Effects of whole brain radiation on blood counts

K. Foo, A. Patel, Gregory M. Richards, B. Goldsmith, A. Turtz, Piya V. Saraiya, R. Somer, N. Lerman, H. Goldman, G. Kubicek
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引用次数: 2

Abstract

Background: Whole brain radiation therapy is commonly used in the treatment of patients with CNS metastatic disease. Radiation to other areas of the body is associated with decrease in bone marrow proliferation. It is unclear what the effects ofWBRT have on blood counts. Methods: Retrospective chart review of patients with brain metastases treated with WBRT with recorded hematologic valuesbefore and after treatment. Univariate analysis was performed to identify statistical differences in outcome via paired t -testing. Results: Forty-nine patients were analyzed. Median age was 61 and 36 subjects were female. Analysis revealed significantly amedian decrease of 0.87 g/dL in hemoglobin values ( p .05). Conclusion: WBRT leads to a decrease in Hgb and platelets but does not appear to affect WBC counts. Physicians and patientsshould be aware of this side effect of WBRT.KeyWords: Whole brain radiotherapy, Anemia, Metastatic brain cancer
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全脑辐射对血液计数的影响
背景:全脑放射治疗是治疗中枢神经系统转移性疾病的常用方法。对身体其他部位的辐射与骨髓增殖的减少有关。目前还不清楚wbrt对血液计数有什么影响。方法:回顾性分析脑转移患者接受WBRT治疗前后的血液学指标。通过配对t检验进行单因素分析以确定结果的统计学差异。结果:对49例患者进行分析。中位年龄61岁,女性36例。分析显示血红蛋白值中位数显著降低0.87 g/dL (p . 0.05)。结论:WBRT导致Hgb和血小板减少,但似乎不影响白细胞计数。医生和患者都应该意识到WBRT的副作用。关键词:全脑放疗,贫血,转移性脑癌
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