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大脑瘤幸存者的放射治疗诱导的神经认知功能障碍:负担和康复
Rakesh Jalali1, Priyamvada Maitre2
1Apollo Proton Cancer Centre, Chennai, Tamil Nadu, India. rjalali@apollohospitals.com.
Acta neurochirurgica. Supplement
|August 7, 2023
概括
治疗脑瘤的放射治疗可以在40%-100%的患者中引起神经认知功能障碍. 了解原因和开发新技术可能会降低幸存者的风险.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 辐射瘤学 辐射瘤学
背景情况:
- 放射治疗诱导的神经认知功能障碍 (ND) 是部辐射后的常见并发症,影响40-100%的患者.
- 这种认知障碍影响患者,护理人员,医疗保健系统和社会,突出其重大负担.
- 这种并发症背后的确切的病理生理机制仍然不清楚,尽管已经确定了有助于因素.
研究的目的:
- 总结目前对放射治疗诱导的神经认知功能障碍的理解.
- 强调需要对其机制和潜在的缓解策略进行进一步研究.
主要方法:
- 文献综述和对神经认知功能障碍脑后辐射现有研究的综合.
- 对患者,瘤和治疗相关因素的分析,这些因素与认知能力下降有关.
主要成果:
- 在各种患者群体 (儿童和成人) 中报告了神经认知功能障碍的高发病率.
- 多种因素有助于ND,但潜在的机制需要进一步阐明.
- 目前的理解强调了需要改进辐射技术和预防措施的需要.
结论:
- 神经认知功能障碍是脑瘤幸存者治疗骨放射治疗的主要挑战.
- 先进的合规照射技术,优化剂量测量和预防策略对于尽量减少未来神经认知衰退至关重要.
- 对病理生理学的进一步研究对于开发有效的干预措施至关重要.
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