Incidence of hippocampal and perihippocampal brain metastases and impact on hippocampal-avoiding radiotherapy: a systematic review and meta-analysis

Background and Purpose - In patients requiring prophylactic cranial irradiation (PCI) or whole-brain radiotherapy (WBRT) for brain metastases (BMs), hippocampal avoidance (HA) has been shown to preserve neurocognitive function and quality of life. Here, we aim to estimate the incidence of hippocampa...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Wiegreffe, Shari (VerfasserIn) , Sarria, Gustavo Renato (VerfasserIn) , Layer, Julian (VerfasserIn) , Dejonckheere, Egon (VerfasserIn) , Nour, Younèss (VerfasserIn) , Schmeel, Carsten (VerfasserIn) , Giordano, Frank Anton (VerfasserIn) , Schmeel, Christopher (VerfasserIn) , Popp, Ilinca (VerfasserIn) , Grosu, Anca-Ligia (VerfasserIn) , Gkika, Eleni (VerfasserIn) , Stefaan Dejonckheere, Cas (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: August 2024
In: Radiotherapy and oncology
Year: 2024, Jahrgang: 197, Pages: 1-9
ISSN:1879-0887
DOI:10.1016/j.radonc.2024.110331
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.radonc.2024.110331
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S0167814024006017
Volltext
Verfasserangaben:Shari Wiegreffe, Gustavo Renato Sarria, Julian Philipp Layer, Egon Dejonckheere, Younèss Nour, Frederic Carsten Schmeel, Frank Anton Giordano, Leonard Christopher Schmeel, Ilinca Popp, Anca-Ligia Grosu, Eleni Gkika, Cas Stefaan Dejonckheere

MARC

LEADER 00000caa a2200000 c 4500
001 1913385256
003 DE-627
005 20250716220700.0
007 cr uuu---uuuuu
008 250102s2024 xx |||||o 00| ||eng c
024 7 |a 10.1016/j.radonc.2024.110331  |2 doi 
035 |a (DE-627)1913385256 
035 |a (DE-599)KXP1913385256 
035 |a (OCoLC)1528015653 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Wiegreffe, Shari  |e VerfasserIn  |0 (DE-588)1275547036  |0 (DE-627)1827064889  |4 aut 
245 1 0 |a Incidence of hippocampal and perihippocampal brain metastases and impact on hippocampal-avoiding radiotherapy  |b a systematic review and meta-analysis  |c Shari Wiegreffe, Gustavo Renato Sarria, Julian Philipp Layer, Egon Dejonckheere, Younèss Nour, Frederic Carsten Schmeel, Frank Anton Giordano, Leonard Christopher Schmeel, Ilinca Popp, Anca-Ligia Grosu, Eleni Gkika, Cas Stefaan Dejonckheere 
264 1 |c August 2024 
300 |a 9 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Online verfügbar: 19. Mai 2024, Artikelversion: 21. Mai 2024 
500 |a Gesehen am 02.01.2025 
520 |a Background and Purpose - In patients requiring prophylactic cranial irradiation (PCI) or whole-brain radiotherapy (WBRT) for brain metastases (BMs), hippocampal avoidance (HA) has been shown to preserve neurocognitive function and quality of life. Here, we aim to estimate the incidence of hippocampal and perihippocampal BMs and the subsequent risk of local undertreatment in patients undergoing hippocampal sparing radiotherapy. - Materials and Methods - MEDLINE, Embase, and Scopus were searched with the terms “Hippocampus”, “Brain Neoplasms”, and related terms. Trials reporting on the incidence of hippocampal and/or perihippocampal BMs or hippocampal failure rate after PCI or WBRT were included. - Results - Forty records were included, encompassing a total of 5,374 patients with over 32,570 BMs. Most trials employed a 5 mm margin to define the HA zone. In trials reporting on BM incidence, 4.4 % (range 0 − 27 %) and 9.2 % (3 − 41 %) of patients had hippocampal and perihippocampal BMs, respectively. The most common risk factor for hippocampal BMs was the total number of BMs. The reported failure rate within the HA zone after HA-PCI or HA-WBRT was 4.5 % (0 − 13 %), salvageable with radiosurgery in most cases. SCLC histology was not associated with a higher risk of hippocampal failure (OR = 2.49; p = 0.23). In trials comparing with a conventional (non-HA) PCI or WBRT group, HA did not increase the hippocampal failure rate (OR = 1.90; p = 0.17). - Conclusion - The overall incidence of hippocampal and perihippocampal BMs is considerably low, with a subsequent low risk of local undertreatment following HA-PCI or HA-WBRT. In patients without involvement, the hippocampus should be spared to preserve neurocognitive function and quality of life. 
