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在化疗治疗的老年长期乳腺癌幸存者的大脑白质微观结构变化
Ebenezer Daniel1, Frank Deng1, Sunita K Patel2
1Department of Diagnostic Radiology, City of Hope National Medical Center, Duarte, CA, USA.
Cancer medicine
|December 28, 2023
概括
接受化疗的老年乳腺癌幸存者在大脑中显示长期白质变化. 这些微观结构的变化可能解释了治疗后多年的认知衰退.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 乳腺癌的化疗可以对幸存者的健康产生长期影响.
- 认知障碍是乳腺癌幸存者的化学疗法后报告的一种副作用.
- 了解这些认知变化的神经基础对于幸存者护理至关重要.
研究的目的:
- 为了研究老年长期乳腺癌幸存者的白质微观结构变化.
- 为了评估化疗治疗后5-15年发生的变化.
- 为了将这些变化与认知功能相关联.
主要方法:
- 招募了老年乳腺癌幸存者 (化疗C+和没有化疗C-) 和健康对照 (HC).
- 使用大脑MRI与扩散张力成像 (DTI) 和神经心理学 (NP) 测试.
- 应用基于通道的空间统计 (TBSS) 来分析分数异构性 (FA) 的白质完整性.
主要成果:
- 在化疗组 (C+) 两年内观察到显著的纵向FA减少.
- 在关键的大脑区域 (包括大脑体和外部囊) 发现了减少的FA.
- 在基线没有显著的群体差异;然而,前冠状辐射中的FA与C+组的结晶认知得分相关.
结论:
- 化疗可能导致乳腺癌幸存者的长期白质微观结构变化.
- 这些大脑变化是长期认知变化的潜在神经相关物.
- 需要进一步的研究来了解对幸存者的认知能力的影响.
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