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RADCOMP

Aim 2: Insight into Functional Changes

Specific Aim 2: To determine the early changes in

sensitive echo-derived measures in patients undergoing

RT, and how these changes differ in proton versus

photon therapy.

Hypothesis: Early abnormalities in measures of cardiac

size, function and mechanics will differ according to RT;

photon therapy will result in worse remodeling.

Functional Alteration

Echocardiographic Measure

Ventricular Structure

LV and RV size and mass

Systolic Function

LV and RV Strain, Strain rate,

Ejection fraction

Diastolic Function

e/a, e’, a’

Ventricular/Vascular Stiffness

Ea, Ees, Ea/Ees

Systolic/Diastolic Deformation

Twist, Torsion