Meet Zhongxing Liao, M.D.
Zhongxing Liao, M.D.
Department of Thoracic Radiation Oncology, Division of Radiation Oncology
About Dr. Liao
Dr. Liao's research activities aim to improve the therapeutic ratio of radiotherapy for thoracic malignancies through translational research. Specifically, her efforts focus on personalizing chemoradiotherapy for lung cancer by reducing treatment-related toxicity, and increasing cancer cure rates by using predictive biomarker strategies and advanced radiation delivery technology. She has continued her leadership role in conducting practice-changing clinical trials locally and nationally.
Dr. Liao's five most significant contributions in research include the following:
Successfully designed, led, and completed the first of the kind prospective randomized trial comparing IMRT and proton therapy for lung cancer. Dr. Liao is Principal Investigator of the first prospective randomized NCI PO1 funded multi-institutional trial “ A Bayesian Randomized trial of Image-Guided Adaptive Conformal Photon vs Proton Therapy, with Concurrent Chemotherapy, for Locally Advanced Non-Small Cell Lung Carcinoma: Treatment-Related Pneumonitis and Locoregional Recurrence ( NCT00915005)”. This clinical protocol compared proton and photon therapy for a “hard to treat” cancer. This protocol was critical in securing funding for her program project grant 2-P01CA021239, “Optimizing Proton Therapy,” PI Thomas Delaney; 9/25/2008−7/31/2013; $8,734,885 ($1,775,617/year). The hypothesis of this trial was based on the research findings from item 2 below, that the unique dosimetric characteristics of proton beams will reduce the dose and volume of the normal lung to radiation, hence further decreasing treatment-related lung toxicity. This protocol met the enrollment goal on 3/2014, and the first result was reported on 2016 ASCO meeting as a plenary presentation and included in the 2016 Best of ASCO. The manuscript was first submitted to the Lancet Journal with recommended transfer to the Lancet Respiratory Medicine, which she declined. The final version of the manuscript was resubmitted to JCO.
Translational research on secondary analyses on the data accumulated from protocol NCT00915005. This trial contributed greatly to the understanding of proton therapy and produced much valuable data. Dr. Liao worked with collaborators and was able to secure funding for a U19 ( 2U19CA021239-35, NIH/NCI, PI - Radhe Mohan, 9/25/2014-8/31/2018, $1,925,520 ($385,104/year) ), and a CPRIT ( RP160232, PI - Dragan Mirkovic/Pablo Yepes, 3/1/2016-2/28/2019, $835,395 ($275,114/year)) grant to perform secondary analyses on the data accumulated from this trial. Given the rapid proliferation of proton therapy facilities worldwide despite the lack of level I evidence of its effectiveness in lung cancer, Dr. Liao believes that the results are potentially practice-changing. She expects that results from ongoing analyses of secondary objectives including imaging, patient-reported outcomes, blood biomarkers, and cost effectiveness will considerably advance the state of the art in proton therapy, as will ongoing translational research to correlate biological and physical factors affecting response to protons vs. photons and radiation physics studies to assess the influence of uncertainties on proton therapy.
Established a bio-specimen repositories for biomarker research and facilitate translational research. This research effort is an expansion of the clinical trial as one of the secondary objectives and two protocols (Protocol Lab 2009-0307, PA13-0786). The aim is to identify predictive biomarkers for treatment outcome and to help select patients for the most effective treatment. The collected biospecimen including blood, plasma, serum, genome DNA, urine, and saliva are a rich resource for correlative studies to facilitate extramural funding. One example is that, using the blood samples from this study, combined with the clinical and radiation therapy dosimetric data, Dr. Liao is able to spearhead a research effort to study cardiac injury after chemoradiation for lung cancer. In the scope of the work, she has established research contract with ROCHE to use their high sensitive Cardiac Troponin kits to obtain preliminary data for extramural funding. Dr. Liao's R21 grant (1R21 CA222749-01) is entitled “Proton therapy to reduce heart damage for lung cancer patients”. Under the umbrellas of biomarker study and the infrastructure that she created, the thoracic service has accumulated a significant amount of biospecimen and clinical data on patients received concurrent chemoradiation treatment in the department of Radiation Oncology. The collaborative research effort has been expanded nationally and internationally with MGH, MAASTRO.
Becoming a national leader in clinical trials on proton therapy. Proton therapy is more costly than even the best currently available photon technology, and evidence demonstrating clinical benefit is increasingly demanded to justify the financial burden on the healthcare system. However, randomized trials comparing outcomes between different treatment technologies are practically non-existent, and trials of protons vs. photons are no exception. To establish level 1 evidence for proton therapy, we worked with the leadership of Corporate group RTOG (now NRG) and institutions and hospitals with proton facilities (total 15 now and the number continues to increase) and developed RTOG 1308, a “Phase III Randomized Trial Comparing Overall Survival after Photon versus Proton Radiochemotherapy for Inoperable Stage II-IIIB NSCLC”. This protocol was funded through CTEP. She serves as the Principle Investigator for this historical protocol in the history of particle therapy for thoracic malignancies. This trial has been active since 2014, and a total of 99 patients have been recruited to this trial. This phase III trial is probably the only opportunity for radiation oncology community to compare the survival after photons and protons chemoradiation for lung cancer patients.
Continuing her efforts in research of technological advancement including proton, Dr. Liao is leading another Randomized Phase I/II trial of image-guided, intensity-modulated photon (IMRT) or scanning beam proton therapy (IMPT) both with simultaneous integrated boost (SIB) dose escalation to the gross tumor volume (GTV) with concurrent chemotherapy for stage II/III non-small cell lung cancer (NSCLC) (MDA protocol: 2011-1058). This protocol use a novel radiation therapy technique called simultaneous integrated boost, which will delivery differential higher doses to tumor and lower dose to normal structure. This trial is significant because it is the only protocol that assess the impact of intensity modulated radiation therapy using either photon or protons, whereas the all the previous trials compared 3D Conformal proton with intensity modulated photons. She has completed the phase I portion and currently on phase II portion of this trial.
Expanded research collaborations with imaging, symptom research, and behavior science.
