医学
放射外科
神经认知
放射治疗
穹窿
全脑放疗
生活质量(医疗保健)
肿瘤科
脑转移
内科学
海马体
癌症
转移
认知
精神科
护理部
作者
Jennifer K. Matsui,Haley K. Perlow,Rituraj Upadhyay,Aliah McCalla,Raju R. Raval,Evan Thomas,Dukagjin Blakaj,Sasha Beyer,Joshua D. Palmer
标识
DOI:10.1016/j.soc.2023.02.007
摘要
Radiotherapy remains a cornerstone treatment of brain metastases. With new treatment advances, patients with brain metastases are living longer, and finding solutions for mitigating treatment-related neurotoxicity and improving quality of life is important. Historically, whole-brain radiation therapy (WBRT) was widely used but treatment options such as hippocampal sparing WBRT and stereotactic radiosurgery (SRS) have emerged as promising alternatives. Herein, we discuss the recent advances in radiotherapy for brain metastases including the sparing of critical structures that may improve long-term neurocognitive outcomes (eg, hippocampus, fornix) that may improve long-term neurocognitive outcome, evidence supporting preoperative and fractionated-SRS, and treatment strategies for managing radiation necrosis.
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