Complications of Cancer Therapy in Children: A Comprehensive Review of Neuroimaging Findings.

Autor: Snyder EJ; From the Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN., Sarma A; From the Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN., Poussaint TY; Department of Radiology, Boston Children's Hospital, Boston, MA., Krishnasarma R; From the Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN., Pruthi S; From the Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN.
Jazyk: angličtina
Zdroj: Journal of computer assisted tomography [J Comput Assist Tomogr] 2023 Sep-Oct 01; Vol. 47 (5), pp. 820-832. Date of Electronic Publication: 2023 Jun 09.
DOI: 10.1097/RCT.0000000000001481
Abstrakt: Abstract: Complications of cancer therapy in children can result in a spectrum of neurologic toxicities that may occur at the initiation of therapy or months to years after treatment. Although childhood cancer remains rare, increasing survival rates mean that more children will be living longer after cancer treatment. Therefore, complications of cancer therapy will most likely occur with increasing frequency.At times, it is very difficult to differentiate between therapeutic complications and other entities such as tumor recurrence, development of secondary malignancy, and infection (among other conditions). Radiologists often play a key role in the diagnosis and evaluation of pediatric patients with malignancies, and thus, awareness of imaging findings of cancer complications and alternative diagnoses is essential in guiding management and avoiding misdiagnosis. The aim of this review article is to illustrate the typical neuroimaging findings of cancer therapy-related toxicities, including both early and late treatment effects, highlighting pearls that may aid in making the appropriate diagnosis.
Competing Interests: The authors declare no conflict of interest.
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Databáze: MEDLINE