Dr. Liao has continued a long term collaboration with the symptom research department in the institution and was a Co-Principal Investigator on an R21 grant that investigated correlation of inflammatory cytokines and symptom burden in lung cancer patients who underwent chemoradiation. The final result has been published in the Journal of Clinical Oncology. The institution was awarded an RO1 grant entitled “ Reducing the symptom burden produced by aggressive cancer therapies", 5 R01 CA026582-31, NIH/NCI, PI - Charles Cleeland, 5/1/2013-4/30/2015”. $424,012 ($84,800/year). We are the first group reporting decreased symptom burden in patients treated with proton radiation compared with those treated with IMRT or 3D CRT.
- Dr. Liao has always been interested in imaging biomarker. She has received sister institution network finding for a project “Diffusion-weighted magnetic resonance imaging for early response assessment of neoadjuvant chemoradiation for squamouse cell carcinoma of the esophagus, Sister Institution Network Fund Application, UTMDACC, 1/1/2015-12/31/2016, $99,998 ($49,999/year)”. This project is a collaborative effort with 3 institutions in China and MD Anderson Cancer Center, and this project is ongoing.
- Dr. Liao is the institutional PI for another innovative project “A Randomized Trial of Incentives for Research Participation, (1R01CA197332-01, NIH/NCI, PI - Scott D. Halpern, 7/1/2015-6/30/2020, $288,642, ($67,841/year)). This clinical trial is built upon the population of RTOG 1308m to address the question if financial incentives impacts on patient participation of clinical trial. This project is currently ongoing as well.
Dr. Liao's translational and clinical research activities have been highly productive, as evidenced in her CV by publications in highly respected peer-reviewed scientific journals, by invitations to write review articles, and by invitations to national and international meetings as keynote or panel speakers. She has accumulated rich experience and knowledge, developed leadership skills and effectiveness to conduct critical research projects and corporate trials. Dr. Liao anticipates that her research will continue its success as many completed projects mature with results presented to and accepted by the international scientific community, and ongoing projects progress smoothly.
Present Title & Affiliation
Primary Appointment
Professor, Department of Radiation Oncology, Division of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX
Education & Training
Degree-Granting Education
1982 | Hunan Medical University, Changsha, CHN, MD, Medicine |
Postgraduate Training
2015-2015 | Executive Education Course:Strategy for Value-Based Healthcare Delivery, Strategy for Value-Based Healthcare Delivery, Rice University, Texas Medical Center, Houston, TX |
2015-2015 | Clinical Safety and Effectiveness Program, University of Texas MD Anderson Cancer Center, Houston, TX |
2012-2012 | Faculty Development, Beyond the CV: Behavioral Interviewing of Faculty Candidates, The University of Texas MD Anderson Cancer Center, Houston, TX |
2007-2008 | Faculty Leadership Academy, Faculty Leadership Academy, The University of Texas MD Anderson Cancer Center, Houston, TX |
1995-1999 | Clinical Residency, Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX |
1994-1995 | Clinical Internship, Internal Medicine, The University of Kansas School of Medicine-Wichita, Wichita, KS |
1993-1994 | Clinical Fellowship, Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX |
1989-1993 | Research Fellowship, Experimental Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX |
Board Certifications
1999 | American Board of Radiology - Radiation Oncology |
Experience & Service
Administrative Appointments/Responsibilities
Deputy Department Chair of Clinical Research, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, 2019 - Present
Deputy Department Chair of Clinical Affairs, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, 2015 - Present
Medical Director, Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, 2007 - 2016
Institutional Committee Activities
Member, Data Safety Monitoring Board, 2008 - 2010
Member, Harris County Health District (HCHD/MDACC) Joint Operation Committee, 2007 - 2010
Member, Uncompensated Care Advisory Committee, The University of Texas MD Anderson Cancer Center, 2007 - 2009
Member, The Executive Committee for Medical Staff, The University of Texas MD Anderson Cancer Center, 2007 - Present
Member, MDACC/HCHD Quarterly Administrative/Medical Advisory Committee, 2007 - 2009
Member, IRB Data Safety Monitoring Committee, The University of Texas MD Anderson Cancer Center, 2005 - 2008
Member, Steering Committee for China, Extramural Program, The University of Texas MD Anderson Cancer Center, 2004 - Present
Member, Asia Task Force, Extramural Program, The University of Texas MD Anderson Cancer Center, 1999 - Present
Endowed Positions
The Elza A. and Ina Shackelford Freeman Endowed Professorship in Lung Cancer, Division of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, 2020 - Present
Honors & Awards
2011 | The Marie Sklodowska-Curie Award-American Association for Women Radiologists, American Association for Women Radiologists |
2007 | Outstanding International Collaboration Award, Chinese Society of Therapeutic Radiology and Oncology |
2007 | Outstanding Contribution to Radiation Oncology Education for China Award, Chinese Society of Therapeutic Radiology and Oncology |
Professional Memberships
Selected Publications
Peer-Reviewed Articles
- Nead KT, Kim T, Joo L, McDowell T, Wong J, Chan IC, Brock E, Zhao J, Xu T, Tang C, Lee CL, Abe JI, Bolton KL, Liao Z, Scheet P, Lin SH. Impact of Cancer Therapy on Clonal Hematopoiesis Mutations and Subsequent Clinical Outcomes. Blood Adv. e-Pub 2024. PMID: 38830141.
- Iskander GM, Cavazos A, Ejezie CL, Cox V, Cheng H, Perez S, Koong AC, Nguyen J, Herman J, Beddar S, Liao Z, Yeboa DN. Protocol-in-a-Day Workshop: Expediting IRB Approval for Junior and Senior Faculty. J Cancer Educ. e-Pub 2024. PMID: 38914893.
- Weng J, Mesko S, Chronowski G, Lee P, Choi S, Das P, Koong AC, French K, Aloia T, Ehlers R, Elrod-Joplin D, Kerr A, Smith R, Martinez W, Bloom E, Shah SJ, Ning MS, Liao Z, Herman J, Moningi S, Moreno AC, Nguyen QN. Optimizing Outpatient Radiation Oncology Consult Workflow by Using Time-Driven Activity-Based Costing: Efficiency and Financial Impacts. JCO Oncol Pract 20(5):OP2300037, 2024. e-Pub 2024. PMID: 38330252.
