Neurocognitive toxicity from radiation therapy for brain metastases

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Brain metastases are the most common intracranial tumors, with an incidence rate ranging from 7 to 14 per 100,000. Both the disease process itself and its treatments can be associated with debilitating and life-altering neurocognitive adverse effects. The treatment of brain metastases involves a multidisciplinary team that aims to maximize the benefits and minimize the toxicities of treatment, which may include surgical resection, radiation therapy (stereotactic radiosurgery or whole-brain radiation therapy), and/or systemic therapy. Additionally, strategies have been investigated to prevent and treat these toxicities, such as stereotactic radiosurgery, hippocampal avoidance whole-brain radiation therapy, and “neuroprotective” drugs, respectively. In order to better detect and measure treatment toxicity, efforts have also been deployed in tracking neurocognitive changes consistently in patients with brain metastases.

Original languageEnglish (US)
Title of host publicationCentral Nervous System Metastases
PublisherSpringer International Publishing
Pages315-328
Number of pages14
ISBN (Electronic)9783030234171
ISBN (Print)9783030234164
DOIs
StatePublished - Jan 1 2019

Keywords

  • Brain metastasis
  • Clinical outcome assessment
  • Hippocampal avoidance whole-brain radiation therapy
  • Memory
  • Neurocognitive function
  • Neuropsychological testing
  • Radiation
  • Stereotactic radiosurgery
  • Systemic therapy

ASJC Scopus subject areas

  • General Medicine
  • General Social Sciences

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