Publications by Dr Fogarty

Radiotherapy for the nose

• Volumetric modulated arc therapy (VMAT) for skin field cancerisation of the nose - A technique and case report
• Three-dimensional conformal therapy for nose Definitive Radiotherapy for Basal Cell Carcinoma and Cutaneous Squamous Cell Carcinoma of the Nose.
• Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.



Radiotherapy for the eyelid

• Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.



Radiotherapy for the genitals

• Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion with Minimal Side Effects: A Case Study



Radiotherapy and Hair

• Radiation therapy with superficial x rays results in long term control and less epilation than megavoltage electron therapy for forehead Bowen rsquo s disease



Radiotherapy for melanoma

Lentigo Maligna or Melanoma-in-situ or Hutchinson’s melanotic Freckle (HMF)
• Tangential Volumetric Modulated Radiotherapy – A New Technique for Large Scalp Lesions with a Case Study in Lentigo Maligna.
• Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.
• Radiotherapy for lentigo maligna: a literature review and recommendations for treatment." British Journal of Dermatology 170, no. 1 (2014): 52-58.
• Experience with Treating Lentigo Maligna with Definitive Radiotherapy. Dermatol Res Pract. 2018 Jul 15;2018
Melanoma Brian Metastases
• Adjuvant whole-brain radiation therapy compared with observation after local treatment of melanoma brain metastases: a multicentre, randomized phase III trial. Journal of Clinical Oncology. 2019 Sep 25;37(33).
• The utility of MRI in the detection of brain metastases in the staging of cutaneous melanoma. ClinOncol (R CollRadiol). 2006 May; 18(4):360-2.
• Survival and prognostic factors for patients with melanoma brain metastases in the era of modern systemic therapy.
• Hippocampal avoidance with volumetric modulated arc therapy in melanoma brain metastases -- the first Australian experience. BMC RO 2013 Mar 18;8(1):62.



Merkel Cell Carcinoma

• Radiotherapy is associated with significant improvement in local and regional control in Merkel cell carcinoma.
• The Utility of Positron Emission Tomography (PET) Surveillance Following Definitive Therapy For Merkel Cell Carcinoma – An Australian Case Series



Radiotherapy for skin field cancerisation

• A radiation oncology approach for using definitive radiotherapy with volumetric modulated arc therapy (VMAT) for skin field cancerisation (SFC)
• Volumetric modulated arc therapy (VMAT) for skin field cancerisation of the nose - A technique and case report
• Volumetric modulated arc therapy (VMAT) for extended skin field cancerisation (ESFC): Radiobiological learnings from unique patient cases
• A technique for treating extended skin field cancerisation using volumetric modulated arc therapy



Radiotherapy for Bowens Disease/In-situ SCC/ Intraepithelial Carcinoma

• SXRT in Bowens Radiation therapy with superficial X-rays results in long-term control and less epilation than megavoltage electron therapy for forehead Bowen’s disease.



Radiotherapy for Extra mammary Pagets disease (EMPD)

• Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion with Minimal Side Effects: A Case Study



Superficial radiotherapy

• SXRT for Extramammary Paget’s Disease Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion With Minimal Side Effects: A Case Study
• Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.
• SXRT in Bowens Disease Radiation therapy with superficial X-rays results in long-term control and less epilation than megavoltage electron therapy for forehead Bowen’s disease.
• LM lower eyelid Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.
• Split Course SXRT for Extramammary Paget’s Disease Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion With Minimal Side Effects: A Case Study
• Radiation toxicity Keratoacanthomas following definitive volumetric modulated arc radiotherapy for skin field cancerization.
• Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.



Improving Fractionation

• Adaptive split course radiotherapy (ASCRT) Locally advanced skin cancers of the frail and elderly - consider adaptive split course radiotherapy (ASCRT). Br J Dermatol. 2018 Aug 16. Volume179, Issue 6, December 2018, Pages 1416-1417. doi: 10.1111/bjd.17037.
• Adaptive Split Course Radiotherapy for Skin Cancers Decreases Toxicity and Improves Compliance.
• Fractionation in nasal alar Less is more when treating the nasal ala with superficial radiotherapy.