- Corrigan KL, Xu T, Sasaki Y, Lin R, Chen AB, Welsh JW, Lin SH, Chang JY, Ning MS, Gandhi S, O'Reilly MS, Gay CM, Altan M, Lu C, Cascone T, Koutroumpakis E, Sheshadri A, Zhang X, Liao L, Zhu XR, Heymach JV, Nguyen QN, Liao Z. Survival outcomes and toxicity of adjuvant immunotherapy after definitive concurrent chemotherapy with proton beam radiation therapy for patients with inoperable locally advanced non-small cell lung carcinoma. Radiother Oncol 193:110121, 2024. e-Pub 2024. PMID: 38311031.
- Maragno D, Buti G, Birbil SI, Liao Z, Bortfeld T, den Hertog D, Ajdari A. Embedding machine learning based toxicity models within radiotherapy treatment plan optimization. Phys Med Biol 69(7), 2024. e-Pub 2024. PMID: 38412530.
- Abana CO, Damen PJ, van Rossum PS, Bravo PL, Wei X, Pollard-Larkin JM, Nitsch PL, Murphy MB, Hofstetter WL, Liao Z, Lin SH. Esophageal Cancer Outcomes After Definitive Chemotherapy With Intensity Modulated Proton Therapy. Int J Part Ther 11:100009, 2024. e-Pub 2024. PMID: 38757075.
- Damen PJJ, van Rossum PSN, Chen Y, Abana CO, Liao Z, Hobbs BP, Mohan R, Blum-Murphy M, Hofstetter WL, Lin SH. Comparing 90-Day Postoperative Mortality After Neoadjuvant Proton-Based Versus Photon-Based Chemoradiotherapy for Esophageal Cancer. Int J Part Ther 11:100012, 2024. e-Pub 2024. PMID: 38757082.
- Wang X, van Rossum PSN, Chu Y, Hobbs BP, Grassberger C, Hong TS, Liao Z, Yang J, Zhang X, Netherton T, Mohan R, Lin SH. Severe Lymphopenia During Chemoradiation Therapy for Esophageal Cancer: Comprehensive Analysis of Randomized Phase 2B Trial of Proton Beam Therapy Versus Intensity Modulated Radiation Therapy. Int J Radiat Oncol Biol Phys 118(2):368-377, 2024. e-Pub 2023. PMID: 37652304.
- Zhu J, Wang Y, Sun H, Zhang Y, Zhang W, Shen W, Yang N, Tan B, Su X, Li L, Dong W, Ma J, Zhang J, Zhao L, Sun D, Yang P, Peng L, Li B, Huang W, Wang Q, Liao Z. Surgery versus radiotherapy for limited-stage small cell esophageal carcinoma: a multicenter, retrospective, cohort study in China (ChiSCEC). Int J Surg 110(2):956-964, 2024. e-Pub 2024. PMID: 37995095.
- Chen X, Mumme RP, Corrigan KL, Mukai-Sasaki Y, Koutroumpakis E, Palaskas NL, Nguyen CM, Zhao Y, Huang K, Yu C, Xu T, Daniel A, Balter PA, Zhang X, Niedzielski JS, Shete SS, Deswal A, Court LE, Liao Z, Yang J. Deep learning-based automatic segmentation of cardiac substructures for lung cancers. Radiother Oncol 191:110061, 2024. e-Pub 2023. PMID: 38122850.
- He Y, Cazoulat G, Wu C, Svensson S, Almodovar-Abreu L, Rigaud B, McCollum E, Peterson C, Wooten Z, Rhee DJ, Balter P, Pollard-Larkin J, Cardenas C, Court L, Liao Z, Mohan R, Brock K. Quantifying the Effect of 4-Dimensional Computed Tomography-Based Deformable Dose Accumulation on Representing Radiation Damage for Patients with Locally Advanced Non-Small Cell Lung Cancer Treated with Standard-Fractionated Intensity-Modulated Radiation Therapy. Int J Radiat Oncol Biol Phys 118(1):231-241, 2024. e-Pub 2023. PMID: 37552151.
- Ladbury C, Li R, Danesharasteh A, Ertem Z, Tam A, Liu J, Hao C, Li R, McGee H, Sampath S, Williams T, Glaser S, Khasawneh M, Liao Z, Lee P, Ryckman J, Shaikh P, Amini A. Explainable Artificial Intelligence to Identify Dosimetric Predictors of Toxicity in Patients with Locally Advanced Non-Small Cell Lung Cancer: A Secondary Analysis of RTOG 0617. Int J Radiat Oncol Biol Phys 117(5):1287-1296, 2023. e-Pub 2023. PMID: 37406826.
- Weiß A, Löck S, Xu T, Liao Z, Hoffmann AL, Troost EGC. Prediction of radiation pneumonitis using the effective α/β of lungs and heart in NSCLC patients treated with proton beam therapy. Radiother Oncol 190:110013. e-Pub 2023. PMID: 37972734.
- Altan M, Soto F, Xu T, Wilson N, Franco-Vega MC, Simbaqueba Clavijo CA, Shannon VR, Faiz SA, Gandhi S, Lin SH, Lopez P, Zhong L, Akhmedzhanov F, Godoy MCB, Shroff GS, Wu J, Khawaja F, Kim ST, Naing A, Heymach JV, Daniel-Macdougall C, Liao Z, Sheshadri A. Pneumonitis After Concurrent Chemoradiation and Immune Checkpoint Inhibition in Patients with Locally Advanced Non-small Cell Lung Cancer. Clin Oncol (R Coll Radiol) 35(10):630-639, 2023. e-Pub 2023. PMID: 37507279.
- Chang JY, Lin SH, Dong W, Liao Z, Gandhi SJ, Gay CM, Zhang J, Chun SG, Elamin YY, Fossella FV, Blumenschein G, Cascone T, Le X, Pozadzides JV, Tsao A, Verma V, Welsh JW, Chen AB, Altan M, Mehran RJ, Vaporciyan AA, Swisher SG, Balter PA, Fujimoto J, Wistuba II, Feng L, Lee JJ, Heymach JV. Stereotactic ablative radiotherapy with or without immunotherapy for early-stage or isolated lung parenchymal recurrent node-negative non-small-cell lung cancer: an open-label, randomised, phase 2 trial. Lancet 402(10405):871-881, 2023. e-Pub 2023. PMID: 37478883.
