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化疗和放疗后的白质改变

[White matter alterations after chemotherapy and radiation].

作者信息

Simgen A

机构信息

Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Str. 1, 66424, Homburg/Saar, Deutschland.

出版信息

Radiologe. 2018 Dec;58(12):1060-1066. doi: 10.1007/s00117-018-0458-5.

DOI:10.1007/s00117-018-0458-5
PMID:30413853
Abstract

Nowadays chemotherapy and radiotherapy are fundamental therapy concepts in the guidelines of malignant tumors of the central nervous system. Both therapy concepts can cause neurological symptoms or white matter alterations can occur, which can be classified into acute, subacute and chronic. Both symptoms and white matter alterations during acute and subacute phases are in most cases completely reversible, whereas chronic white matter alterations can lead to severe neurological limitations and further impair the quality of life of cancer patients.

摘要

如今,化疗和放疗是中枢神经系统恶性肿瘤诊疗指南中的基本治疗理念。这两种治疗理念都可能引发神经症状或出现白质改变,这些改变可分为急性、亚急性和慢性。在大多数情况下,急性和亚急性期的症状及白质改变都是完全可逆的,而慢性白质改变可能导致严重的神经功能受限,并进一步损害癌症患者的生活质量。

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[White matter alterations after chemotherapy and radiation].化疗和放疗后的白质改变
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本文引用的文献

1
Chemotherapy-associated Posterior Reversible Encephalopathy Syndrome: A Case Report and Review of the Literature.化疗相关的后部可逆性脑病综合征:一例报告及文献复习
Neurologist. 2016 Nov;21(6):112-117. doi: 10.1097/NRL.0000000000000105.
2
Radiation dose-volume effects in the brain.脑的放射剂量-体积效应。
Int J Radiat Oncol Biol Phys. 2010 Mar 1;76(3 Suppl):S20-7. doi: 10.1016/j.ijrobp.2009.02.091.
3
Late-occurring neurologic sequelae in adult survivors of childhood acute lymphoblastic leukemia: a report from the Childhood Cancer Survivor Study.
儿童期急性淋巴细胞白血病幸存者成年后迟发性神经系统后遗症:来自儿童癌症幸存者研究的报告。
J Clin Oncol. 2010 Jan 10;28(2):324-31. doi: 10.1200/JCO.2009.22.5060. Epub 2009 Nov 16.
4
Chemotherapy-induced neuropathy.化疗引起的神经病变
J Peripher Nerv Syst. 2008 Mar;13(1):27-46. doi: 10.1111/j.1529-8027.2008.00156.x.
5
Mechanisms of radiation-induced brain toxicity and implications for future clinical trials.辐射诱导脑毒性的机制及其对未来临床试验的意义。
J Neurooncol. 2008 May;87(3):279-86. doi: 10.1007/s11060-008-9520-x. Epub 2008 Jan 22.
6
Effect of bevacizumab on radiation necrosis of the brain.贝伐单抗对脑放射性坏死的影响。
Int J Radiat Oncol Biol Phys. 2007 Feb 1;67(2):323-6. doi: 10.1016/j.ijrobp.2006.10.010.
7
Role and relevance of neurocognitive assessment in clinical trials of patients with CNS tumors.神经认知评估在中枢神经系统肿瘤患者临床试验中的作用及相关性
J Clin Oncol. 2006 Mar 10;24(8):1305-9. doi: 10.1200/JCO.2005.04.6086.
8
A quantitative MR imaging assessment of leukoencephalopathy in children treated for acute lymphoblastic leukemia without irradiation.对未经放疗的急性淋巴细胞白血病患儿白质脑病的定量磁共振成像评估
AJNR Am J Neuroradiol. 2005 Oct;26(9):2371-7.
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Diffusion-weighted MR imaging of early methotrexate-related neurotoxicity in children.儿童早期甲氨蝶呤相关神经毒性的扩散加权磁共振成像
AJNR Am J Neuroradiol. 2005 Aug;26(7):1686-9.
10
Mechanisms of radiation injury to the central nervous system: implications for neuroprotection.中枢神经系统辐射损伤的机制:对神经保护的启示
Mol Interv. 2004 Oct;4(5):273-84. doi: 10.1124/mi.4.5.7.