Radiation-induced cognitive toxicity: pathophysiology and interventions to reduce toxicity in adults.

Abstract:

:Radiotherapy is ubiquitous in the treatment of patients with both primary brain tumors as well as disease which is metastatic to the brain. This therapy is not without cost, however, as cognitive decline is frequently associated with cranial radiation, particularly with whole brain radiotherapy (WBRT). The precise mechanisms responsible for radiation-induced morbidity remain incompletely understood and continue to be an active area of ongoing research. In this article, we review the hypothetical means by which cranial radiation induces cognitive decline as well as potential therapeutic approaches to prevent, minimize, or reverse treatment-induced cognitive deterioration. We additionally review advances in imaging modalities that can potentially be used to identify site-specific radiation-induced anatomic or functional changes in the brain and their correlation with clinical outcomes.

journal_name

Neuro Oncol

journal_title

Neuro-oncology

authors

Wilke C,Grosshans D,Duman J,Brown P,Li J

doi

10.1093/neuonc/nox195

subject

Has Abstract

pub_date

2018-04-09 00:00:00

pages

597-607

issue

5

eissn

1522-8517

issn

1523-5866

pii

4554374

journal_volume

20

pub_type

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