- Peng L, Bin Y, Ding P, Chen L, Zeng H, Xu Z, Ji L, Gao X, Liu P, Wang Y, Zhang S, Liao Z, Xia X, Zhang R, Tong F, Dong X. Integrated circulating tumor DNA and T cell repertoire predict radiotherapeutic response and outcome in non-small cell lung cancer patients with brain metastasis. Cancer Commun (Lond) 43(5):625-629, 2023. e-Pub 2023. PMID: 36815673.
- Rimner A, Moore ZR, Lobaugh S, Geyer A, Gelblum DY, Abdulnour RE, Shepherd AF, Shaverdian N, Wu AJ, Cuaron J, Chaft JE, Zauderer MG, Eng J, Riely GJ, Rudin CM, Els NV, Chawla M, McCune M, Li H, Jones DR, Sopka DM, Simone CB, Mak R, Weinhouse GL, Liao Z, Gomez DR, Zhang Z, Paik PK. Randomized, phase II, placebo-controlled trial of nintedanib for the treatment of radiation pneumonitis. Int J Radiat Oncol Biol Phys. e-Pub 2023. PMID: 36889516.
- Geng H, Liao Z, Nguyen QN, Berman AT, Robinson C, Wu A, Nichols RC, Willers H, Mohammed N, Mohindra P, Xiao Y. Implementation of Machine Learning Models to Ensure Radiotherapy Quality for Multicenter Clinical Trials: Report from a Phase III Lung Cancer Study. Cancers (Basel) 15(4), 2023. e-Pub 2023. PMID: 36831358.
- He Y, Anderson BM, Cazoulat G, Rigaud B, Almodovar-Abreu L, Pollard-Larkin J, Balter P, Liao Z, Mohan R, Odisio B, Svensson S, Brock KK. Optimization of mesh generation for geometric accuracy, robustness, and efficiency of biomechanical-model-based deformable image registration. Med Phys 50(1):323-329, 2023. e-Pub 2022. PMID: 35978544.
- De B, Farooqi AS, Mitchell KG, Ludmir EB, Lewis J, Rinsurongkawong W, Rinsurongkawong V, Lee JJ, Swisher SG, Gibbons DL, Zhang J, Le X, Elamin YY, Gomez DR, Ning MS, Lin SH, Liao Z, Chang JY, Vaporciyan AA, Heymach JV, Antonoff MB, Gandhi SJ. Benchmarking Outcomes for Molecularly Characterized Synchronous Oligometastatic Non-Small-Cell Lung Cancer Reveals EGFR Mutations to Be Associated With Longer Overall Survival. JCO Precis Oncol 7:e2200540, 2023. PMID: 36716413.
- Puckett LL, Titi M, Kujundzic K, Dawes SL, Gore EM, Katsoulakis E, Park JH, Solanki AA, Kapoor R, Kelly M, Palta J, Chetty IJ, Jabbour SK, Liao Z, Movsas B, Thomas CR, Timmerman RD, Werner-Wasik M, Kudner R, Wilson E, Simone CB. Consensus Quality Measures and Dose Constraints for Lung Cancer from the Veterans Affairs Radiation Oncology Quality Surveillance Program and American Society for Radiation Oncology (ASTRO) Expert Panel. Pract Radiat Oncol 13(5):413-428, 2023. e-Pub 2023. PMID: 37075838.
- Xiao N, Pei Z, Lu W, Fang R, Jin Y, Zhou G, Meng X, Ng SP, Xing L, Liao Z, Sijtsema NM, Yang P. Editorial: Application of radiomics in understanding tumor biological behaviors and treatment response. Front Oncol 13:1257447, 2023. e-Pub 2023. PMID: 37664068.
- Liu Y, Yao L, Kalhor N, Carter BW, Altan M, Blumenschein G, Byers LA, Fossella F, Gibbons DL, Kurie JM, Lu C, Skoulidis F, Chang JY, Liao Z, Gomez DR, O'Reilly M, Heymach JV, Tsao AS, Lin SH. Final efficacy outcomes of atezolizumab with chemoradiation for unresectable NSCLC: The phase II DETERRED trial. Lung Cancer 174:112-117, 2022. e-Pub 2022. PMID: 36371941.
- Moran JA, Adams DL, Edelman MJ, Lopez P, He J, Qiao Y, Xu T, Liao Z, Gardner KP, Tang CM, Lin SH. Monitoring PD-L1 Expression on Circulating Tumor-Associated Cells in Recurrent Metastatic Non-Small-Cell Lung Carcinoma Predicts Response to Immunotherapy With Radiation Therapy. JCO Precis Oncol 6:e2200457, 2022. PMID: 36516370.
- Xu T, Wu L, Gandhi S, Jing W, Nguyen QN, Chen A, Chang JY, Nurieva R, Sheshadri A, Altan M, Lee PP, Lin SH, Liao Z. Treatment-related pulmonary adverse events induced by chemoradiation and Durvalumab affect survival in locally advanced non-small cell lung cancer. Radiother Oncol 176:149-156, 2022. e-Pub 2022. PMID: 36209942.
- Hui D, Puac V, Shelal Z, Dev R, Hanneman SK, Jennings K, Ma H, Urbauer DL, Shete S, Fossella F, Liao Z, Blumenschein G, Chang JY, O'Reilly M, Gandhi SJ, Tsao A, Mahler DA, Bruera E. Effect of dexamethasone on dyspnoea in patients with cancer (ABCD): a parallel-group, double-blind, randomised, controlled trial. Lancet Oncol 23(10):1321-1331, 2022. e-Pub 2022. PMID: 36087590.
- Ajdari A, Liao Z, Mohan R, Wei X, Bortfeld T. Personalized mid-course FDG-PET based adaptive treatment planning for non-small cell lung cancer using machine learning and optimization. Phys Med Biol 67(18), 2022. e-Pub 2022. PMID: 35947984.
- Jing W, Xu T, Wu L, Lopez PB, Grassberger C, Ellsworth SG, Mohan R, Hobbs BP, Blumenschein GR, Tu J, Altan M, Lee P, Liao Z, Lin SH. Severe Radiation-Induced Lymphopenia Attenuates the Benefit of Durvalumab After Concurrent Chemoradiotherapy for NSCLC. JTO Clin Res Rep 3(9):100391, 2022. e-Pub 2022. PMID: 36089921.
