Predicting late radiation-associated neurocognitive and endocrine toxicity in patients with brain tumors - Scorecard - MDSpire
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Forecasting Delayed Neurocognitive and Endocrine Toxicity from Radiation in Brain Tumor Patients

  • By

  • Kyle Tuohy

  • Aarav Badani

  • Ava Franklin

  • Brad Zacharia

  • Dawit Aregawi

  • Alireza Mansouri

  • Paul Brown

  • Michael Glantz

  • May 28, 2026

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Clinical Scorecard: Forecasting Delayed Neurocognitive and Endocrine Toxicity from Radiation in Brain Tumor Patients

At a Glance

CategoryDetail
ConditionRadiation-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.

        Related Resources & Content

        Original Source(s)

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