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Cranial radiation therapy with hippocampus avoidance in lung cancer treatment: systematic review and meta-analysis.


ABSTRACT:

Background

The role of cranial radiation therapy with hippocampus avoidance (HA-CRT) in neurocognitive function (NCF), brain metastasis (BM), and overall survival (OS) in lung cancer remains unclear.

Methods

A meta-analysis was conducted to evaluate the impact of HA-CRT in lung cancer. Data from studies on hippocampal-avoidance prophylactic cranial irradiation (HA-PCI) and whole brain radiotherapy (HA-WBRT) were pooled.

Results

A total of 14 studies, including 5 randomized controlled trials, were included. The focus of NCF was mainly via the Hopkins Verbal Learning Test-Revised or the Free and Cued Selective Reminding Test. At 6 months post-radiotherapy, the pooled proportion of participants with decline in the performance of total recall, delayed recall, and d

SUBMITTER: Zheng Y 

PROVIDER: S-EPMC10626474 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature