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Quantifying Cognitive Decrements Caused by Cranial Radiotherapy
Published on: October 18, 2011
The relationship between cognitive and neuroimaging outcomes in children treated for acute lymphoblastic leukemia
Simone Hearps1,2, Marc Seal1,2, Vicki Anderson1,2,3,4
1Clinical Sciences, Murdoch Childrens Research Institute, Parkville, Australia.
Abstract:
Cognitive late-effects have been identified in patients treated with chemotherapy-only protocols for childhood acute lymphoblastic leukemia (ALL), yet the underlying neuropathology is not well understood. This review synthesized recent findings from eight articles investigating the relationship between neurocognitive and neuroimaging outcomes for patients treated for ALL with chemotherapy-only protocols. Reported cognitive domains, imaging methods, and neuroanatomy examined were variable. Despite this, 62.5% (n = 5) of the reviewed studies found a significant relationship between cognitive and imaging outcomes. Greater understanding of the effects of treatment on neuroanatomy and cognitive outcomes is critical for proactively managing ALL cognitive late-effects. Research directions are suggested.

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