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Evaluation of late cerebral vascular complications in cranially irradiated pediatric cancer patients with magnetic resonance angiography

Abstract

Background

We aimed to establish the early diagnosis of cerebral vascular complications by using cerebral magnetic resonance angiography (MRA) in patients who were treated with cranial RT in childhood as part of their cancer treatment.

Procedure

Patients who had received cranial RT before the age of 18 and had been in remission for at least 1 year were enrolled in the study. A data form including demographic and clinical characteristics and findings of cerebral MRA was filled in for each patient.

Results

Cerebral MRA examination was performed between November 2013 and October 2015 in 53 patients who met the inclusion criteria. Abnormalities were found in 7 patients (13.2%). All patients were asymptomatic at the time of examination. There was a significant difference between patients in the abnormality-positive and abnormality-negative groups related to cranial radiation dose (p = 0.013) and age at the time of examination (p = 0.015) in univariate analysis. In multivariate analysis, cranial radiation dose was found to have an impact on developing cerebral vascular abnormalities (p = 0.045).

Conclusions

Cerebral MRA is a noninvasive method of follow-up for late cerebral vascular complications in surviving pediatric oncology patients who were treated with cranial RT as part of their cancer treatment.

Post author correction

Article Type: ORIGINAL RESEARCH ARTICLE

DOI:10.5301/tj.5000618

Authors

Serhan Kupeli, Kenan Bicakci, Gulay Sezgin, Ibrahim Bayram

Article History

Disclosures

Financial support: The study was supported by Çukurova University BAP Coordination Unit with project number TF2012BAP36.
Conflict of interest: The authors declare no potential conflicts of interest.

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Authors

Affiliations

  • Department of Pediatric Oncology and Pediatric Bone Marrow Transplantation Unit, Faculty of Medicine, Çukurova University, Adana - Turkey
  • Department of Radiology, Faculty of Medicine, Çukurova University, Adana - Turkey

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