- Chen M, Wang Z, Jiang S, Sun J, Wang L, Sahoo N, Brandon Gunn G, Frank SJ, Xu C, Chen J, Nguyen QN, Chang JY, Liao Z, Ronald Zhu X, Zhang X. Predictive performance of different NTCP techniques for radiation-induced esophagitis in NSCLC patients receiving proton radiotherapy. Sci Rep 12(1):9178, 2022. e-Pub 2022. PMID: 35655073.
- Koutroumpakis E, Deswal A, Yusuf SW, Abe JI, Nead KT, Potter AS, Liao Z, Lin SH, Palaskas NL. Radiation-Induced Cardiovascular Disease: Mechanisms, Prevention, and Treatment. Curr Oncol Rep 24(5):543-553, 2022. e-Pub 2022. PMID: 35192118.
- Mikhail Lette MN, Paez D, Shulman LN, Guckenberger M, Douillard JY, Oyen WJG, Giammarile F, Rangarajan V, Ginsberg M, Pellet O, Liao Z, Abdel Wahab M. Toward Improved Outcomes for Patients With Lung Cancer Globally: The Essential Role of Radiology and Nuclear Medicine. JCO Glob Oncol 8:e2100100, 2022. PMID: 35649215.
- Monti S, Xu T, Mohan R, Liao Z, Palma G, Cella L. Radiation-Induced Esophagitis in Non-Small-Cell Lung Cancer Patients: Voxel-Based Analysis and NTCP Modeling. Cancers (Basel) 14(7), 2022. e-Pub 2022. PMID: 35406605.
- Monti S, Xu T, Liao Z, Mohan R, Cella L, Palma G. On the interplay between dosiomics and genomics in radiation-induced lymphopenia of lung cancer patients. Radiother Oncol 167:219-225, 2022. e-Pub 2021. PMID: 34979216.
- Xu Y, Dong B, Zhu W, Li J, Huang R, Sun Z, Yang X, Liu L, He H, Liao Z, Guan N, Kong Y, Wang W, Chen J, He H, Qiu G, Zeng M, Pu J, Hu W, Bao Y, Liu Z, Ma J, Jiang H, Du X, Hu J, Zhuang T, Cai J, Huang J, Tao H, Liu Y, Liang X, Zhou J, Tao G, Zheng X, Chen M. A phase III multicenter randomized clinical trial of 60 Gy vs 50 Gy radiation dose in concurrent chemoradiotherapy for inoperable esophageal squamous cell carcinoma. Clin Cancer Res. e-Pub 2022. PMID: 35190815.
- Lin SH, Liao K, Lei X, Verma V, Shaaban S, Lee P, Chen AB, Koong AC, Hoftstetter WL, Frank SJ, Liao Z, Shih YT, Giordano SH, Smith GL. Health Care Resource Utilization for Esophageal Cancer Using Proton versus Photon Radiation Therapy. Int J Part Ther 9(1):18-27, 2022. e-Pub 2022. PMID: 35774487.
- Imanishi M, Cheng H, Kotla S, Deswal A, Le NT, Chini E, Ko KA, Samanthapudi VSK, Lee LL, Herrmann J, Xu X, Reyes-Gibby C, Yeung SJ, Schadler KL, Yusuf SW, Liao Z, Nurieva R, Amir ED, Burks JK, Palaskas NL, Cooke JP, Lin SH, Kobayashi M, Yoshimoto M, Abe JI. Radiation therapy induces immunosenescence mediated by p90RSK. Front Cardiovasc Med 9:988713, 2022. e-Pub 2022. PMID: 36426217.
- Koutroumpakis E, Xu T, Lopez-Mattei J, Pan T, Lu Y, Irizarry-Caro JA, Mohan R, Zhang X, Meng QH, Lin R, Xu T, Deswal A, Liao Z. Coronary artery calcium score on standard of care oncologic CT scans for the prediction of adverse cardiovascular events in patients with non-small cell lung cancer treated with concurrent chemoradiotherapy. Front Cardiovasc Med 9:1071701, 2022. e-Pub 2022. PMID: 36531700.
- Mukai-Sasaki Y, Liao Z, Yang D, Inoue T. Modulators of radiation-induced cardiopulmonary toxicities for non-small cell lung cancer: Integrated cytokines, single nucleotide variants, and HBP systems imaging. Front Oncol 12:984364, 2022. e-Pub 2022. PMID: 36591530.
- Chang JY, Mehran RJ, Feng L, Verma V, Liao Z, Welsh JW, Lin SH, O'Reilly MS, Jeter MD, Balter PA, McRae SE, Berry D, Heymach JV, Roth JA, STARS Lung Cancer Trials Group. Stereotactic ablative radiotherapy for operable stage I non-small-cell lung cancer (revised STARS): long-term results of a single-arm, prospective trial with prespecified comparison to surgery. Lancet Oncol 22(10):1448-1457, 2021. e-Pub 2021. PMID: 34529930.
- He Y, Cazoulat G, Wu C, Peterson C, McCulloch M, Anderson B, Pollard-Larkin J, Balter P, Liao Z, Mohan R, Brock K. Geometric and dosimetric accuracy of deformable image registration between average-intensity images for 4DCT-based adaptive radiotherapy for non-small cell lung cancer. J Appl Clin Med Phys 22(8):156-167, 2021. e-Pub 2021. PMID: 34310827.
- Xu T, Meng QH, Gilchrist SC, Lin SH, Lin R, Xu T, Milgrom SA, Gandhi SJ, Wu H, Zhao Y, Lopez-Mattei JC, Mohan R, Liao Z. Assessment of Prognostic Value of High-Sensitivity Cardiac Troponin T for Early Prediction of Chemoradiation Therapy-Induced Cardiotoxicity in Patients with Non-Small Cell Lung Cancer: A Secondary Analysis of a Prospective Randomized Trial. Int J Radiat Oncol Biol Phys. e-Pub 2021. PMID: 34302893.
- Yang Z, Zhang Y, Li R, Yisikandaer A, Ren B, Sun J, Li J, Chen L, Zhao R, Zhang J, Xia X, Liao Z, Carbone DP. Whole-brain radiotherapy with and without concurrent erlotinib in NSCLC with brain metastases: a multicenter, open-label, randomized, controlled phase III trial. Neuro Oncol 23(6):967-978, 2021. PMID: 33331923.