650 4 |a Brain metastasis 
650 4 |a Hippocampal avoidance 
650 4 |a Hippocampus 
650 4 |a Prophylactic cranial irradiation 
650 4 |a Whole-brain radiotherapy 
700 1 |a Sarria, Gustavo Renato  |e VerfasserIn  |4 aut 
700 1 |8 1\p  |a Layer, Julian  |e VerfasserIn  |0 (DE-588)1188256440  |0 (DE-627)1667212931  |4 aut 
700 1 |a Dejonckheere, Egon  |e VerfasserIn  |4 aut 
700 1 |8 2\p  |a Nour, Younèss  |e VerfasserIn  |0 (DE-588)1262111439  |0 (DE-627)1809652200  |4 aut 
700 1 |8 3\p  |a Schmeel, Carsten  |d 1985-  |e VerfasserIn  |0 (DE-588)1050703359  |0 (DE-627)785173110  |0 (DE-576)404959261  |4 aut 
700 1 |a Giordano, Frank Anton  |d 1980-  |e VerfasserIn  |0 (DE-588)136378455  |0 (DE-627)694333093  |0 (DE-576)300990529  |4 aut 
700 1 |8 4\p  |a Schmeel, Christopher  |e VerfasserIn  |0 (DE-588)1049814037  |0 (DE-627)782728634  |0 (DE-576)403819407  |4 aut 
700 1 |8 5\p  |a Popp, Ilinca  |e VerfasserIn  |0 (DE-588)1104396610  |0 (DE-627)861824237  |0 (DE-576)470965959  |4 aut 
700 1 |8 6\p  |a Grosu, Anca-Ligia  |e VerfasserIn  |0 (DE-588)122079051  |0 (DE-627)512028990  |0 (DE-576)293080933  |4 aut 
700 1 |8 7\p  |a Gkika, Eleni  |d 1979-  |e VerfasserIn  |0 (DE-588)1050315111  |0 (DE-627)783836856  |0 (DE-576)404512771  |4 aut 
700 1 |a Stefaan Dejonckheere, Cas  |e VerfasserIn  |4 aut 
773 0 8 |i Enthalten in  |t Radiotherapy and oncology  |d Amsterdam [u.a.] : Elsevier Science, 1983  |g 197(2024) vom: Aug., Artikel-ID 110331, Seite 1-9  |h Online-Ressource  |w (DE-627)306710110  |w (DE-600)1500707-8  |w (DE-576)082435731  |x 1879-0887  |7 nnas  |a Incidence of hippocampal and perihippocampal brain metastases and impact on hippocampal-avoiding radiotherapy a systematic review and meta-analysis 
773 1 8 |g volume:197  |g year:2024  |g month:08  |g elocationid:110331  |g pages:1-9  |g extent:9  |a Incidence of hippocampal and perihippocampal brain metastases and impact on hippocampal-avoiding radiotherapy a systematic review and meta-analysis 
856 4 0 |u https://doi.org/10.1016/j.radonc.2024.110331  |x Verlag  |x Resolving-System  |z kostenfrei  |3 Volltext 
856 4 0 |u https://www.sciencedirect.com/science/article/pii/S0167814024006017  |x Verlag  |z kostenfrei  |3 Volltext 
883 |8 1\p  |a cgwrk  |d 20250301  |q DE-101  |u https://d-nb.info/provenance/plan#cgwrk 
883 |8 2\p  |a cgwrk  |d 20250301  |q DE-101  |u https://d-nb.info/provenance/plan#cgwrk 
883 |8 3\p  |a cgwrk  |d 20250301  |q DE-101  |u https://d-nb.info/provenance/plan#cgwrk 
883 |8 4\p  |a cgwrk  |d 20250301  |q DE-101  |u https://d-nb.info/provenance/plan#cgwrk 
883 |8 5\p  |a cgwrk  |d 20250301  |q DE-101  |u https://d-nb.info/provenance/plan#cgwrk 
883 |8 6\p  |a cgwrk  |d 20250301  |q DE-101  |u https://d-nb.info/provenance/plan#cgwrk 
883 |8 7\p  |a cgwrk  |d 20250301  |q DE-101  |u https://d-nb.info/provenance/plan#cgwrk 
951 |a AR 
992 |a 20250102 
993 |a Article 
994 |a 2024 
998 |g 136378455  |a Giordano, Frank Anton  |m 136378455:Giordano, Frank Anton  |d 60000  |d 63000  |e 60000PG136378455  |e 63000PG136378455  |k 0/60000/  |k 1/60000/63000/  |p 7 
999 |a KXP-PPN1913385256  |e 464446323X 
BIB |a Y 
SER |a journal 
