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Whole-brain irradiation with hippocampal sparing and dose escalation on metastases: neurocognitive testing and biological imaging (HIPPORAD) – a phase II prospective randomized multicenter trial (NOA-14, ARO 2015–3, DKTK-ROG)
BackgroundWhole brain radiation therapy (WBRT) is the standard therapy for multiple brain metastases. However, WBRT has a poor local tumor control...
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Experimental and Preclinical Tools to Explore the Main Neurological Impacts of Brain Irradiation: Current Insights and Perspectives
Radiation therapy is a powerful tool in the treatment of primary and metastatic cancers of the brain. However, brain tissue tolerance is limited, and... -
Feasibility of hippocampus-sparing VMAT for newly diagnosed glioblastoma treated by chemoradiation: pattern of failure analysis
BackgroundTo identify the pattern of failure and oncological safety of hippocampus (HC)-sparing IMRT (HSRT) in newly diagnosed glioblastoma (GBM)...
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Craniopharyngioma in Pediatrics and Adults
Craniopharyngiomas are rare malignancies of dysembryogenic origin, involving the sellarSellar and parasellarParasellar areas. These low-grade,... -
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Hippocampal dosimetry correlates with the change in neurocognitive function after hippocampal sparing during whole brain radiotherapy: a prospective study
BackgroundWhole brain radiotherapy (WBRT) has been the treatment of choice for patients with brain metastases. However, change/decline of...
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Radioprotection as a Method to Enhance the Therapeutic Ratio of Radiotherapy
Radiotherapy is a commonly used local and regional treatment for cancer. Although important advances in radiation treatment delivery have been made... -
Hippocampal proton MR spectroscopy as a novel approach in the assessment of radiation injury and the correlation to neurocognitive function impairment: initial experiences
BackgroundThe hippocampus is considered as the main radiosensitive brain structure responsible for postradiotherapy cognitive decline. We...
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Why and how to spare the hippocampus during brain radiotherapy: the develo** role of hippocampal avoidance in cranial radiotherapy
The goal of this review is to summarize the rationale for and feasibility of hippocampal sparing techniques during brain irradiation. Radiotherapy is...
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Brain Metastases: The Application of Stereotactic Radiosurgery and Technological Advances
The purpose of this chapter is to provide a comprehensive review of the use of stereotactic radiosurgery (SRS) in patients with brain metastases. We... -
Palliative Radiation Therapy
Radiation therapy is the field of oncology that uses ionizing radiation to kill malignant cells, by disturbing cellular processes, preventing a... -
Radiation Therapy of CNS Metastases
Radiation treatment of central nervous system (CNS) metastases, particularly brain metastasis, is changing. The role of radiation for intraaxial... -
Radiation Biology and Therapy of Tumors of the Central Nervous System
Interaction of ionizing radiation with any biological material results in uneven energy deposition, which results in a variety of chemical... -
A Critical Review of the Clinical Effects of Therapeutic Irradiation Damage to the Brain: The Roots of Controversy
We critically examined the damaging affects of therapeutic irradiation by comparing results from cross-disciplinary studies of early- and...