- Chapman BV, Ning MS, Farnia B, Mesko S, Lin SH, Tang C, Allen PK, Liao Z, Chang JY, Komaki R, Mehran RJ, Gandhi SJ, Gomez DR. Postoperative Radiotherapy for Locally Advanced NSCLC: Implications for Shifting to Conformal, High-Risk Fields. Clin Lung Cancer 22(3):225-233, 2021. e-Pub 2020. PMID: 32727706.
- Jing W, Liu Y, Zhu H, Welsh J, Gandhi S, Jeter M, Nguyen Q, Chen AB, O'Reilly M, Liao Z, Chang JY, Lee P, Lin SH. Prognosis of severe lymphopenia after postoperative radiotherapy in non-small cell lung cancer: Results of a long-term follow up study. Clin Transl Radiat Oncol 28:54-61, 2021. e-Pub 2021. PMID: 33778173.
- Ning MS, Das P, Rosenthal DI, Dabaja BS, Liao Z, Chang JY, Gomez DR, Klopp AH, Gunn GB, Allen PK, Nitsch PL, Natter RB, Briere TM, Herman JM, Wells R, Koong AC, McAleer MF. Early and Midtreatment Mortality in Palliative Radiotherapy: Emphasizing Patient Selection in High-Quality End-of-Life Care. J Natl Compr Canc Netw:1-9. e-Pub 2021. PMID: 33878727.
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- Tang C, Liao Z, Zhuang Y, Levy LB, Hung C, Li X, Krafft SP, Martel MK, Komaki R, Gomez DR. Acute phase response before treatment predicts radiation esophagitis in non-small cell lung cancer. Radiother Oncol 110(3):493-498, 2014. e-Pub 2014. PMID: 24560756.
- Wang J, Myles B, Wei C, Chang JY, Hofstetter WL, Ajani JA, Swisher SG, Cox JD, Komaki R, Liao Z, Lin SH. Obesity and outcomes in patients treated with chemoradiotherapy for esophageal carcinoma. Dis Esophagus 27(2):168-175, 2014. e-Pub 2013. PMID: 23621168.
- Tang C, Gomez DR, Wang H, Levy LB, Zhuang Y, Xu T, Nguyen Q, Komaki R, Liao Z. Association between white blood cell count following radiation therapy with radiation pneumonitis in non-small cell lung cancer. Int J Radiat Oncol Biol Phys 88(2):319-325, 2014. PMID: 24411603.
- Li Y, Kardar L, Li X, Li H, Cao W, Chang JY, Liao Z, Zhu RX, Sahoo N, Gillin M, Liao Z, Komaki R, Cox JD, Lim G, Zhang X. On the interplay effects with proton scanning beams in stage III lung cancer. Med Phys 41(2):021721, 2014. PMID: 24506612.
- Amini A, Ajani J, Komaki R, Allen PK, Minsky BD, Blum M, Xiao L, Suzuki A, Hofstetter W, Swisher S, Gomez D, Liao Z, Lee JH, Bhutani MS, Welsh JW. Factors associated with local-regional failure after definitive chemoradiation for locally advanced esophageal cancer. Ann Surg Oncol 21(1):306-314, 2014. e-Pub 2013. PMID: 24197760.
- Hellmann MD, Chaft JE, William WN, Rusch V, Pisters KM, Kalhor N, Pataer A, Travis WD, Swisher SG, Kris MG, Liao Z, University of Texas MD Anderson Lung Cancer Collaborative Group. Pathological response after neoadjuvant chemotherapy in resectable non-small-cell lung cancers: proposal for the use of major pathological response as a surrogate endpoint. Lancet Oncol 15(1):e42-50, 2014. PMID: 24384493.
- Li H, Park P, Liu W, Matney J, Liao Z, Balter P, Li Y, Zhang X, Li X, Zhu XR. Patient-specific quantification of respiratory motion-induced dose uncertainty for step-and-shoot IMRT of lung cancer. Med Phys 40(12):121712, 2013. PMID: 24320498.
- Li Q, Yang J, Yu Q, Wu H, Liu B, Xiong H, Hu G, Zhao J, Yuan X, Liao Z. Associations between single nucleotide polymorphisms in the PI3K/PTEN/AKT/mTOR pathway and increased risk of brain metastasis in patients with non-small-cell lung cancer. Clin Cancer Res 19(22):6252-6260, 2013. e-Pub 2013. PMID: 24077347.
- Matney J, Park PC, Bluett J, Chen YP, Liu W, Court LE, Liao Z, Li H, Mohan R. Effects of respiratory motion on passively scattered proton therapy versus intensity modulated photon therapy for stage III lung cancer: are proton plans more sensitive to breathing motion?. Int J Radiat Oncol Biol Phys 87(3):576-582, 2013. PMID: 24074932.
- Ajani JA, Xiao L, Roth JA, Hofstetter WL, Walsh G, Komaki R, Liao Z, Rice DC, Vaporciyan AA, Maru DM, Lee JH, Bhutani MS, Eid A, Yao JC, Phan AP, Halpin A, Suzuki A, Taketa T, Thall PF, Swisher SG. A phase II randomized trial of induction chemotherapy versus no induction chemotherapy followed by preoperative chemoradiation in patients with esophageal cancer. Ann Oncol 24(11):2844-9, 2013. e-Pub 2013. PMID: 23975663.
- Wang H,Liao Z, Zhuang Y, Xu T, Nguyen QN, Levy LB, O'Reilly M, Gold KA, Gomez DR. Do angiotensin-converting enzyme inhibitors reduce the risk of symptomatic radiation pneumonitis in patients with non-small cell lung cancer after definitive radiation therapy? Analysis of a single-institution database. Int J Radiat Oncol Biol Phys. e-Pub 2013. PMID: 24161424.
- Meng X, Wang J, Sun X, Wang L, Ye M, Feng P, Zhu G, Lu Y, Han C, Zhu S, Liao Z, Yu J. Cetuximab in combination with chemoradiotherapy in Chinese patients with non-resectable, locally advanced esophageal squamous cell carcinoma: a prospective, multicenter phase II trail. Radiother Oncol. e-Pub 2013. PMID: 24128808.
