KAZDA, Tomáš, Petr POSPÍŠIL, M. VRZAL, O. SEVELA, T. PROCHAZKA, Radim JANČÁLEK, Pavel ŠLAMPA and N.N. LAACK. Volumetric modulated arc therapy for hippocampal-sparing radiotherapy in transformed low-grade glioma: A treatment planning case report. CANCER RADIOTHERAPIE. BRIDGEWATER: ELSEVIER, 2015, vol. 19, No 3, p. 187-191. ISSN 1278-3218. Available from: https://dx.doi.org/10.1016/j.canrad.2014.11.013.
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Basic information
Original name Volumetric modulated arc therapy for hippocampal-sparing radiotherapy in transformed low-grade glioma: A treatment planning case report
Authors KAZDA, Tomáš (203 Czech Republic, guarantor, belonging to the institution), Petr POSPÍŠIL (203 Czech Republic, belonging to the institution), M. VRZAL (203 Czech Republic), O. SEVELA (203 Czech Republic), T. PROCHAZKA (203 Czech Republic), Radim JANČÁLEK (203 Czech Republic, belonging to the institution), Pavel ŠLAMPA (203 Czech Republic, belonging to the institution) and N.N. LAACK (840 United States of America).
Edition CANCER RADIOTHERAPIE, BRIDGEWATER, ELSEVIER, 2015, 1278-3218.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.299
RIV identification code RIV/00216224:14110/15:00083613
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.canrad.2014.11.013
UT WoS 000355641500005
Keywords in English Hippocampus; Astrocytoma; Neurocognition; Cranial irradiation
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Jana Dvořáková, učo 112653. Changed: 25/8/2015 13:36.
Abstract
Timing of radiotherapy for low-grade gliomas is still controversial due to concerns of possible adverse late effects. Prevention of possible late cognitive sequelae by hippocampal avoidance has shown promise in phase II trials. A patient with progressive low-grade glioma with gradual dedifferentiation into anaplastic astrocytoma is presented along with description of radiotherapy planning process attempting to spare the hippocampus. To our knowledge, this is the first described case using volumetric modulated arc technique to spare hippocampus during transformed low-grade glioma radiotherapy. Using modern intensity-modulated radiotherapy systems it is possible to selectively spare hippocampus together with other standard organs at risk. For selected patients, an attempt to spare hippocampus can be considered as long as other dose characteristics are not significantly compromised compared to standard treatment plan created without any effort to avoid hippocampus.
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