Improving Delivery

• LM lower eyelid Superficial X-ray radiotherapy results in tissue conservation and long-term control of melanoma in situ of the lower eyelid.
• SXRT in Bowens Radiation therapy with superficial X-rays results in long-term control and less epilation than megavoltage electron therapy for forehead Bowen’s disease.
• A technique for axillary radiotherapy for regional control of high risk skin cancer Australas Radiol. 2007 51 (3), 267–275.
• Another technique for radiation treatment of the supraorbital nerve. AustralasRadiol. 2005 Dec; 49(6):522-5.



Radiobiology

• Volumetric modulated arc therapy (VMAT) for extended skin field cancerisation (ESFC): Radiobiological learnings from unique patient cases.
• Unexpectedly severe acute radiotherapy side effects are associated with single nucleotide polymorphisms of the melanocortin-1 receptor.
• Characterization of the expression and activation of the epidermal growth factor receptor in squamous cell carcinoma of the skin. Br J Dermatol. 2007 Jan; 156(1):92-8.
• Three cases of activation of cutaneous squamous-cell carcinoma (SCC) during treatment with prolonged administration of Rituximab.
• Delay of post operative radiotherapy in high risk skin cancer can be associated with recurrence. J Plast Reconstr Aesthet Surg. 2006;59(2):203-5.
• Multiple malignancies and immunological diseases after radiotherapy: a new tumour suppressor gene disorder? ClinOncol (R Coll Radiol). 2005 Dec;17(8):668.
• Recurrent basal cell carcinoma causing spinal cord compression.ANZ J Surg Feb 2001 Vol 71; 2: pgs 129-131.
• Radiation recall reaction following gemcitabine Lung Cancer 33 (2000) 299-302.



General knowledge

• Dr Fogarty authored the radiotherapy chapter of eth Cancer Australia 2019 keratinocyte guidelines
• Common dermatology questions and answers about the radiation treatment of skin cancer in the modern era.
• PhD “Advances in the radiotherapy of skin cancers” University of Technology Sydney conferred 3rd June2013.
• Guidelines for Radical Radiotherapy in Skin Cancer. Australas Radiol 2006 Jun;50(3):286-7
• Clinical practice guidelines for keratinocyte cancer



New Techniques of Radiotherapy for skin cancer developed by Prof Fogarty

• Tangential Volumetric Modulated Radiotherapy – A New Technique for Large Scalp Lesions with a Case Study in Lentigo Maligna.
• Can Modern Radiotherapy be used for Extensive Skin Field Cancerisation: An Update on Current Treatment Options.
• A technique for treating extended skin field cancerisation using volumetric modulated arc therapy.
• Volumetric modulated arc therapy (VMAT) for skin field cancerisation of the nose - A technique and case report
• A radiation oncology approach for using definitive radiotherapy with volumetric modulated arc therapy (VMAT) for skin field cancerisation (SFC)
• SXRT for Extramammary Paget’s Disease Split Course Superficial Radiotherapy in Scrotal Extramammary Paget’s Disease Allows Course Completion With Minimal Side Effects: A Case Study.



Interactions with surgery

• Experience RT in grafts flaps Dwyer LJ, Haddad RL, Fogarty GB. Experiences when irradiating grafts and flaps for skin cancer. Int J Radiol Radiat Ther. 2020;7(3):71‒76. DOI: 10.15406/ijrrt.2020.07.00268
• Fractionation in nasal alar Butcher LM, Fogarty GB, Sinclair S, et al. Less is more when treating the nasal ala with superficial radiotherapy.
• Lessons learnt Fogarty GB, Ziebell A, Nicholls S, Shannon K, Haddad R. Lessons learnt from an apparent lack of clinical response following superficial radiation therapy of cutaneous squamous cell carcinoma.
• Radiotherapy treats a greater volume than surgery using an axillary sentinel node model: – a short report.
• Radiotherapy can cause haemostasis in bleeding skin malignancies. Case Reports in Medicine, vol. 2012, Article ID 168681, 2012.
• Cutaneous squamous cell carcinoma metastatic to parotid - analysis of prognostic factors and treatment outcome.
• Large Solitary Distant Metastasis of Cutaneous Squamous Cell Carcinoma to Skin Graft Site with Complete Response Following Definitive Radiotherapy



Interactions with systemic therapy, chemotherapy or immunotherapy

• Radiation recall reaction following gemcitabine
• Three cases of activation of cutaneous squamous-cell carcinoma (SCC) during treatment with prolonged administration of Rituximab