- Yang J, Amini A, Williamson R, Zhang L, Zhang Y, Komaki R, Liao Z, Cox J, Welsh J, Court L, Dong L. Automatic contouring of brachial plexus using a multi-atlas approach for lung cancer radiotherapy. Pract Radiat Oncol 3(4), 2013. PMID: 24273627.
- Shirvani SM, Juloori A, Allen PK, Komaki R, Liao Z, Gomez D, O'Reilly M, Welsh J, Papadimitrakopoulou V, Cox JD, Chang JY. Comparison of 2 common radiation therapy techniques for definitive treatment of small cell lung cancer. Int J Radiat Oncol Biol Phys 87(1):139-47, 2013. PMID: 23920393.
- McAvoy SA, Ciura KT, Rineer JM, Allen PK, Liao Z, Chang JY, Palmer MB, Cox JD, Komaki R, Gomez DR. Feasibility of proton beam therapy for reirradiation of locoregionally recurrent non-small cell lung cancer. Radiother Oncol. e-Pub 2013. PMID: 24016675.
- Wang J, Wei C, Tucker SL, Myles B, Palmer M, Hofstetter WL, Swisher SG, Ajani JA, Cox JD, Komaki R, Liao Z, Lin SH. Predictors of postoperative complications after trimodality therapy for esophageal cancer. Int J Radiat Oncol Biol Phys 86(5):885-91, 2013. PMID: 23845841.
- Niedzielski J, Bluett JB, Williamson RT, Liao Z, Gomez DR, Court LE. Analysis of esophageal-sparing treatment plans for patients with high-grade esophagitis. J Appl Clin Med Phys 14(4):4248, 2013. PMID: 23835390.
- Chen J, Pan J, Liu J, Li J, Zhu K, Zheng X, Chen M, Chen M, Liao Z. Postoperative radiation therapy with or without concurrent chemotherapy for node-positive thoracic esophageal squamous cell carcinoma. Int J Radiat Oncol Biol Phys 86(4):671-7, 2013. PMID: 23773390.
- Vinogradskiy Y, Castillo R, Castillo E, Tucker SL, Liao Z, Guerrero T, Martel MK. Use of 4-dimensional computed tomography-based ventilation imaging to correlate lung dose and function with clinical outcomes. Int J Radiat Oncol Biol Phys 86(2):366-71, 2013. e-Pub 2013. PMID: 23474113.
- Wang H, Gomez DR, Liao Z. β-Blockers and metastasis in non-small-cell lung cancer. Expert Rev Anticancer Ther 13(6):641-3, 2013. PMID: 23773098.
- Wang HM, Liao Z, Komaki R, Welsh JW, O'Reilly MS, Chang JY, Zhuang Y, Levy LB, Lu C, Gomez DR. Improved survival outcomes with the incidental use of beta-blockers among patients with non-small cell lung cancer treated with definitive radiation therapy. Ann Oncol 24(5):1312-9, 2013. e-Pub 2013. PMID: 23300016.
- Vinogradskiy Y, Tucker SL, Liao Z, Martel MK. Balancing radiation pneumonitis versus locoregional tumor control in non-small-cell lung cancer. J Thorac Oncol 8(5):e47-8, 2013. PMID: 23584304.
- Gomez DR, Gillin M, Liao Z, Wei C, Lin SH, Swanick C, Alvarado T, Komaki R, Cox JD, Chang JY. Phase 1 study of dose escalation in hypofractionated proton beam therapy for non-small cell lung cancer. Int J Radiat Oncol Biol Phys. e-Pub 2013. PMID: 23688815.
- Chen Z, Meng Z, Milbury K, Bei W, Zhang Y, Thornton B, Liao Z, Wei Q, Chen J, Guo X, Liu L, McQuade J, Kirschbaum C, Cohen L. Qigong improves quality of life in women undergoing radiotherapy for breast cancer: results of a randomized controlled trial. Cancer 119(9):1690-8, 2013. e-Pub 2013. PMID: 23355182.
- Pang Q, Wei Q, Yuan X, Lopez Guerra JL, Levy LB, Liu Z, Gomez DR, Zhuang Y, Wang LE, Mohan R, Komaki R, Liao Z. Functional promoter variant rs2868371 of HSPB1 is associated with risk of radiation pneumonitis after chemoradiation for non-small-cell lung cancer. Int J Radiat Oncol Biol Phys 85(5):1332-9, 2013. e-Pub 2013. PMID: 23374503.
- Chi A, Wen S, Nguyen NP, Jacobson G, Remick S, Tse W, Liao Z. Extra-pleural pneumonectomy in the setting of tri-modality therapy for patients with malignant pleural mesothelioma. Chin J Cancer Res 25(2):128-9, 2013. PMID: 23592890.
- Welsh JW, Komaki R, Amini A, Munsell MF, Unger W, Allen PK, Chang JY, Wefel JS, McGovern SL, Garland LL, Chen SS, Holt J, Liao Z, Brown P, Sulman E, Heymach JV, Kim ES, Stea B. Phase II trial of erlotinib plus concurrent whole-brain radiation therapy for patients with brain metastases from non-small-cell lung cancer. J Clin Oncol 31(7):895-902, 2013. e-Pub 2013. PMID: 23341526.
- Tucker SL, Mohan R, Liengsawangwong R, Martel MK, Liao Z. Predicting pneumonitis risk: a dosimetric alternative to mean lung dose. Int J Radiat Oncol Biol Phys 85(2):522-7, 2013. e-Pub 2012. PMID: 22580121.
- Hunter NR, Valdecanas D, Liao Z, Milas L, Thames HD, Mason KA. Mitigation and treatment of radiation-induced thoracic injury with a cyclooxygenase-2 Inhibitor, celecoxib. Int J Radiat Oncol Biol Phys 85(2):472-6, 2013. e-Pub 2012. PMID: 22672748.
- Gomez DR, Hong DS, Allen PK, Welsh JS, Mehran RJ, Tsao AS, Liao Z, Bilton SD, Komaki R, Rice DC. Patterns of failure, toxicity, and survival after extrapleural pneumonectomy and hemithoracic intensity-modulated radiation therapy for malignant pleural mesothelioma. J Thorac Oncol 8(2):238-45, 2013. PMID: 23247629.
