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NEW APPROACHES TO MINIMIZE

COGNITIVE DECLINE FOLLOWING WBRT

(“GENTLER WBRT”)

• Use of “protective” drugs (memantine) (RTOG 0614)

• Hippocampus avoidance with intensity modulated radiotherapy

(RTOG 0933)

• Anti-inflammatory compounds

• Identification of subgroups of patients at higher risk of developing

cognitive deficits

Gondi and Mehta, Curr Opin Neurol 2010;

Steeg et al, Nat Rev Cancer 2011