Forecasting Delayed Neurocognitive and Endocrine Toxicity from Radiation in Brain Tumor Patients
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By
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Kyle Tuohy
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Aarav Badani
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Ava Franklin
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Brad Zacharia
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Dawit Aregawi
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Alireza Mansouri
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Paul Brown
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Michael Glantz
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May 28, 2026
Clinical Scorecard: Forecasting Delayed Neurocognitive and Endocrine Toxicity from Radiation in Brain Tumor Patients
At a Glance
| Category | Detail |
| Condition | Radiation-induced neurocognitive dysfunction and endocrine dysfunction |
| Key Mechanisms | |
| Target Population | |
| Care Setting | |
Key Highlights
- No validated biomarkers exist to predict neurocognitive dysfunction prior to cranial irradiation.
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
- Evaluate MRI for white matter changes at 6 months and assess serum lab values for endocrine function.
Risks
Patient & Prescribing Data
Adults with primary or metastatic brain tumors undergoing cranial irradiation.
Cranial irradiation is often combined with surgery and chemotherapy; specific radiation protocols vary by tumor type.
Clinical Best Practices
- Consider genetic counseling for patients regarding ApOE4 genotype.
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