- Tucker SL, Li M, Xu T, Gomez D, Yuan X, Yu J, Liu Z, Yin M, Guan X, Wang LE, Wei Q, Mohan R, Vinogradskiy Y, Martel M, Liao Z. Incorporating single-nucleotide polymorphisms into the Lyman model to improve prediction of radiation pneumonitis. Int J Radiat Oncol Biol Phys 85(1):251-7, 2013. e-Pub 2012. PMID: 22541966.
- Lopez Guerra JL, Gomez DR, Lin SH, Levy LB, Zhuang Y, Komaki R, Jaen J, Vaporciyan AA, Swisher SG, Cox JD, Liao Z, Rice DC. Risk factors for local and regional recurrence in patients with resected N0-N1 non-small-cell lung cancer, with implications for patient selection for adjuvant radiation therapy. Ann Oncol 24(1):67-74, 2013. e-Pub 2012. PMID: 23002278.
- Court LE, Tucker SL, Gomez D, Liao Z, Zhang J, Kry S, Dong L, Martel MK. A technique to use CT images for in vivo detection and quantification of the spatial distribution of radiation-induced esophagitis. J Appl Clin Med Phys 14(3):4195, 2013. e-Pub 2013. PMID: 23652249.
- Yuan X, Wei Q, Komaki R, Liu Z, Yang J, Tucker SL, Xu T, Heymach JV, Lu C, Cox JD, Liao Z. TGFB1 polymorphisms predict distant metastasis–free survival in patients with inoperable non-small-cell lung cancer after definitive radiotherapy. PLoS One 8(6):e65659, 2013. e-Pub 2013. PMID: 23840350.
- Barney BJ, Wang XS, Lu C, Liao Z, Johnson VE, Cleeland CS, Mendoza TR. Prognostic value of patient-reported symptom interference in patients with late-stage lung cancer. Qual Life Res. e-Pub 2013. PMID: 23371797.
- Welsh J, Amini A, Ciura K, Nguyen N, Palmer M, Soh H, Allen PK, Paolini M, Liao Z, Bluett J, Mohan R, Gomez D, Cox JD, Komaki R, Chang JY. Evaluating proton stereotactic body radiotherapy to reduce chest wall dose in the treatment of lung cancer. Med Dosim 38(4):442-7, 2013. PMID: 24200220.
- Chi A, Wen S, Liao Z, Fowler J, Xu J, Nguyen NP, Welsh JS, Komaki R. What would be the most appropriate α/β ratio in the setting of stereotactic body radiation therapy for early stage non-small cell lung cancer. Biomed Res Int 2013:391021, 2013. e-Pub 2013. PMID: 24350266.
Abstracts
- Yang P, Liao Z, Gomez DR, Xu T, Levy LB, Deng W, Yang J, Mohan R. Prospective Study of Marginal Recurrence in Patients with Non-Small Cell Lung Cancer After Proton or Photon Chemoradiation Therapy. Int J Radiat Oncol Biol Phys 98(1):234, 2017. PMID: 28587001.
- Xu T, Xu Y, Huo J, Yang P, Gomez DR, Liao Z. Incidental Use of Beta-Blockers, Serum VEGF, and Their Association With Disease Outcome in Patients with Non-Small-Cell Lung Cancer Treated with Definitive Chemoradiation Therapy. Int J Radiat Oncol Biol Phys 98(1):245, 2017. PMID: 28587030.
- Deist TM, Yang P, Oberije C, Allen PK, van Wijk Y, Gomez DR, Xu T, Mohan R, Hahn SM, Lambin P, Liao Z. Dosimetric Analysis of Randomized Proton and Photon Plans with Respect to Radiation Toxicity: The Importance of High Dose Regions in Lung and Esophagus. Int J Radiat Oncol Biol Phys 98(1):246, 2017. PMID: 28587033.
- Lan M, Xu T, Gomez DR, Jeter MD, Nguyen QN, Deng W, Lin SH, Komaki RU, Liao Z. Association Between LGALS3 Gene Polymorphisms and Survival in Non-Small Cell Lung Cancer Patients Treated With Definitive Radiation Therapy. Int J Radiat Oncol Biol Phys 98(1):249-250, 2017. PMID: 28587040.
- Hong J, Liao Z, Zhuang Y, Levy LB, Sheu T, Heymach JV, Nguyen QN, Xu T, Komaki R, Gomez DR. Prognostic factors as a function of disease-free interval after definitive (chemo)radiation for non-small cell lung cancer using conditional survival analysis. Am J Clin Oncol. e-Pub 2015. PMID: 26535988.
- Milbury K, Chaoul A, Engle R, Liao Z, Yang C, Carmack C, Shannon V, Spelman A, Wangyal T, Cohen L. Couple-based Tibetan yoga program for lung cancer patients and their caregivers. Psychooncology 24(1):117-20, 2015. e-Pub 2014. PMID: 24890852.
- Li H, Liu W, Park P, Matney J, Liao Z, Chang J, Zhang X, Li Y, Zhu RX. Evaluation of the systematic error in using 3D dose calculation in scanning beam proton therapy for lung cancer. J Appl Clin Med Phys 15(5):4810, 2014. e-Pub 2014. PMID: 25207565.
- Parker P, Cohen L, Chavez L, Baum G, Pisters KM, Liao Z, Mehran R. The association between provider characteristics and beliefs about psychosocial care in oncology.
Book Chapters
- Schoenhals JE, Brooks ED, Cortez MA, Syedin SN, Niknam S, Wang Xiaohong, Cadena AP, Li XS, Gomez DR, Liao Z, and Welsh JW. Translational Research and Immunotherapy in Lung Cancer. In: Principles and Practice of Radiotherapy Techniques in Thoracic Malignancies. Springer International Publishing AG Switzerland, 255-296, 2016.
- Selek U, Bolukbasi Y, Topkan E, and Liao Z. Esophageal Cancer. In: Principles and Practice of Radiotherapy Techniques in Thoracic Malignancies. Springer International Publishing AG Switzerland, 297-324, 2016.
- Nguyen QN, Komaki R, Gomez D, Liao Z. Chest tumors (nsclc) - proton therapy in early-stage and advanced lung tumors. In: Contemporary Radiation Therapy. Atheneu: Brazil.
Patient Reviews
CV information above last modified August 23, 2024