons with recently diagnosed type 2 diabetes (T2D) and to determine to what extent this association is mediated by low physical activity level, hyperinsulinaemia, hyperglycaemia, dyslipidaemia, hypertension, and comorbidities. Materials and methods: We measured waist circumference, clinical characteristics, and inflammatory markers i.e. tumour necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and high-sensitivity C-reactive protein (hsCRP), in >9000 persons with recently diagnosed T2D. We applied multiple mediation analysis using structural equation modelling, with adjustment for age and sex. Results: Waist circumference as a proxy for abdominal adiposity was positively associated with all inflammatory markers. Hence, a one-standard deviation (SD) increase in waist circumference (SD = 15 cm) was associated with a 22%, 35%, and 46% SD increase in TNF-α (SD = 1.5 pg/mL), IL-6 (SD = 4.4 pg/mL), and hsCRP (SD = 6.9 mg/L), respectively. The level of hyperinsulinaemia assessed by fasting C-peptide was quantitatively the most important mediator, accounting for 9%-25% of the association between abdominal adiposity and low-grade inflammation, followed by low physical activity (5%-7%) and high triglyceride levels (2%-6%). Although mediation of adiposity-induced inflammation by greater comorbidity and higher glycated haemoglobin levels reached statistical significance, their impact was minor (1%-2%). Conclusions: In persons with recently diagnosed T2D, there was a clear association between abdominal adiposity and low-grade inflammation. A considerable part (20%-40%) of this association was mediated by other factors, with hyperinsulinaemia as a potentially important driver of adiposity-induced inflammation in T2D.
Language	English
Publishing date	2024-03-11
Publishing country	England
Document type	Journal Article
ZDB-ID	1454944-x
ISSN	1463-1326 ; 1462-8902
ISSN (online)	1463-1326
ISSN	1462-8902
DOI	10.1111/dom.15514
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Zs.A 5442: Show issues

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Article ; Online: Partial Breast Irradiation Versus Whole Breast Irradiation for Early Breast Cancer Patients in a Randomized Phase III Trial: The Danish Breast Cancer Group Partial Breast Irradiation Trial.

Offersen, Birgitte V / Alsner, Jan / Nielsen, Hanne M / Jakobsen, Erik H / Nielsen, Mette H / Stenbygaard, Lars / Pedersen, Anders N / Thomsen, Mette S / Yates, Esben / Berg, Martin / Lorenzen, Ebbe L / Jensen, Ingelise / Josipovic, Mirjana / Jensen, Maj-Britt / Overgaard, Jens

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

2022 , Page(s) JCO2200451

Abstract: Purpose: On the basis of low risk of local recurrence in elderly patients with breast cancer after conservative surgery followed by whole breast irradiation (WBI), the Danish Breast Cancer Group initiated the noninferiority external-beam partial breast ... ...

Abstract	Purpose: On the basis of low risk of local recurrence in elderly patients with breast cancer after conservative surgery followed by whole breast irradiation (WBI), the Danish Breast Cancer Group initiated the noninferiority external-beam partial breast irradiation (PBI) trial (ClinicalTrials.gov identifier: NCT00892814). We hypothesized that PBI was noninferior to WBI regarding breast induration. Methods: Patients operated with breast conservation for relatively low-risk breast cancer were randomly assigned to WBI versus PBI, and all had 40 Gy/15 fractions. The primary end point was 3-year grade 2-3 breast induration. Results: In total, 865 evaluable patients (434 WBI and 431 PBI) were enrolled between 2009 and 2016. Median follow-up was 5.0 years (morbidity) and 7.6 years (locoregional recurrence). The 3-year rate of induration was 9.7% for WBI and 5.1% for PBI, Conclusion: External-beam PBI for patients with low-risk breast cancer was noninferior to WBI in terms of breast induration. Large breast size was a risk factor for radiation-associated induration. Few recurrences were detected and unrelated to PBI.
Language	English
Publishing date	2022-08-05
Publishing country	United States
Document type	Journal Article
ZDB-ID	604914-x
ISSN	1527-7755 ; 0732-183X
ISSN (online)	1527-7755
ISSN	0732-183X
DOI	10.1200/JCO.22.00451
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Zs.A 1847: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Human calmodulin mutations cause arrhythmia and affect neuronal function in C. elegans.

Jensen, Helene H / Frantzen, Magnus T / Wesseltoft, Jonas L / Busuioc, Ana-Octavia / Møller, Katrine V / Brohus, Malene / Duun, Palle R / Nyegaard, Mette / Overgaard, Michael T / Olsen, Anders

Human molecular genetics

2023 Volume 32, Issue 12, Page(s) 2068–2083

Abstract: In humans, mutations in calmodulin cause cardiac arrhythmia. These mutations disrupt the ability of calmodulin to sense calcium concentrations and correctly regulate two central calcium channels, together obstructing heart rhythm. This correlation is ... ...

