RESUMO
Bone metastasis from lung cancer predicts a decrease in the quality of life and a shortening of survival for patients. While controlling the primary disease, active prevention and treatment of skeletal-related events (SREs) are crucial. The use of bisphosphonates as a basic drug for bone metastases from lung cancer has been increasing; also, the corresponding adverse effects have emerged. The case is here reported of two cases of osteonecrosis of the jaw associated with zoledronic acid treatment were reported in patients with epidermal growth factor receptor -sensitive mutation non-small-cell lung cancer(NSCLC) and discussed the clinical features, early recognition and interventions.
Assuntos
Conservadores da Densidade Óssea , Neoplasias Ósseas , Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , Humanos , Ácido Zoledrônico , Neoplasias Pulmonares/tratamento farmacológico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Conservadores da Densidade Óssea/uso terapêutico , Qualidade de Vida , Difosfonatos/uso terapêutico , Neoplasias Ósseas/tratamento farmacológico , Receptores ErbB/genéticaRESUMO
In the design of dental multifunctional Cone Beam Computed Tomography, the linear scanning strategy not only saves equipment cost, but also avoids the demand for patients to be repositioned when acquiring lateral cranial sequence images. In order to obtain panoramic images, we propose a local normalized cross-correlation stitching algorithm based on Gaussian Mixture Model. Firstly, the Block-Matching and 3D filtering algorithm is used to remove quantum and impulse noises according to the characteristics of X-ray images; Then, the segmentation of the irrelevant region and the extraction of the region of interest are performed by Gaussian Mixture Model; The locally normalized cross-relation is used to complete the registration with the multi-resolution strategy based on wavelet transform and Particle Swarm Optimization algorithm; Finally, image fusion is achieved by the weighted smoothing fusion algorithm. The experimental results show that the panoramic image obtained by this method has significant performance in both subjective vision and objective quality evaluation and can be applied to preoperative diagnosis of clinical dental deformity and postoperative effect evaluation.