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Neurocognitive decline after WBRT

Reference

Patients

Dose

PCI

Baseline

Abnormalities

(free)

Cognitive

impairment after

a year

Arrigada

294; SCLC

24 Gy

Control: 44%

PCI: 50%

Control:36%

PCI: 30%

Gregor

314; SCLC

8-36Gy

PASAT

Control: 17%

PCI:31%

Wolfson

264; SCLC

25 vs 36Gy

25Gy: 62%

36Gy: 85%

Le Pechoux

720; SCLC

25 vs 36Gy

25Gy :35%

36Gy: 47%

Sun

340; SCLC

30Gy

Control:12%

PCI: 41%

At least one neurocognitve dysfunction could be observed

after WBRT

Grade of impairment depends of the dose