Sorbonne Université, Assistance Publique-Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Department of Radiation Oncology, 47-83, Boulevard de L'Hôpital, 75013, Paris, France.
Sorbonne Université, Publique-Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière-Charles Foix, Neurology 2-Mazarin, 47-83, Boulevard de L'Hôpital, 75013, Paris, France.
Neurol Sci. 2022 Apr;43(4):2363-2374. doi: 10.1007/s10072-022-05944-w. Epub 2022 Feb 11.
Radiation therapy (RT) is one of the main treatments administered to patients with cancer. The development of technology has improved RT accuracy by allowing more precise delivery of high doses to the target volumes with reduced exposure of healthy tissue. Life expectancy has increased due to these therapeutic advancements and the patients' quality of life remains a major concern. The adverse events related to RT are quite various and most likely will impair essential neurological functions, e.g. cognitive status. This literature review aims to describe the physiopathological processes, the neurological symptoms as well as the local modifications observed in magnetic resonance imaging following RT. The specific therapeutic options and preventive actions will also be discussed.
放射治疗(RT)是癌症患者的主要治疗方法之一。随着技术的发展,通过更精确地将高剂量递送到靶体积,同时减少对健康组织的暴露,RT 的准确性得到了提高。由于这些治疗进展,患者的预期寿命有所延长,而生活质量仍然是一个主要关注点。与 RT 相关的不良事件种类繁多,很可能会损害重要的神经功能,例如认知状态。本文献综述旨在描述 RT 后磁共振成像中观察到的生理病理过程、神经症状以及局部变化。还将讨论特定的治疗选择和预防措施。