No abstract

BACKGROUND: Radiotherapy is an integral component of treatment for oropharyngeal cancer. Toxicity from the current state-of-the-art photon radiotherapy, intensity-modulated radiation therapy (IMRT), has prompted the search for alternative, less toxic therapies. One such alternative that might de-intensify treatment is proton therapy. In this trial, we aimed to directly compare IMRT with intensity-modulated proton therapy (IMPT), both concurrent with systemic therapy, hypothesising comparable...

Medical Visual Question Answering (Med-VQA) empowers AI systems to interpret medical images and respond to clinical queries, enhancing diagnostic precision and decision-making in resource-limited clinical settings. This study evaluates parameter-efficient fine-tuning (PEFT) techniques on leading multimodal models: Idefics3-8B-Llama3, idefics2-8b, LLaVA-1.5-7b, Qwen2-VL-7B-Instruct, and Llama-3.2-11B-Vision-Instruct to optimize their performance for Med-VQA tasks. The key innovation lies in...

CONCLUSION: Most patient-prioritized outcomes were similar or better among participants who chose RC compared with BST. These findings support the continued role of RC in managing recurrent high-grade NMIBC.

No abstract