Neurofilament light and glial fibrillary acidic protein do not reflect neuronal or glial damage during different intracranial radiotherapy regimes: a pilot study - Scorecard - MDSpire

Neurofilament light and glial fibrillary acidic protein do not reflect neuronal or glial damage during different intracranial radiotherapy regimes: a pilot study

  • By

  • Yvonne Dzierma

  • Holger Sebb

  • Michael Utzig

  • Nurlan Abdullayev

  • Christian Berdel

  • Christian Ruebe

  • Jochen Fleckenstein

  • Markus Hecht

  • Guido Hildebrandt

  • Mathias Jucker

  • Kristina Heyne

  • June 8, 2026

  • 0 min

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Clinical Scorecard: Neurofilament Light Chain and Glial Fibrillary Acidic Protein Levels Do Not Indicate Neuronal or Glial Injury Across Various Intracranial Radiotherapy Protocols: A Preliminary Investigation

At a Glance

CategoryDetail
Condition
Key MechanismsNeurofilament light chain (NfL) and glial fibrillary acidic protein (GFAP) as non-specific markers of central nervous system damage.
Target Population
Care Setting

Key Highlights

  • Elevated NfL and GFAP levels observed before radiotherapy initiation.
  • No significant increase in NfL and GFAP levels during radiotherapy.
  • Decreasing NfL and GFAP values correlated with treatment response during follow-up.
  • Pronounced increases in NfL levels were associated with new cerebral lesions.

Guideline-Based Recommendations

Diagnosis

  • Monitor NfL and GFAP levels.

Management

    Monitoring & Follow-up

    • Utilize NfL and GFAP levels for follow-up assessments post-treatment.

    Risks

    • Increased NfL levels may indicate new cerebral lesions.

    Patient & Prescribing Data

    Stereotactic radiotherapy (SRT) shows high local control rates.

    Clinical Best Practices

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