Head & neck · 2026
Measurement Tools for Radiation-Induced Fibrosis in Head and Neck Cancer: A Systematic Review.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Helou Vanessa, Reddy Pooja D, Rumde Purva H, Klem Mary L, Kansara Sagar G, Virag Oldrich, Mowery Yvonne M, Scheff Nicole N, Spector Matthew E, Sridharan Shaum, Nilsen Marci L, Contrera Kevin J
Аннотация
BACKGROUND: Radiation-induced fibrosis is a common, often debilitating late effect of head and neck cancer (HNC) treatment. An updated systematic review is needed to evaluate the reliability, validity, and clinical utility of fibrosis measurement tools.
METHODS: Cochrane Library, Medline, Embase.com, and Web of Science were systematically searched. Articles were independently screened by two reviewers using COSMIN checklists for risk of bias assessment, following PRISMA guidelines.
RESULTS: Of 4678 articles, 17 studies describing 13 tools met inclusion: six studies assessed four patient-reported outcome measures, two assessed two clinician-reported tools, and nine assessed seven imaging modalities. The Neck Fibrosis Scale, HN-LEF Symptom Inventory, and LENT-SOMA demonstrated validity and reliability. Young's modulus was the only imaging tool demonstrating both. Imaging studies had a higher risk of bias.
CONCLUSION: Several subjective tools are reliable and valid for radiation-induced fibrosis assessment in HNC. Young's modulus is the only objective imaging-based tool that provides evidence of both validity and reliability, though methodological limitations remain.
METHODS: Cochrane Library, Medline, Embase.com, and Web of Science were systematically searched. Articles were independently screened by two reviewers using COSMIN checklists for risk of bias assessment, following PRISMA guidelines.
RESULTS: Of 4678 articles, 17 studies describing 13 tools met inclusion: six studies assessed four patient-reported outcome measures, two assessed two clinician-reported tools, and nine assessed seven imaging modalities. The Neck Fibrosis Scale, HN-LEF Symptom Inventory, and LENT-SOMA demonstrated validity and reliability. Young's modulus was the only imaging tool demonstrating both. Imaging studies had a higher risk of bias.
CONCLUSION: Several subjective tools are reliable and valid for radiation-induced fibrosis assessment in HNC. Young's modulus is the only objective imaging-based tool that provides evidence of both validity and reliability, though methodological limitations remain.