JSO |a {"type":{"bibl":"article-journal","media":"Online-Ressource"},"origin":[{"dateIssuedKey":"2024","dateIssuedDisp":"August 2024"}],"physDesc":[{"extent":"9 S."}],"id":{"eki":["1913385256"],"doi":["10.1016/j.radonc.2024.110331"]},"relHost":[{"disp":"Incidence of hippocampal and perihippocampal brain metastases and impact on hippocampal-avoiding radiotherapy a systematic review and meta-analysisRadiotherapy and oncology","title":[{"title_sort":"Radiotherapy and oncology","title":"Radiotherapy and oncology","subtitle":"journal of the European Society for Therapeutic Radiology and Oncology"}],"language":["eng"],"note":["Gesehen am 30.05.15","Ungezählte Beil.: Supplement"],"recId":"306710110","id":{"zdb":["1500707-8"],"eki":["306710110"],"issn":["1879-0887"]},"physDesc":[{"extent":"Online-Ressource"}],"origin":[{"publisherPlace":"Amsterdam [u.a.]","dateIssuedKey":"1983","publisher":"Elsevier Science","dateIssuedDisp":"1983-"}],"titleAlt":[{"title":"The green journal"}],"pubHistory":["1.1983 -"],"type":{"media":"Online-Ressource","bibl":"periodical"},"part":{"pages":"1-9","volume":"197","extent":"9","text":"197(2024) vom: Aug., Artikel-ID 110331, Seite 1-9","year":"2024"}}],"recId":"1913385256","person":[{"roleDisplay":"VerfasserIn","role":"aut","display":"Wiegreffe, Shari","family":"Wiegreffe","given":"Shari"},{"display":"Sarria, Gustavo Renato","family":"Sarria","roleDisplay":"VerfasserIn","role":"aut","given":"Gustavo Renato"},{"family":"Layer","display":"Layer, Julian","role":"aut","roleDisplay":"VerfasserIn","given":"Julian"},{"family":"Dejonckheere","display":"Dejonckheere, Egon","roleDisplay":"VerfasserIn","role":"aut","given":"Egon"},{"given":"Younèss","roleDisplay":"VerfasserIn","role":"aut","display":"Nour, Younèss","family":"Nour"},{"given":"Carsten","role":"aut","roleDisplay":"VerfasserIn","family":"Schmeel","display":"Schmeel, Carsten"},{"display":"Giordano, Frank Anton","family":"Giordano","roleDisplay":"VerfasserIn","role":"aut","given":"Frank Anton"},{"display":"Schmeel, Christopher","family":"Schmeel","roleDisplay":"VerfasserIn","role":"aut","given":"Christopher"},{"family":"Popp","display":"Popp, Ilinca","roleDisplay":"VerfasserIn","role":"aut","given":"Ilinca"},{"given":"Anca-Ligia","roleDisplay":"VerfasserIn","role":"aut","family":"Grosu","display":"Grosu, Anca-Ligia"},{"roleDisplay":"VerfasserIn","role":"aut","family":"Gkika","display":"Gkika, Eleni","given":"Eleni"},{"given":"Cas","display":"Stefaan Dejonckheere, Cas","family":"Stefaan Dejonckheere","roleDisplay":"VerfasserIn","role":"aut"}],"note":["Online verfügbar: 19. Mai 2024, Artikelversion: 21. Mai 2024","Gesehen am 02.01.2025"],"title":[{"title_sort":"Incidence of hippocampal and perihippocampal brain metastases and impact on hippocampal-avoiding radiotherapy","subtitle":"a systematic review and meta-analysis","title":"Incidence of hippocampal and perihippocampal brain metastases and impact on hippocampal-avoiding radiotherapy"}],"language":["eng"],"name":{"displayForm":["Shari Wiegreffe, Gustavo Renato Sarria, Julian Philipp Layer, Egon Dejonckheere, Younèss Nour, Frederic Carsten Schmeel, Frank Anton Giordano, Leonard Christopher Schmeel, Ilinca Popp, Anca-Ligia Grosu, Eleni Gkika, Cas Stefaan Dejonckheere"]}} 
SRT |a WIEGREFFESINCIDENCEO2024