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儿童脑肿瘤治疗后的神经认知功能障碍:亚型特异性发现和基于脑网络的评估建议。

Neurocognitive Dysfunction After Treatment for Pediatric Brain Tumors: Subtype-Specific Findings and Proposal for Brain Network-Informed Evaluations.

机构信息

Department of Cognitive Neuropsychology, Tilburg University, 5037 AB, Tilburg, The Netherlands.

Department of Oncology, KU Leuven, 3000, Leuven, Belgium.

出版信息

Neurosci Bull. 2023 Dec;39(12):1873-1886. doi: 10.1007/s12264-023-01096-9. Epub 2023 Aug 24.

Abstract

The increasing number of long-term survivors of pediatric brain tumors requires us to incorporate the most recent knowledge derived from cognitive neuroscience into their oncological treatment. As the lesion itself, as well as each treatment, can cause specific neural damage, the long-term neurocognitive outcomes are highly complex and challenging to assess. The number of neurocognitive studies in this population grows exponentially worldwide, motivating modern neuroscience to provide guidance in follow-up before, during and after treatment. In this review, we provide an overview of structural and functional brain connectomes and their role in the neuropsychological outcomes of specific brain tumor types. Based on this information, we propose a theoretical neuroscientific framework to apply appropriate neuropsychological and imaging follow-up for future clinical care and rehabilitation trials.

摘要

儿童脑肿瘤的长期幸存者人数不断增加,这要求我们将认知神经科学的最新知识纳入肿瘤学治疗中。由于病变本身以及每种治疗方法都会导致特定的神经损伤,因此长期神经认知结果非常复杂,评估起来具有挑战性。全世界神经认知研究的数量呈指数级增长,这促使现代神经科学在治疗前、治疗中和治疗后提供指导。在这篇综述中,我们概述了结构和功能脑连接组及其在特定脑肿瘤类型的神经心理学结果中的作用。基于这些信息,我们提出了一个理论神经科学框架,以应用适当的神经心理学和影像学随访来进行未来的临床护理和康复试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df30/10661593/788deb58a188/12264_2023_1096_Fig1_HTML.jpg

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