Abstract	In humans, mutations in calmodulin cause cardiac arrhythmia. These mutations disrupt the ability of calmodulin to sense calcium concentrations and correctly regulate two central calcium channels, together obstructing heart rhythm. This correlation is well established, but also surprising since calmodulin is expressed in all tissues and interacts with hundreds of proteins. Until now, most studies have focused on cardiac cell function and regulation of specific cardiac targets, and thus, potential other effects of these mutations have largely been unexplored. Here, we introduce the nematode Caenorhabditis elegans as an in vivo model to study effects of three human calmodulin mutations with different impairment on calcium binding. We find that arrhythmic effects of the calmodulin mutations N54I and D96V can be recapitulated in disruption of two rhythmic behaviors, pharynx pumping and defecation motor program. Interestingly, we also find that these mutations affect neuronal function, but in different ways. Whereas D96V sensitizes signaling at the neuromuscular junction, N54I has a protective effect. The mutation N98S did not affect rhythmic behavior, but impaired chemosensing. Therefore, pathogenic calmodulin mutations act through different mechanisms in rhythmic behavior and neuronal function in C. elegans, emphasizing the strength of using live multicellular models. Finally, our results support the hypothesis that human calmodulin mutations could also contribute to neurological diseases.
MeSH term(s)	Animals ; Humans ; Calmodulin/genetics ; Calmodulin/metabolism ; Caenorhabditis elegans/genetics ; Caenorhabditis elegans/metabolism ; Calcium/metabolism ; Arrhythmias, Cardiac/metabolism ; Mutation ; Caenorhabditis elegans Proteins/genetics ; Caenorhabditis elegans Proteins/metabolism
Chemical Substances	Calmodulin ; Calcium (SY7Q814VUP) ; Caenorhabditis elegans Proteins
Language	English
Publishing date	2023-03-15
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1108742-0
ISSN	1460-2083 ; 0964-6906
ISSN (online)	1460-2083
ISSN	0964-6906
DOI	10.1093/hmg/ddad042
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Article ; Online: Multidisciplinary interventions increase weekly working hours and quality of life in persons with post-concussion syndrome.

Jensen, Katrine L / Wachner, Lone G / Storm van den Brekel, Johanne / Hardis, Helle / Smaakjær, Peter / Hansen, Mette V / Turn, Janette / Rasmussen, Rune S

Neurological research

2023 Volume 45, Issue 10, Page(s) 926–935

Abstract: Objectives: To improve labor market attachment, general health and quality of life in persons suffering from post-concussion syndrome. Labor market attachment often changes after mTBI, and especially in persons suffering from post-concussion syndrome, ... ...

Abstract	Objectives: To improve labor market attachment, general health and quality of life in persons suffering from post-concussion syndrome. Labor market attachment often changes after mTBI, and especially in persons suffering from post-concussion syndrome, and constitutes a huge societal burden. Methods: Eighty-two adults with persistent post-concussion syndrome participated in this single-center and uncontrolled interventional efficacy open-label investigation. The primary endpoint was to increase weekly working hours. Outcome measures ranged from self-reported cognitive symptoms to objective performance testing. Multidisciplinary interventions were used to reduce symptoms of fatigue, stress, pain, oculomotor malfunction, and sensitivity to both sound and light. Results: Workhours improved from median 0 to 6 hours ( Conclusion: After the intervention, participants increased weekly workhours and improved in many aspects of life - including quality of life, performance in everyday activities, fatigue and depression. Perception of pain intensity was not improved.
MeSH term(s)	Adult ; Humans ; Quality of Life ; Post-Concussion Syndrome/therapy ; Anxiety ; Fatigue/etiology ; Fatigue/therapy ; Pain
Language	English
Publishing date	2023-08-17
Publishing country	England
Document type	Journal Article
ZDB-ID	424428-x
ISSN	1743-1328 ; 0161-6412
ISSN (online)	1743-1328
ISSN	0161-6412
DOI	10.1080/01616412.2023.2247302
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Article ; Online: The gut hormone Allatostatin C/Somatostatin regulates food intake and metabolic homeostasis under nutrient stress

Olga Kubrak / Takashi Koyama / Nadja Ahrentløv / Line Jensen / Alina Malita / Muhammad T. Naseem / Mette Lassen / Stanislav Nagy / Michael J. Texada / Kenneth V. Halberg / Kim Rewitz

Nature Communications, Vol 13, Iss 1, Pp 1-

2022 Volume 17

Abstract: Intestinal nutrient-sensing is important in metabolic control. Here the authors show that the gut-derived hormone Allatostatin C, a somatostatin homolog in fruit flies, links enteric nutrient sensing to behavioral and metabolic adaptations that maintain ... ...

Abstract	Intestinal nutrient-sensing is important in metabolic control. Here the authors show that the gut-derived hormone Allatostatin C, a somatostatin homolog in fruit flies, links enteric nutrient sensing to behavioral and metabolic adaptations that maintain energetic homeostasis in Drosophila melanogaster.
Keywords	Science ; Q
Language	English
Publishing date	2022-02-01T00:00:00Z
Publisher	Nature Portfolio
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: [Non-pharmacological treatment of migraine and tension-type headache].

Beier, Dagmar / Callesen, Henriette E / Carlsen, Louise N / Birkefoss, Kirsten / Tómasdóttir, Hanna / Würtzen, Hanne / Christensen, Henrik W / Krøll, Lotte S / Jensen, Mette / Høst, Christel V / Hansen, Jakob M

Ugeskrift for laeger

2022 Volume 184, Issue 5

Abstract: Migraine and tension-type headache are among the most frequent diseases of the world. As pharmacological treatment often is associated with distinct side effects, there is an increasing need for non-pharmacological treatment options. However, there has ... ...

Abstract	Migraine and tension-type headache are among the most frequent diseases of the world. As pharmacological treatment often is associated with distinct side effects, there is an increasing need for non-pharmacological treatment options. However, there has been a striking lack of evidence with regards to the efficacy of the huge variety of non-pharmacological interventions. In this review, we present the available evidence for the most common non-pharmacological treatment options with focus on the national clinical guideline for non-pharmacological treatment of headache disorders published in 2021.
MeSH term(s)	Humans ; Migraine Disorders/drug therapy ; Tension-Type Headache/drug therapy
Language	Danish
Publishing date	2022-03-03
Publishing country	Denmark
Document type	Journal Article ; Review
ZDB-ID	124102-3
ISSN	1603-6824 ; 0041-5782
ISSN (online)	1603-6824
ISSN	0041-5782
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